Permit CITY OF TIGARD MECHANICAL PERMIT
>� DEVELOPMENT SERVICES PERMIT #: MEC2000 -00271
��' I I 13125 SW Hall B Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 07/06/2000
PARCEL: 2S105DD -01300
SITE ADDRESS: 14885 SW SUNRISE LN
SUBDIVISION: ZONING: R -7
BLOCK: LOT: JURISDICTION: URB
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
GAS 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Remarks: Gas piping for conversion to water heater
Owner: FEES
CASH, DWIGHT C PAULA L Type By Date Amount Receipt
14885 SW SUNRISE LN PRM4 JMT 07/06/20( $50.00 003504
TIGARD, OR 97223 5PC2 JMT 07/06/20( $4.00 003504
Total $54.00
Phone:
Contractor:
GL HEINTZ HEATING & COOLING
20871 SW 216TH
SHERWOOD, OR 97140 REQUIRED INSPECTIONS
Gas Line Insp
Phone:
Reg #: LIC 102831
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by
calling (503)246 -9189.
Issue By: 7.fl724 . /
Permittee Signature: ,r_ / •
Call 0 3) 639 -4175 by 7:00 P.M. for inspections needed th busi day
Plan Check #
G'iTY'OF TIGARD Mechanical Permit Application Rec'dBy
13125 SW HALL BLVD. Commercial and Residential P DateRec' /- -3
TIGARD, OR 97223 / Date to P.E.
(503) 639 -4171, x304 lJ` Date to DST
Print or Type Permit #171 -2- x'0027(
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Description
Table 1A Mechanical Code Qty Price Amt
Job Street Address / I Surte# A) Permit Fee am am 16.00
�
Address Jv J 36 ✓, S()1l�Jse {/lc 1) ncludt to 100,000
& vents see footnote 1,2 1 9.65
Bldg# Crty/State Zip 2) Furnace 100,000 BTU+
5 ,4ic/ l 7,22Y including ducts & vents see footnote 1,2 12.00
Name (or name of business) 3) Floor Furnace
Owner D om/ / ( including vent see footnote 1,2 9.65
Mailing Address 4) Suspended heater, wall heater
p r (/ r I or floor mounted heater see footnote 1,2 9.65
L , _) J r^ ' J(/���5� �AKe 5) Vent not included in appliance permit 4.75
Crty /State Zip Phone Check all that apply: 'Boiler Heat Air
77 Aj1o( 97� C
V { n For items 6 -10, see or Pump Cond Qty Price Amt
Na ( or name of business) ✓/ footnotes 1,2 Comp
6) <3HP;absorb unit to
100K BTU 9.65
Occupant Mailing Address 7) 3 -15 HP;absorb unit
100k to 500k BTU 17.65
City /State Zip Phone 8) 15 -30 HP; absorb
unit .5-1 mil BTU 24.15
Contractor Na Na 9) 30 -50 HP; absorb
Na / 074 unit 1 -1.75 mil BTU 36.00
( V .6 l 74'7 t'UO // / 10) >50HP; absorb unit
Prior to permit ailing Adddress _ �� (/ >1.75 mil BTU 60 15
issuance, ace Xi7� / �/&O 11 Air handlin g unit to 10,000 CFM
of all licenses /State zip Phone 7.00
are required if c0/Z�i�() 97 / y) 625 6 ?9 12) Air handling unit 10,000 CFM+
expired in COT Oregon Const Cont. B and Lic.# Exp. Date 11.85
database (02 Q r // , Dv 13) Non - portable evaporate cooler
Architect Name 7.00
14) Vent fan connected to a single duct
M ailing Address 4.75
Or 15) Ventilation system not included in
appliance permit 7.00
Engineer City /State Zip Phone 16) Hood served by mechanical exhaust
7.00
Describe work to be done: 17) Domestic incinerators --
12.00
New 0 Repair 0 Replace with like kind: Yes O No O 18) Commercial or industrial type incinerator
Residentiald2' Commercial 0 48.25
19) Repair units
Additional information or description of work: 8.40
20) Wood stove /gas FP /other units /clothe dryer /etc.
7.00
NOTE: For Commercial projects only; Units over 400 lbs. require 21) Gas piping one to four outlets //
structural gas calcs See footnote 1 t 3.75
Type of fuel: oil 0 natural gast.e / LPG 0 electric 0 22) More than 4 -per outlet (each) .75 C O
Minimum Permit Fee $50.00 SUBTOTAL yO '
I hereby acknowledge that I have read this application, that the information 8% SURCHARGE MEW 4 /.0°
given is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL .
the owner, that plans submitted are in compliance with Oregon State laws. Required for ALL commercial permits only
TOTAL 5 'a 7
Signature of Owner/ • !,-nt Cat?
..Oa v'' , 7/6/60 Other Inspections and Fees:
1. Inspections outside of normal business hours (mininum charge -two
Contact P n Name I n hours) $50.00 per hour
/1 1 2. Inspections for which no fee is specifically indicated (minimum
6 �r ,4tj (N r 62S- (07 ?J' charge -half hour) $50.00 per hour
Foonotes for commercial projects only: 3. Additional plan review required by changes, additions or revisions to
1. Provide full schematic of existing and proposed gas line and pressure. plans (minimum charge -one -half hour) $50.00 per hour
2. Provide drawings to scale showing existing and proposed mechanical
units. - 'State Contractor Boiler Certification required
"Residential NC requires site plan showing placement of unit
I:.rnechperm.doc rev 7/19/99
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
' 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
l /4 2- W Date Requested 1-goo AM PM BLD "LW
Location 5 141 cl" Us4, / s-P Li Suite MEC ✓M 04
Contact Person ) y ggC V to Litt f S3 4 Ph () PLM 2e22(2 �
Contractor Ph SWR
BUILDING Tenant/Owner ELC ae7 o —0 6 34 .
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: /*
Slab UV .Gf.�
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
LUM
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
'!?J • PART FAIL
• VAL
Posr Beam
Ro In
Smoke Dampers
1'r
ji PART FAIL
- w• L p \
Service
Rough In
UG /Slab
Low Voltage cr
Fire Alarm
'
4
PART FAIL l, ,
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA �)
Other oach /Sidewalk Date VI 3/(M) Inspector T0 Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.