Permit CITY OF TIGARD MECHANICAL PERMIT
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'� ga I�` ` DEVELOPMENT SERVICES PERMIT #: MEC2000-00175
DATE ISSUED: 05/10/2000
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S115AA-07700
SITE ADDRESS: 10568 SW TITAN LN
SUBDIVISION: BERKLEY ESTATES ZONING: R -4.5
BLOCK: LOT: 009 JURISDICTION: TIG
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: 1 DOMES. INCIN:
ELE 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: < =10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Installing an exterior A/C unit. Unit must not encroach within 5' side or rear yard setbacks.
Owner: FEES
FISHER, MARK A AND LAURIE H Type By Date Amount Receipt
10568 SW TITAN LN PRMT BON 05/10/20C $50.00 0002058
TIGARD, OR 97224 5PCT BON 05/10/20( $4.00 0002058
Total $54.00
Phone:
Contractor:
SPECIALTY HEATING + FABRICATIO
9528 SW TIGARD ST
TIGARD, OR 97223 REQUIRED INSPECTIONS
Misc. Inspection
Phone: 620 -5643 Final Inspection
Reg #: SUP 2570RET
LIC 006657
ELE 34 -341CR � A t
ORIG L
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)24 9189.
Issue By: h MAA � , � Permittee Signature: , L
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
Plan Chec #
CITY SF TIGARD Mechanical Permit Application Rec'd By
13125 SW HALL BLVD. Commercial and Residential Date Rec'd S -10- 21)
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST
Print or Type Permit # Mf -x( 75
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Description
Table 1A Mechanical Code Qty Price Amt
Job Street Address _ Surte# A) Permit Fee ' 16.00
Address / o 5 6 " 5L.0 / 0 l4q. -L 1) Furnace to 100,000 BTU
including ducts & vents see footnote 1,2 9.65
bldg# City/State Zip 2) Furnace 100,000 BTU+
� W / 0 eQ 72 ducts dus & vents see footnote 1,2 12.00
Name (or name of business 3) Floor Furnace
Owner 111446 e 4 Lon F/ c5A et including vent see footnote 1,2 9 65
Mailing Address 4) Suspended heater, wall heater
S G S W r or floor mounted heater see footnote 1,2 9.65
IC J, 44l. (. 5) Vent not included in appliance permit 4.75
Crty /State Zip Phone Check all that apply: 'Boiler Heat Air
7Tya�.d D L° 47i y 1 4.,* yin( For items 6 -10, see or Pump Cond Qty Price Amt
Na a (or me of business) footnotes 1,2 Comp
6) <3HP;absorb unit to
100K BTU 1 9.65
Occupant Mailing Address 7) 3-15 HP;absorb unit
100k to 500k BTU 17.65
Crty /State Zip Phone 8) 15 -30 HP; absorb
unit .5 -1 mil BTU 24.15
9) 30 -50 HP; absorb
Contractor Name unit 1 -1.75 mil BTU 36.00
5 .PC /44 /`/ 7 - 641 17 10) >50HP; absorb unit
Prior to permit Mai rig Address �' r >1.75 mil BTU 60.15
issuance, a copy qsa Ff / /yam c/ ST 11 Air handling unit to 10,000 CFM
of all licenses State / L Phone �LI 7.00
are required if ��° 42a GAD sG 143 12) Air handling unit 10,000 CFM+
- -- expired - in COT -- - Oregon Co at. Cont. Board Lic # - - Exp.. Date- - 11.85
database lP ' 5 75" 5 / 0 / 13) Non - portable evaporate cooler
Architect Name 7 00
14) Vent fan connected to a single duct
or Mailing Address 4.75
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
Residential Commercial 0 48.25
19) Repair units
Additional information or descnption cco work: 8.40
I ;Is T'4.- - _ /� 20) Wood stove /gas FP /other units /clothe dryer /etc.
P 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 3.75
Type of fuel oil 0 natural gas 0 LPG O electn( 22) More than 4 -per outlet (each) .
Minimum Permit Fee $50.00 SUBTOTAL gillaWatipal5VtP
I hereby acknowledge that I have read this application, that the information 8% SURCHARGE 1t•d
given is correct. that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL ,. ;;: _' : -_ '''
Required for ALL commercial permits only 441E.:
the owner, that plans submitted are in compliance with Oregon State laws TOTAL {
Signature f Owner /Agent s Date
l�h::r_5
`7
r / /� Other ons and Fees:
1. Inspections ections coons o outside of normal business hours (mininum charge -two
Contact Pe n Name Phone hours) $50.00 per hour
2. Inspections for which no fee is specifically indicated (minimum
�d3�o?O�G charge -half hour) $50.00 per hour
Foon es 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 A/C requires site plan showing placement of unit
I:\rnechperm doc rev 7/19/99
NOTES
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CITY OF TIGARD BUILDING INSPECTION DIVISION -
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
�/� BUP
Date Requested 5(Zh' /OOAM PM BLD
Location I OSLO D l `/ n ce) Suite MEC Q D'0D1 7S
Contact Person Odin t Le,e/lVh (.o it - ,5(o y3 PLM
Contractor - Ph SWR
BUILDING Tenant/Owner ELC 2b00
Retaining Wall ELR
Footing Access:
Foundation / F} U : 2 - / j� FPS
Ftg Drain / ( / d ° [/ SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler ITS.._ - a -c, ,3V /7j
Fire Alarm
Susp'd Ceiling •
Roof L 1 2--e- 7 trO 4A' f L'� 4/
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
di ar
Under Slab
Top Out
Water Service
Sanitary Sewer •
Rain Drains
Final
PASS PART FAIL
R SLICAL-
Post & Beam
Rough In
Gas Line -
S eke Dampers
at S 'ART FAIL
Service
Rough In
UG /Slab
Low Voltage
Fire alarm
4010 PART FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for einspection RE: [ ] Unable to inspect - no access
ADA
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Other Date Inspector ,/ _ _ Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.