Permit A CITY OF TIGARD MECHANICAL PERMIT
A-lio DEVELOPMENT SERVICES PERMIT #: MEC2000 -00156
.�II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 05/01/2000
PARCEL: 1S134DB-07600
SITE ADDRESS: 11222 SW TORLAND ST
SUBDIVISION: PP1997 -018 ZONING: R -4.5
BLOCK: LOT: 003 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 NC unit. Unit must not encroach into 5' side or rear yard setback.
Owner: FEES
COWDEN, DIANE R + DANIEL L Type By Date Amount Receipt
11222 SW TORLAND PRMT BON 05/01/20( $50.00 00017
TIGARD, OR 97223 5PCT BON 05/01/20( $4.00 0001744-
Total $54.00
Phone:
Contractor:
TRI TECH HEATING
6603 NE 137TH AVE
VANCOUVER, WA 98682 REQUIRED INSPECTIONS
Misc. Inspection
Phone: 360 - 891 -2002 Final Inspection
Reg #: LIC 101873
ORIGINAL
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 g 89. /
Issue By: P. Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for inspections ed the next business day
Plan Checke
Dirt OF TIGARD Mechanical Permit Application Recd By I
13125 SW HALL BLVD. Commercial and Residential Date Rec'd C fr I - WOO
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST r-�
Print or Type Permit # (Vtet7 -C7YJ -1v1
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Description
//02 7 5) ' y I 3-t Table 1A Mechanical Code Qty Price Amt
Street Address Sufte# A) Permit Fee ? "Y�p 16.00
Job 1) Furnace to 100,000 BTU
Address including ducts & vents see footnote 1,2 9.65
Bldg# City /State Zip 2) Furnace 100,000 BTU+
including ducts & vents see footnote 1,2 12.00
NNIe (or name of b loess) 3) F loor ng vent see footnote 1,2 9.65
Owner le l ('o w k� 4) Suspended heater, wall heater
Mailing Address
oZ C ` , , � � r I l an 1 �. or floor mounted heater see footnote 1,2 9.65
J1A (� 5) Vent not included in appliance permit 4.75
Cdy/State Zip Phone Check all that apply: *Boiler Heat Air
/ /q card 0 IC q 7231'070 81 9 For items 6 -10, see or Pump Cond Qty Price Amt
Name or name ofbusiness) footnotes 1,2 Comp
6) 53HP;absorbbunit to
• 100K BTU X 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 Name unit 0 1 -1. 5 mil BTU 36.00
7 r I - I g_ c lii t}eC - L ] of 10) >50HP; absorb unit
Prior to permit Mailing Address _ 31 i+ Of >1.75 mil BTU 60.15
issuance, a copy lid IM ( -1 `` v ! ( • 11 Air handling unit to 10,000 CFM
of all licenses Ay/State Zip Phone '- I (.00 Cif W
are required if VO41 t0 u vet' I,c)Rila X1 1 a -a 12) Air handling unit 10,000 CFM+
expired in COT Oregon Const. Cont. Boalyd Lic # Ex . Dat 11.75
database /0/ $ 7 j 0f 3. ia) 13) Non - portable evaporate cooler
Architect Name 7.00
14) Vent fan connected to a single duct
4.75
Or Mailing Address
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
0 0 1 ' kl bye 12.00
New • Repair 0 Replace with like kind: Yes 0 No 0 18) Commercial or industrial type incinerator
Residential 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 3.75
Type of fuel: oil 0 natural gas 0 LPG 0 electric O 22) More than 4 -per outlet (each) .75
Minimum Permit Fee $50.00 SUBTOTAL ± ; ', = =: =..,f." 50,6 • I hereby acknowledge that I have read this application, that the information $>1/o SURCHARGE`. x: , '.!:' ' .4.W
given is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL ' F:' : _ ,.
the owner, that plans , ubmitted are in compliance with Oregon State laws. Required for ALL commercial permits only ��,' ? 5 =3''
TOTAL '.. t" ',... - � OA,
a t re • f Owne A tent Date x g Y r> =°
� I � , Other Inspections outside and Fees:
v � �� J� � a g 60 1 . Inspections outside of normal business hours ( mininum charge -two
•ntact P- '� Ph. e hours) $50.00 per hour
w III 2 t pl 4q M 2. Inspections for which no fee is specifically indicated (minimum
00L'. C`� ) C `Ce nkv )lO V -U 1 I - �wOL charge -half hour) $50.00 per hour
Foonotes for commercial projects only: i 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
l:tmechperm.doc rev 02/4/99
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 2/D/00 AM PM BLD
Location 1 12Z Z 1o{1 i Y7 S-1- Suite �
MEC ) s(
Contact Person O) Ofl e Ph 1/70' b o (O0 1 c � PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC ZOOS (OZ
Retaining Wall ELR
Footing Access:
Foundation ^ �/ FPS
Ftg Drain 6%V-71...o r't- / /.S �` , v / 5�� SGN
Crawl Drain Inspection Notes: CJ SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Misc: A LC ®0�f / �
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out (2 45'
Water Service
Sanitary Sewer
Rain Drains
Final
P S PART FAIL
MECHANIC
eam
Rough In
Gas Line
Smoke Dampers
4 PART FAIL -
CTRIC
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
F•.,,_.
422,1 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 rei spection RE: ] Unable to inspect - no access
ADA
Approach /Sidewalk D Inspector /
Other Ext
Final
PASS PART FAIL DO OT REMOVE this inspection record from the job site.