Permit CITY OF TIGARD
MECHANICAL PERMIT
�1� DEVELOPMENT SERVICES PERMIT #: MEC2000 -00263
-� I a 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 06/27/2000
PARCEL: 25101 DB -00709
SITE ADDRESS: 07330 SW VARNS ST
SUBDIVISION: ROLLING HILLS ZONING: R -3.5
BLOCK: LOT: 029 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: NONE VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
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: 1 AIR HANDLING UNITS OTHER UNITS: 1
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Replace furnace and add new air conditioner. NC units cannot be placed within the required setback area.
Owner: FEES
DORMER, ROBERT C AND Type By Date Amount Receipt
KATHRYN E PRMT JMT 06/27/200 $50.00 0003297
7330 SW VARNS ST 5PCT JMT 06/27/20C $4.00 0003297
TIGARD, OR 97223
Total $54.00
Phone:
Contractor:
GEORGE MORLAN PLUMBING
9806 SW TIGARD
(CCB EXP 6/2002) REQUIRED INSPECTIONS
TIGARD, OR 97223 Gas Line Insp
Phone: 503 - 624 -6895 Mechanical Insp
Reg #: LIC 00002734
PLM 26 -60p
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: �r
Call Q
l � Permittee Signature: 639-4175 by 7:00 P.M. for inspections needed the next business day ) Y p Y
JUN -23 -2000 15 59 r.e1
• /� Plan Check 0
CITY OF TIGARD • Mechanical Permit Applicat .-1 (, Recd By
1 125 SW HALL BLVD. Commercial and Residential Date Recd 6./i3
1 iGARD, OR 97 RECEIVED Date to P.E.
�iO3 639 -4171, x304 • Date to DST �-
�•� ) Pemtlt #tit4f--s1COO -
113/0* / 05 g.40 5 Print or Type JUN 2 7 2000 called
Incomplete or illegible applications will not be acre • led
Name of Oevelopmenr/Projed 1:) • tl • n . ' I ' I r I • T ,r
). �I, r "Dorm r Table 1A Mechanical Code Q Price Amt
P L{,l.A . !/� ";'' i *y a s 16.00
A Permit ''' "'
Job St!eet AddnoSs 1) Furnace to 100,000 BTU • 6
Address 7 36 5€.L) Vat' St , includin. ducts & vents see footnote 1 2 MN
Btd9e City/State Zip 2) Furnace 100,000 BTU+
11 'Qarei C 2c2:>13 lncludin• duds & vents see footnote 1,2 12.00
r+eso (cr name at business) 3) Floor Furnace
Owner SGU'Yle . includin• vent see footnote 1,2 9.65 I
4) Suspended heater, wall heater
Mal[n9 Address or floor mounted heater see footnote 1,2 9.65
•
5) Vent not included In a • •liance ermit 4.75
Criy/State Zip Phone Check all that apply: 'Boiler Heat Alr
For Items 6 -10, see or Pump Cond Qty Price Amt
footnotes 1,2 Corn. '
Name (or name of business) 6) <3HP;absorb unit to 5"
/ •--
100K BTU 9.65
Occupant Mailing Address 7) 3 -15 HP :absorb unit
p 10. to SOOk BTU 17.65
City/Stele rip Phone 8) 1530 HP: absorb
unit .5-1 mil BTU 24.15
9) 30-50 HP; absorb -
Contractor Name • ' unit 1 -1.75 mil BTU 36.00
P_O r fYlorLa.r PI urnbi �� 10) 75 m 1 ; absorb unit 60.15
Prior to permit ula0�D � /
issuance, a copy r f 1 St, 11 Air handling unit to 10.000 CFM
of aU licenses _cb le zip Phone 7.00
are required if " i d garti q s i c , � 2 I 12) Air handling unit 10,000 CFM+ •�
is
expired In COT Oregoabnst. Cad. Board Uc0 E p. Date 11.85
database 0 '7 34 0 0/6 -, 7 13) Non - portable evaporate cooler
Architect Name
7.00
14) Vent fan connected to a single duct
4.75
• or Marne Address
15) Ventilation system not included In
a. •liance • ermit 7.00
Engineer Cih'rStste Zip Phene 16) Hood served by mechanical exhaust
7.00
Describe work to be done: 17) Domestic incinerators
J u.rna.Ce, LUA Li-.. 12.00
New 0 Repair 0 Replace with like kind: Yes No 0 18) Commercial or industrial type Incinerator.
48.25
ResldentialX Commercial
19) Repair units
8.40
Additional Information or description of work:
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 gasp', LPG 0 eiectricX 22 More than 4-•er outlet (each) .75
Minimu Permit Fee $50.00 SUBTOTAL r y�,:r
-� •
I hereby acknowledge that I have read this application, that the information I,6 SURCHARGE i. 2 ` _ c a` .., .
given Is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL ., " " '` %'
Re • ulred for ALL commercial • ermits onl L .; zt , .
the owner, that plans submitted are in compliance with Oregon State laws. TOTAL r•, 7
EE i 4.
Signature of Owner /Agent „,3,
Dat
�L2� Other Inspections and Fees: �
1. Inspections outside of normal business. hours (minlnum charge -two �? (
C tact Person Name Phone ` , hours) $60.00 per hour (S7
• 2. Inspections for which no fee Is specifically Indicated (minimum
T ) 6Dcb (e} v(S CO V-60-30 charge -half hour) $60.00 per hour
Focnates for commercial projects only: 3. Additional plan review required by changes, additions or revisions to
1. Pitvide full schematic of existing and proposed gas Ilne and pressure. plans (minimum charge- one -half hour) $50.00 per hour
2, Provide drawings to scale showing existing and proposed mechanical
'State Contractor Boiler Ceri>fication required
unite.
"'Residential A/C requires site plan showing placement o/ unit
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 7 / '7 a AM X PM BLD
Location 1 3 l 7 w vim" Suite MEC 2t29 1)4
Contact Person kll÷tAti Ph & 14--.6 ' 4'.° PLM
Contractor 'te) Ph SWR
BUILDING Tenant/Owner ELC �pdD — Od 37/
Retaining Wall ELR
Footing Access:
Foundation �(/ G
FPS
Ftg Drain
Crawl Drain Inspection Notes: /� d @ p O 6 2� SGN
Slab � 6; � j/ SIT
Post & Beam __ � TT , 4
Ext Sheath /Shear e yi�.t tZ ' `� Gam -
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
Ca
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab /0"
Top Out ■
Water Service , U
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
L
Post & Beam
Rough In
Gas Line
Smoke Dampers
;f;WP - ART FAIL
:■1 MAC
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
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 reinspection RE: ] Unable to inspect - no access
ADA
Approach /Sidewalk �7
Other Date /7 Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site