Permit CITY TIGARD MECHANICAL PERMIT
A val A DEVELOPMENT SERVICES PERMIT #: MEC2000 -00282
- �
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/19/00 PARCEL: 2S102BC -02006
SITE ADDRESS: 10610 SW WALNUT ST
SUBDIVISION: NO. TIGARDVILLE ADDITION ZONING: R -4.5
BLOCK: LOT: 024 JURISDICTION: TIG
CLASS OF WORK: OTR 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:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTO UNITS:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Replacement of gas furnace with like kind and installation of new a/c unit. Placement of a/c unit must comply
with standard setbacks.
Owner: FEES
EDWARDS, ANNE D + HARVEY 0 Type By Date Amount Receipt
10610 SW WALNUT ST PRMT DEB 7/19/00 $50.00 0003825
TIGARD, OR 97223 5PCT DEB 7/19/00 $4.00 0003825
Total $54.00
Phone:
Contractor:
SPECIALTY HEATING + FABRICATIO
9528 SW TIGARD ST
TIGARD, OR 97223 REQUIRED INSPECTIONS
Heating Unt Insp
Phone: 620 -5643 Cooling Unt Insp
Reg #: SUP 2570RET Final Inspection
LIC 006657
ELE 34 -341 CR '
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 y obtain • •pies of these rules or direct questions to OUNC by calling (503)246 -9189.
Issu By: ;, i , , ' ' . ; Permittee Signature: V 140,4 ' lUiluu�
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
Plan C
CIT`'.,OF TIGARD
� Mechanical Permit Application Recd y
13125 SW HALL BLVD. Commercial and Residential Date Recd 7- /f - C
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST
Print or Type Permit # MfCAar)-tom
Incomplete or illegible applications will not be accepted Called
4, e of Developme Project Description
( Table 1A Mechanical Code Qty Price Amt
Job Street Address Suite# A) Permit Fee ,ate ", 16.00
1) Furnace to 100,000 BTU
Address 061 0 ad 04-e-441 including ducts & vents see footnote 1,2 / 9.65 9' 6
Bldg# City/State Zip 2) Furnace 100,000 BTU+
/ (1,1 " 04-9 22- including ducts & vents see footnote 1,2 12.00
Na a (or name of siness 3) Floor Furnace
Owner v) n 0/144 including vent see footnote 1,2 9.65
Mailing Address 4) Suspended heater, wall heater
6(� /o sw or floor mounted heater see footnote 1,2 9.65
5) Vent not included in appliance permit 4.75
•
City /State Zip Phone Check all that apply: *Boiler Heat Air
l a d� ct 72..7-3 6s r_ v s 3�e For items 6 -10, see or Pump Cond • Qty Price Amt
Na a (or name of business) ( footnotes 1,2 Comp
rJ 6) <3HP;absorb unit to
T'f1,(i 100K BTU 1 9.65 9
Occupant Mai ing 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
9) 30 -50 HP; absorb
Contractor Name unit 1 -1.75 mil BTU 36.00
, 5 iPC / /.4 l 10) >50HP; absorb unit
Prior to permit Mai g Address 1 >1.75 mil BTU 60.15
issuance, a copy 9 s 5--- (5 / /QQ '7 11 Air handling unit to 10,000 CFM
of all licenses '6./State / Zip Phone .� 7.00
are required if i/'l G 0< g2c1 63 12) Air handling unit 10,000 CFM+
expired in COT Oregon Co st. Cont. Board Licit Exp. D to 11.85
/
database t ' (-5 7 ?J 6 /0 eI 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)/ Repair 0 Replace with like kind: Yes No O 18) Commercial or industrial type incinerator
ResidentiaX 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 ga LPG 0 electric 22) More than 4 -per outlet (each) •75
Minimum Permit Fee $50.00 SUBTOTAL �d'
I hereby acknowledge that I have read this application, that the information 8% SURCHARGE aneseassse ye goo
given is correct, that I am the owner or authorized agent of PLAN REVIEW-25% OF SUBTOTAL 7 Y - a i,
1
the owner, that plans submitted are in compliance with Oregon State laws. Required for ALL commercial permits only M1
TOTAL
l Signature f Owner/Agent ,
1 / Other Inspections and Fees:
cl 77? 0 1. Inspections 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
/ �d 3/ad b' 5{i j 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 NC requires site plan showing placement of unit
I:\mechperm.doc rev 7/19/99
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,CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
/ BUP
Date Requested 7 ' 2 7 AM A BLD
Location / 0 4' (0 54, COCA ki 51 Suite EC ?ti U — vU 7r
Contact Person Ph (Z." 51 Y 3 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN
Slab R-� C SIT
Post & Beam
Ext Sheath /Shear
Ina min gth /Shear G 1 / n /b oo - ft j ■ - n �,� •^ , Q _ A 1
Framing [� (i (�U p l \ (Jw `(N`, ,f'�C )
Insulation (�
Drywall Nailing 1.� —• C 1 �Q � �f �- � 7 � • DVS - 2/24/0 6 C-D)
Firewall
Fire Sprinkler
Fire Alarm v , ,n 3 ( \ _ .�� C��
Susp'd Ceiling 1� �-�.!
Roof � d �_ —
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service 1
Sanitary Sewer
Rain Drains //(
Final I^
T FAIL
MEC
Post & Beam / ` Z,fr
Rough In Or l � JP'
Gas Line ``
( VIA
Smoke Dampers
PART FAIL
TRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
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 Date '�//L4 Q (6 Inspector /� L EXt J G
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.