Permit CITY OF TIGARD
MECHANICAL PERMIT
AtAt 6••
;i DEVELOPMENT SERVICES PERMIT #: MEC1999 -00455
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/25/1999
PARCEL: 2S 103AA -01902
SITE ADDRESS: 10625 SW WALNUT ST
SUBDIVISION: COTTONWOOD PLACE' ZONING: R -4.5
BLOCK: LOT: 005 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: DOMES. INCIN:
3 - 15 HP: COMM. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Replace existing gas furnace with new gas furnace.
Owner: -FEES
HATANAKA, BARRY Type By Date Amount Receipt
0 URIKO
SW WALNUT PRMT DST 10/25/19c $50.00 99- 319308
TIGARD, OR 97223 5PCT DST 10/25/19. $4.00 99- 319308
Total $54.00
Phone:
Contractor:
GAROKEN ENERGY COMPANY
3565 182ND
BEAVERTON, OR 97007 REQUIRED INSPECTIONS
Heating Unt Insp
Phone: 848 -0197 Final Inspection
Reg #: LIC 00043124
PLM 34 -113pb
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 • these ru es'or direct questions to OUNC by calling (503)2 - -9189. ,
Issue By: � - - rmittee Signature. gbh i ,... •
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
•
Plan Check #
CITY OF TIGARD Mechanical Permit Application Rec'd By
13124SW HALL BLVD.. ; Commercial and Residential Date Rec'd
TIGARD, OR 97223 c---- / Date to P.E.
(503) 639 - 41 x304 - - - _ - Y - Date to DST
. Print or Type Permit # /1/f " "(9!9`l 4474
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Description
Table 1A Mechanical Code Qty Price Amt
Job Street Address /j Suite A) Permit Fee F z= M 16.00
Address / 0 SW 1441 L( . 1) Fumace to 100,000 BTU
including ducts 8 vents see footnote 1,2 9.65 %6s
Bldg# City /State Zip 2) Furnace 100,000 BTU+
TT.c..✓, `'t 7 2- ') 3 including ducts & vents see footnote 1,2 12.00
Na (or name o f business) 3) Floor Furnace
Owner K art kt Furnace 144,tetrna (&. including vent see footnote 1,2 9.65
Mailing / Address Q 4) Suspended heater, wall heater
/06x5 S>a u� 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
7' , a+'cI z., 41 38 -? j y-y For Items 6-10, see or Pump Cond Qty Price Amt
Nam (or name of business) footnotes 1,2 Comp
.Q....__ 6) <3HP;absorb unit to
Occupant Mailing Address ) 3 3 -1 BTU 9.65
P 7) -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 9) 30-50 HP; absorb
��r `, unit 1 -1.75 mil BTU 36.00
Ott ° 10) >50HP; absorb unit
Prior to permit • Mailing Address >1.75 mil BTU 60.15
issuance, a copy 3565' SW t$ Le. 11 Air handling unit to 10,000 CFM
of all licenses City /fate Zip Phone 7.00
• are required if 3 ■ 'j '7Dl S(L f 3b 3" 12) Air handling unit 10,000 CFM+
expired in COT Oregon Const. Cont. Board Llc.# Exp. Date 11.75
' • database 1 1' 31Q 9 - /.. -Q / ,f____ , - 13) Non - portable evaporate cooler
Architect Name 7.00
14) Vent fan connected to a single duct
Or Malting Address 4
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
New9 Repair 0 Replace with like kind: Yes 0 No 0 18) Commercial or industrial type incinerator
Residenti Commercial 0 48.25
19) Repair units
Additional iAformation or description of work: 8.40
e l A, Q V n , L.)/ hint" hint" 6qS ,,4 , 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 O 22) More than 4 -per outlet (each) .75
Minimum Permit Fee $50.00 SUBTOTAL
I hereby acknowledge that I have read this application, that the information 7% SURCHARGE ti .. 4 '
given is correc 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 s u
TOTAL qF
/
Signature of owne nt - Date ` ... 'r' . " ' J i
� ` I A ('/ L6_ --_q l
k C� 1 Inspections outside of normal business hours (mininum charge -two
Contact Person Nam p J . l Phone hours) $50.00 per hour
. YN V._Q \s` �T . \/ . _ : 3 St 2. Inspections for which no fee is specifically Indicated (minimum
�C/t� C� charge -half hour) $50.00 per hour
Foonotes for commercia 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
l: rev 02/4/99
CITY OF TIGARD'BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business .Line: 639 -4171 MST
/ BUP
Date Requested Oki 7 II' / AM / PM BLD
Location / 0(0 � &J WGir�ui Suite / MEC / 9- Ys r
Contact Person L —� Y� If\OC Ph T('" 3 " PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation S _�c act PktS FPS
Ftg Drain SGN
Crawl Drain InsOction Notes:
Slab SIT
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
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL E+CHANICA�
Post & Beam
ou•h
Gas Line
S Dampers i
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab D\/))"1
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 e4'
Other oach /Sidewalk Date /0 � � Inspector EX
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.