Permit CITY TIGARD MECHANICAL PERMIT
- ul^ DEVELOPMENT SERVICES PERMIT #: MEC1999 -00360
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 09/02/1999
PARCEL: 2S 104AD -03700
SITE ADDRESS: 12730 SW WALNUT ST
SUBDIVISION: ZONING: R -7
BLOCK: LOT: JURISDICTION: URB
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: COMML. 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: 1
Remarks: Remove oil furnace and replace with new gas furnace and add gas piping.
Owner: FEES
ELEANOR F. OLSON Type By Date Amount Receipt
12730 SW WALNUT ST PRM4 DST 09/02/19E $50.00 99- 318083
TIGARD, OR 97223 5PC2 DST 09/02/19E $3.50 99- 318083
Total $53.50
Phone:
Contractor:
G L HEINTZ HEATING & COOLING
20871 SW 216TH PLACE
SHERWOOD, OR 97140 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 503 - 625 -6798 Heating Unt Insp
Reg #: LIC 00102831 Final Inspection
nR!GINAL
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 .f the - rules or direct questions to OUNC by calling (503) 46 -9189.
Issue By: � ;�/ Permittee Signature• /, is/,0,i
Call 03) 639 -4175 by 7:00 P.M. for inspections needed the n 3• usiness :R7
Plan Check #
CITY OF TIGARD Mechanical Permit Application Rec'd By
13125 SW HALL BLVD. Commercial and Residential Date Rec'd
TIGAF D, OR 97223 f� Date to P.E.
(503) 639 -4171, x304 use Date to DST � /��� f
Print or Type -�- 7 �
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Description
Table 1A Mechanical Code Qty Price Amt
Job Street Address suite# A) Permit Fee . OW .ft''l r;` 16.00
Address 1213 SO I h k 1) Furnace to 100,000 BTU
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
Name (or name of business) 3) Floor Furnace
Owner _ HeAVCIL 0 JSaJ including vent see footnote 1,2 9.65
Mailing Address 4) Suspended heater, wall heater
�� 5 W�I Iv 1 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
(6! ` (2-D 97;23 For items 6 -10, see or Pump Cond Qty Price Amt
Name (or name of business) footnotes 1,2 Comp --
6) <3HP;absorb unit to
100K BTU 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 9) 30 -50 HP; absorb
'' II / /-�� unit 1 -1.75 mil BTU 36.00
L T7�(
,
, / J`r - 2 ("T6 ' C d (6 0 6 10) >50HP; absorb unit
Prior to permit Mailing Address >1.75 mil BTU 60.15
issuance, a copy 20671 St / 2 c, p(, 11 Air handling unit to 10,000 CFM
of all licenses City/State Zip P hone 7.00
are required if rJU)00c/ 97/y0 625 74e 12) Air handling unit 10,000 CFM+
expired in COT Oregon Const Cont. Board Lic # Exp. Date 11.85
database X02 F3 / // - 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'' No 0 18) Commercial or industrial type incinerator
Residential jk 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 AL. LPG 0 electric 0 22) More than 4 -per outlet (each) .75
Minimum Permit Fee $50.00 SUBTOTAL aya,; ? r� >;':, ,�
I hereby acknowledge that I have read this application, that the information 7% SURCHARGE 'ft* t• ,?cJ
given is correct, 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 • °, ` - - ,,V
TOTAL - _"x
Signature of Owne Agent a Date
„,-,. , . `,;,- '-"r)
�
Other Inspections and Fees:
/ Q� 9 -�� 1. Inspections outside of normal business hours (mininum charge -two
Contact - it on Name Phone hours) $50.00 per hour
2. Inspections for which no fee is specifically indicated (minimum
619 /J i2Y lie/707"Z- TZ- 3/.3-5423 charge -half hour) $50.00 per hour
Foonotes 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:\mechperm.doc rev 7/19/99
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
n BUP
Date Requested �' -- ZO' 7 7 AM PM BLD
Location f Z 7 30 (,Occka mAA. Suite MEC / / 9 — Ov
Contact Person 6a Ph " 3 —S f 2,3 PLM
Contractor / Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Acces
Foundation A FPS
L l G/lQ, � V y � � 5 ► � ,� l 5nd/ C�
Ftg Drain SGN
Slab
Crawl Drain Inspection Notes: OW►t.S toil I 1 ^ „ �,�
�G SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing ' i ! l . T ` _ Rs, — — 0
Insulation
Drywall Nailing /< P1 /■ii 2 CT14 -9) 7 ;37 36 87
Firewall
Fire Sprinkler ? EL3c'TZi ML C L2CJL r Ca: 1e/ S Tin4 s)
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
CRAM AMMO
Post & Beam
Rough In
Smoke Dampers -
Fin-
. ..a> PART FAIL
�` CTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm `\
Final I J
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
Other Date 9 _ Ins Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
/ 6 3� BUP
Date Requested / / AM �C PM BLD
Location I 2 7 LOW)/tic Suite Ca Iq9 / -- t5,2
Contact Person (':x i r Ph Si ��S) ZS PLM
Contractor Ph SWR
•
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing
Foundation Access: �f, W-Q p 1 - ���,1n1 �� FPS
Ftg Drain A—
Crawl Drain Inspection Notes: SGN
Slab SIT
Post & Beam
Ext Sheath /Shear l/ 1/
Int Sheath /Shear - ^ 1 '
Framing `"T� l �V t- b C `
Insulation CA-- -
Drywall Nailing
Firewall 7�G P
Fire Sprinkler
Fire Alarm ^ _
Susp'd Ceiling \/ /'■5 .--, 11,
Roof
Misc:
Final
PASS PART FAIL c
PLUMBING �. Q._ , i C - V\/ —\ 5 S ‘ . . . - - - - - 7 ‘ ___ Sy
Post & Beam
Under Slab 0-r------ O I `
Top Out
Water Service 1) l U..->...Q S ��- ----
Sanitary Sewer
Final
Drains a 1/4—.4n.- Final
PASS PART FAIL
Post & Beam
Roush In
t"
Smoke Dampers I .41 _ ` 1 % r
Final
PASS PAR ' FAIL
ELECTRIC
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE 4
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 ° 7/ I 7 / �� t1'
Approach/Sidewalk
Other Dat Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site. .