Permit CITY OF TIGARDORIGINAL MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2000 -00254
•
III 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 06/21/2000 --
PARCEL: 2S103DA -01000
SITE ADDRESS: 13115 SW WATKINS AVE
SUBDIVISION: DERRY DELL ZONING: R -3.5
BLOCK: LOT: 010 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:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: 100,000 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:
FURN > =100K BTU: <= 10000 cfm: -
GAS OUTLETS: 1
> 10000 cfm:
Remarks: Installation of gas furnace and gas piping
Owner: FEES
HAMMES, ALFRED J HELEN L Type By Date Amount Receipt
13115 SW WATKINS AVE PRMT GWL 06/21/20( $50.00 0003169 -
TIGARD, OR 97223 5PCT GWL 06/21/20( $4.00 0003169 •
Total $54.00
Phone:
Contractor:
FIRST CALL HEATING & COOLING
1650 NE LOMBARD
PORTLAND, OR 97211 -4798 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 231 -3311 Final Inspection
Reg #: LIC 102030
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: - -A/ L � -s-,.. �' ( Permittee Signature: 144. ; 4' of
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
06/12/00 MON 10:07 FAX 503 598 1960 CITY OF TIGARD / 1 002
/tethP.E. n Check 0
CITY OF TIGARD Mechanical Permit Applica ® / ad By r, ; - - 1315 SW HALL BLVD. Commercial and Resider te Redd 6 -z 1La
TIGARD, OR 97223 'Z
(503) 639 -4171, x304 V� �N\ Date to DST
Print or.Type , o �,v�.� �e M • Permit # AA C 20(90- eve 5.e-{ Called •
. Incom or illegible applications wil accepted
Name of Development/Project Description
Table 1A Mechanical Code 0 Price Amt
Job Street Address Sutter
A) Permit Fee ," ==mac ::,' w {4z - 16.00
•
Address 1 3 ‘1 s Gut) l� u•'5-k, �l5 1) including ducts & 00 BTU footnote 1,2 1 9.65 e
do ,
Wad Clty/State Zip 2) Furnace 100,000 BTU+
1 ct ck G -) 2.2.3 induding duds & vents see footnote 1,2 12.00
Name (or name of business)) ) _� 3) Floor Furnace
Owner . c \S 64. ��rr rt •9 S including vent see footnote 1,2 9.65
Mailing Address 4) Suspended heater, wail heater
or floor mounted heater see footnote 1,2 9.65
i 3 \ \ 5 U. ‘ ri S , 5) Vent not induded in appliance permit 4.75
City/State Zip Phone Check all that apply: 'Boiler Heat Air
CA [1� �z3 /' - For items 6-10, see or Pump Cond Qty Price Amt
Name (Warne s ines U 2 -AZ footnotes 1,2 Comp
br?,a
6) <3HP;absorb unit to
100K BTU • 9.65
Occupant Mfg 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 9) 30-50 HP; absorb
f1 unit 1 -1.75 and BTU 36.00
k r5 \ ! \ e [,t_ \-\h c 10) >50HP; absorb unit
Prior to permit Mailing Address >1.75 mil BTU 60.15
issuance, a copy i(g ) N E L rri‘.O CA- r -- 11 Air handling unit to 10,000 CFM
of ail licenses ny�te Zip - Phone 7.00
are required if V O f SA- uf \ \ 2-- 12) Alr handling unit 10,000 CFM+
expired in COT Oregon Coast Cont. B CL CI Z > 11 "ZOS 4 B Lice Exp. Date 11.85
database \. E7 Zv 30 -3D-O:?; 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 Ci y /State Zip Phone 16) Hood served by mechanical exhaust
7.00
Describe work to be done: 17) Domestic incinerators
12.00
New 0 Re air O Replace with like kind: Yea No K • 18) Commercial or industrial type Incinerator
Resident Commercial 0 48.25
(((___ 19) Repair units
Additional information or description of work • 8.40
<(\- 5 *- a.\ \ c ct. -, r n ar e_ i. P ,e I n y 20) Wood stove/gas FP /other units/clothe dryer /etc.
J , 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 3. 7 C
/ '
Type of fuel oil 0 natural gas LPG 0 electric O 22) More than 4-per outlet (each) .75
Minimum Permit Fee $50.00 SUBTOTAL ' . TIT' ; ? - �fl
I hereby acknowledge that I have read this application, that the Information 8% SURCHARGE "A' + - k.} ,gyp
given Is correct, ? � ' :, r , fen •
g rrect, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL m :firs;,, a
Required permits i': " r� T'' -�-
the owner, that plans submitted are In compliance with Oregon State laws. q P hw �:t.r.
TOTAL rY ;-�, _ .,:rF
Sig of Owmer/Agent Date
Other Inspections and Fees:
( -1--1 Q 6 - .. 1. Inspections outside of normal business hours (mininum charge -two
Person Name Phone hours) $50.00 per hour
2. Inspections for which no fee is specifically Indicated (minimum
L / /i/, 7 /9 5 - /7",e s 2 L/7 - ep�� 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 proiosed 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:4nechperm.doc rev 7/19/99
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 r ' ' Business Line: 639 -4171 MST
BUP
?09/9 Date Requested 4 7 - 79 PM BLD
Location / 3 / / k' I / k l4S Ai Suite MEC 2e2tp_Q i2
Contact Person /6 it,4 • Ph V7 7d SY PLM
Contractor r/.4,5 69, (Air &Z" Ph - SWR
BUILDING Tenant/Owner ELC 2/20 — bD37 L
Retaining Wall - ELR
Footing Access: Gr.
) C
"' ` ^�` FPS
Ftg Drain �i „S ' ";`�v�J`� SGN
Crawl Drain Inspection Notes: /� f�,
Slab f (� � � p SIT
Post & Beam c
Ext Sheath /Shear •
Int Sheath /Shear
Framing
Insulation
Drywall Nailing I'c
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling ii66'' -
Roof _
Misc;
Final
PASS PART FAIL
PLUMBING •
Post & Beam
-
Under Slab
Top Out .
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
L
Post & Beam
Rough In
Gas Line
Smoke Dampers
_ PART FAIL
CTRIg
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
FAIL
� 7 PART
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 /V Inspector Itor Ext
Other p
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.