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Permit
CITY TIGARD MECHANICAL PERMIT i� DEVELOPMENT SERVICES PERMIT #: MEC2000 -00187 c--ll 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 05/17/2000 PARCEL: 2S114AC -00800 SITE ADDRESS: 09111 SW WAVERLY DR SUBDIVISION: WAVERLY ESTATES ZONING: R -12 BLOCK: LOT: 001 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: 1 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: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Install 1 air conditioning unit <3hp; absorb unit to 100K BTU. / A/C units cannot be placed within the required setback areas. Owner: FEES • CASEY RICHMOND Type By Date Amount Receipt 9111 SW WAVERLY DR PRMT KJP 05/17/20C $50.00 0002238 TIGARD, OR 97224 5PCT KJP 05/17/20C $4.00 0002238 Total $54.00 Phone: 503 - 624 -4823 Contractor: SPECIALITY HEATING + FABRICTN 9528 SW TIGARD TIGARD, OR 97223 REQUIRED INSPECTIONS Cooling Unt lnsp Phone: 620 -5643 Final Inspection Reg #: LIC 00066578 ORIGINA 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 throw • •AR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503)24 a 9 • Issue By: .V Permittee Signature: ,G, L A 4 Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day ./tC0' - 0--( I g Plan Check # CITY GF TIGARD Mechanical Permit Application Rec'd By 13125 SW HALL BLVD. Commercial and Residential Date Rec'd TIGARD, OR 97223 Date to P.E. (503) 639 -4171, x304 ( Date to DST Print or Type Permit# Incomplete or illegible applications will not be accepted Called Name of Development/Project Description Table 1A Mechanical Code Qty Price Amt Job Street Address I S rte# <b„ A) Permit Fee °r M` 16.00 Address 91 H SLR f/)� 1) Furnace to 100,000 BTU including ducts & vents see footnote 1,2 9.65 Bldg# C / State Zip 2) Furnace 100,000 BTU+ 1� 646e Oe Q7 `r including ducts & vents see footnote 1,2 12.00 Name (or name of busin s) r 3) Floor Furnace l Owner _a /C�,YI4IQ including vent see footnote 1,2 9 65 Mailing Addr s 4) Suspended heater, wall heater 5 /�, ' / or floor mounted heater see footnote 1,2 9.65 9/1/ CO W CU ,2/ 5) Vent not included in appliance permit 4.75 C /State am ,�� Zip Phone C heck all that apply: *Boiler Heat Air �/- / /ge pP Y� p?�23 6�y //03 For items 6 -10, see or Pump Cond Qty Pnce Amt N e (or me of business) footnotes 1,2 Comp 6) <3HP;absorb unit to gA/1 -C/ 100K BTU .. 9.65 Occupant Mailing Address 7) 3-15 HP;absorb unit 100k to 500k BTU "-' 17.65 Cdy /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 6.00 s-ec ! j 7-P (/Yl �/ 10) >50HP; absorb unit Prior to permit Mailing Address ,---- r >1.75 and BTU 60.15 issuance, a copy qsa 6 / /9Cli(G,/ sT 11 Air handling unit to 10,000 CFM of all licenses state / Zi Phone .'._3 7.00 are required if c ��° 47d G AI "S 9.3 12) Air handling unit 10,000 CFM+ expired in COT Oregon Cost. Cont Board Lic # Exp. D to 11.85 database 4' (- 5 7 5 /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 Crty/State Zip Phone 16) Hood served by mechanical exhaust 7.00 Describe work to be done. 17) Domestic incinerators 12.00 New ti Rep 0 Replace with like kind. Yes 0 No 0 18) Commercial or industrial type incinerator Residential Commercial 0 48.25 19) Repair units Additional /46-1- information qr (/ cn ion of work' 8.40 . Y// 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 0 LPG 0 electric/8r 22) More than 4 -per outlet (each) 7 5 Minimum Permit Fee $50.00 SUBTOTAL . % ' %- I hereby acknowledge that I have read this application, that the information 8% SURCHARGE O given is correct, that I am the owner or authonzed agent of PLAN REVIEW 25% OF SUBTOTAL C'`" +.f the owner, that plans submitted are in compliance with Oregon State laws Required for ALL commercial permits only ' �i ,,:-.;-..-;,,:1 TOTAL '? F zxI; c Signature •f Owner /Agent Date i . . - - _ T 5//7/5t Other Inspections and Fees: .t5pfzz‘,,,t__,1 1. Inspections outside of normal business hours (mininum char two Contact Pe • n Name Phone hours) $50.00 per hour / 2. Inspections for which no fee is specifically indicated (minimum �Q 3 /oil b -5 4 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 A/C requires site plan showing placement of unit 1lmechperm doc rev 7/19/99 'Aa / rl\rJ5 111() a �4, Fran Oregon Contractor - .3035508273 "o SpeoeltyHeating & Cooling . Kst'ieen Date 5/, ?'2000 Time 9'3352P`A Page 2,of8 (262) Oregon City, CR Natural Gas Generator Set Furnishing & Installing May 17. 9 am 122 S Cent. • St (224) Selah, WA High School Exterior Painting May 17 • 10 am 801 N 1st S. (26) Newport, OR Vehicle Wash Facility May 17. 10 am 817 NE 3rd St (440) Portland, OR SW Vermont Trunk Sanitary Sewer #99899 May 17. 10 am 7135 SW Vermc it (425) Eugene, OR South Side Mu Waite Roofing & Seismic Upgrade 2000 May 18 - 8:30 am 2200 Bailey Hil. (66) Portland, OR PCC Sylvanlna Campus Biology Laboratory Remodel (ITB) May 18 - 10 am 12000 SW 49th (17) Turner, OR Cascade Junior High School Window Replacement IV sy 18 - 2 pm 10226 Manors Rd SE (336) Multnomah Co., OR Lovejoy Ramp Replacement I. :o, • 18 - 2:30 pm 1120 SW 5th (0) Springfield, OR Rldgeview Elementary School Piping Improvements 4, 18 - 3 :30 pm 526 - 66th Street (240) Hillsboro, OR Painting at Flve Schools i lay 18 - 8:30 pm 3285 SE Rood Erla Rd (C) Portland, OR PSU Repair & Recoating Parking One May 19 - 10 em 617 SW Montgomery (0) Toledo, OR Public Works Shop Building play 19 -10 am 208 N Maln Street (414) Junction Gty, OR WWTP Headworks & Irtluent Piping Improvements May 19 - 10 am 1395 Elm Street (0) Yoncalia, OR Yoncalle School Olst.Rooting Maintenance andlor Replacement May 19 -11:30 am 292 5th St Plans Available at Mandatory Only (102) Oregon City, OR RFP CM /GC CCC Family Resource Center Addition May 22. 2 pm 19600 S Molalla (448) Forest Grove, OR Forest Grove 1 & 2 Ward Restroom Remodel- Hillsboro Stake May 22 • 3 pm 2700 Leon St (437) Coos Bay, OR Year 2000 Roofing Maintenance Projects May 23 - 9 am Bunker Hill Elern. (336) Umatilla Co., OR West Birch Creek Bridge (Pilot Rock) May 23 - pm Tribal Gov. Complex (295) Salem, OR Chiller Maintenance Service 010700012 May 23 -1:30 pm 1240 Ferry St. SE (3),Rortand, OR Burnside Street Impr Ph 2 /Martin Luther King AN.e lmpr Ph 3 May 24 - 1 30 pm 1900 SW 4th Ave (95) Eugaria OR LCC Health Technology Renovations Ph 1 May 24 - 4 30 pm Job Site Rm 113 (345) Everett, WA Everett Staton Project May 25. 9 am 3225 Cedar Street ADDENDA BUILDINGS Plan # & Location Protect Title Addendum Bid Date & Time (127) Boise, ID Southern Idaho Corrections institute Parole Violators Center Memo Postponed (35) McMinnville, OR Blg 5 Sporting Goods No. 3 May 15 - 5 pm (114) Portland, OR Blnnsmead Middle School Site Based Health Clinic Remodel No. 2 May 16.10 am (62; McMinnville, OR McMinnville High School Shop Remodel No 2 May 16. 12 pm (365) Pullman WA WSU White Hat Renovation Sub -bid No 4 May 16 - 2 pm (148) Bangor, WA Strategic Weapons Facility, Ph. I, Trident It D -5 Mods MR -9897 No. 5 May 16 - 2 pm (161) Yakima, WA Mobilization & Training Equipment Sites (MATES) Ph. 1 No. 2 May 16 - 3 pm (73) Bend, OR Bend Senior High School Locker Room Renovation No. 3 May 18 - 3 pm (187) Richland, WA Wlnco Foods Stores M45 No. 3 May 16 •3 pm (12) McMinnville, OR Fire Department Training Center Slte Improvements No. 1 May 17 - am (367) Seattle, WA Tunnels and Subway Stations Design/Build Contract No 8 May 17 - 2 pm (47) Portland, OR Lincoln High School Facility Improvement Sub -bid No. 1 May 17 - 3 pm (186) Anchorage, AK Federal : Bldg & US Courthouse Annex Modeml:atlon LTC -0017 No. 5 May 18 - 2 pm 1165) Olympia, WA Evergreen State College Com. Bldg 4th Fir Studio Add. Rebid Memo. May 18 - 2 pm (189) Eureka, CA Transfer Station Improvements No. 2 May 18 - 2 pm Valley River Center Food Court Restroorns and Corridor (82) Eugene, CR Renovation No. 1 May 18.2:30 pm (5 1) Stayton, OR Slayton Cooperative Telephone Office Building No 1 May 18 - 3 om (150) Long Beach, WA Willapa Triplexes No 1 May 19. 12 pm (188) Silverdale, WA Whole House Repair/Revitel to 100 FY65 Units #N44255 -97 -R -5438 No 2 May 19. 4 pm (347) Salem, OR Emergency Coordination Facility & Armea Forces Reserve Center #MIL00.0021 No. 2 May 23 10 am (120) Anchorage. AK Federal Bldg & Courthouse Plaza Paving Replace #LTC-0018 No 2 May 23. 2 pm (350) Lynnwood, WA Ceder Valley Community School No 1 May 23. 2 pm (90) LaPine, OR LaPine High School D•Wing Remodel No. 1 May 23 - 3 pm (110) Salem, OR Oregon State Capital - Third Floor Cepltal ADA Restroom No. 1 May 24 - 11 am (359) Sherxooe, OR bVomer/s Prtson & Intake Center Bid Pkg, 2 - Meduim Facility Enclosure Sub -bid No 1 May 24. 2 pm (345) Everett, WA Everett Staton Project No. 3 Jun 20 - 2 pm UTILITIES Plan # & Location Protect Title Addendum Bid Date & Time CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 • Business Line: 639-4171 ' c 51- JAM PM ' BUP Date Re /quested �� 1 I BLD Location ( 7l/ / uite MEC aca) C 'g 7 Contact Person Ph PLM Contractor Ph SWR BUILDING Tenan _d (, aZ - Vec7i,3 ELC cOO 600,2,s1, Retaining Wall ELR Footing Access: - Foundation 6f FPS Ftg Drain !/ �'� J/L a1 Crawl Drain Inspection Notes: SGT Slab �� 1L�J ILA - SIT Post & Beam Ext Sheath /Shear // ✓ ' Int Sheath /Shear Framing Insulation �/� Drywall Nailing / � // 4 f ©o iF:9 Firewall Fire Sprinkler 4-r, ? Fire Alarm v � Susp'd Ceiling G _ es • Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In 1 ' Gas Line f , Smo a Dampers AS PART FAIL - CTRICAL Service Rough In r)t UG /Slab Low Voltage Fir- Alarm te=a 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 r Approach /Sidewalk Date J D'0 Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.