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+11.865 Ev BURLCRES`r ,RIVE
CITYOF TIGARD _ MECHANICALPERMI'r
DEVELOPMENT SERVICE3' PERMIT#: MEC2000-00030
1312.5 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 01/26/2000
r'ARCEL: 1 S134CA-02100
SITE ADDRESS: 11865 SW BURLCREST DR
SUBDIVISION: BURLWOOD ZONING: R-4.5
BLOCK: LOT:014 jURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VEN'rS WIO APPL: VENT SYSTEMS:
STORIES: BOILERSICOMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPU' BTU 15 -30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 -50 HP: WOODS'TUVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 _AIR HANDLING UNITS CLO DRYERS:
FURN >=100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Rerriarks: Replace existing gas furnace with new gas furnace to 100,000 BTU,
Owner: FEES
RICHARDS, DOUGLAS K Type By Date Amount Receipt
11865 SW BURLCREST PRMT KJP 01/2.6/20( $50.00 00-321398
TIGARD, OR 97223 5PCT KJP 01/26/20( $4.00 00-321398
Phone Total $54.00
Contractor:
AAA HEATING + COOLING
2915 NE MARTIN LUTHER KING BLV
PoiITLAND, OR 97212 REQUIRED INSPECTIONS
Heating Unt Insp
Phone:284-2173 Final Inspection
Reg#:LIC 00000222
ONGINAL
This permit is issued subject to the regulations contained in the 'I igard 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 exp're if work is
not started within 180 days of issuance, or if worts 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 for.h in OAR
952-001-0010 through OAR q52-001-0080. You rT ay obtain copies of these rules or direct questions to OUNC by
calling (503)246-918�J. J
Issue By: Q ,t y,�, J Permittee Signature:
Call (503) 639-41 '5 by 7:00 P.M. for Inspections needed the next business day
S
Plan Check ft_
CITY OF TIGARD Mechanical Permit Application Recd By
13125 SW FALL BLVD. Commerc;al and Residential RECEIVED Date Recd_.
TIGARD, OR 97223 Date to P.E.
(503) 639-4171, x204JAN 2 5 ZUOU Date to DS
Print or Type Permit ft �� oc>tJij,
Incomplete or illegible applications will p IJk0WlpftdyT called
-- Name al fi�velop,nent/Projed Description
c�� Table 1A Mechanical Code _ Q Price Amt
�'�' A Permit Fee 16.00
Job Street Address 3uRes 1) Furnace to 100,000 BTU
Address Including ducts&vents see footnote 1,2 9.65
Bldgs _ cny/state _ Zip 2) Furnace 100,000 BTU+
Including uucts&vents see footnote 1,2 12.00
Name(«name of bus ness) _ 3) Floor Furnace V
_> ' including vent see footnote 1,2 9.65
Owner ��-` >--�t- ,y �.._r�C��nC� 4) Suspended heater,wall heater
Mailing Address or Floor mounted hea'.r see footnote 1,2 9.65
Vent not included in a 3pliance permit 4.75
city/state zip Phon Check all that apply. 'Boiler Heat Air
kA ` �.}3 �� For Items 6-10,see or Pump Cond Qty Price Amt
-` Name(«r 9 e n<business) footnotes 1,2 Com
6)<3HP;absorb unit to
100K BTU 9.65
Occupant Malling Address 7)3-15 HP;absorb unit
1100k to 500k BTU 17.65
l cny/State. �_ Zb Ph«rs 8)15-30 NP;absorb -
pi unit 5-1 trill RTU 24.15
__ __ 9)30-50 HP;absorb
Contractor Nel a unit 1-1.75 mil BTU 36.00
MON
O 10)>5absorb unit
Prior to permit MamnQAddresa �"- y1.75 roll mil BTU 1
60.15
Issuance,a copy c'I - 11 Air handling unit to 10,000 CFM
of all licenses ity/°tete Zip Phone 7.00
are required if _- * - 12)Air handling unit 10,000 CFM+
expired In COT oregK s1. om.Board Elks Exp. a 11.75
database -�� -�- ��-- ID O 13)Non-portable evaporate cooler
Architect Norm 7.00
14)Vent fan connected to a single duct
i 4.75
or Melling Address 15)Ventilation system not included In
appliance peit 7.00
Engineer coy/state -- Ziphone 1 16)Hood served by mechanical exhaust -
7.00
Describe work to be done: 17)Domestic Incinerators
12.00
New O Repair O Replace with like kind: Yes A No O 18)Commercial or Industrial type Incinerator
48.25
Residential Commercial 0 40
19)Repair unitsAdditional 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 as talcs. ___ See footnote 1 _3.75
1 Type of fuel oil O natural gas O I_PG O electric 0 22 More then 4-per olrtlet(eac .75 `
Minimum Permit Fee$50.00 SUBTOTAL
I here v acknowledge that 1 have read this application,that the information ° SURCHARGE
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 laves. Required for ALL commercial permits onl 1J
TOTAL
Slgn"of Owner/Agent Date
Other Inspections and Fees:
CQ 1. In_,!tInns outside of normal buslnoss hours(mininum charge-two
erson Nome Phon# hoots) $50.011 per hour
1 2. Inspectic ns for which no fee is specifically Indicated (minimum
1 ( C � charge-Felf huu•) $50.00 per hour
Foorto es for corn ercial 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 _--_r-.__.� -State Con,ractor Boiler Certification required
--- --" - -- "Re3idential A/C requires site plan showing placement of unit
1 lmechperm.doc rev 0214/99