12940 SW GLACIER LILY CIRCLE P
12940 SW Glacier Lily Cir
r
CITYOF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2000-00222
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 06/06/2000
FARCEL: 1 S133DA-05900
SITE ADDRESS: 12940 SW GLACIER LILY CIR
SUBDIVISION: AMART SUMMERLAKE ZONING: R-7
BLOCK: LOT: 081 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURW E:VAP COOLERS:
i YPE OF USE: SF UNIT HEATERS. VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VFN'r SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
FUELTYPES 0 3 HP: 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: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING U_N_i*rs OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS:
10n00 cfm:
Remarks: Replace existing furnace with like kind.
Owner: FEES
SHANKS, MARK S + MARY M I Type By Date Amount Receipt
12940 SW GLACIER LILY CIRCLE PRMT GEO 06/06/20( $50.00 0002718
TIGARD, OR 97223 5PCT GEO 06/06/20( $4.00 0002718
Phone:
Total $54.00
Contractor:
GEORGE MORLAN PLUMBING
9806 SW TIGARD ST
TIGARD, OR 97223 REQUIRED INGPECTIONS
Heating Unt Insp
Phone:771-1145 Final Inspection
Reg#: I.IC 02734
PLM 26-60P
ORIGINAL
This permit is issued subject to the regulations cont3ined 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 dais of issuance, nr if work is suspended for more than 180 days. ATTENTION: Oregon aw
requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 9 91-008 .—You may obtain espies of these rules or direct questions to OUNC by
calling (503)246-9189,
Issue By: Permittee Signature-._—,2r
Call (503) 639-4175 by 7:00 P.M. fnr inspections needed the next business day
Mechanical Permit Application Recd By
GiTY OF TIGARDDate Rec'd_____..------
Commerr;ial and Residential Data to P.E.. _._----
13125 SW HALL BLVD.
RECE�v�G� �' Date to DST
TIGARD, OR 97223
Permit 0 --9"0—
(503) 639-4171. x304. nn
u�/p# 1 D 5 ?7��.� Print or Type ? �Ce��jted Caued _.—_---
Incomplete or illegible a plications will r�d�t�t ;MiN
_ Dosc6ptron 411 U O p ice Amt
nLl Dv-'411 16.00
----' NamndDe+r9bpma+uP�i"d � TablelAMechanigllter...�
A) Permit Fee
I s�-I A4 i I F�Imace to 100,000 BTU see footnote 1 2 9.65 Q.
Job V includin duds b van's
Address fd�- p Fumcce 100,000 BTU* 12.00
I HMO# CRy151ata - 2) r see footnote 1.2 includin ducts 6 ve'IS --
3) Floor Furnac++ see footnote 1,2 9.65
Name(or name of bwlneael Includln vent —---�—
4) Suspended heater,wall healer g 65
owner --- sea footnotS 1,2 4.75
Ma'dtna r.07.e:U ar floor m���rled^^atp�Ilanrr. rmit
5) Vont not included In a p Lance Heat Air
zip -�- phone Check ell that apply. r or pump Air aty Prlce Amt
urYrs'e1e For Items 8-%Nee ..
footnotes 1.I— lam
--- -'-- Name(or namo of bul"83) 6)<3HP;absorb unit to 8.65
1 o0K BTU
-- 7)3715 HP;absorh unit 17 65
Occupant M"°"'aAadfeaa took to500kBTU
Z,p Phone 8)15-30 HP,absorb 24 15
cnyrstaul unit 5-1 mil BTU
9)30-50HF;absorb 36.00
Name ) unit 1-1.75 mil BTU =
Contractor ��eQ 2h 10)>50HP; absorb uml 6015 —
>1 75 mil BTU
Poor to permit (MaRInQ AAOrr►acc�� � i ` 11 An handling unit to 10,000 C.FM 7 no
Lssuance,a copy ��51 -
a/all FcenseS c- (�7 �� P^ 1 12)Air handling unit 10,OO�M+ 11 85_
e plred are m COT onared If L Hoard Lk/ (�U10o J.1 - 3)Non-portable h.apurale cooior 7.00
:3
database _ -
-"- -- - Name 14)Vent Ion connected to a single dud 4,_15
Architect ______
--- f ;m not Included m
Mr.�ns Add 90 15 Ventilation Sys: 7.00
or a lial•ce permit
-- — Le Phone16)Hood served by mechanical exhaust 7.00
Engineer
17)Domestic me,nerators 12.00
Desalbe walk to be done, ut nQ C �U (�l Incinerator
10)Commercial or mdustnel type 48.25
New O Repair 0 Replace with like kind: Yes}(No 0
Residential�k commercial O 19)Repair units 8.40 _
Additional information or descrlpbon M work 20)Wood stovelgas FPlother unitslc�°th°dryer/etc _ 00
21)Gas piping one to four outlets 3 75
NOTE: For Commercial proJeds only;UnAs°ver 400 lbs rcgw a See footnote 1 ,75
6tnlGural gascabs 72)Moro ill'An 4-Der oullrl aachj SUBTOTAL
Tvne of hurl oil O natural tae LPG 0 aleinr Ch IAlnlmum Permit Fee$50.00
-`� '/.SURCHARGE
------- application,that the infomtatior —• ptpN REVIEIJ 25Ye OF SUBTOTAL
I heretry acknowlrrfge that I have read this app Rnqu!red for ALL eornmtrelat�rmit6 only
given s carted,that I am the owner or authorized agent of - TQTAL
the owner,that plans submitted are m co
mphanoe with Oregon Stale laws. J
__ —_-----• Date Other Inspections and Fees.:
Slpnat �10wmerlApent
1. Inspections oitlo of nom+al business hour''(mininum charge-
utso
hours) $50.00 per hour minlmum
Phone 2. inspections for which no 1r•e b vpeclfically Indicated
C tact Person Name
D charpp half hour) $ew i1 per hour
�.1.- =� �, Addltrolial plan rev required by chan0e#.,ddltlons or revlslonR to
i1_ -------—
Foonottrs ter oornmsrelal pro)ects only: plans(minimum charpe•une-half hour►;60.06 per hour
1, provide full schematic of existing and proposed gas lino end pressure
tate Contractor no lcr GcrG6catlon reqs -rd
2, provide drawings to Scale showing existinq and propoeod mechanical „Residential AIC requiros sae plan otic..ng Placement of unit
umilirr
TOTAL P.Oc
I hmwrhnan.+•Int r".�7110M�
CITY1 rIGAR�:) MECHANICAL PERMIT
PERMIT#: 6/6/00 0-00222
DEVELOPMENT SERVICES 6
DATE I£SUED: I61U0
IM 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1 S133DA-05900
SITE ADDRESS: 12,940 SW GLACIER LILY CIR
SUBDIVISION: AMAR T SUMMERLAKE ZONING: R i
BLOCK: LOT:081 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: VENTSYSTEMS:
STORIES: BOILERS/COMPPESSORS HOODS:
FUEL TYPES-.----- �� - - - DOMES. INCIN:
�- - 3 - 15 HP: COMML. iNCIN:
MAX INPUT: BTU 15- 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES:
GAS PRESSI)RE: 50 + HP: CLU DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS_-_ OTHER UNITS:
FURN >=100K BTU <- f 6Dzu-cTm—
GAS OUTLETS:
> 10000 cfm:
Remarks: Replace existing furnace with like kind
Owner: FEES—
HANKS, MARK S+ MARY M Type By Date Amount Receipt
2940 SW GLACIER LILY CIRCLE PRM-1 GEO 6/6/00 $50.00 0002718
IGARD, OR 97223 5PCT GEO 6/6/00 $4.00 0002718
Total 554.00 -
Phone:
Contractor:
EORGE MORLAN PLUMBING
806 SW TIGARD ST
IGARD, OR 97223 REQUIRED INSPECTIONS_
Heating Unt Insp
Phone:771-1145 Final Inspection
A
Reg#:LIC 02.734
PLM 2.6-60P
EX,P 1 R Er,",
I
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 thar 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 ruses or direct questions to OUNC by
calling (503)246-9189.
Issue By: _ Permittee Signature:
Calli (503)639-4175 by 7:00 P.M.'-or inspections needed the next business day
BUP - Building Permit _ E_LC - Electrical Permit
Inspection Description Date Passed By Inspection Description Date Passed B�
Footing/Setback Underground cover
Foundation walls _ Wall cover
Footing drain Ceiling cover _
Waterproof bsmt walls Electrical rough-in
Slab _ Electrical service
Crawl drain _ Electrical final -- --T
Underfloor insulation
Post/beam structural
Shear walls/anchors ELR - Restricted Energy Permit _
Roofnailing A Inspection Description Date Passed B
Firewall Low voltage
Tilt-up panel _Electrical final _
Masonry/Reinforcement
Framing
MFG-Structure set-up MEC - Mechanical Permit
Insulation Inspection Description Date Passed B
Drywall nailing Post/beam mechanical
Suspended ceiling— Gas line _
Engineered soils Mechanical rough-in
Welding Lab Final Fire damper
Concrete Lab Final Duct work
Bolting Lab Final _ Smoke detector
Fireproofing Lab Final Mechanical final
Structural observation
I F Final ins ection
-- - PLM - Plumbing Permit_
Ins ection Description _Date Passed B
BUP - Fire Protection System Permit Plumbin underslab
Inspection Description Date Passed _ B Crawl drain _
Sprinkler underfloor/slab Post/beam plumbing _
Sprinkler rough-in — _ Plumbing to -out _
Sprinkler final RP/backflow preventer
Fire alarm final _ Rain drain _
Storm drain
Water service _
SIT - Site Permit Sanitary sewer_
Inspection Description Dare Passed By Culvert/cetch basin
FootingsPum /fill septic tank
'To—undatimi walls —_ -- Plumbing final `
Sprinkler supply lines
Sprinkler underfloor/slab
Catch basin/Manhole _ SWR - Sewer Permit
Engineered soils Inspection Description Date Passed B
Engineeringacceptance___._. Sanitary sewer
Final inspection _ Final inaction
INSPECTION RECORD - SUP, PLM, SWR, ELC, ELR, MEC, SIT PERMITS