Permit ,
CITY TIGARD MECHANICAL PERMIT
.pi DEVELOPMENT SERVICES PERMIT #: MEC2000 -00307
I • DATE ISSUED: 7/28/00
W 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S 112BA -05000
SITE ADDRESS: 14365 SW 80TH PL
SUBDIVISION: WAVERLY MEADOWS ZONING: R -7
BLOCK: LOT: 006 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:
LPG 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: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Remarks: Installation of exterior A/C unit. Unit cannot be placed within the required setbacks.
Owner: FEES
RAINEY, ROBERT LEE + VIRGINIA Type By Date Amount Receipt
14365 SW 80TH PL PRMT BLD 7/28/00 $50.00 0004068
TIGARD, OR 97224 5PCT BLD • 7/28/00 $4.00 0004068
Total $54.00
Phone:
Contractor:
GAROKEN ENERGY COMPANY
3565 182ND
BEAVERTON, OR 97007 REQUIRED INSPECTIONS
Mechanical Insp
Phone: 848 -0197 Final Inspection
Reg #: LIC 00043124
PLM 34 -113pb
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: Permittee Signature: ''97'-E
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
\ ; .CITY'OF TIGARD Mechanical Permit A lica Plan Check#
. pPEIVE ®. Rec'd By
1,'125 SW HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 0 ZOO Date to P.E.
(503) 639 -4171, x304 4 2 4 Date to DST
Print or Type COMMUNITY DEVELOPMENT Permit # /t'IEG' d, 60 3o7
Incomplete or illegible applications not be accepted Called
Name of Development/Project Description
Table 1A Mechanical Code Qty Price Amt
Job Street Address Su ite# A) Permit Fee ;;_ 16.00
• Address 1+31126
q XJ � 4 \ i -- 1) Furnace to 100,000 BTU
C including ducts & vents see footnote 1,2 9.65 9.0
Bldg# City /State Zip 2) Furnace 100,000 BTU+
- r'k e o. e t'Z aD.L.k including ducts & vents see footnote 1,2 . 12.00
Name or name of business) (� 3) Floor Fumace
Owner V1Y 1,�n.`c,� R0. Nel including vent see footnote 1,2 9.65
Mailing Addr. 4) Suspended heater, wall heater
(� or floor mounted heater see footnote 1,2 9.65
` ��pj' -Uj %D PL 5) Vent not included in appliance permit 4.75
• City/ ate. Zip Phone Check all that apply: `Boiler Heat Air
1 I 1, 6-g- q-g aa4 6pLi 9472? For items 6 -10, see or Pump Cond Qty Price Amt
Name r name of business) U footnotes 1,2 Comp
6) <3HP;absorb unit to
� �c \ r
n 100K BTU
x ' 9.65 R
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
N ame 9) 30 -50 HP; absorb •
Contractor unit 1 -1.75 mil BTU 36.00
(&C Qiv& -, 10) >50HP; absorb unit
Prior to permit Mailing Address >1.75 mil BTU 60.15
issuance, a copy 351(,5 S U) 1 y,,1._ O . 11 Air handling unit to 10,000 CFM
of all licenses City/StatQ \ A Phone 7.00 • .
are required if �j ■�1 C,i $ - 3 - 213 12) Air handling unit 10,000 CFM+ . . . . ..
expired in COT Oregon Const. Cont. Board -Lic.# • Exp. Date 11.85
database Zt 31 Q 91g4 13) Non - portable evaporate cooler
Architect Name 7.00
14) Vent fan connected to a single duct
4.75
Or Mailing Address
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
Nev( Repair 0 Replace with like. kind: Yes O No O 18) Commercial or industrial type incinerator
Residentiafa Commercial 0 48.25
19) Repair units
Additional information or description of wo, 8.40
Gts.5 rtAT nazi2_ � . o nz» 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 31
Type of fuel: oil 0 natural ga' LPG 0 electric O 22) More than 4 -per outlet (each) .75
Minimum Permit Fee $50.00 SUBTOTAL , ' !;.�,;
1 hereby acknowledge that I have read this application, that the information 8% SURCHARGE ' ,6 0
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. TOTAL
Required for ALL commercial permits only
t 3 ;---- 66
Signature of Owner/ t Date Other Inspections and Fees:
,,,,,,,,,. ,,y__,
/ -Z) 1. Inspections outside of normal business hours (mininum charge -two
Contact Person Name Phone, hours) $50.00 per hour
2. Inspections for which no fee is specifically indicated (minimum
\) for >WV\O\ -C Su3NrY, �1- c 3� charge -half hour) $50.00 per hour
Foonotes commercial projects only: l 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 *State Contractor Boiler Certification required
units.
**Residential A/C requires site plan showing placement of unit
I:\mechperm.doc rev 7/19/99
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CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Liner 639 -4175 Business Line: 639 -4171
BUP
Date Requested ` 9 AM PM BLD
Location / 3 6
C�. S r✓ et a /4
, Suite MEC ' Gr p � / .s 0
Contact Person Ph (p Z• 7 9 q r PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing
Foundation Access: o c /1 ,, / / FPS
Ftg Drain '44 _it ea
Crawl Drain Inspection Notes: SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
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
MECHANIC
eam
Gas s Line In
G L((k CMv•
a Li
1 i . e Dampers
06% PART FAIL
•
ICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
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 [ ] Please call for reinspection RE: [ . ] Unable to inspect - no access
Fire Supply Line
ADA / / 76 Approach /Sidewalk Date g �i w Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.