Permit r CITY OF TIGARD MECHANICAL PERMIT
MI DEVELOPMENT SERVICES PERMIT #: MEC2000 -00298
- �� 1 3125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/25/00
PARCEL: 1 S136CB -08600
SITE ADDRESS: 11032 SW 81ST AVE
SUBDIVISION: HERB + PEGGY'S PLACE ZONING: R -4.5
BLOCK: LOT: 028 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: 1 AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 4
> 10000 cfm:
Remarks: Conversion of electric to gas furnace, and installation of exterior NC unit. A/C unit cannot be placed within the
required setbacks.
Owner: FEES
JOHNSON, ROLAND J + PRISCILLA Type By Date Amount Receipt
11032 SW 81ST AVE PRMT BLD 7/25/00 $50.00 0003952
TIGARD, OR 97223 5PCT BLD 7/25/00 $4.00 0003952
Total $54.00
Phone:
Contractor:
ENERGY MASTERS HEATING + A/C
7470 SW 76TH
PORTLAND, OR 97224 REQUIRED INSPECTIONS
Gas Line lnsp
Phone: 244 -8880 Mechanical Insp
Reg #: LIC 000585
PLM 26 -476PB
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 O: ' 65. - 001 -1180.
You may obtain copies of these rules or direct questions to OUNC b : i g (50 ) '46- �:' -.'
Issue By: Permittee Signature: �
1
Call (503) 639 -4175 by 7:00 P.M. for inspections neede• the next busin-ss day
Plan Check #
CITY OF TIGARD Mechanical Permit Application Recd By
13125 HALL BLVD. Commercial and Residential Date Rec'd Date to RE.
TIGARD, OR 97223 / Date to DST
(503) 639 - 4171, x304
Print or Type ELC c oI yd 9 Permit.# A/Ee.2o-0 - eat?,
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Description
Table 1A Mechanical Code Qty Price Amt
Job
Street Address Suite# A) Permit Fee PIA Mt 16.00
Address i ` O 32 Sti C t °T • 1) Furnace to 100,000 BTU
Bldg# City /State Zip including ducts & vents 1 9.65
o R 3 2) Furnace 100,000 BTU+
including ducts & vents 12.00
e (or name of busines' t7 3) Floor Furnace
Owner � U 1 cut lutg0 1/1 including vent 9.65
Mailing Address 4) Suspended heater, wall heater
11032 " { 151--. or floor mounted heater 9.65
� 5) Vent not included in appliance permit 4.75
City /State Zip Phone
p � � 722 C� Check all that apply:
*Boiler Heat Air
MAYA- �g� 1j� For items 6 -10, see or Pump Cond Qty Price Amt
N' (or name of business) footnotes 1,2 Comp ""
• V l 6) Repair units 8.40
e
dd
Occupant Mailing Arss
p 7) <3HP;absorb unit to I
100K BTU 9.65 ■
City /State Zip Phone 8) 3 -15 HP;absorb unit
100k to 500k BTU 17.65
N ame 9) 15 -30 HP; absorb
Contractor t A LIL 1 _ s.s j n . C unit .5 -1 mil BTU . 24.15
el.-9 y NI 10) 30 -50 HP; absorb
Prior to permit Mailing Address / �� unit 1 -1.75 mil BTU 36.00
-7
issuance, a copy 74o C� 11) >50HP; absorb unit >1.75 mil BTU
of all licenses C' /State TL Q Z - �r °� D Zip Phone �/L .��\ 60.15
are required if � `7 12) Air handling unit to 10,000 CFM
expired in COT Oregon Const. Con . // Board Lic.# EKp_Dat9 7,00
database S� l� 6 13) Air handling unit 10,000 CFM+
Architect Name 11.85
14) Non - portable evaporate cooler
or Mailing Address 7.00
15) Vent fan connected to a single duct
•
4.75
Engineer City /State Zip Phone
appliance permit 7.00
Describe work to be done: 17) Hood served by mechanical exhaust
7.00
New., Repair O R eplace with like kind: Yes O No , 18) Domestic incinerators
Resident l Commercial 0 Modification 0 12.00
l ` 19) Commercial or industrial type incinerator
Additional information or description of work: I 48.25
(e�� .f V vU2_C A 20) Other units, including wood stoves • . 7.00
NOTE: For Commercial p jects only; Units over 4i I • ., os - t : " 'the 21) Gas piping one to four outlets �
roof, require structural calcs. prepared by licensed a• •ineer. di 3.75 31
Type of fuel: oil 0 natural ga5'�� ` LPG 0 electric 0 22) More than 4 -per outlet (each) .75
I hereby acknowledge that I have read this application, that the information Minimum Permit Fee $50.00 SUBTOTAL 4,01)
given is correct, that I am the own r or authorized agent of 8% SURCHARGE ovviogNE yro
the c t la I @d. ' •t lance with Oregon State laws.
PLAN REVIEW 25% OF SUBTOTAL
�i it -2-r---C)
Required for ALL commercial permits only ��: , t 'x
Si nature of Owne gent Date TOTAL T -.
Contact Person Name Phone Other Inspections and Fees:
1. Inspections outside of normal business hours (minimum charge -two hours) $50:00 per hour
2. Inspections for which no fee is specifically indicated (minimum charge -half hour)
Foonotes for commercial projects only: $50.00perhour
1. Provide full schematic of existing and proposed gas line and pressure. 3. Additional plan review required by changes, additions or revisions to plans (minimum
2. Provide drawings to scale showing existing and proposed mechanical charge - one - half hour) $50.00 per hour
'State Contractor Boiler Certification required
units. **Residential NC requires site plan showing placement of unit
I:lmechperm.doc rev 11/1/99
�l L1 U ENERGY MASTERS INC.
PLOT PLAN f b i.- A-/c. tuu.
ADDRESS: " O32 5w
-C-1j &r--d
f420
l ��
CITY OF TIGARD BUILDING INSPECTION DIVISION
Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested Z 7 AM"-( PM BLD
Location // D 3 -5 'v P/C Suite MEC 0 -"
Contact Person Ph, Cr 8 9 9 a PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing - 0,43 c Rri nt S l� '7 TST
Insulation
Drywall Nailing 'i4-GV7 c 2 ) 8 00 5
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
Post & Beam
Rot.. In
as Li
moke Dampers
RT FAIL
CTRICAL
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
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach/Sidewalk ��� O
Other Date 7- 2 Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested AM PM BLD
Location // v 3 Z- <5 L✓ P C14.. Ae Suite MEC 20
Contact Person Ph 2 PLM
Contractor Ph SWR
BUILDING, -`- '. Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing .csEe.f7'
Insulation
Drywall Nailing K—
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 Plait FAIL
C IECHANICAL
& Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECT
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
Fire Supply Line [ ] Please call for reinspection RE: r ! [ ] Unable to ins pect - no access
ADA
Approach /Sidewalk Date Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 - 4175 Business Line: 639- 71
BUP
Date Requested f-- AM PM BLD
Location //4 2- 36t) P/- -7/4 suite / MEC oo 2- ?,
Contact Person �� SC i 6.l4' _ jaki /JOA/ Ph &kV - q?Z3 PLM
Contractor Ph SWR
BUILDING' r Tenant/Owner ELC CO 4
Retaining Wall ELR
Footing ' Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath/Shear
Framing •
Insulation n
Drywall Nailing .{/L.G C
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
MECHANICAL •
Post & Beam
Rough In
Gas Line
Smoke Dampers -
Final
P CS PART FAIL
LECTRI
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART fAl
SITE
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
Other Date 5 .2 1 Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site