Permit CITY TIGARD MECHANICAL PERMIT
i DEVELOPMENT SERVICES PERMIT #: MEC2000 -00342
m a, All
- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 DATE ISSUED: 8/23/00
PARCEL: 2S 103CA -00602
SITE ADDRESS: 13360 SW 121ST ST
SUBDIVISION: ZONING: R - 4.5
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: 1
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 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:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Remarks: Installation of vent system not included with appliance and gas piping. Work is associated with gas water
heater conversion.
Owner: FEES
SJULIN, JAMES M AND Type By Date Amount Receipt
GREGER, GAY L PRMT CTR 8/23/00 $50.00 2720000000
4028 SE SALMON ST 5PCT CTR 8/23/00 $4.00 2720000000
PORTLAND, OR 97214
Total $54.00
Phone:
Contractor:
GEORGE MORLAN PLUMBING
9806 SW TIGARD ST
TIGARD, OR 97223 REQUIRED INSPECTIONS
Gas Line lnsp
Phone: -1145 Mechanical Insp
Reg #: LIC 02734 Final Inspection
PLM 26 -60P
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 952-001-1410 through OAR 952 - 001 -0080.
You may obtain copies o these rules or direct questions to OUNC b «:I ing (503)2
Issue By: /4,tig_k_/ Permittee Signature: 1 / / j/ _,/
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
PUG - 23 - 2000 09: 54 P.01
Plan C ck #
CITY OF TIGARD Mechanical Permit Application Rec'd
13125 SW HALL BLVD. Commercial and Residential Date Rec'd a3-ex
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST
t� /O 1059 l SO D Print or Type Permit IYfI � -� 3�a.
incomplete or illegible. applications will not be accepted Called
Name al DevetopmenuProlect Description
( -.' rY1 $ ' t( � n Table 1A Mechanical Code O • Price Amt
Job Street Address A) Permit Fee 16.00
Add ress 13 s 1 cl / ! UV 1) Fumaoe to 100,000 BTU
including ducts b vents see footnote 1,2 9.65
SIagz City/Statt. Zip 2) Furnace 100,000 BTU+
l n!''` g 7 3 Including ducts & vents see footnote 1,2 12.00
Name (or name or business) . 3) Floor Furnace
-lel c / r Including vent see footnote 1 9.65
Owner v I/1'1
- -
Malting Address 4) Suspended heater, wall heater
or floor mounted heater see footnote 1,2 9.65
1 4 0 .9 . Lmmn 5) Vent not Included In appliance permit 4.75
- V /state Zip Phone Check all that apply: 'Boller Heat Air
Ort&M 19 77/L/ For items 6 -10, see or Pump Cond Qty Price Amt
Name (or name d auslness) footnotes 1,2 Com
6) <3HP;absorb unit to
100K BTU 9.65
Occupant Matting Address 7) 3 -15 HP;absorb unit
100y to 500k BTU -" 17,65
City /State Zip Phone 8) 15 - HP; absorb
� unit .5 -1 mll BTU 24.15
go ntsactor c Name 9) 30 -50 HP; absorb
� I _ - n L unit 1 -1.75 mil BTU 36.00
/
Geo . fro fu l f I�JJI1�l 10) >50HP; absorb unit
Prior to permit atin� ^ Addrssa >1.75 mil BTU 60.15
Issuance, a copy 6 J6 (k] n S 11 Air handling unit to 10,000 CFM
of all licenses cky/te zip Phone 7.00
are required if - 7j Qt r[ I q 7,_,2,j, 3 (.,0 2q-tlo.o 12) Air handling unit 10,000 CFM+ t
expired In COT crecialist. Cont. Board Uc.s Exp. Date 11.85
database 0 .'7 34 over) 7., 13) Non - portable evaporate cooler
Architect Name 7.00
14) Vent fan connected to a single duct
Or Malting Address 4.75
15) Ventilation system not included In c'a
I 7.00
appliance permit / / "
Engineer cK' /S Zip ' Phone 16) Hood served by mechanical exhaust
7.00
scribe work to be done: L ,e hetjer ,..,„.. vet 17) Domestic incinerators
de 12.00
New 0 Repair 0 Replace with like kind: Yes 0 No O 18) Commercial or industrial type incinerator
Residential 0 Commercial 0 48.25
19) Repair units
additional information or description of work: 8,40
20) Wood stove/gas FP /other units/clothe dryer /etc.
7.00
TOTE: For Commercial projects only; Units over 400 lbs. require 21) Gas piping one to four outlets /
structural gas caics. See footnote 1 / 3.75 3 - _
ype of fuel: oil 0 natural gas LPG 0 electric 0 22) More than 4 -per outlet (each) .75
Minimum Permit Fee $50.00 SUBTOTAL ; . " ' ' t •'r
iereby acknowledge that I have read this application, that the information g % SURCHARGE 1: ; „',,,-1, lj .
ven is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL (" - '' f,,
`
Required for ALL commercial permits only L
e owner, that plans submitted are in compliance with Oregon State laws. q p y L
TOTAL t ' 1 : 1 7 . . - ' - Y 1 co
gnatu Owner /Agent Date
Other Inspections and Fees:
$ 1. Inspections outside of normal business hours (minlnum charge -two
ct Person Name Phone hours) $50.00 per hour
�\ �,�,L /� 2. Inspections for which no fee is specifically Indicated (minimum
�i'�/ e. 0.S / 7l 6s6.5 charge -half hour) $50.00 per hour
ronsites for commercial projects only: 3. Additional plan review required by changes, additions or revisions to
Provide full schematic of existing and proposed gas line and pressure, plans (minimum charge - one -half hour) $50.00 per hour
Provide drawings to scale showing existing and proposed mechanical
unit,. 'State Contractor Boiler CerUncauon required
"Residential A/C requires site plan showing placement of unit
TOTAL P.01
CITY OF TIGARD BUILDING INSPECTION DIVISION a;:T P
�I
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
�j Date Requested A -a 110 M65
M BLD
Location / ' 3(,0 cci /z ./T 5T Suite EC GYJ -fld3 r / ••
Contact Person Ph PLM
Contractor (-e_() Ph ld? if 4g f SWR
BUILDING Tenant/Owner ELC �
•
Retaining Wall ELR .� /� r _ '
Footing Access:
Foundation FPS MEV
Ftg Drain
Crawl Drain Inspection Notes: 00 c \ALI; Sl ab GN
SIT
Post & Beam S S�
Ext Sheath /Shear
Int Sheath /Shear r 5 (� jL
Framing k ! �/
Insulation { Q ,� � 1„{i � �Q al
Drywall Nailing J - l
Firewall
Fire Sprinkler
Fire Alarm E...0 / , t i / � U � J�� I �� Susp'd Ceiling (.- !J �/ C (' Roof \ ,
Misc:
i ' C e v`� -12- --12- -.‘"'"--`---•-e L-./��
PA Final SS PART FAI� C Le-- y"
PLUMBING C -r-� J ,�_ �
Post & Beam J
Under Slab ,x C - - e / 1 , - ) y a - - t / ± - . r ,
Top Out
Water Service 41/‘. — ,s a *c
Sanitary Sewer (� -
Rain Drains IC �a✓ t `I-12--
Final /I ,{�
PASS PART FAIL G � V vu + / , 0 _ , ..Q
- i . 1�� ✓�" 0 ---e-A- C
SAL
Post & Beam
Roush In
e Dampers 1/
r
•A ' PART FAIL LIt -
U\/LW "PI ...-,f> in"- k
4L • RICAL �7 �, - ` ` '� l �
Service — `� 3 r.
Rough In
UG /Slab 7
Low Voltage
Fire Alarm
Final
PASS PART FAIL 1.4.4.y.0 7 r
SITE 4
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 rein pection RE: [ ] Unable to inspect - no access
Approach /Sidewalk ` c
Other Date � u d Inspector v E `
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.