Permit - ',-- CITY OF TIGARD MECHAN I CAL
a ai�p li ; DEVELOPMENT SERVICES PERMIT
'1 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FE DATTE E I T # ISSUED: 03/ • �3EC99 - 0123
99
� PARCEL: 2S1O9AD -03300
SITE ADDRESS...: 14569 SW 130TH AVE °,,
SUBDIVISION...•: WOODFORD ESTATES ® ZONING: R -7
BLOCK • LOT •025 1 JURISDICTION: TIG
CLASS OF WORK..:OTR FLOOR FURN ° 0 0 EVAP COOLERS: 0
TYPE'OF USE -SF UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:R3 VENTS W/O APPL: 0 VENT SYSTEMS: 0
STORIES ° 0 BOILERS /COMPRESSORS HOODS • 0
FUEL TYPES 0 -3 HP ° 1 DOMES. INCIN: 0
. 3 -15 HP ° 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15 -30 HP ° 0 REPAIR UNITS: 0
FIRE DAMPERS ?..: 30 -50 HP ° 0 WOODSTOVES..: 0
GAS PRESSURE...: 50+ HP • ° 0 CLO DRYERS..: 0
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.: 0
FURN < 1O0K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN > =1O0K BTU: 0 > 10000 cfm: 0
Remarks : Installation of a/c unit, rust comply with standard setbacks.
Owner: -• FEES
BUNNY WRIGHT type amount by date recpt
14569 SW 130TH AVE PRMT $ 25.00 DEB 03/23/99 99- 313927
TIGARD OR 97224 SPCT $ 1.25 DEB 03/23/99 99- 313927
Phone. #:
Contractor: •
FRITZPATRICK HEATING
7615 SW CHESTNUT ST
$ 26.25 TOTAL
TIGARD OR 97223 -9057
Phone #: 245 -3670
Reg #..: 52335
REQUI RED INSPECTIONS
This permit is issued subject to the regulations contained in the Cooling Unt Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other • Final Inspect Inspection
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 by 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 -9187.
I -sue By: „ r 0�
y : ,l � At / � �r , Permittee Signature' -
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Plan Ch:
CITY OF TIGARD Mechanical Permit Application Recd By Z
11312 HALL BLVD. Commercial and Residential Date Recd 5-
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST '
Print or Type Permit# H ._?9-d/
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 .. „„ 10.00
Address /Y.479'
s q /Y e 1) Furnace to 100,000 BTU
including ducts & vents see footnote 1,2 6.00
Bldg# City /State Zip 2) Furnace 100,000 BTU+
"7' g � K / � 9 2a a including ducts & vents see footnote 1,2 7.50
Name (or name of business 3) Floor Furnace
Owner
aili f \-61(g7 1, including vent see footnote 1,2 6.00
ng s/$ 4) Suspended heater, wall heater
or floor mounted heater see footnote 1,2 6.00
/ -Cs- (,-/ /7 O 5) Vent not included in appliance permit
City /State Zip Phone 3.00
? � ? 2 2 y 7 9- Pz ° Check all that apply: *Boiler Heat Air
N e (or name of business) / For items 6 -10, see or Pump Cond Qty Price Amt
footnotes 1,2 Comp **
6) <3HP;absorb unit to /)
Occupant Mailing Address 100K BTU /
6.00
7) 3 -15 HP;absorb unit
City/State Zip Phone 100k to 500k BTU 11.00
8) 15 -30 HP; absorb
Contractor Name
unit .5 -1 mil BTU 15.00
9) 30 -50 HP; absorb
/" lT /lAGfe 7Y-e unit 1 -1.75 mil BTU 22.50
Prior to permit Mai ddress 1 0) >50HP; absorb unit
issuance, a copy g}'Q S .iii FU9, ✓,Y4r -7"•/ i.. >1.75 mil BTU 37.50
of all licenses City /State Zip Phone 11) Air handling unit to 10,000 CFM
are required if 7 714-, 9 7 as 3 O` 't5-A7t 4.50
expired in COT OVegon Const. Cont. Board Lic.# Exp. Date 12) Air handling unit 10,000 CFM+
database Sp23 3 S _ / a O a4 - 7.50
Architect Name 13) Non - portable evaporate cooler
4.50
or Mailing Address 14) Vent fan connected to a single duct
3.00
15) Ventilation system not included in
Engineer City/State Zip Phone appliance permit 4.50
16) Hood served by mechanical exhaust
Describe work to be done: 4.50
17) Domestic incinerators
New Q Repair 0 Replace with like kind: Yes 0 No 0 7.50
Residential g Commercial 0 18) Commercial or industrial type incinerator
30.00
Additional information or description of work: 19) Repair units
4.50
20) Wood stove
NOTE: For Commercial projects only; Units over 400 lbs. require 4.50
structural gas calcs. 21) Clothes dryer, etc.
Type of fuel: oil 0 natural gas 0 LPG 0 electric 0 4.50
22) Other units
I hereby acknowledge that I have read this application, that the information 4.50
given is correct, that I am the owner or authorized agent of 23) Gas piping one to four outlets
the owner, that plans submitted are in compliance with Oregon State laws. See footnote 1 2.00
24) More than 4 -per outlet (each)
Si ature of Oe / Date .50
3 02_3 - 9 9 _ Minimum Permit Fee $25.00 SUBTOTAL :4 , , /, a 6
ontact Person Name Phone 2"-‹
5% SURCHARGE
77ff ,1niC/` r ,2 y..� - YY7G PLAN REVIEW 25% OF SUBTOTAL ' , - ''
Foonotes for corrfmercial projects only: Required for ALL commercial permits only ti
1. Provide full schematic of existing and proposed gas line and pressure. TOTAL i` 4
2. Provide drawings to scale showing existing and proposed mechanical ,,
, ,. ; r , �
units. *State Contractor Boiler Certification required
**Residential A/C requires site plan showing placement of unit
l:\mechperm.doc rev 02/4/99
'-,.-
l� f=i
1 .
Plan Check #
CITY OF TIGARD Mechanical Permit Application Rec'd By ..' -
13125 SW HALL BLVD. Commercial and Residential . Rec'd
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST
\, Print or Type Permit#
`� Incomplete or illegible applications will not be accepted Called
Name of Development/Project Description
Table 1A Mechanical Code ; Qty Price Amt
Nob Street A ress Suite# A) Permit Fee / .4 10.00
ess P5; S , LI, /, j drk 1) Furnace to 100,000 BTU /
City/State zip including ducts & vents see footnote 1,2 6.00
dg#
\ 2) Furnace 100,000 BTU+
c / �j- ��0 quvr including ducts & vents /see footnote 1,2 7.50
Name (or ha e of usinessl // t 3) Floor Furnace
Owner \ Y/ ` including vent // see footnote 1,2 6.00
Mailing Address 4) Suspended heater, way/heater
} � or floor mounted heater see footnote 1,2 6.00
��6 R . -`^' 13 d 7 `" 5) Vent not includedyppliance permit
City /St ee , ` �
: 0 Phon 3.00
- fir q 4( 3 i l 'aFo0 C heck all that apply/ *Boiler Heat Air
Na(or nam o business) For items 6 -10, S4e or Pump Cond Qty Price Amt
\ footnotes 1,2 / Comp **
6) <3HP;absof unit to
Occupant fling Address \100K BTU / 6.00
7) 3 -15 Hp;absorb unit
City/ ate Zip , \one 1Qok to 3 BTU 11.00
8) 15 j 30 HP; absorb
Contractor Name unit�5 -1 mil BTU 15.00
�� 9)A0 \50 HP; absorb
j� r ,9-7--w /771. .I E ' }trait 1 -4.75 mil BTU 22.50
Prior to permit Mailin Ad e / 7 10) >5dHP; absorb unit
issuance, a copy 76/1, , . t,,/, ( . f / >1.75 mil BTU 37.50
of all licenses City /State Zip k Ph•ne 11) Air ha hailing unit to 10,000 CFM
are required if 71 j„, p '' -At if j _ - '/ l • 4.50
expired in COT or/ (n Const. Cont. B. - rd Lic.# ' • . Da - 12) Air han 1 g unit 10,000 CFM+
database - 7.50
Architect Name \ `13) Non- portat3le evaporate cooler
\ 4.50
M ailing Address \ 14 rat fan conrrgcted to a single duct
or �
3.00
5) VentilVion systthi not included in
Engineer City /State Zi , Phone appliake permit 4.50
• 16) od se -d by me hanical exhaust
Describe work to be done: \ 4.50
\ 17) Domesti inci - rators
New 0 Repair 0 Replace with like ki :: Yes 0 No 0 7.50
Residential 0 Commercial 0 18) Commercialb in• ■ trial pe incinerator
\ 30.00
Additional information or description of ork: 19) Repair units
4.50
20) Wood stove
NOTE: For Commercial project only; Units over 400 lbs. require 4.50
structural gas calcs. 21) Clothes dryer, etc.
Type of fuel: oil 0 nat al gas 0 LPG 0 electric 0 4.50
t 22) Other units `�
I hereby acknowledge at I have read this application, that the information !� 4.50
given is correct, that I am the owner or authorized agent of 23) Gas piping one to four outlets
the owner, that plans submitted are in compliance with Oregon State laws. See footnote 1 2.00
24) More than 4 -per outlet (each) '•\
Signature of Owner /Agent Date \ .50
Minimum Permit Fee $25.00 SUB TOTAL ' , _;,;
Contact Person Name Phone " : '
5% SURCHARGE N.
PLAN REVIEW 25% OF SUBTOTAL
Foonotes for commercial ro'ects only: Required for ALL commercial permits only t _
P 1 Y� q P Y it
t: Provide full schematic of existing and proposed gas line and pressure. TOTAL L : 4r
2. Provide drawings to scale showing existing and proposed mechanical
9 9 9 P P � >.
units. *State Contractor Boiler Certification required
**Residential NC requires site plan showing placement of unit •
I:\mechperm.doc rev 02/4/99
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 1
BUP
Date Requested AM PM BLD
Location ( CO — 6 ' 54/ /& 4 Suite MEC 97 -- �' / -
Contact Person Ph c 39 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 , `i CL�c i 4(. ,�i,�.. —G 22- C //€C(.-
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 RT FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
• SS R• FAIL
ELECTRI
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 � p
Other Date �— Inspector - Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
6/19/00 Activities for Case #: MEC99 -00123
2:23:43 PM
titsu__ Assigned Hold Updated ®
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes g re .
MECA007 Application received 3/23/99 DEB RECD DST 3/23/99
MECA008 Create Permit 3/23/99 DEB DONE DST 3/23/99
MECA799 Final Inspection DST 3/23/99
MECA730 Cooling Unt Insp 3/23/99 DST 3/23/99
MECA060 (F) Issue permit 3/23/99 DEB DONE DST 3/23/99
MECA845 Request inspection research 6/8/00 JMT DONE No Hold JMT 6/8/00
MECA880 Expired by limitation 6/11/00 HAP DONE No Hold AKJ 6/11/00
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