Permit CITY TIGARD MECHANICAL PERMIT
AI . DEVELOPMENT SERVICES PERMIT #: MEC2000 -00269
A lst- 4 'fl 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/5/00
- - PARCEL: 2S 115AD -04200
SITE ADDRESS: 10823 SW DOVER CT
SUBDIVISION: DOVER LANDING ZONING: R -2
BLOCK: LOT: 025 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:
ELE 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Installation of exterior residential A/C Unit. Unit cannot be placed in the required setbacks.
Owner: FEES
RON /LINDA FINTZY Type By Date Amount Receipt
10823 SW DOVER COURT PRMT DST 7/5/00 $50.00 0003462
TIGARD, OR 97224 5PCT DST 7/5/00 $4.00 0003462
Total $54.00
Phone:
Contractor:
SPECIALTY HEATING + FABRICATIO
9528 SW TIGARD ST
TIGARD, OR 97223 REQUIRED INSPECTIONS
Mechanical Insp
Phone: 620 -5643
Reg #: SUP 2570RET
LIC 006657
ELE 34-341CR
•
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by
calling (503)246 -9189.
Issue By: 4,, p _ Permittee Signature: _, .�, J
Call 03) 639 -4175 by 7:00 P.M. for inspections needed the next business day
r Plan
CITY OP TIGARD Mechanical Permit Application Rec'dByck#
13125 SW HALL BLVD. Commercial and Residential / / Date Rec'd 00
TIGARD, OR 97223 `l9' Date to P.E.
(503) 639 -4171, X304 �/ Date to DST �/ p
Print or Type Permit #-00°`42
Incomplete or illegible applications will not be accepted Called
Name of Devell pment/Protect Description
-0e /M/ . f F' i N T- Table 1A Mechanical Code Qty Price Amt
Job Street Address /� S urte# A) Permit Fee ,$�� 16.00
Address /O$�,3 s(4/ .ov€( 1) Furnace to 100,000 BTU
including ducts & vents see footnote 1,2 9.65
Bldg# City /State Zip 2) Furnace 100,000 BTU+
7 / � e-- 97.1 -. including ducts & vents see footnote 1,2 12.00
N e (or name of business) " 3) Floor Furnace
Owner 6G( ie �G F1 J including vent see footnote 1,2 9 65
m ailing Address .J7 4) Suspended heater, wall heater
1 /�, 1" r floor mounted heater see footnote 1,2 9.65
/ 6 Kd..3 ) C e Cr C r - 5) Vent not included in appliance permit 4 75
Crty /State Zip Phone Check all that apply: 'Boiler Heat Air
61/1d OHO q ?...2)11 6 70.2/9 For items 6 -10, see or Pump Cond Qty Price Amt
Nam (or n e of business) footnotes 1,2 Comp
6) <3HP;absorb unit to //
C� !' tP 100K BTU 1 1 9.65 �
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
S -FC / / �/ 10) >5OHP; absorb unit
Prior to permit Malting Address 1-- >1.75 mil BTU 60.15
issuance, a copy gSol 5- < /i 11 Air handling unit to 10,000 CFM
of all licenses 'State // Zi Phone £L3 7.00
are required if ii � De 4 ,oZ a- -s GAD =SG 12) Air handling unit 10,000 CFM+
expired in COT Oregon Cost. Cont. Board Lic # Exp. Date 11.85
database iP - 5 70 " . /0 / 13) Non - portable evaporate cooler
Architect Name 7 00
14) Vent fan connected to a single duct
Or Mailing Address 4.75
15) Ventilation system not included in
• appliance permit 7 00
Engineer Crty/State Zip Phone 16) Hood served by mechanical exhaust
7 00
Describe wort( to be done 17) Domestic incinerators
12.00
New - Repair 0 Replace with like kind. Yes O No O 18) Commercial or industrial type incinerator
Residential & Commercial 0 48 25
19) Repair units
Additional information or descnption of work 8 40
n / L 20) Wood stove /gas FP /other units /clothe dryer /etc.
//2446 �(� ( 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
Type of fuel oil 0 natural gas 0 LPG 0 electnc 22) More than 4 -per outlet (each) .75
Minimum Permit Fee $50.00 SUBTOTAL '," `- •cz.)
I hereby acknowledge that I have read this application, that the information 8% SURCHARGE ri i > T 0?)
given is correct, that I am the owner or authonzed agent of PLAN REVIEW 25% OF SUBTOTAL 0 i .t` ;, a
the owner, that plans submitted are in compliance with Oregon State laws. Required for ALL commercial permits only _ �
TOTAL,'
Signature f Owner /Agent
at ' - "' , �YG�
Other Inspections and Fees:
77540 1. Inspections outside of normal business hours (mininum charge -two
Contact Pe n Name Phone hours) $50.00 per hour
(� //' 2. Inspections for which no fee is specifically indicated (minimum
/ V �a3/ c 2 J'S charge -half hour) $50.00 per hour
Foon es for commercial projects only: 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:\rnechperm doc rev 7/19/99
4
) ,
J 1
r
. ,
. .
, .
1
a
. . • i j j _ . , ,
, . .
•
. ,
. ,
, ,
, . . , .
I i
. .
. . ,
. , r
i
, .
,
. . , , , • , .
• . : .
. •
. . . i , . . ,
. ,
. . . , , . , .
, , . , , , . .
, , , . r , ,
. .
, , , , , r , , „ ,
• , . . . ,
. . , . ,
. . J.+
G A i) �
. .
. .
. . , , . , , r .
, .
, .
. . I ■ • .
.r1 0: E
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
( 3 3 4 14 Date Requested / G ` d AM PM
Location /0 5 ,P1!> - Suite as ®p
Contact Person j" iZe / te a Ph , ' O S'94/3 PLM
Contractor t��A�� // Ph SWR
v 00 ELC 2 000 2 d 37s
BUILDING- Tenant/Owner •
Retaining Wall ELR
Footing Access:
Foundation r C G�� FPS
Ftg Drain
SGN-
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam / (�
Ext Sheath /Shear �� J �' _ — / : �•9
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
CHAN AL
Post & Beam
Rough In
Gas Line
Smoke Dampers
.. ;�s r. f r ► l�
1� PART FAIL
TRICAt
Service _
Rough In
UG /Slab
Low Voltage
Fire Alarm
. PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA ,v
Approach /Sidewalk
Other Date 7 ��i Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.