Permit CITY TIGARD MECHANICAL PERMIT
" . I DEVELOPMENT SERVICES PERMIT #: MEC2000-00006
�.�1 13125 SW Hall Blvd., Tigard, OR 97223 (503) 63ry 1 DATE ISSUED: 1/6/00
PARCEL: 2S110BB -01800
SITE ADDRESS: 12395 SW CORYLUS CT
SUBDIVISION: AMES ORCHARD /G/A ZONING: R -1
BLOCK: LOT: 007 ' it44ISDICTION: 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:
STORIES: BOILERSICOMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES: INCIN:
WOD 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: 1
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Installation of wood stove.
Owner: FEES
MCGARRY, JOHN + KATHRYN W Type By Date Amount Receipt
12395 SW CORYLUS CT PRMT DEB 1/6/00 $50.00 00- 320967
TIGARD, OR 97224 5PCT DEB 1/6/00 $4.00 00- 320967
Total $54.00
Phone:
Contractor:
AMERICAN CHIMNEY SWEEPS
AMERICAN CHIMNEY + MASONRY INC
PO BOX 13311 REQUIRED INSPECTIONS
PORTLAND, OR 97213
Woodstove Insp
Phone: 644 -2393 • Final Inspection
Reg #: LIC 00061354
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 ermit will expire if work is not started within 180 days of issuance, or if work is suspended
for re than 180-days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
U • ity Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080.
ou may obtain copies, of th- e r I- or di ect questions to OUNC by ailing (503)246 -9 9.
sue By: /k 0 ' Ai fit, _ � r, / / ' Permittee Signature:
Call (503) •-4175 by 7:00 P.M. for inspections needed the next b iness day
Plan ph #∎�
CI OF TIGARD Mechanical Permit Application Recd s. -,.
1 SW HALL BLVD. Commercial and Residential Date Recd / - G -CO
TIGARD, OR 97223 Date to P.E. -----
(503) 639 -4171, x304 Date to DST -
Print or Type Permit # FiterAWO- U(bo(D
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Description .
A�t��� cam/
j� rNlar d Table 1A Mechanical Code Qty Price Amt
�
Address C C
/25 % `�6{/ Street Address Suite# A) Permit Fee . : . '''''''M 16.00
Job , , r /) / 1) Furnace to 100,000 BTU ._.
/ , 7
Bldg# City)St Zip including ducts & vents 9.65
2) Furnace 100,000 BTU+
,/'7 ie 07 including ducts & vents 12.00
Name (or name of busin s) p 3) Floor Furnace
Owner ,10/0 t 6n/rVt / ,!t� irry including vent 9.65
Mailing Address / \ 4) Suspended heater, wall heater
7. 7);"J R - f or floor mounted heater 9.65
j �(/ �{�� 4f. �T 5) Vent not included in appliance permit 4.75
City /State Zip Phone Check all that apply: *Boiler Heat Air
T j ard q p 2 4 IG�J'-/ -2 For items 6 -10, see or Pump Cond Qty Price Amt
or name of business) / footnotes 1,2 Comp
6) Repair units
8.40
Occupant Mailing A33res 7) <3HP;absorb unit to
100K BTU 9.65
_ /-' City /State Zip Phone 8) 3 -15 HP;absorb unit •
100k to 500k BTU 17.65
9) 15 -30 HP; absorb
Contractor Name
/� v IAA ��� n ! � }�nit .5 -1 mil BTU 24.15
l
' 4, r/ca'l (-�//�I i�� im K YO) 30 -50 HP; absorb
Prior to permit Maili g AddEgs3 unit 1 -1.75 mil BTU 36.00
issuance, a copy ,;/. L] / Q/t /�, 11) >5OHP; absorb unit >1.75 mil BTU
of all licenses /State Zip Pho ee 2 60.15
are required if / /', ? /2(/ CJ 7 ?/ �'4 -O Y 7 . 12) Air handling unit to 10,000 CFM
expired in COT Oregon Const. Cont. Board Lic.# Exp. Date 7.00
database (/ 1 4 - gg "c) I 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 -� Zip Phone_ 16) Ventilation system not included in
• appliance permit 7.00
Describe work to be done: 17) Hood served by mechanical exhaust
7.00 _
New 0 Repair 0 Replace with like kind: Yes el<0 18) Domestic incinerators
Residential Cam` Commercial 0 Modification 0 12.00
19) Commercial or industrial type incinerator
Additional information or description of work: 48.25
20) Other units, including wood stoves 0
/ 7.00 7
NOTE: For Commercial projects only; Units over 400 lbs., located on the 21) Gas piping one to four outlets
roof, require structural calcs. prepared by licensed engineer. 3.75
Type of fuel: oil 0 natural gas 0 LPG 0 electric 0 22) More than 4 -per outlet (each) . .75
Minimum Permit Fee $50.00 SUBTOTAL _ ,,, �
I hereby acknowledge that I have read this application, that the information 8% SURCHARGE . G '
given is correct, that I am the owner or authorized agent of 25% 1/'
°
PLAN REVIEW 25/° OF SUBTOTAL liMz
the owner, that plans submitted are in compliance with Oregon State laws. p 9 Required for ALL commercial permits only j R , "
Sign TOTAL "A , ''1--=',- 6y.045 at of Ow, y k it • / �er /Agent Date a Ofr6
Other Inspections and Fees:
Contacjt Person Name (/ Phone
' / � 2 J 1. Inspections i ons oor w h normal business hours (minimum charge -two hours) $50.00 per hour
q /�j ., L�'l \ 3. Additional plan r
2. Inspections for w hch h fees
no fee is specifically indicated (minimum charge-half f hourur) )
Fooho s/for commercial prof cts only: $50
1. Provide full schematic of existing and proposed gas line and pressure. lan review required by changes, additions or revisions to plans (minimum
9 P P 9 P 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 11/1/99 -
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested re)/(' AM PM BL Location ) 2-3 9 S CO I� Suite EC') otl-C)C�(�
Contact Person g Yl 4 (Q. Ph 5 3 . 7 - V - 2 / p O PLM i 1
Contractor Ph SWR 1
BUILDING Tenant/Owner
ELC yr
Retaining Wall ELR
Footing
Foundation M Access: �,,; . FPS
Q .- Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab
Post & Beam
Ext Sheath /Shear f. 7 "' d6 5
Ina Sheath /Shear L 'l /� q ` - _ Framing C 7 ,, C 1 _ /
Insulation QVYQ e-Drywall Nailing �� Li
,
Firewall J
Fire Sprinkler \./IA 5 1..4- -1 t. , e - S (--1/4_,A.------
Fire Alarm J
Susp'd Ceiling .-C■2 U '
M
Roof . ,eiLl�►/. A v ■6--/l C.■2
Final Ai \ —L 5 � C__„.1 ���-,
PASS PART FAIL c
PLUMBING ■/\ , - A _24
Post & Beam �� t (� _
Under Slab 'v 5. �-e -P-et.. C_12_ . ,
Top Out
Water Service
Sanitary Sewer — ��
Rain Drains /� n
Final
PART FAI I ,/� /� " sac- 1 7 - V 061 1 V�Q � C-e
CHANId J 1 $ .. -- ^^ -- ,
Post & Beam ' .a-. – - lJ� r
Rough In / . w`-'l" • Cr%. 7.) DO ° U ( 6!
Gas Line '
S qke Dampers .� ... _` • r `
PA PART FAIL
RICAL
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 i \ Z ,, (�
Other
Date I . b Inspector v v ` Ext�
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.