Permit CITY TIGAR R' Gi MECHANICAL PERMIT
DEVELOPMENT SERVICE P ERMIT #: MEC2000 -00026
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/27/00
wZA W
PARCEL: 25111 BA -06700
SITE ADDRESS: 09563 SW INEZ ST
SUBDIVISION: BUTLER TERRACE ZONING: R -4.5
BLOCK: LOT: 001 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:
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: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Installation of new gas furnace.
Owner: FEES
DEBBIE CASTILE Type By Date Amount Receipt
9563 SW INEZ PRMT DEB 1/27/00 $50.00 00- 321438
TIGARD, OR 97223 5PCT DEB 1/27/00 $4.00 00- 321438
Total $54.00
Phone: 670 -9814
Contractor:
AAA HEATING + COOLING
2915 NE MARTIN LUTHER KING BLV
PORTLAND, OR 97212 • REQUIRED INSPECTIONS
Heating Unt Insp
Phone: 284 -2173 Final Inspection
Reg #: LIC 00000222
•
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 ofificati Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952 - 001 -0080.
Yo may obtain copies of r-se ules or direct questions to OUNC by calling 503)246 -9189.
Is ue B 0� % Permittee Signature:
Y� I J � . A IL . / � , 9
Call (50 639 -4175 by 7:00 P.M. for inspections needed the ne t busines day
CITY OF TIGARD Mechanical Permit Application Recd :eck
y ___
13125 SW HALL BLVD. Commercial and Residenti c E7V Date Recd -,: 4.60
TIGAD, OR 97223 ✓ Q Date to P.E. --
(5 639 -4171, x304 AN 2 Date to DST
Print or T eOMM ? . 00 ® Permit cfrfre o-' D2
Incomplete or illegible applications will n d litoepted Called
Name of Development/Project Description
•
Table 1A Mechanical Code Qty Price Amt
�C A) _ ; 16.00
Job Street Address Suite# ) Permit Fee
1) Furnace to 100,000 BTU
Address including ducts & vents see footnote 1,2 \ 9.65 CI
Bidg# City /State Zip 2) Furnace 100,000 BTU+
including ducts & vents see footnote 1,2 12.00
•
Name (or name of business) 3) Floor Furnace
Owner 9 Ct - including vent , footnote 12 9.65
Mailing Address 4) Suspended heater, wall heater
(^� ..P .. S or floor mounted heater see footnote 1,2 9.65
I S (c� 1 X12.. 5) Vent not included in appliance permit 4.75
City /State Zip Phone Check all that apply: *Boiler Heat Air
`
�a, c f - i? .q 0 0- cj s i Li For items 6 -10, see or Pump Cond Qty Price Amt
Name (ora of business) footnotes 1.,2 Comp
6) <3HP;absorb unit to
100K BTU 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
Contractor Name 9) 30-50 HP; absorb
unit 1 -1.75 mil BTU 36.00
\1 \4;;; rvt. 8, Q C� 1 0) >50HP; absorb unit
Prior to permit Mailing Address >1.75 mil BTU 60.15
issuance, a copy r �.q 1 5 �t`. 11 Air handling unit to 10,000 CFM
of all licenses _ y4State Zip Phone 7.00
are required if \ J i (\ 67 7 I ID- . :) L/ DI 7 � 12) Air handling unit 10,000 CFM+
expired in COT Oregon Cohst. Cont. Board Lic.# Exp. Date 11.75
database (..Dc 2_1____ 13) Non - portable evaporate cooler
• Architect Name 7.00
14) Vent fan connected to a single duct
M ailing Address 4.75
or 15) Ventilation system not included in
appliance permit 7.00
Engineer City/State Zip Phone 16) Hood served by mechanical exhaust
• 7.00
Describe work to be done: 17) Domestic incinerators
12.00
New 0 Repair 0 Replace with like kind: Yes�O c<;) 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
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 O natural ga' O-.LPG 0 electric O 22) More than 4 -per outlet (eac .75 0 c)
Minimum Permit Fee $50.00 SUBTOTAL ' _ v
I hereby acknowledge that I have read this application, that the information ;17 5% SURCHARGE .1, ;, , I q
given is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL
the owner, that plans submitted are in compliance with Oregon State laws. Required for ALL commercial permits only
CO
TOTAL
Signature of Owner /Agent Date ,? `I
�
/ Other Inspections and Fees:
.� 0 ( / ) � 1. Inspections outside of normal business hours (mininum charge -two
Contact Person Name P hone hours) $50.00 per hour
2. Inspections for which no fee is specifically indicated (minimum
oW\ i), b 1 DI 13 charge -half hour) $50.00 per hour
Foonotes or commercial projects o 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
units. *State Contractor Boiler Certification required
**Residential NC requires site plan showing placement of unit
• l: mechperm.doc rev 02/4/99
- CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
` BUP
Date Requested 2/2 S/cD D AM PM BLD
Location 25 123 261?_ l _ Suite
Contact Person �j h J - Ph 70 _9 ') / PLM
Contractor Ph SWR a
BUILP,,ING ,', Tenant/Owner ELC '
PA T Retaining Wall ELR I
Footing Access:
Foundation FPS
Ftg Drain SGN •
Crawl Drain Inspection Notes: F ,-sr -
u.j. ,��. 1
Slab
SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear ! D � S O 4 1 0
Framing ` �stC
Insulation S,Drywall Nailing
Fire wall f� � Y Ie 1 ,, ] _
Fire Sprinkler �(,�-S
Fire Alarm
Susp'd Ceiling
Roof .� �NSC.t.
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
Post & Beam
Roush In
Smoke Dampers
PASS PART FAIL
ELECTRICAL /
Service I f
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 /l �j
Approach /Sidewalk Date 2/ �'c O b Inspector Ext3 l
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.