Permit CITY OF TIGARD
MECHANICAL PERMIT
gpil DEVELOPMENT SERVICES PERMIT #: MEC2000 -00092
c �13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 03/22/2000
PARCEL: 1S134AB-01400
SITE ADDRESS: 11337 SW IRONWOOD LP
SUBDIVISION: ENGLEWOOD ZONING: R -4.5
BLOCK: LOT: 071 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: DOMES. INCIN:
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: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Remarks: Installing new furnace
Owner: FEES
DEREK SMITH Type By Date Amount Receipt
11337 SW IRONWOOD LP PRMT BON 03/22/20( $50.00 0000845
TIGARD, OR 97223 5PCT BON 03/22/20( $4.00 0000845
Total $54.00
Phone: 503 - 590 -9604
Contractor:
TRI TECH HEATING
6603 NE 137TH AVE
VANCOUVER, WA 98682 REQUIRED INSPECTIONS
Misc. Inspection
Phone: 360- 891 -2002 Final Inspection
Reg #: LIC 101873
ORIGINAL
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 %alli 2 (503)2 9189.
Issue By: e Permittee Signature:.
Call (503) 639 -4175 by 7:00 P.M. for inspectionded the next business day
•,• �••• •'a . .. ... - . ,. L11 ,,1 1LV :11 \1l l/�. U,)
e.
Plan Check #
CITY OF TIGARD
Mechanical Permit Application Rec'd By1
13 SW HALL BLVD. Commercial and Residential Date Recd . - - 2Z -
TIGARD, OR 97223 - Data to P.E.
(503) 639 -4171, x304 Date to DST
Print or Type • Permit #IAAVE 2� - O52,
Incomplete or illegible applications will not be accepted Called
Name of Devetopment/ProJect Description
Table 1A Mechanical Code Qty Price Amt
Job Street Address f`. ttl C Suite# A) Permit Fee la
Address i 1 33 1 5\A Ion Wb 1) Furnace to 100,000 BTU
including ducts & vents see footnote 1,2 J, 9,65 (71'
atdg# c rylState Zip 2) Furnace 100,000 BTU+
(Iala > \ a .3 l 7 including ducts & vents see footnote 1,2 12.00
N me (or name of business) / 3) Floor Furnace -
Owner ere k, 5 - , , including vent see footnote 1,2 9.65
Mailing Address 4) Suspended heater, wall heater
/ 1 - 3 3 1 ' S W .vim l.WaaG1 Lay or floor mounted heater see footnote 1,2 9.65
5) Vent not included in appliance permit 4.75
City/State Zip Phone Check all that apply: "Boiler Heat Air
Tl m 04 ci 70J3 59v- y For items 6 -10, see or Pump Cond Qty Price . Amt
Nar ' (or na business) • footnotes 1.,2 Comp
6) <3HP;absorb unit to T \
Occupant Mailing Address 100K BTU _ 9.65
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
�p/- unit 1 -1.75 mil BTU 36.00
' 1(r1 ` C/ e t ikct/iel 10) >50HP; absorb unit
Prior to permit Mailing Address � >1,75 mil BTU 60,15
issuance, a copy 1,603 �L 1;201 tv/ .)C • 11 Air handling unit to 10,000 CFM
of all licenses city/state Z' T� hone 7.00
are required if (let fr t ' LJt ( oil- q5.11,3- . -5 12) Air handling unit 10,000 CFM+
expired in COT Oregon Const. Cont. 4oard Llc.# p, pa 11.75
database /()) 3 X 31 /Ob 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 City/State Zip Phone 16) Hood sewed by mechanical exhaust •
' 7.00
'. Describe work to be done: 17) Domestic Incinerators
o _ 12.00 •
New 0 Repair 0 Replace with like kind: Yes 0 No 0 18) Commercial or industrial type incinerator
Residential Commercial0 48,25
19) Repair units
Additional inforrnatio\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 caics. See footnote 1 3.75
' Type of fuel: oil 0 natural ga: 0 LPG 0 electric 0 .. 22) More than 4 -per outlet (eac , .75 •
Minimum Permit Fee $50.00 SUBTOTAL ,fi f ! h,C °,„`` '�5D.QO
' ' hereby acknowledge that I have read this application, that the information - % SURCHARGE $ix,$'; '' A+ - Ali' i s c 0O
given is correct, that I am the owner of authorized agent of PLAN REVIEW 25% OF SUBTOTAL , . Vii.: .
€ the owner, that plans submitted are in compliance with Oregon State laws, Required for ALL commercial permits only''! "_ '
natu 1. TOTAL T° . , ,,,,,,„,,,, 00
Sig r- . Own- • gent Date h ''' ' t dd r �
r i s a . ` . ,
.tIalrl, i'ti 'j C� ll v Other Inspections and Fees:
Contact on - ...r■r -_ "" �� 1. Inspections outside of normal business hours charge -two
q Phone hours) $50.00 per hour
1r o k � 0 -Ill 900 _ D 2. Inspections for which no fee is specifically indicated (minimum
. V t / charge -half hour) $50.00 per hour
Foonotes 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
units. -^ `State Contractor Boiler Certification required
" NC requires site plan showing placement of unit
l:lmechpenm.doc rev 0214/99
CITY OF TIGARD BUILDING INSPECTION DIVISION MST •
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 3 /.eVD) AM PM BLD
Location I 1 ? 3� ( . Suite n 2cx 6 9
Contact Person OP)re Ph ,S1O" ea c q PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: � S
Slab 1 VtA1- 1 SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler -
Fire Alarm /A.
Susp'd Ceiling
Roof
F
Final
PASS PART FAIL d j. .
PLUMBING
Post & Beam
Under Slab ---
Top Out
Water Service ' `���
Sanitary Sewer _ / ,'
Rain Drains
Final
___BASS____PART FAIL
MECHANIC
Post & Bea
-
Rough In
Gas Line
Smoke Dampers
. i
• ART G � \V -
ELECTRICAL
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
Otheoach /Sidewalk Date 7 U I nspector /7r1
Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.