Permit \? CITY OF TIGARD MECHANICAL PERMIT
•
111 DEVELOPMENT SERVICES 4 / PERMIT �
#: MEC2000 00033
125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TE ISSUED: 1/26/00
PARCEL: 1S134CD -00600
SITE ADDRESS: 11855 SW KATHERINE ST
NiSO
SUBDIVISION: LERON HEIGHTS NO.3 ZONING: R -4.5
BLOCK: LOT: 076 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:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Replacement of existing furnace with like kind.
Owner: FEES
BENZ, WILLIAM J Type By Date Amount Receipt
11855 SW KATHERINE ST PRMT DEB 1/26/00 $50.00 00- 321413
TIGARD, OR 97223 5PCT DEB 1/26/00 $4.00 00- 321413
Total $54.00
Phone:
Contractor:
SOUTHWEST HEATING + AIR
CONDITIONING
1950 NW 119TH REQUIRED INSPECTIONS
PORTLAND, OR 97229 Heating Unt Insp
Phone: 626 -7479 Final Inspection
Reg #: LIC 128484
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. Th• sermit will expire if work is not started within 180 days of issuance, or if work is suspended
for - ore than 18' •qys. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
U ity Notification Center. Tho - rules are set forth in OAR 952 -00 -0010 throush OAR 952 - 001 -0080.
ou may obtain copies oft O.le; or dir -ct questions to OUNC by c i g (13) 4:-•119.
ssue By: / 11 — = /r� L / "ermittee Signature: >
Call (503) 639 - 75 by 7:00 P.M. for inspections neede next business day
Plan C c
CITY OF TIGARD Mechanical Permit Application Recd
131 SW HALL BLVD. Commercial and Residential Date Recd / - 24'- 'O
TI! OR 97223 Date to P.E. f^
(603) 639 -4171, x304 Date to DST •
Print or Type Permit # EC�i'�.53
Incomplete or illegible applications will not b accepted Called
Name of Development/Project Description
Table 1A Mechanical Code Qty Price Amt
Job Stre t dress Suite#
A) Permit Fee == 16.00
Address � A j S$ 5 44 -tke 1)-.Ft'rnace to 100,000 BTU
including ducts & vents see footnote 1,2 1 9.65
Bldg# City /State Zip 2) Furnace 100,000 BTU+
(I SA Nrl oti9722 ? including ducts & vents see footnote 1,2 12.00
Name (or name of business) 3) Floor Furnace
Owner ``( including vent see footnote 1,2 9.65
Mailing Z 4) Suspended heater, wall heater
�) f� -/ 1. or floor mounted heater see footnote 1,2 9.65
/�f -5 Ste,` l� I .ivst • 5) Vent not included in appliance permit 4.75
city /State Zip Phone Check all that apply: *Boiler Heat Air
n', J 0 So 2 ? 23'0', For items 6 -10, see or Pump Connd Qty Price Amt
Nam (or name of business) / footnotes 1,2 Comp
6) <3HP;absorb unit to
7,9' �-- 1 OOK BTU 9.65
Occupant cling 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
9) 30 -50 HP; absorb
Contractor Name St-Ge-e,\ • unit 1 -1.75 mil BTU 36.00
SOIA.7G t r 10) >50HP; absorb unit
Prior to permit Mailing Address >1.75 mil BTU 60.15
issuance, a copy / 9 , f ) , _ ',(S- 11 Air handling unit to 10,000 CFM
of all licenses City /State Zip Phone 7.00
are required if /11-7 r r /t / Z 6)6X79 12) Air handling unit 10,000 CFM+
expired in COT Oregon Const. Cont. Board Lic.# Exp ,Date 11.85
- database • 42 c i/�/ 217- 's 13) Non - portable evaporate cooler
Architect Name 7.00
14) Vent fan connected to a single duct
4.75
or Mailing Address .
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: Yes2f■o O 18) Commercial or industrial type incinerator
Residential 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 0 natural gas ' LPG 0 electric 0 22) More than 4 -per outlet (each) .75
Minimum Permit Fee $50.00 SUBTOTAL a ,r x . . 0 c 7
' ��
I hereby acknowledge that I have read this application, that the information 8% SURCHARGE "= "' N � ` <� -�: �'" � T'IP 0
given is correct, that I am the owner or authorized agent of PLAN REVIEW'25% OF SUBTOTAL t' "" ,, m gem
r
q permits only `` . -
Required for ALL commercial ermits onl - r�.:�x.
the owner, that plans submitted are in compliance with Oregon State laws.
TOTAL y y ,;r.„
Signatur of Ow , - • =n ate
Other Inspections and Fees:
-- �� � 1. Inspections outside of normal business hours (mininum charge -two
ct 'e on'Name Phone
hours) $50.00 per hour
2. Inspections for which no fee is specifically indicated (minimum
, U,- - 71 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) $50.00 per hour
2. Provide drawings to scale showing existing and proposed mechanical .
units. *State Contractor Boiler Certification required
. * *Residential A/C requires site plan showing placement of unit
I:\mechperm.doc rev 7/19/99
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 • Business Line: 639 -4171
27 AN/1/0.33M ' BUP
Date Requested /00 BLD
Location ) ($ S S ^✓�- Suite MEC zey)0,--co333
Contact Person Ph PLM
Contractor Ph SWR
.BUILDING` <t' ' w Tenant/Owner ELC
1
Retaining Wall ELR A
Footing Access: FPS - Ar
Foundation
Ftg Drain
Crawl Drain Inspection Notes: SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
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
OISCHANICAIZ)
Post & Beam
Rough In \
Gas Line
Smoke Dampers
<Sin 7 I'
AS PART FAIL
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
Approach /Sidewalk / ( 2 " 7 --3 Date Inspector Ext
Final -
PASS PART FAIL DO T REMOVE this inspection record from the job site.