Permit CITY TIGARD MECHANICAL PERMIT
Ap l DEVELOPMENT SERVICES PERMIT #: MEC2000 -00345
,., 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/25/00
PARCEL: 2S114BA -05100
SITE ADDRESS: 09850 SW KENT CT
SUBDIVISION: PICKS LANDING NO.2 ZONING: R -4.5
BLOCK: LOT: 089 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:
> GAS OUTLETS:
10000 cfm:
Remarks: Replace existing gas furnace with like kind.
Owner: FEES
CUMMINS, EUGENE A AND Type By Date Amount Receipt
JEAN H PRMT CTR 8/25/00 $50.00 2720000000
9850 SW KENT COURT 5PCT CTR 8/25/00 $4.00 2720000000
TIGARD, OR 97224
Total $54.00
Phone:
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 N otifi • n Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080.
You m obtain copies of these rules or direct questions to OUNC by calling (503)246 =9189.
Issue By: / 4 _21_, Permittee Signature: ) J Q rt $1
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next .usiness day
Plan Chec
CITY OF TIGARD Mechanical Permit Application Rec'd By o
13125 SW HALL BLVD. Wynercial and Residential Date Rec'd Er "
TIGARD, OR 97223 SSCE Date to P.E.
(503) 639 -4171, x304 7- ®d® Date to DST ------ /
c"t �° t PrIO or Type Permit # 1-6.0,000-629.3/5"-' Incomplete or illfejlalpplications will not be accepted Called
Name of Development/Project 000 Description
Table 1A Mechanical Code Qty Price Amt
Job Street Address Suite# A) Permit Fee '; 16.00
. 1) Furnace to 100,000 BTU CD5-
Address including ducts & vents see footnote 1,2 \ 9.65 tiii
Bldg# 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 �� fir . C _2 M -' including vent see footnote 1,2 9.65
Mailing Address 4) Suspended heater, wall heater
or floor mounted heater see footnote 1,2 9.65
C \ % C) _s: C._)■- 5) Vent not included in appliance permit 4.75
City/State Zip Phone Check all that apply: *Boiler Heat Air
^ / a.l.i ta.3
Q - - For items 6 -10, see or Pump Cond Qty Price Amt
Name r name 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
0 `e 10) >50HP; absorb unit
Prior to permit Mailing Address >1.75 mil BTU 60.15
issuance, a copy `_(::\ \ 1 \-3.. 1 11 Air handling unit to 10,000 CFM
of all licenses ,.; _City/State Zip Phone 7.00
\
are required if ` ) 1. Q 1 `7 a \ a - -- Di 3 12) Air handling unit 10,000 CFM+ •
expired in COT or on Cohst. Cont. Board Lic.# exf i rp a 11.75
database t 1V�o/ 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 served by mechanical exhaust
• 7.00
Describe work to be done: 17) Domestic incinerators
12.00
New 0 Repair 0 Replace with like kind: Ye 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 talcs. See footnote 1 3.75 to
Type of fuel: oil 0 natural gaqC LPG 0 electric 0 22) More than 4 -per outlet (eac .75 s
Minimum Permit Fee $50.00 SUBTOTAL
I hereby acknowledge that I have read this application, that the information S • ' . SURCHARGE `r ;;±::,., " = ` L/
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 -! r";
,, n, v -; (� OD
TOTAL
Signature of Owner /Agent Date t
c� -1 i� Other Inspections and Fees:
�,
Cam-. 3 l O' D D 1. Inspections outside of normal business hours (mininum charge -two
Contact Person Name P r one hours) $50.00 per hour
AI
2. Inspections for which no fee is specifically indicated (minimum
\[ S:. iN �. %� - D --\ charge -half hour) $50.00 per hour
Foonotes fo ommercial projects on • 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 02/4/99
•
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 63 171
BUP
Date Requested -' AM PM BLD
Location, r ry. Sc) c4e, Suite MEC ,,G(/r/ - UU 3 0 /J
Contact Person o Ph - 0 2. 3' 7 PLM
Contractor Ph 2: y 2-1 73 SWR
BUILDING� , Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
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
P SS ART FAIL
MECHANICAL
'Pos Bearn
Rough In
Gas Line
•• • e Dampers
Fi
!S 'ART FAIL
TRICAL
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
Other Date 0 Inspector ( (3 t4/1 Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.