Permit .
Alio, CITY OF TIGARD �~ MECHANICAL PERMIT
PERMIT #: MEC2000 -00139
; �� I � Y DEVELOPMENT SERVICES ` DATE ISSUED: ` 4//0
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4170 PARCEL: 4/ 2S111DA-05300
SITE ADDRESS: 15220 SW PARKLAND TERR
SUBDIVISION: APPLEWOOD PARK NO. 2 ZONING: R -7
BLOCK: LOT: 048 O 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: 1 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: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: < =10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Installation of a/c unit. Placement of unit must be at least 5' from side or rear property lines.
Owner: FEES
KRISTY BUTLER Type By Date Amount Receipt
15220 SW PARKLAND TERR PRMT DEB 4/21/00 $50.00 1597
TIGARD, OR 97224 5PCT DEB 4/21/00 $4.00 1597
Total $54.00
Phone: 620 -7214
Contractor:
TRI TECH HEATING
6603 NE 137TH AVE
VANCOUVER, WA 98682 REQUIRED INSPECTIONS
Cooling Unt lnsp
Phone: 360 - 891 -2002 Final Inspection
Reg #: LIC 101873
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
calling (5 291:9. /
Issue 1 j ma ' ,,w i,Z_ ; Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for inspectionsed the next business day
CITY OF TIGARD Mechanical Permit Application Re c By clk # .
c
13125 SW HALL BLVD. Commercial and Residential Date Recd 1-:/-6
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST
Print or Type Permit # titer-Ybn -C-r,r 39
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Description
1 5 as 0 5Witili► d r Table 1A Mechanical Code Qty Price Amt
Job Street Address Suite# A) Permit Fee ' 16.00
Address 1) Furnace to 100,000 BTU
including ducts & vents see footnote 1,2 9.65
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 'rid- gq- ii
Mailing Addr 4) Suspended heater, wall heater
I h -1 or floor mounted heater see footnote 1,2 9.65
1 '5a 0 �y J jr /c1G_GF / 1 1 ( , 5) Vent not included in appliance permit 4.75
City /State Zi ] Phone Check all that apply: *Boiler Heat Air
1 11 O 1 °17 4 6,2,9_7, For items 6 -10, see or Pump Cond Qty Price Amt
Nam ejb� r name of Wsiness) 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
N ame 9) 30 -50 HP; absorb
Contractor unit 1 -1.75 mil BTU 36.00
T - ? ch i 4 10 >50HP; absorb unit
Prior to permit Mailing Address >1.75 mil BTU 60.15
issuance, a copy 6 6 05 0.,t /3 7 lilt . 11 Air handling unit to 10,000 .15
' 1
of all licenses , City/State Zip Phone l 7.00 •()D
are required if V nt.a14- rr Lai ' M .
Mica_ / $� d200�Z 12) Air handling unit 10,000 CFM+
expired in COT Oregon Const. Con. Board Lic.# X . 2 oat ,r�1 11.85
database /0) 813 gyg uv 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 wo to be done: 17) Domestic incinerators
u,`' 12.00
New 4) Re air 0 Replace with like kind: Yes 0 No 0 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 0 LPG 0 electric O 22) More than 4 -per outlet (each) .75
Minimum Permit Fee $50.00 SUBTOTAL -- . - .50 .01)
I hereby acknowledge that I have read this application, that the information 8% SURCHARGE i1,00
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
TOTAL
a re of - er /Ate ate . 0
_
/� 1 I �� , � ! ai Other Inspections and Fees:
l (y 1. Inspections outside of normal business hours (mininum charge -two
C • arson a - • P hort� hours) $50.00 per hour
2. Inspections for which no fee Is specifically Indicated (minimum .
✓' i " CY( ) TA e �l 1 0 I -.71)01 -.71)01 charge-half hour) $50.00 per hour
Foonotes for commercial projects o nJ�: 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
*State Contractor Boiler Certification required
units. **Residential NC requires site plan showing placement of unit
I: niechperm.doc rev 7/19/99
03/22/199* 06:18 583-590-8391 RTMCO PAGE 04
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
7 /Vj-v BUP
/6 ZZ a^' Date Requested 7 /0AV AM PM BLD
Location /5 Z2 Skt) /O 4 Suite MEC ago at, -DO /3 9
Contact Person AA/57 66tTl... Ph 4020 — 7o2/y PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Slab
Crawl Drain Inspection es: G f� PLC p
SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing !/y1-dyO e 7b
e - 71..
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
FAIL
ECHANICAL
Rough In Pi (%
Gas Line I�
Smoke Dampers
Fi
ASS 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 Date 7/2/07) Inspector f5ct
Other
Final •
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.