Permit CITY OF TIGARD MECHAN I CAL
- %,1��,�i�,�� DEVELOPMENT SERVICES PERMIT # MEC98 -0056
DATE ISSUED: 02/18/98
PARCEL: 2S114BB -05300
SITE ADDRESS...: 10075 SW PICK'S CT
SUBDIVISION • PICKS LANDING NO.1 ZONING: R -4.5
BLOCK • LOT :015 JURISDICTION: TIG
CLASS OF WORK..:ALT FLOOR FURN • 0 EVAP COOLERS: 0
TYPE OF USE -SF UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:R3 VENTS W/0 APPL: 0 VENT SYSTEMS: 0
STORIES • 0 BOILERS /COMPRESSORS HOODS • 0
FUEL TYPES 0 -3 HP 0 DOMES. INCIN: 0
:GAS 3 -15 HP • 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15 -30 HP • 0 REPAIR UNITS: 0
FIRE DAMPERS ?..: 30 -50 HP : 0 WOODSTOVES..: 0
GAS PRESSURE...: 50+ HP • 0 CLO DRYERS..: 0
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.: 1
FURN < 10OK BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 1
FURN > =100K BTU: 0 > 10000 cfm: 0
Re marks : Install gas insert /fireplace
Owner: FEES
RODNEY SIMMONS type amount by date recpt
10075 SW PICK'S CT PRMT $ 25.00 JSD 02/18/98 98- 303409
TIGARD OR 97224 5PCT $ 1.25 JSD 02/18/98 98- 303409
Phone #: 624 -0504
Contract or:
T & K MECHANICAL
TIMOTHY S WYNNE
11525 SW CANYON $ 26.25 TOTAL
BEAVERTON OR 97005
Phone #: 626 -4652
Reg #.. : 001211
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp
applicable laws. All work will be done in accordance with Final Inspection
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 by 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
(503)246-9187.
I ssue By /� Permittee Signature: �
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + +++ ++ + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Plan Check #
CITY OF TIGARD Mechanical Permit Application Recd By
13125 SW HALL BLVD. Commercial and Residential Date Recd C'
TIGARD, OR 97223 Date to P.E. .
(503) 639 -4171, x304 Date to DST
Print or Type Permit # AC 9?-COV9
Called 0 7Z
Incomplete or illegible applications will not be accepted
Name of Development/Project Description
Table 1A Mechanical Code QTY PRICE AMT
Job Street Address I Sucre# A) Permit Fee -0- -0- 10.00
Address / O O 7 5---- 4,/ R c145 /
Bldg# City/State Zip 1.) Furnace to 100,000 BTU 6.00
including ducts & vents
Name (or name of business) 2.) Furnace 100,000 BTU+ 7.50
Owner RoDJve y S iv/ e o A/ S including ducts & vents
Mailing Add 3.) Floor Furnace 6.00
/ 0 0 7 <' S 1 / 4 -./ t c K 5 C /- including vent
City/State Zip Phone 4.) Suspended heater, wall heater 6.00
T; Ga.,, d( 9722(/_6z40-05 or floor mounted heater
Name (or name of business) 5.) Vent not included in appliance permit 3.00
Occupant Mailing Address 6.) Boiler or comp, heat pump, air cond. 6.00
to 3 HP; absorb unit to 100K BUT**
City/State Zip - Phone 7.) Boiler or comp, heat pump, air cond. 11.00
3-15 HP; absorb unit to 500K BTU"
Contractor Name 8.) Boiler or comp, heat pump, air cond. 15.00
/ 1 14 m .`ce. / 15-30 HP; absorb units -1 mil BTU"
Prior to permit Mailing Address 9.) Boiler or comp, heat pump, air cond. 22.50
issuance, a copy 2665 5" - e /7.7 ee.,.fcL/G41t .O(; 30-50 HP absorb unit 1- 1.75mi1 BTU"
of all licenses City/State Zip - Phone 10.) Boiler or comp, heat pump, air cond. 37.50 .
are required if >< /, -// 5 c.,r- 7 car 97/z.4 6`1 - -yy39 > 50 HP; absorb unit 1.75 mil BTU"
expired in COT Oreson Const. Cont. Board Lic.# Exp. Date 11.) Air handling unit to 10,000 CFM 4.50
database
Architect Name 1 a � s- 3/ 9e 13.) Non - portable evaporate cooler 4.50
or Mailing Address 14.) Vent fan connected to a single duct 3.00
Engineer City/State Zip Phone 15.) Ventilation system not included in 4.50
appliance permit
Describe work New 0 Addition 0 Alteratior . Repair 0 16.) Hood served by mechanical exhaust 4.50
to be done Residential 0 Non - residential 0
Additional Description of work: 17.) Domestic incinerators 7.50
1 N7 I q 9,c, S LA-/ 5-2-
18.) Commercial or industrial type 30.00
Incinerator
Existing use of 19.) Repair units 4.50 •
building or property /2.5 (I +� L_
20.) Wood stove 4.50
Proposed use of 21.) Clothes dryer, etc. 4.50
building or property
22.) Other units _ 4.50
61,-5 / -. eZe- / L
Type of fuel - oil O natural gas`. . LPG 0 electric 0 23.) Gas piping one to four outlets y 2.00
I hereby acknowledge that I have read this application, that the 24.) More than 4 -per outlets (each) .50
information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with Oregon State QTY. SUBTOTAL
laws.
-
Signature /
S of Owner /Agent Date 'SUBTOTAL . / J // /
/- 2_-/ 9g 5 %SURCHARGE I r j
: e Person Name Phone PLAN REVIEW 25% OF SUBTOTAL V
- 01 (..../,--7. . y _ ‘/V 3 cf TOTAL 6/
i:\mechpmtdoc (rev 9 'Minimum permit fee is $25 + 5% surcharge
"Residential A/C requires site plan showing placement of unit.
CITY OF TIGARD BUILDING INSPECTION DIVISION sr
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
Date Requested 1 /3/ 'J AM PM t S6 BLD
Location /4 Suite �" MEC 9- - 0D-
Contact Person Aim k Vv ✓\. (r -. Ph `Q2i�f - Lc 0 4 PLM
Contractor -r f 71 `lkl4i Ph SWR •
BUILDING Tenant/ n e /Agin. - / jD *LC I\ I
Retaining Wall ELR \`
Footing Acci 1
Foundation NOT REQUESTED GOA 5 ` 1 ` � FPS
Ftg Drain �/I 7 I C
Crawl Drain Insp' FOUND DURING RESEARCH. I XQ. SGN
Slab i NO INSPECTION(S) FOUND IN FILE. SIT
Post & Beam l
Ext Sheath /Shear
Int Sheath /Shear VAS5,49_49- D '
Framing 1T'Q�j ) .
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
RT FAIL
4IECHAWCAL FAIL
Post & Beam
Rough In
Gas Line
Smok- Dampers
'.-
PART FAIL
RICAL
Service J
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 ) Inspector E
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.