Permit A CITY OF TIGARD MECHANICAL PERMIT
I'" DEVELOPMENT SERVICES PERMIT #: MEC2000 -00218
-41 '�'I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 06/02/2000
PARCEL: 2S111 AD -10000
SITE ADDRESS: 08710 SW REILING ST
SUBDIVISION: SCHECKLA PARK ESTATES ZONING: R -4.5
BLOCK: LOT: 059 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: 1 DOMES. INCIN:
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: Install an air conditioning unit. NC units cannot be placed within the required setback areas.
Owner: FEES
WILLIAMSON, LARRY C AND Type By Date Amount Receipt
SANDRA L PRMT GEO 06/02/20C $50.00 0002652
8710 SW REILING 5PCT GEO 06/02/20C $4.00 0002652
TIGARD, OR 97224
Total $54.00
Phone:
Contractor:
ALLIED MECHANICAL CONT
14275 NW SCIENCE PARK DR
PORTLAND, OR 97229 REQUIRED INSPECTIONS
Cooling Unt Insp
Phone: 350 -1963 Final Inspection
Reg #: LIC 005807
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 cop' - - of these rules or direct questions to OUNC by calling 50) 6-'9189.
Issue B //� Permittee Signature: - N- 3LA 1
oe-
Call . A 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
•
. TIGARD, OR 97223 Date to P.E.
•
(503) 639 -4171, x304 Date to DST
Print or Type
Permit #fhf ° � /a
Incomplete or illegible applications will not be accepted Called
Name of Development/Projeet Description
Table 1A Mechanical Code Qty Price Amt
Job Street Address Sutte# A) Permit Fee 16.00
` `
S)7/6 Address � /b Sle Q.� 1) Furnace to 100,000 BTU
G including ducts & vents see footnote 1,2 I 9.65 q 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 1.■rd w p i SAM/ tor,4\5 L 11� ‘ c,,rn S d IJ including vent see footnote 1,2 9.65
Mailing A ress 4) Suspended heater, wall heater
I? �9 • or floor mounted heater see footnote 1,2 9.65
71 d SO , V 5) Vent not included in appliance permit 4.75
City /State 1 Zlp Pho� Check all that apply: 'Boiler. Heat. Air
l l A.* 4 Il \ 47 a' ") o 0 (16 For Items 6 -10, see or Pump Cond Qty Price Amt
Nam name of business) ! footnotes 1,2 Comp
6) <3HP;absorb unit to Ni
...) 100K BTU
f 9.65 it C
Occupant Mailing Address"' - 7) 3 -15 HP;absorb unit
100k to 500k BTU 17.65
City /state Zip I Phone 8) 15 - HP; absorb
unit .5 -1 mil BTU 24.15
Contractor Name 9) 30-50 HP; absorb
A /\ /� 1-1.75 mil BTU 36.00
' 1,Q_ d y e 10) 10) >50HP; absorb unit
Prior to permit Mailing Address >1.75 mil BTU 60.15
issuance, a copy i 44„?S .t/j0 5e�2� eV K ¶) . 11 Air handling unit to 10,000 CFM
of all licenses /state r` Zip Phone 7.00
are required if co lo. u a U o v Z' ' b t q (P3 . 12) Air handling unit 10,000 CFM+
expired in COT Oregon Const. Cont. Board Li Ex . D a t 11.85
database 5 31 3 � 13) Non - portable evaporate cooler
Architect N8R1e 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 I Phone 16) Hood served by mechanical exhaust
7.00
Describe work to be done: 17) Domestic incinerators
12.00
New' Repair 0 Replace with like kind: Yes O No O 18) Commercial or industrial type incinerator
Residential A Commercial 0 48.25
19) Repair units
Ad itio I i rrnktio or descri ti of work: n 8.40
a 14 5 or., %N A O S IAA-. ba r WC • 20) Wood stove /gas FP /other units /clothe dryer /etc.
W � wL LO v. 7.00
NOTE: For Commercial projects on y; Units over 400 lbs. require 21) Gas piping one to four outlets 37$
structural gas calcs. See footnote 1 3.75
Type of fuel: oil 0 natural gas A LPG 0 electric 0 22) More than 4 -per outlet (each) .75
Minimum Permit Fee $60.00 SUBTOTAL SQ
I hereby acknowledge that I have read this application, that the information 42% SURCHARGE -17�
given is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL
the�Qwr r, that IS n s 'tad are in compliance / Ore Oregon ( la TOTAL
A. ws. Required for ALL commercial permits only 611
Signature of Owner /Agent Date
Other Inspections and Fees:
aN) k < ` ' - 0- ∎" 3 co 1 q L 3 1. Inspections outside of normal business hours (mininum charge -two
Coma P Name Phone hours) $50.00 per hour
2. Inspections for which no fee is specifically Indicated (minimum
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
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CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
- < BUP
Date Requested (. / P/D0 AM PM BLD
Location / 1 U to i. (, Suite MEC 2000 --00 2-1 2
Contact Person Ph SSO't 91e3 PLM
Contractor Ph 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 ��
� -f�'� e�� /d' ,.2 , � /a, . / ��111I�
Firewall
Fire Sprinkler 1- �+'/S -�� �- J ' 72f t9-z
Fire Alarm
Susp'd Ceiling
Roof
Misc: /V t',9
Final
PASS PART FAIL
PLUMBING
Post & Beam ;/�� -:)
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PAS T FAIL
MECHANICA
Pos
Rough In
Gas Line
S�_• ke Dampers
4• SS AR FAIL
ELEC L
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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA Approach/Sidewalk
Other Date 6/0j Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.