Permit CITY TIGARD 0 MECHANICAL PERMIT
i�� DEVELOPMENT SERVICES V
PERMIT #: MEC2000 -00016
- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -417 DATE ISSUED: 1/12/00
/
PARCEL: 2S114BD -03000
SITE ADDRESS: 09580 SW RIVERWOOD LN
SUBDIVISION: COPPER CREEK STAGE 3 ZONING: R -7
BLOCK: LOT: 070 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: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: < =10000 cfm: OTHER UNITS: 1 •
> 10000 cfm: • GAS OUTLETS: 1
Remarks: Installation of gas logs and associated gas piping.
Owner: FEES
TENCE, DAVID A + IVANA B Type By Date Amount Receipt
9580 SW RIVERWOOD LN PRMT DEB 1/12/00 $50.00 00- 321109
TIGARD, OR 97224 5PCT DEB 1/12/00 $4.00 00- 321109
Total $54.00
Phone:
Contractor:
WHITES MECHANICAL SERVICES INC
5340 NW CROENI ROAD
HILLSBORO, OR 97124 -8514 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 690 -3489 Misc. Inspection
Reg #: LIC 64455 Final Inspection
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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 m obtain cosies of ese rules or direct questions to OUNC by c -Ilin• 503)246 -91:9.
Issue y: • .• , .• Permittee Signature: it . 4/, 4 ,
Call (50 .39 -4175 by 7:00 P.M. for inspections needed the next business day
CITY OF TIGARD Mechanical Permit Application Plan eck pp Recd d By
13125 SW HALL BLVD. Commercial and Residential Date c'd /-/49--00
TIGARD, OR 97223 RECE 54,5D Date to P.E.
(503) 639 -4171, x304 Date to DST
Print or Typ -� 2 2 � 0 Permit # / - aCZ;I/(o
Incomplete or illegible applicati • �' wi v o Called
Name of Development/Project Descri t 0 Dt .
TabVISM Code Qty Price Amt
Job Street Address R i v e R VV p o Suite# A) Permit Fee 16.00
Address r' Re) S m / I.- Cs-1-7 1) Furnace to 100,000 BTU
d g# City/State Zip including ducts & vents 9.65
jfI
/� 2) Furnace 100,000 BTU+
y ,,U D ' 1 70`20? 4 including ducts & vents 12.00
Name (or name of business) 1 / 3) Floor Furnace .
Owner ' h /' F Din/ /.) _. - r1/GZn C., i ncluding vent 9.65
Mailing Address ) 4) Suspended heater, wall heater
or floor mounted heater 9.65
..._S m t- 5) Vent not included in appliance permit 4.75
City/State Zip I Phone Check all that apply: I 'Boiler Heat Air
I For items 6 -10, see or Pump Cond Qty Price Amt
Name (or name of business) footnotes 1,2 Comp
6) Repair units
�_cr / 8.40
Occupant Mailing Address 7) <3HP;absorb unit to
100K BTU 9.65
City/State Zip I Phone 8) 3 -15 HP;absorb unit
100k to 500k BTU 17.65
Contractor Name 9) 15-30 HP; absorb
` � I unit .5 -1 mil BTU 24.15
Y J 1/e- 14 tC L n i I V Z= 10) 30 -50 HP; absorb
Prior to permit ai i g Address A , / e. / unit 1 -1.75 mil BTU 36.00
issuance, a copy ii-GI V Id 121;0 El1(I PO4 11) >5OHP; absorb unit >1.75 mil BTU
of all licenses /State Zip Phone 60.15
are required if ,. - ✓ z • i> ' '' • "` i -`., .. • 12) Air handling unit to 10,000 CFM
expired in COT • regon Const. Cont. Board Luc. • Ex.. Date 7.00
database b "t. 455 _. /e2I/00 13) Air handling unit 10,000 CFM+
Architect Name 11.85
14) Non - portable evaporate cooler
Or Mailing Address • 7.00
15) Vent fan connected to a single duct
• 4.75
Engineer City/State Zip Phone 16) Ventilation system not included in
appliance permit 7.00
Describe work to be done: 17) Hood served by mechanical exhaust
7.00
New 0 Repair 0 Replace with like kind: Yes 0 No 0 18) Domestic incinerators
Residential ® Commercial 0 Modification 0 12.00
19) Commercial or industrial type incinerator
Additional information or description of work: 48.25
20) Other units, including wood stoves > /XPQ
/ NOTE: For Commercial projects only; Units over 400 lbs., located on the 21) Gas piping one to fo outlets cl
roof, require structural calcs. prepared by licensed engineer. 4-pe k) / 3.75 d
Type of fuel: oil 0 natural gas P LPG 0 electric 0 22) More r o
t n u let ( ch) .75
I hereby acknowledge that I have read this application, that the information Minimum Permit Fee $50.00 • SUBTOTAL
given is correct, that I am the owner or authorized agent of 8 /o SURCHARGE
PLAN REVIEW 25% OF SUBTOTAL
the owner, that plans submitted are in compliance with Oregon State laws. Required•for ALL commercial permits only - .
Signature of Owner /A -mot Date TOTAL I 511,00 / f - �� . f 1 I ( 100 - T
Other Inspections and Fees:
•ontac - erso 4 e Phone
1. Inspections outside of normal business hours (minimum charge -two hours) $50.00 per hour
- I , i t I '' / 3 - 2. Inspections for which no fee is specifically indicated (minimum charge -half hour)
Foonotes f. corn - al projects only: 35o o al pour
and proposed gas line and pressure. 3. Additional plan review required by changes, additions or revisions to plans (minimum
1. Provide full schematic of existing P Po 9 P 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 A/C requires site plan showing placement of unit
I:Vnechperm.doc rev 11/1/99
1/20/00 Activities for Case #: MEC2000 -00016
1:38:00 PM
Assigned Hold Updated
Activity Description • Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECA007 Application received 1/12/00 DEB DONE No Hold DEB 1/12/00
MECA008 Create Permit 1/12/00 DEB . DONE No Hold DEB 1/12/00
MECA750 Misc. Inspection 1/12/00 1/12/00 No Hold DEB 1/12/00
MECA•05 Gas Line Insp 1/12/00 1/12/00 1/14/00 KS PASS No Hold AKJ 1/18/00
MECA799 Final Inspection 1/12/00 1/12/00 1/14/00 KS PASS No Hold AKJ 1/18/00
MECA060 (F) Issue permit . 1/12/00 DEB DONE No Hold DEB 1/12/00
MECA800 Case Finaled 1/18/00 AKJ DONE No Hold AKJ 1/18/00
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
ylct00 BUP
Date Requested AM k PM BLD
Location 6 15 g 0 121 /�° i ODd Suite MEC ?000 I (,
Contact Person Ph (, 2,q--70-2 / PLM
Contractor L) \i/140 Ph (pqd T. g / q 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
PASS PART FAIL
kit CHANIC _
Post& tseam 2 <
Rough In
as Lines �,'
mo�
$Ce Dampers
Fina
AIL
Lam' 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 / y 2aDCD Inspector t Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.