Permit , _A, CITY OF TIGARD
I1 , MECHANICAL
DEVELOPMENT SERVICES PERMIT
- °'L i-. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PERMIT # • MEC98 -0434
DATE ISSUED: 09/28/98
PARCEL: 26111AD -07900
SITE ADDRESS...: 08860 SW SCHECKLA DR
SUBDIVISION • SCHECKLA PARK ESTATES ZONING: R -4.5
BLOCK • LOT :012 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/O APPL: 0 VENT SYSTEMS: 0
STORIES • 0 BOILERS /COMPRESSORS HOODS • 0
FUEL TYPES 0 -3 HP • 1 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.: 0
FURN < 100K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN > =100K BTU: 0 > 10000 cfm: 0
Remarks : Exterior A/C unit. Unit must not encroach into 5' side or rear yard
setbacks.
Owner: FEES
TORRES, VICTOR & DIANNA type amount by date recpt
8860 SW SCHECKLA DR PRMT $ 25.00 B 09/28/98 98- 309530
TIGARD OR 97223 5PCT $ 1.25 B 09/28/98 98- 309530
Phone #:
Contractor:
SPECIALTY HEATING & FABRICATIO
9528 SW TIGARD ST
$ 26.25 TOTAL
TIGARD OR 97223
Phone #: 620 -5643
Reg #..: 006657
REG!UIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Mechanical Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
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 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.
e -
Issue By: P Signature:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + ++ + + + + + + + + + + + + + + + + + + + ++
Plan ChecVy_,
CITY OF TIGARD Mechanical Permit Application Recd By
13125 SW HALL BLVD. Commercial and Residential Date Recd 5?8
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST
Print or Type Permit # iU • / P
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Description
Table 1A Mechanical Code Qty Price Amt
Job Street Address Suite# A) Permit Fee - , 10.00
cG'(] 5` .
,1 . l, e n 1/ /,. ✓1
Address 6 o JW � .rt C.lif.[L(. U 1) Furnace to 100,000 BTU including ducts 8 vents I 6.00
Bldg# City/State n Zip 2) Furnace 100,000 BTU+
T OR
Tigard 9701.23 including ducts & vents 7.50
Name (or name of business) 1 / 4 J 3) Floor Furnace
Owner Ul a or w a/AJt‘L---73 Ir trI-s including vent 6.00
Mailing Address 4) Suspended heater, wall heater
c �D 50 /�,/ or floor mounted heater 6.00
L1 W I�1 5) Vent not included in appliance permit
City /State Zip p Phone
Lot oL t `7� 3.00
r�„+ee.]1 C HECK ALL `Boiler Heat Air
Na or name of business) THAT APPLY: or Pump Cond Qty Price Amt
Comp ••
5a.414-e./ 6) <3HP;absorb unit to
Occupant Mailing Address 100K BTU
6.00
7) 3 -15 HP;absorb unit
City /State Zip Phone 100k to 500k BTU 11.00
8) 15-30 HP; absorb
unit .5 -1 mil BTU 15.00
Contractor Name I 9) 30 -50 HP; absorb
l ai - ii -1 , t yt unit 1 -1.75 mil BTU 22.50
Prior to permit Mailing Address 10) >50HP; absorb unit
'
issuance, a copy 5 4 Su.) >1.75 mil BTU 37.50
of all licenses a p - Phone 11) Air handling unit to 10,000 CFM
are required if (( ar & 0R. c7 � 5lc13 4.50
expired in COT or Const. Cont. Board Lic.# E x oat p p 12) Air handling unit 10,000 CFM+ • •
database ( 5 g S/ l / l7 7.50
Architect Name 13) Non - portable evaporate cooler
4.50
or
Mailing Address 14) Vent fan connected to a single duct
3.00
15) Ventilation system not included in
Engineer City /State Zip Phone appliance permit 4.50
16) Hood served by mechanical exhaust
Describe work to be done: 4.50
/ 17) Domestic incinerators
New 0 Rep it 0 Replace with like kind: Yes f0 No 0 7.50
Residential V Commercial O 18) Commercial or industrial type incinerator
30.00
Additional information or description of work: (� 19) Repair units
tA ACC oC t° 1C.L5 q Q J 4' V., 4.50
20) Wood stove
add-a ;/t /A 4.50
C.QGIIJ� ad, 21) Clothes dryer, etc. ,
4.50
Type of fuel: oil 0 natural gas 6/ LPG 0 electric 0 22) Other units
4.50
I hereby acknowledge that I have read this application, that the information 23) Gas piping one to four outlets
given is correct, that I am the owner or authorized agent of 2.00
the owner, that plans submitted are in compliance with Oregon State laws. 24) More than 4 -per outlet (each)
.50
mituut
Signature of Owner /Agent Date
Minimum Permit Fee $25.00 SUBTOTAL:. Z�
- 5 ? 5 %SURCHARGE .:
v l �" " �� O , �'�
. 411WiL Contact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL
�,,, n I Required for ALL commercial permits only `
5 L Did ( y� a ` b I dl(� /c - 5643 TOTAL '
`State Contractor Boiler Certification required vg
- Residential A/C requires site plan showing placement of unit
I:\rnechperm.doc rev 07/20/98
J
14_0
silo 0 e,
CITY OF TIGARD BUILDING INSPECTION DIVISION q:30 - /0
4 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
MST
Q
g"[ i2-33 Date Requested 11 - q0 AM BLD
Location n60 SW ,1J - Suite cr, W''- q-3V
Contact Person L A, i_. .. ICI L ± i k _ J Ph PLM
Contractor �/ I ° t F . L -LL :_ Ph 6.0- SWR
BUILDING Tenant/Owner 0 „7, Jutd / 70 2,o 9736 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 Al Firewall
Fire Sprinkler — `—d - ./
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING e
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
P FAIL
Alm
Post & Beam
Rough In
Gas Line
Fin Dampers
Fin
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
0 PART FAIL
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 47 Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.