Permit CITY TIGARD MECHANICAL PERMIT
; � DEVELOPMENT SERVICES
PERMIT #: MEC1999 -00451
II- 13125 SW Hall Blvd., Tigard, OR 97223 (5 T D ATE ISSUED: 10/21/99
03
SITE ADDRESS: 11915 SW SUMMER CREST DR PARCEL: 1S134CA-00705
SUBDIVISION: BURLWOOD NO.3 ZONING: R -4.5
BLOCK: LOT: 040 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: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
,
GAS OUTLETS: 1 •
> 10000 cfm:
Remarks: Installation of gas piping for gas range.
Owner: FEES
WAGONER, WENDY J Type By Date Amount Receipt
11915 SW SUMMER CREST DRIVE PRMT DEB 10/21/99 $50.00 99- 319247
TIGARD, OR 97223 5PCT DEB 10/21/99 $4.00 99- 319247
Total $54.00
Phone:
Contractor:
GEORGE MORLAN PLUMBING
5529 SE FOSTER RD
PORTLAND, OR 97206 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 771 -1145 Final Inspection
Reg #: LIC 02734
PLM 26 -60P
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Special k odes and all other applicable laws. All work will be done in accordance with approved
pl- s. This pe 't will expire if work is not started within. 180 days of issuance, or if work is suspended
•r more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
tility Notification Center. Th• rul -s are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080.
ou may ootain copi = I •f th • I: ' or dir -ct questions to OUNC by cal ' g -0 46 -9189.
i
I - ue By: / ' i ce ! LI gj .4/ ! - ermittee Signature: , L(, ,� � i ce ,,
Call (503) .39-4175 by 7:00 P.M. for inspections needed the next • u day
OCT -18 -1999 17 06 � /�
�.. •-•---•-•••-- --- - - ....• -• .rr•-- ---- -••
nee u
1.3125'SW HALL BLVD. RECEIVEDCommercial and Residential Date Redd Z 'aZ -F
TIGARD, OR 97223 Date to P.E
(503) 639 -4171, X304 Date to DsT -
Q 0 1999 p rint or Type Permit # Herfc -4ov5,
/0 X05 / / 6
I i brilliglitOlAvevillogible applications will not be accepted -
Called
Name OevelopmenVProlrx Description
��1 1 . Table 1A Mechanical Code Q Price Amt
JOb streetnddress J t Q �` J �O / ✓t '�� A) Permit Fee 16.00 ,,
Address I / 9 /5 &) Su„nn CresF- 1) Furnace to 100,000 BTU
Including ducts & vents see footnote 1,2 9.65
Bldg# City/State a 2) Furnace 100.000 BTU+
1 1 �` 0 17 , � including ducts & vents see footnote 1.2 12.00
Name or name of business) 3) Floor Furnace
Owner /I, ► ( 1 Including vent see footnote 1,2 9.65
u u�� ` 9m/1er- 4 ) S uspended heater, wall heater
Mailing Address
1(q 1 a4 corner Cres-� V
or ent not tInc ot Incl ude ed In appliance see footnote 1,2 9.65
5) Vnt nud In appliance permit 4,75
Crty/State Zip Phone Check all that apply: 'Boller Heat Air
- 71 c oYd q ' � For Items 6 -10, see or Pump Cond Qty Price Amt
Name ( of business) footnotes 1,2 Comp •
• 6) c3HP;absorb unit to
100K BTU 9.65
Occupant Marling Ad0fe8s - 7) 3 -15 HP;absorb unit
100)k to 500k BTU 17.65
City/State Zio 1 Phone 8) 15.30 HP; absorb
unit .5 -1 mil BTU . 24.15
9) 3050 HP; absorb
Contractor Name unit 1 -1.75 mil BTU a 36.00
( � eo . Illor''1n 11 P m "10) >50HP; absorb unit
Prior to permit ell p dress J >1.75 mil BTU 60.15
Issuarfce, a copy "1X069 t I l • rri 11 Air handling unit to 10,000 CFM
of at licenses c e Zip Phone • no 7.00
are required if ' ( c0 Q1,4,1_3 (.0 (.1 660 12) Air handling unit 10,000 CFM+
expired in COT Ora on ant. Bawd Uas �x p. 0 7 e 0e 11,85
database �. 1 . 13) Non - portable evaporate cooler 1
Architect Name 7.00
14) Vent fan connected to a single duct
4.75
Mailing Adarese • , ,,or 15) Ventilation system not included In
appliance permit 7.00
Engineer City/State Zip ' Phone 16) Hood served by mechanical exhaust
e 7.00
I. Describe work to be done: 17) Domestic incinerators
12.00
'
New 0 Repair 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
�E range) 20) Wood stove /gas FP /other units/clothe dryer /etc. 7.00
P � - P
NO :For Commercial prtij only; Units over 4beAbs. require 21) Gas piping one to four outlets
structural gas calks. See footnote 1 _ - 3.75
Type of fuel: oil 0 natural gas LPG O electric 0 22) More than 4-per outlet (each) .
Minimum Permit Fee $50.00 SUBTOTAL ' !i $5O.tt C
ck
I hereby acknowledge that I have read this application, that the information 8% SURCHARGE . q. CX)
given Is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL `0.' . .I. '.1, Required for ALL commerclalpermits only '..,,e" . .kii •. .ti
the owner, that plans submitted are In compliance with Oregon State laws. #{r
TOTAL # 4 'y'� /1
Signatu of Owner /Agent Date - tt,..,.
Other inspections and Fees:
li 't(� ] JL� 1. Inspections outside of normal business hours (mininum charge -two
:on ct Person Name " Phone hours) $60.00 per hour
2. Inspections for which no fee is specifically indicated (minimum
Le, --- ba✓s 6.3zi - eaa'Q charge -half hour) $50.00 per hour
:oonotes for commercial projects only: 3. Additional plan review required by changes, additions or revisions to
I. Provide full schematic of existing and proposed gas line and pressure. plans (minimum charge -one -half hour) $50100 per hour
L. Provide drawings to scale showing existing and proposed mechanical
units. 'State Contractor Boller Certification required
••Resldontiol A/C requires site plan showing placement of unit
1 :lmechperm.doc rev 7/19/99
TOTAL P.01
tJ
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
,�,/ BUP
Date Requested l(J vim-[ 9? AM / PM BLD
Location // 9/5 SC&yytaJ7Cit' + Suite MEC /q ?
Contact Person Ide 66 / c • t44 AlMtio Ph 1 q 40 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall s ELR
Footing Access:
Foundation i (.7( FPS
Ftg Drain
Crawl Drain Inspectio %tes: (? _ S
Slab t .5 P �Y 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 PAR FAIL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PART FAIL
aRICAL
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
2 Approach /Sidewalk Date C" f Inspector Ext _
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Date Requested AM PM BLD
Location /,C e)/e« Suite MEC 06 %`s/
Contact Person Ph C D.`f' // -- 2 d 30 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 /I _
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling CC% CC c./ ' /cr --S cam" er
Roof Li►1S � e v N !.</ ! i /4/1
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
r e Dampers
Final
PASS 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 Hail, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA 4
Approach /Sidewalk
Other Date /D ' ZZ- Inspector / -" r c Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.