Permit CITY TIGARD MECHANICAL PERMIT
lj. DEVELOPMENT SERVICES PERMIT #: MEC2000 -00122
�
�' I ° 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 04/10/2000
PARCEL: 1 S133CC -01600
SITE ADDRESS: 14087 SW SPRINGBROOK LN
SUBDIVISION: PEBBLECREEK ZONING: R -25
BLOCK: LOT: 010 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:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES: •
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: < =10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Installing an exterior NC unit. NC unit must not encroach within the 15' side yard setback. This is a like kind
replacement.
Owner: FEES
DAN STANSBURY Type By Date Amount Receipt
14087 SW SPRINGBROOK LN PRMT BON 04/10/20( $50.00 0001310
TIGARD, OR 97223 5PCT BON 04/10/20( $4.00 0001310
Total $54.00
Phone: 503- 590 -1805
Contractor:
BELL HEATING •
(GREG MILLETT)
15550 SE PIAZZA AVE REQUIRED INSPECTIONS
CLACKAMAS, OR 97015 Misc. Inspection
Phone: 656 -1184 Final Inspection
Reg #: LIC 447
PLM 3 -286PB
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 copies of these rules or direct questions to OUNC by
calling (503)2? 9189.
Issue By: di, Permittee Signature: // CC�ZI. y�1t
! / c-`
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the ii -xt business day
•
., Plan Check #
� 'C; I. OF 1 IGARD Mechanical Permit Application Recd By 'f
13125 SW HALL BLVD. Commercial and Residential Date Recd 4 °
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST_
Print or Type RECEI Permit # MEC. 21r -a V--
Incomplete or illegible applications will no /4N accepted Called
I Name of Development/Project Description K i
Table 1A Mecha Code v 20g Qty Price /�
A Permit F e e � MUNI>r R ` 1010.' 1' 6.00_
Job Street Address (i $ "7 Suite# �,
1) Furnace to 100,000 BTU Eifflr
Addres .$PRIAJZ._ ook i_Ai including ducts & vents see footnote 1,2 9.65 9 •
Bldg# City /State Zip 2) Furnace 100,000 BTU+
16-A/ "17123 including ducts & vents see footnote 1,2 12.00
Name (or name of business) J 3) Floor Furnace
/ alt N
Owner ST/q- ALS40/ y including vent see footnote 1,2 9.65
Mailing Address 4) Suspended heater, wall heater
/ or floor mounted heater see footnote 1,2 9.65
' LL/� I o �7 soli; I n //U(r.,,D, /.( 2.k 5) Vent not included in appliance permit 4.75
City/State Zip Phone . Check all that apply: 'Boiler Heat Air
`71 &,1-7Q D eat /72 3 S`/D- J go S For items 6 -10, see or Pump Cond Qty Price Amt
r Narne (or name of business) footnotes 1,2 Comp
4 , C 6) <3HP;absorb unit to ?I' i�'
(�7'�' J�� y 100K BTU 4/ / 9.65
Occupant Mailing Address 7) 3 -15 HP;absorb unit
l '/0 2 SPX/ As66e0ok i Al 100k to 500k BTU - 17.65
City/State Zip Phone 8) 15 -30 HP; absorb
/ r 67 0 A
q'22,.3 1� J q / Vof unit .5 -1 mil BTU 24.15
/ 9) 30 -50 HP; absorb •
Contras • r Name unit 1 -1.75 mil BTU 36.00
,(� L . /17 . J�IJG 10) >50HP; absorb unit
Prior to permit 1 Marina Address r� >1.75 mil BTU 60.15
issuance, a copy / J S 5 D s� / /f2.2-,4 - 11 Air handling unit to 10,000 CFM
of all licenses City/State Zip Phone 7.00
are required if 2.../1-.-/</ 1 14 - 5 90/5 61---C;( 1 8 / 1 12) Air handling unit 10,000 CFM+ .
expired in COT Oregon Const. Cont. Board Lic.# Exp. Date 11.85
database eX) (/ y 13) Non - portable evaporate cooler
Architect Name 7.00
14) Vent fan connected to a single duct
4.75
or Mailing Address 15) Ventilation system not included in
appliance permit 7.00
Engineer City /State Zip ' Phone 16) Hood served by mechanical exhaust
7.00
Describe work to be done: 17) Domestic incinerators
12.00
New 0 Repair 0 Replace with like kind: Yes4 No O 18) Commercial or industrial type incinerator .
Residential 0 Commercial 0 48.25
19) Repair units
Additional information or description of work: 8.40
20) Wood stove /gas FP /other units /clothe dryer /etc.
7.00
NOTE: For Commercial projects only; Units over 400 lbs. require 21) Gas piping one to four outlets
structural gas calcs. See footnote 1 3.75
Type of fuel: oil 0 natural gasK LPG 0 electric O 22) More than 4 -per outlet (each) .75
Minimum Permit Fee $50.00 SUBTOTAL
I hereby acknowledge that I have read this application, that the information 8% SURCHARGE 110,10 4401110 1 / °'
given is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL
the owner, that plans submitted are in compliance with Oregon State laws. Required for ALL co:�mercial permits only t
P P 9 TOTAL `%rt' ,� ; 6-
Signature Owner /A nt Date
Other Inspections and Fees:
----\....__ 1/ 1. Inspections outside of normal business hours (mininum charge -two
Co ct Person Name Phone hours) $50.00 per hour
2. Inspections for which no fee is specifically indicated (minimum
JD N /4 t / 4 to - 8'9 8 B 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
l:\rnechperm.doc rev 7/19/99
Q4-» .s; /f/vS /6
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NIX L-0'7)
4 /21 /00 Activities for Case #: MEC20O0 -00122
4:38:38 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECA007 Application received 4/10/00 BON DONE No Hold BON 4/10/00 •
MECA008 Create Permit 4/10/00 BON DONE No Hold BON 4/10/00 •
MECA750 Misc. Inspection No Hold BON 4/10/00
MECA799 Final Inspection 4/14/00 CD FAIL No Hold AKJ 4/16/00 please reschedule
MECA060 (F) Issue permit 4/10/00 BON DONE No Hold BON 4/10/00
MECA799 Final Inspection 4/17/00 CD PASS No Hold AKJ 4/17/00
MECA800 Case Finaled 4/17/00 AKJ DONE No Hold AKJ 4/17/00
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CITY OF TIGARD BUILDING INSPECTION DIVISION a hW
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST
BUP
Date Requested — 1 —_ / 7 AM L�- •M BLD
Location a o 7 ' - !4jr J ?- i� ' uite MEC ,aI O
Contact Person / Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ,D ELC 12000 — 6 0 179
Retaining Wall `— ,c90 ELR
Footing Access: J FPS
Foundation
Ftg Drain
-SGN
Crawl Drain Inspection Notes:
Slab t" .AJ5
/ SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation ��y)
Drywall Nailing 66 C_, L / - 0 0 6 / 27 - l� //✓I � �'-
Firewall
Fire Sprinkler
Fire Alarm -- Q 0/7 _ � �iV� /9
Susp'd Ceiling
Roof
Misc:
Final �''��
PASS PART FAIL
PLUMBING /
Post & Under Slab N l9 e v
Top Out
Water Service f� 3,( //
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
Post & Beam
Rough In
Gas Line r
Smoke Dampers
Fi
AS PART FAIL
LECTRIt
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
F' s
' ART FAIL
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 Date q-1 7 - A0-0 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
t l i � Date Re uested " / � �� O AM PM BUP
a � BLD
Location / VOX % .-/ `� 4�a 4 ite MEC 015 - 00 /a2-
l
Contact Person Ph oo 443 6On PLM
Contractor -tia Ph SWR A
BUILDING Tenant/Owner
ELC o e-a6v7 /
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 - -� _ - — - . /' _ - AMP
•
Fire Alarm ANKAW)
Susp'd Ceiling —� - - ` - , —S
Roof
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
IC
ost & Beam
Rough In �YYCC�J"" 11
Gas Line
Smoke Dampers
Final
PASS PART FAIL
�L�TRICA�
Service
Rough In
UG /Slab /VC--
Low Voltage
Fire
mal
SS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ r uired before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for r- inspection RE: ] Unable to inspect - no access
ADA
Approach /Sidewalk D ate % / Inspector ir , _ /
Other p Ext
Final
PASS PART FAIL DO NO REMOVE this inspection record from the job site.