Permit CITY TIGARD MECHANICAL PERMIT
vik DEVELOPMENT SERVICES PERMIT #: MEC2000 -00231
-
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 06/09/2000 PARCEL: 2S102CC -04200
SITE ADDRESS: 13665 SW STEVEN CT
SUBDIVISION: BEREA ZONING: R -4.5
BLOCK: - . LOT: 003 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: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Remarks: Install an air conditioning unit and gas piping for water heater coversion. NC units cannot be placed within the
required setback areas.
Owner: FEES
MCKERN, ELERY G AND Type By Date Amount Receipt
LODELL J PRMT KJP 06/09/20( $50.00 0002844
13665 SW STEVEN COURT 5PCT KJP 06/09/20( $4.00 0002844
TIGARD, OR 97223
•
Total $54.00
Phone:
Contractor:
SUN GLOW INC
2428 SE 105TH AVE
PORTLAND, OR 97216 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 253 -7789 Mechanical Insp
Reg #: LIC 48131 Cooling Unt Insp
Final Inspection
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 - - .ter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080.
You may obtai • •pi:_ of these rules or direct questions to OUNC by calling (503)246 -9189.
Issue By: A • • Permittee Signature: T i t —
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
06/11/99 FRI 16:31 FAX 303 598 1960 CITY OF TIGARD ] 002
man unecx iF
' ITY OF TIGARD . Mechanical Permit Application Rec'd By
i 13125 SW HALL BLVDRECEIVED Commercial and Residential Date Rec'd •
TISARD, OR 97223 Date to P.E.
" (503) 639 -4171, x304 JUN 0 8 2000 • Date to �.
r l Print or Type Permit
CONEAR P at E i�eg3ble applications will not be accepted Called
;:rrro cf Ceve:cpmenuPrc/ecr Description
C' l' 'Pi G W - 7L - Table 1A Mechanical Code Qty Price Amt
Street Address Suite# A) Permit Fee 16.00
Job l �/ 1) Furnace to 100,000 BTU
Address / 3 6� S • S .,L.) STPI I... el including duds & vents see footnote 1,2 I 9.65. 1.6C
BrdgS, Clty/State Zip 2) Furnace 100,000 BTU+
including ducts & vents see footnote 1,2 12.00
Name (or name of business) . 3) Floor Furnace - .
O wner . 6-7 - elf / " , G k -e (f\--1 including vent , footnote 1 2 9.65
Mailing Address 4) Suspended heater, wall heater
/ or floor mounted heater • see footnote 1,2 • 9.65
/
/ 3 (0 5 , SL..1 , Si v-Cr- & 5) .Vent not included In plance 'ermit 4.75
City/State ZIP Phone Check all that apply: 'Boiler Heat Air '
--7y a3 6aa -6�� For items 6-10, see or Pump • Cond Qty Price Amt
Name name o il u ) footnotes 1,2 Comp
6) •3HP;absorb unit to
• 100K BTU x 9.65 f q
-6S
Occupant Malang Address • 7) 3-15 HP;absorb unit
SGvyr1 -Pi 100k to 500k BTU 17.65
City/State Zip I Phone 8) 15-30 HP; absorb
• unit .5 -1 mil BTU 24.15
• Contractor Name - 9) 30-50 HP; absorb
/ unit 1 -1.75 mil BTU 36.00
S te._ ,' ad IA- ...-1-2i►c_- 10) >50HP; absorb unit
Prior to permit Mailing A _ 4 A.---- >1.75 mil BTU 60.15
issuance, a copy rx !eV c6 r!(1� • 11 Air handling unit to 10,000 CFM
of all licenses Cayrs Zip ' Phone 7.00
are required If , rG r - t / 012- 72 2' £3 ' 7 7 12) Air handling unit 10,000 CFM+
expired in COT Oregon fie. Cont. Board t.iel Exp. Data 11.75
database 44%P/3/ S -9 13) Non - portable evaporate cooler •
Architect Name 7.00
14) Vent fan connected to a single duct
• Or Mailing Addrass 4.75
15) Ventilation system not included in
appliance permit 7.00
Engineer Cayr'e Zip PhcfZ 16) Hood served by mechanical exhaust
7.00 •
Describe work to be done: 17) Domestic Incinerators .
_ 12.00 •
Newpie.___Repair 0 Replace with like kind: Yes 0 No O 18) Commercial or industrial type incinerator
Residential 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
aOTE: For Commercial projects only; Units over 400 lbs. require 21) Gas piping one to four outlets '
structural gas cabs. See footnote 1 / 3.75 3.757
. Type of fuel: oil 0 natural gas 0 LPG 0 electric O 22) More than 4 -per outlet (eac .75 vO
Minimum Permit Fee $50.00 SUBTOTAL Some).
1 hereby acknowledge that I have read this application, that the information , w• -J':riL ,,,
given is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL .._ "'-::s :-' . Qr l
the owner, that plans submitted are in compliance with Oregon State laws. Required for ALL commercial permits only < 4 V : ;7.'
• TOTAL :-: - ...,_::, :, ;.
Signature of Owner /Agent Date : 4 "' .` • = -
` i1
y-- ` / Od Other Inspections and Fees: �j/
�`^ / v S/ 1. Inspections outside of normal business hours (mininum char a
Contact Person Na Phone hours) $50.00 per hour
(�/ 2. Inspeccharge -tions half hour) for which no 9 pe fee r hour Is Sp ecifically Indicated (minimum
44.1 /i f /r �.J L r r f;25-3-7 .
Foonotes for comm lal projects only: 3. Additional plan review required by changes, additions or revisions to
1. Provide full sche 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:trnechperm.doc rev 02/4(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 1 3 00 AM x PM BLD
Location �!
Cit Suite MEC 21:0f)
Contact Person fttp/V.4AO - Ph 2-S 3-Y7 8? PLM 7 -O0X 9
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain ( 21) ' 21 K, /''2 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 "7
PASS PART FAIL ' I - --0""
MBIN ��
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
in
FAIL
CHA
Post & Beam
Rough In
Gas Line
Smoke Dampers
PART FAIL
ECTRICAL
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 Otheoach /Sidewalk Date b ( � � 7 6 " Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.