Permit CITY OF TIGARD MECHANICAL PERMIT
40 190'1 A DEVELOPMENT SERVICES PERMIT #: MEC2000 -00046
'�I II 13125 SW Hall Blvd., T OR 97223 (503) 639 -4171 DATE ISSUED: 02/14/2000
PARCEL: 1S133CD-01700
SITE ADDRESS: 11768 SW SWENDON LP
SUBDIVISION: COTSWALD MEADOWS ZONING: R -25
BLOCK: LOT: 015 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: 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: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Replace gas furnace.
Owner: FEES
RIDER, MARILYN Y AND Type By Date Amount Receipt
JAMES M PRMT KJP 02/14/20C $50.00 00- 321685
11768 SW SWENDON LOOP SPOT KJP 02/14/20C $4.00 00- 321685
TIGARD, OR 97223
Total $54.00
Phone:
Contractor:
SPECIALTY HEATING + FABRICATIO
9528 SW TIGARD ST
TIGARD, OR 97223 REQUIRED INSPECTIONS
Heating Unt Insp
Phone: 620 -5643 Final Inspection
Reg #: SUP 2570RET
LIC 006657
ELE 34 -341CR
• 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)246 -9 8 .
Issue By: Permittee Signature: y
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
Plan Check #
CITY OF T Mechanical Permit Application Recd By •
1312 , S HALL BLVD. , Commercial and Residential Date Recd
TIGARD, OR 97223 . 7 Date to P.E.
(503) 639 -4171 x304 \ t Date to DST
Print or Type Permit# t - OOOcno
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 . ;t;;"l 16.00
• �^ 1)
Address ��7 � fGJScuP�, Furnace to,100,000 BTU including ducts & vents see footnote 1,2 ' 9.65
Bldg# City/State zip 2) Furnace 100,000 BTU+
1 (� C1 q ? 3 including ducts & vents see footnote 1,2 12.00
N e (or name of sines 3) Floor Furnace
�
Owner / /Yi Q including vent see footnote 1,2 9.65
ailing Address I 4) Suspended heater wall heater
1
J/� / ^' or floor mounted heater see footnote 1,2 . 9.65 _
• 710e cg G > Stig24l c1bv! LO 5) Vent not included in appliance permit 4.75
• City /State Zip - Phone Check all that apply: ' 'Boiler Heat Air
77q`e/ o e?72y3 s?y -9`23 For items 6 -10, see or Pump Cond • Qty Price Amt
Na ( or name of business) footnotes 1,2 Comp
6) <3HP;absorb unit to
100K BTU 9.65
Occupant • g Address 7) 3-15 HP;absorb unit
1001$ to 500k BTU • • 17.65
City /State Zip Phone 8) 15 -30 HP; absorb
unit .5 -1 mil 8T) 24.15
Contractor Name . 9) 30 -50 HP; absorb
, unit 1 -1.75 mil BTU 36.00
■ .PC / -- 14, 10) >50HP; absorb unit .
Prior to permit Mal ng Address ,.-^ >1.75 mil BTU 60.15
issuance, a copy qsa Zr" / /C/a.eiCI ST 11 Air handling unit to 10,000 CFM
of all licenses state // Zi Phone . ..3 7.00
are required if q • ( A 92& 6 G f 12) Air handling unit 10,000 CFM+
expired in COT Oregon Co st. Cont. Board Lic.# Exp. Date _ /� 11.85
database rP (-5'7r 6/ 0 / ° "� 13) Non - portable evaporate cooler
Architect Name • 7.00
14) Vent fan connected to a single duct
4.75
Or Mailing Address
. 15) Ventilation sy to rfot included in
^
ijn , ( appliance pert 7.00
Engineer City/State Z'p��,Pn4n9 16)J'lood served by mechanical exhaust
f1 /n /)� 6/-170 . / /, , I iz' z' 7.00
Describe work terte &lie.` 1 17) Domestic incinerators
• • 12.00
New 0 Repair 0 Replace with like kind: Yeisi No 0 18) Commercial or industrial type incinerator
Residential 0 • Commercial 0 48.25
19) Repair units
Additional info ation or description f work: .
8.40
JP� / G-9 7a vi � -L� 20) Wood stove /gas FP /other units /clothe dryer /etc. 7.00
NOTE: For 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 gas LPG 0 electric O 22) More than 4 -per outlet (each) .75
_ Minimum Permit Fee $50.00 SUBTOTAL = iJ
I hereby acknowledge that I have read this application, that the information 8% SURCHARGE ggagginna
given is correct, that I am the owner or authorized agent of PLAN REVIEW. 25% OF SUBTOTAL . yaq ^ 'r ` - _
the owner, that plans submitted are in compliance with Oregon State laws.
Required for ALL commercial permits only .zG`: `....
TOTAL x ` 't � j
Signature f Owner /Agent Date
j �� j W er0 Other Inspections and Fees:
1. Inspections ecoctions ns o outside of normal business hours (minimum charge -two
Contact Pe Name Phone hours) $50.00 per hour
,�T
2. Inspections for which no fee is specifically indicated (minimum
/ (363A:20 - 6 charge -half hour) $50.00 per hour
Foon s 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
I:\mechperm.doc rev 7/19/99
3 /6 /00 • Activities for Case #: MEC2000 -00046
9:34:15 AM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECA007 Application received 2/14/00 KJP RECD No Hold KJP 2/14/00
MECA008 Create Permit • 2/14/00 KJP DONE No Hold KJP 2/14/00 •
MECA725 Heating Unt Insp 2/14/00 2/14/00 No Hold KJP 2/14/00
MECA799 Final Inspection 2/14/00 2/14/00 2/16/00 MRS PASS No Hold AKJ 2/16/00 •
MECA060 (F) Issue permit 2/14/00 KJP . DONE No Hold KJP 2/14/00
MECA800 Case Finaled 2/16/00 AKJ DONE No Hold AKJ 2/16/00
•
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Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested - / /61/erc, AM eY PM BL
Location 111(.0 S .LA ]n 6 y ,� 1 _ LJ Suite �' Q(1) - DQ7 -(1
Contact Person CLt / .,Ph bZO- SCaLl3 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
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
NIRCHANICRr
Post & Bean)
Rough In 4
Gas Line L
S i • e Dampers
Z PART FAIL \ '
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 Inspector � r D ( Ext
Final
PASS PART FAIL DO N T REMOVE this inspection record from the job site.