Permit n
CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2000 - 00265
r� I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 06/29/2000
PARCEL: 1S133CD-16300
SITE ADDRESS: 11574 SW TALLWOOD DR
SUBDIVISION: PEBBLECREEK NO. 3 ZONING: R -
BLOCK: LOT: 053 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: 1 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:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Remarks: Installation of a/c unit, placement of a/c unit must comply with standard setbacks.
Owner: FEES
GALLOWAY, MICHAEL C + CAROL A Type By Date Amount Receipt
11574 SW TALLWOOD DR PRMT DST 06/29/20C $50.00 0003371
TIGARD, OR 97223 5PCT DST 06/29/20C $4.00 0003371
Total $54.00
Phone:
Contractor:
CLIMATE CONTROL INC
16500 SW 72ND AVE
PORTLAND, OR 97224 REQUIRED INSPECTIONS
Cooling Unt Insp
Phone: 453 -4822 Final Inspection
Reg #: LIC 62196
1 \\°.
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 ques ions to OUNC by
calling (503)246 7 9189.
C-G 6 / / • ermittee Signature.
Issu nature.
�By: �� 9
• -- Call (503) 639 -4175 by 7:00 P.M. for inspections nee. e a businn: y i
J"
^ITY OF TIGARD Mechanical Permit Application Recd B y j
13125 SW HALL BLVD. Commercial and Residential Date Recd C P i - 4C
TIGARD, OR 97223 Date to P.E.
(503) 639 - 4171, x304 Date to DST
Print or Type Permit # H
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Description
1 157{ Sui , t1le / cv D D Table 1A Mechanical Code Qty Price Amt
Job Street Address
-� - sun l e # ' A) Permit Fee M " %Z.: 16.00
•
Address 1) Furnace to 100,000 BTU
including ducts & vents see footnote 1,2 9.65
Bldg# City /State Zip
2) Furnace 100,000 BTU+
7 / P,GR._ g 7 2 23 including ducts & vents see footnote 1,2 12.00 .
Name (or name of business) 3) Floor Furnace
Owner V'1 /Kt 6/' 6L otu including vent see footnote 1,2 9.65
Mailing Address 4) Suspended heater, wall heater •
II��pp or floor mounted heater see footnote 1,2 9.65
I 7� Sa) . ✓N��D l lam' 5) Vent not included in appliance permit 4.75
City /State Zip Phone Check all that apply: *Boiler Heat Air
17& d q 7223 52L -14,36 For items 6 -10, see or Pump Cond Qty Price Amt
Name (or nam of business) footnotes 1,2 Comp
6) <3HP;absorb unit to �(
100K BTU / ,. 1 9.65 7,65
Occupant Mailing Address 7) 3 -15 HP;absorb unit
100k to 500k BTU `""` 17.65
City /State Zip Phone 8) 15 -30 HP; absorb
unit .5 -1 mil BTU 24.15
N ame 9) 30 -50 HP; absorb • Contractor unit 1 -1.75 mil BTU • 36.00
CL 1 YYl47Z-. C'Oru7oL _ 10) >50HP; absorb unit
Prior to permit Mai ing Address �4 >1.75 mil BTU 60.15
issuance, a copy I f So) 7� 11 Air handling unit to 10,000 CFM
of all licenses City / Zip . Phone 7.00 .
are required if fb2
r 0X, 0722 e f5' i 7� g2Z 12) Air handling unit 10,000 CFM+
expired in COT Oregon Const. Cont. Board Lic.# Exp. Dat 11.85
database '7196 / 13) Non - portable evaporate cooler •
Architect Name 7.00
14) Vent fan connected to a single duct
M ailing Address 4.75
or 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 Replace with like kind: Yes 0 No 0 18) Commercial or industrial type incinerator
. Residential Commercial0 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 gas Ic LPG 0 electric 0 22) More than 4 -per outlet (each) .75
Minimum Permit Fee $50.00 SUBTOTAL `a I
, �p ' x:ti'n t 5ace
WOW I hereby acknowledge that I have read this application, that the information 8% SURCHARGE 'u'4 SKInt IX Ge;
given is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL Sta 714R40
Required for ALL commercial permits only g
the owner, that plans submitted are in compliance with Oregon State laws. TOTAL !L
• Signature o caner /Agent Date k » .. xt , '�' - ' CV
��1 672 Other Inspections and Fees:
lAi�.iGY�c/ C 1. Inspections outside of normal business hours (mininum charge -two
on ct Person Name Phone hours) $50.00 per hour
2. Inspections for which no fee is specifically indicated (minimum
/7/W, /�Gil - L��ZZ - charge -half hour) $50.00 per hour
Foonotes for commercial projects only: � 4(53 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:\mechperm.doc rev 7/19/99
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';'''.:.x.'. C LI ATE C 111; C TR it L
- - - . 16500 SW 72nd Avenue Portland, OR 97224
503-453-4822 FAX: 968-7224
HEATING & MR CONDITIONING . 503-453-HvAc
(7-4.1618 .
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SYSTEM DESIGN INSTALLATION SERVICE • MAINTENANCE
PORTLAND • 453-4822 VANCOUVER . 360-254-3063
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639-4175 Business Line: 639 -4171
BUP
'7 3Z Date Requested v 3 O - � 0 A PM BLD
Location /7 S 7 to 7 &4' ' !�,- Suite MEC 7s - ^Dc% '
Contact Person MA444 Ph L-75 3 I/to- 2- PLM
Contractor (V//4 L�� /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
ANI L
Post & Beam
Rough In
Gas Line
Smoke
in.
PART FAIL
RICAL
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 Datb /-/ 11 � V �l Inspector /!/ Ext ` C
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.