Permit C ITY OF TIGARD MECHANICAL PERMIT
41 1 A DEVELOPMENT SERVICES PERMIT #: MEC2000 -00267
- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/3/00
PARCEL: 1S125DD-10000
SITE ADDRESS: 09590 SW VENTURA CT
SUBDIVISION: WASHINGTON SQUARE ESTATES NO.3 ZONING: R -4.5
BLOCK: LOT: 108 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: 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: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
> GAS OUTLETS:
10000 cfm:
Remarks: Add NC unit
Owner: FEES
MURPHY, SCOTT E + CYNTHIA L Type By Date Amount Receipt
9590 SW VENTURA CT PRMT GWL 7/3/00 $50.00 0003422
TIGARD, OR 97223 5PCT GWL 7/3/00 $4.00 0003422
Total $54.00
Phone:
Contractor:
FIRST CALL HEATING & COOLING
1650 NE LOMBARD
PORTLAND, OR 97211 -4798 REQUIRED INSPECTIONS
Cooling Unt Insp
Phone: 231 -3311 Final Inspection
Reg #: LIC 102030
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 -9189.
Issue By: � Permittee Signature:
all (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
06/12/00 MON 10:07 FAX 503 598 1960 CITY OF TIGARD x1002
Plan CIT OF TIGARD Mec hanical Permit A licati Recd By i
..-,- - PP Recd By i1"�i
13125 SW HALL BLVD. Commercial and Reside �� Date Recd . 1 -3�- o0
.TIGARD, OR 97223 �QQ Date to P.E.
(503) 639 -4171, x304 Q % M° Date to DST
• Print or Type �\ _ 0� AF.�e. Permit, 1# 2 ®mo -po 267
. lncom • lete or illegible a . plications will n ;,,,. , - accepted Cage
Name of DevelopmenUPrJect . Description C%
• Table 1A Mechanical Code Price Amt
A ) Permit Fee r.1: r', ; 2;= :;r , 16.00
Job street address surcer 4'';`�=
n, , /' 1) Furnace to 100,000 BTU
Address % J C�� 5 J ve/' G 4/ a 4 / • including ducts & vents see footnote 1,2 9.65
Bags - City/Stale Zip 2) Furnace 100,000 BTU+
including ducts & vents see footnote 1,2 12.00
Name'(or name of business) 3) Floor Furnace
Owner 66- A) 6t, m (1 /i. b, including vent see footnote 1,2 9.65
Mamng Address
4) Suspended heater, wall heater
p� 1 Vet) or floor mounted heater see footnote 1,2 9.65
S 9 U 1,) 5 V Pt) • CL C-GL r. 5) Vent not included In appliance permit 4.75
City/State Zip Phon2 , - Check all that apply: 'Boiler Heat Air
77 a i-A 0 ,e C 7 .. ,, For Items 6-10, see or Pump Cond Qty Price Amt
for name of • sinea5) - footnotes 1,2 Com
6) <3HP;absorb unit to
" Address 100K BTU 1 9.65 61, .
Occupant 7) 3 -15 HP;absorb unit
100k to 500k BTU 17.65
Ciry/State Zip - Phone 8) 15 -30 HP; absorb
unit .5-1 mIl BTU 24.15
Contractor Name 9) 30-50 HP; absorb • / /,� LL C • unit 1 -1.75 mil BTU 36.00
/7 / ;t- CQ // ,6 / 45 ecp // 10) >5OHP; absorb unit
Prior to permit 1 Address _ / Q >1.75 mil BTU 60.15
issuance, a copy / [0,SV /UC L 6/ �CC /v 11 Air handling unit to 10,000 CFM
of all licenses zip Phone 7.00
are required If U /� ( d � Zi/ .2- 12) Air handling unit 10,000 CFM+ •
expired in COT Oregon Const. Cont. Board Lies eel Date 11.85
database / O �-O.p k'S - - 03 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 7air 0 Replace with like kind: Yes 0 No 0 18) Commercial or industrial type incinerator
Residentia Commercial O 48
• 19) Repair units
Additional information or description of work: 8.40
a_ d a /e_ 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 caics. See footnote 1 3.75
Type of fuel: oil O natural gas i( LPG 0 electric 0 22) More than 4-per outlet (each) .75
( Minimum Permit Fee $50.00 SUBTOTAL gd t_!,,'! �. 0, J
I hereby acknowledge that I have read this application, that the Information 8% SURCHARGE - 3 '' 'f -, 4 . 'sib #:
given is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL -i: < r::' .' ° ' r
Required for ALL commercial permits only 5 ? Ir3r .r.,. 2a�
the owner, that plans submitted are In compliance with Oregon State laws. ll
TOTAL = 14. -
Signature of OwnerlAgent Date r - _ .
/ 2 /1 _ Other Inspections and Fees:
d� / 4/ - J /f:R S a Y 7- ZOO • 1. Inspections outside of normal business hours (mininum charge -two
Contact P..•- on Name - - Phone hours) $50.00 per hour
- - - 2. Inspections for which no fee Is specifically Indicated (minimum
v-'? ,...--c...• -•-z---e_..,%) 101,30/(. • charge -half hour) $50.00 per hour
4 notes 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) $60.00 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:lmechperm.doc rev 7/19/99
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. Job Site , .. „ :. ,
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Additional Instructions•
Refrigeration line size 75
Condensate Pump es No ❑ Box New Registers
Jd't6ation Pads New Grills
Add Return Duct
Add Supply Duct
Special Needs
``–' S /
. ).' : •• _ i .44 1 - / /2- , :14, / Ok) A__,./ e
/ / , .
/ / , lik.K.� :�...„.. —�,. 1 £._! ! ,
8/21/00 Activities for Case #: MEC2000 -00267
2:20:23 PM
P.
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes .
MECA007 Application received 7/3/00 MAIL RECD No Hold GWL 7/3/00
MECA008 Create Permit 7/3/00 GWL DONE No Hold GWL 7/3/00
MECA050 (F) Ready to issue 7/3/00 GWL DONE No Hold GWL 7/3/00
t
MECA730 Cooling Unt Insp
No Hold GWL 7/3/00
MECA799 Final Inspection
No Hold GWL 7/3/00
MECA060 (F) Issue permit 7/3/00 GWL DONE No Hold GWL 7/3/00
MECA075 (F) Reprint Permit 7/3/00 DEB DONE No Hold DEB 7/3/00
MECA075 (F) Reprint Permit 8/14/00 ZZZ DONE No Hold ZZZ 8/14/00
7
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Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: - 639 -4175 Business Line: 63 171
BUP
Date Requested / I d AM PM BLD
Location 0 76 5 w 1 44 710 rA-- Suite MEC 2C-vO - 00.C.7
Contact Person - Ph Z S Y PLM
Contractor Ph 4 7 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
PAS PART FAIL
MECHANI�
Post & Beam
Rough In
Gas Line
Smo• - Dampers
•
dr PART FAIL
CTRICAL
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 /r
Other 7 Date Inspector r Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.