Permit 0
CITY OF TIGARD
MECHANICAL PERMIT
,.4�in DEVELOPMENT SERVICES PERMIT #: MEC2000 -00389
II 13125 SW Hall Blvd., Tigard, OR 972 (503) 639 -4171 DATE ISSUED: 9/28/00
PARCEL: 2S102BC -01102
SITE ADDRESS: 10160 SW WALNUT ST
SUBDIVISION: NO. TIGARDVILLE ADDITION ZONING: R -4.5
BLOCK: LOT: 028 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: DOMES. INCIN:
GAS 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: 1 <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Remarks: New gas furnace
Owner: FEES
RESHEY, JOSEPH A AND Type By Date Amount Receipt
MARILYN L PRMT CTR 9/28/00 $72.50 2720000000
10160 SW WALNUT 5PCT CTR 9/28/00 $5.80 2720000000
TIGARD, OR 97223
Total $78.30
Phone:
Contractor:
ENERGY MASTERS HEATING + A/C
7470 SW 76TH
PORTLAND, OR 97224 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 244 -8880 Mechanical Insp
Reg #: LIC 58556 Duct Inspection
PLM 26 -476PB Final Inspection
•
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 callin? (503)246 -9189.
Issue By: i Permittee Signature: ap a
Call (5 3) 639 -4175 by 7:00 P.M. for inspections needed the next business day
Plan Check #
CITY OF TIGARD Mechanical Permit Application Recd By
13125 SW HALL BLVD. Commercial and Residential Date Recd 2- 07O
TIGARD, OR 97223 -- ` ('' Date to P.E.
(503) 639 -4171, x304 Print or Type Date to DST
Incomplete or illegible applications will not be accepted Pew g 4909 '3 9
Called
Name of Development/Project Description
Table 1A Mechanical Code Qty Price Total
Job Street Address Suite # 1) Furnace to 100,000 BTU
Address I b I 160 svJ NA- I M UJ-r including ducts & vents 14.00
2) Furnace 100,000 BTU+
Bldg# ' /State Zip including ducts & vents I 17.40 ITC)
0 'I 727_? 3) Floor Furnace
(or nameof usiness) n including vent 14.00
Owner ' " �i� ( I(-{ VI I4-e rj k Q i 4) Suspended heater, wall heater
L./
- or floor mounted heater 14.00
Maili g Address 1 ,
10160 v"a 14 -- 1 .--F - 5) Vent not included in appliance permit 6.80
_City /State Zip Phone
ITt1 .172_23 y�,� _ ¢z _
, 6) Repair units 12.15
�a't Check all that apply: *Boiler Heat Air
Na r name of business) For items 7 -10, see or Pump Cond Qty Price Total
footnotes 1,2 Comp - •*
Occupant Mailing Address 7) <3HP; absorb unit to
100K BTU 14.00
City /State Zip Phone 8) 3 -15 HP; absorb unit
100k to 500k BTU 25.60
9) 15 -30 HP; absorb
Contractor Name unit .5 -1 mil BTU 35.00
�V MILS1 k l w .... . 10) 30 -50 HP; absorb
Prior to permit Mailing Ad dress J // unit 1 -1.75 mil BTU - 52.20
issuance, a A - s ` �-7 ( „-_ ( -1 1
11) >50HP; absorb unit >1.75 mil BTU
copy �'"r (] W ( 87.20
of all licenses /St e 0 Zip Phone 12) Air handling unit to 10,000 CFM
are required if 0 U► 9'7 2-2 2-44 -44 10.00
expired in COT or of� t_�°° t. E ate 13) unit 10,000 CFM+
database � 7o Board Lic.# I (�� ) Air handling 17.20
Architect Name 14) Non - portable evaporate cooler
10.00
Or Mailing Address 15) Vent fan connected to a single duct
6.80
16) Ventilation system not included in
Engineer City /State Zip Phone appliance permit 10.00
17) Hood served by mechanical exhaust
Describe work to be done: 10.00
18) Domestic incinerators
New R pair 0 Replace with like kind: Yes 0 N 17.40
Residentia Commercial 0 . Modification 0 19) Commercial or industrial type incinerator
Additional information or description of work: 69.95
20) Other units, including wood stoves
10.00
NOTE: For Commercial projects only; Units over 400 lbs., located on the 21) Gas piping one to four outlets
roof, require structural calcs. prepare by licensed engineer. 5.40
Type of fuel. oil 0 natural gas 1D�\ LPG 0 electric O 22) More than 4 -per outlet (each)
1.00 5
Minimum Permit Fe $72 .50 SUBTOTAL '3 Z, V
I hereby acknowledge that I have read this application, that the
information given is correct, that I am the owner or authorized agent of 8% SURCHARGE ,R?j
the own that plans b�t'itte 'n mplian with Oregon State PLAN REVIEW 25% OF SUBTOTAL `'' ` x
law Required for ALL commercial permits only ; <'" .;
.mi l ers,
Si Owner/
Sign tune of Own nt n \� ,D ,{ c �jl TOTAL .�; � r 5-() 5-() �l � �vr ate 044, --1z K) Other Inspections and Fees: i�`
1. Inspections outside of normal business hours (minimum charge -two hours) O�
Contact Person Name Phone $72.50 per hour
2 Inspections for which no fee is specifically indicated (minimum charge -half hour) g y)
$72.50 per hour mu
Footnotes for commercial projects only: 3. Additional plan review required by changes, additions or revisions to plans (mini
1. Provide full schematic of existing and proposed gas line and pressure. charge -one -half hour) $72 50 per hour
2 Provide drawings to scale showing existing and proposed mechanical 'State Contractor Boiler Certification required
units "Residential NC requires site plan showing placement of unit
I: \dsts\forms\mechperm_rev.doc 9/8/00
CITE' OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 - 4171
BUP
Date Requested // / AM PM BLD
Location /6 / .5 �✓ w 41 Suite MEC -,01)-4703 rf
Contact Person Ph -03 Z `/Y aeFoLM
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
()))
'& Beam
Rough In
Gas Line
Smoke Dampers •
Fi
AS PART FAIL 4 21 Q G
ELECTRICAL
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 \ I Inspect Ext
Final
PASS PART FAIL DO NOT REMOVE this inspectio record from the job site.