Permit CITY TIGARD MECHANICAL PERMIT
� r `la DEVELOPMENT SERVICES PERMIT #: MEC2000 -00335
=' A 1! 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/17/00
PARCEL: 2S 102BC -04200
SITE ADDRESS: 12730 SW WATKINS AVE
SUBDIVISION: NORTH TIGARDVILLE ADDITION ZONING: R-4.5
BLOCK: LOT: 031 JURISDICTION: TIG
CLASS OF WORK: FLOOR FURN: EVAP COOLERS:
TYPE OF USE: UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: 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 OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Forced Air Oil to Forced Air Gas
Owner: FEES
ERICKSON, KENNETH W Type By Date Amount Receipt
12730 SW WATKINS AVE PRMT JMT 8/17/00 $50.00 0004565
TIGARD, OR 97223 5PCT JMT 8/17/00 $4.00 0004565
Total $54.00
Phone:
Contractor:
PREMIER HEATING + AIR COND
PO BOX 86295
PORTLAND, OR 97286 REQUIRED INSPECTIONS
Mechanical Insp
Phone: 233 -6566 Duct Inspection
Reg #: LIC 96473 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
calling (503)246-9189.
Issue By: 7 7 1 �2_ Permittee Signature: m/ ,
Call 5O3) 639 -4175 by 7:00 P.M. for inspections needed the next business day
uo /uu ►•HL 14:13 FAX 503 598 1960 CITY OF TIGARD
X002
CITY OF TIGARD
RECEIVED RECEIVED Plan Check # s
ii� echaniCal Permit Application
13125 SW HALL BLVD Recd By
T IGARD, OR 97223
AUG 7 ?_OAS and Resid 1j l 1 200D Date Rec'd
Date to P.E.
(503) 639 -4171, X30
tOMMIINIT\ oF vEi ;NJ,. COMMUNITY DEVELOPMENT Date to DST
Print or Type Permit # (1/1/4c/ 60 3
Name or Develop omplete or illegible applications will not be accepted Called
Description
Table 1A Mechanical Code
Qty Price Amt
Job Street Address
1/4,11(1,-1(1/0-4 Suter A ) P F ee j 2 ,; g 16.00
Address (273 1) Fumace to100,000BTU
Bldg C�State including duds & vents see footnote 1,2 I 9.65 Q, (p
1r ` � UK C I 7 �� 2) Furnace 100,000 BTU+
r y including ducts & vents see footnote 1,2 12.00
Name (or name or business) / 3) Floor Furnace
Owner AIL) • j l..k ) including vent see footnote 1, 2 9.65
Mailing Address 4) Suspended heater, wall heater
1 2730 51.6 (/ll () 1 n , � / or floor mounted heater see footnote 1,2 9.65
CdylStale 5) Vent not included in appliance permit 4.75
���11� � � _� ZZ'� q
Phone Check a0 that apply 'Boiler Heat Air
, _5e030 For items 6 see or Pump Cond Qty Price Amt
Na (or name 8r business) footnotes 1,2 Comp
30ME 6) <3HP:absorb unit to `
Occupant Matting Address 100K BTU 9.65
7) 3-15 HP,absorb unit
100k to 500k BTU 17.65
Crty/state zip i Phone 8) 15-30 HP. absorb
unit .5 -1 mil BTU 24.15
Contractor Name 9) 30-50 HP; absorb
P(� F.M I �Fil (UL 10) 5 1-IP mil BTU 36.00
Prior to permit Marling Address 10) >SOHP; absorb unit
copy PD ?Y)x 2! 1 1. Ai mil BTU 60 -15
issuance, a 1' r J TJI(/ 11 Air handling unit to 10.000 CFM
of all licenses t\ � a n,^ Q �Y _t.R 1 l(U f I� Q� Z zip Phone
b (Q Z3�
expired in COT 00
are required if
Y w. Date
l!/.1( 12) Air handling unit 10,000 CFM+
l - o Co. C Lk.A
database ItU nst. Cont Board 11.85
. :Architect Name - oz. 13) Non - portable evaporate cooler
,JOOL 7.00
14) Vent fan connected to a single duct
or Mating Address
4.75
15) Ventilation system not included in .
• appliance 7.00
Engineer C�IState Zip 1 Phone 16) Hood served by mechanical exhaust
7.00
Describe work to be done: • 17) Domestic incinerators
I nY�fAU L- R� �u Q N A ,^�
12.00
New 0 Repair 0 Replace with like kind: Yes gr No O 18) Commercial or industrial type incinerator
Residential' Commercial O 48 25
19) Repair units
Additional information or description of work. 8.40
'110 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 1
�
structural gas cats. See footnote 1 1 3.75 - 1�
Type of fuel: oil 0 natural gas Ig LPG 0 electric 0 22) More than 4 -per outlet (each) .75 --- ,
Minimum Permit Fee $50.00 SUBTOTAL rte"' „„,is r , ),
I hereby acknowledge that I have read this application. that the information 8% SURCHARGE " : '
given is correct, that 1 am the owner or authorized agent of -E • - REVIEW- 2 tr
5z_QF SUBTOTAL _ „` , ° �
the owner, that plans submitted are in compliance with Oregon State laws. Required for ALL commercial permits on y „: _ "
Si of Owner/A ' Date 2K` ;. /t(l'
�` Q o , I Other Inspections and Fees:
--- }}}���� 11---- b l 1 . Inspections outside of normal business hours (mininum charge4wo �� r0
,
Contact Person Name Phone hours) $50.00 per hour , U
2. Inspections for which no fee Is specifically indicated (minimum
i I l REU() . 233 - 0569(0 charge -half hour) $50.00 per hour
Foonotes 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
i ,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