Permit CITY OF TIGARD
MECHANICAL PERMIT
4*4 ,r DEVELOPMENT SERVICES PERMIT #: MEC2000 -00328
! 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/14/00
PARCEL: 2S103DA -01000
SITE ADDRESS: 13115 SW WATKINS AVE
SUBDIVISION: DERRY DELL ZONING: R -3.5
BLOCK: LOT: 010 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: 1 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 exterior A/C unit. Cannot be placed within the required setback.
Owner: FEES
HAMMES, ALFRED J HELEN L Type By Date Amount Receipt
13115 SW WATKINS AVE PRMT RCP 8/14/00 $50.00 0004470
TIGARD, OR 97223 5PCT RCP 8/14/00 $4.00 0004470
Total $54.00
Phone:
Contractor:
•
FIRST CALL HEATING & COOLING
1650 NE LOMBARD
PORTLAND, OR 97211 -4798 REQUIRED INSPECTIONS
Final Inspection
Phone: 231 -3311
Reg #: LIC 102030
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. �y}� /� /
Issue By: Permittee Signature: / "lam _"0
Call ( 3) 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 I1002
I / Plan Check #
CITY OF TIGARD Mechanical Permit Application 4 , lv Redd By ki i•
13125 SW HALL BLVD. Commercial and Residential Date Rec'd
TIGARD, OR 97223 RECEIVEf Date to P.E.
(503) 639 -4171, x304 Date to DST
• . Print or.Type . ...AUG 1 4 200(1 • - Peraut # 11 1110(-2.0° -pO5 6
Called
Incomplete or illegible applications atbe accepted .
Name of Development/Project Description DEyt:l.UP4
Table 1A Mechanical Code ' • Price Amt
Job Street Address [ n I�/ii
//U� A Sutter/ A) Permit Fee ±s_ Fir,l,:;-P }r ' 16.00
Address /3/15 S GU�SPr✓ 1) Furnace to 100,000 BTU
including ducts & vents see footnote 1,2 9.65
Brags - ► City/State Zip 2) Furnace 100,000 BTU+
I ( , ,r d, i/` 97223 including ducts & vents see footnote '1,2 12.00
Name (or name of basin • ) � 3) Floor Furnace •
Owner A I Fk y►1 n1 eS including vent see footnote 1,2 9.65
Mailing 4) Suspended heater, wall heater
`3 I (5 s . o , `� J ", �� A ✓ Or floor mounted heater see footnote 1,2 9.65
W T �C i ft 5) Vent not included in aapliance permit 4.75 .
my/state q Zip Phone Q Check all that apply: 'Boiler Heat Air
T yr4, r7 9722-3 4 3 9 $212 For Items 6-10, see or Pump Cond Qty Price Amt
Namb'(or name of business) footnotes 1,2 Comp
5 / 6) <3HP;absorb unit to
100K BTU 9.65
Occupant Mang Address 7) 3 -15 HP;absorb unit
100k to 500k BTU X I 17.65 /7'
City/State Zip - Phone 8) 15-30 HP; absorb
unit .5-1 mil BTU 24.15
9) 30-50 HP; absorb ■ Contractor N ame y 1 I L 1, unit 1 -1.75 mil BTU 36.00
R 1� �C"^ , 7 ` oo /r` 10) >50HP; absorb unit
Prior to permit Mailing. Address 6 r Q , J >1.75 mil BTU 60.15
issuance, a copy ( b o l`k E. �m r 11 Air handling unit to 10,000 CFM
of all licenses /state Zip - Phone _ 7.00
are required If o r t 1 P / DR- 9 711 I 23 ( -33 I1 12) AIr handling unit 10,000 CFM+
expired in COT Oregon Const. Cont. Board Lice Exp. Date 11.85
database 1 C Z 0 3 0 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 . Repair 0 Replace with like kind: Yes 0 No O • 18) Commercial or industrial type incinerator
Residential 0 Cammercal0 _ 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 pits. See footnote 1 3.75
Type of fuel: oil 0 natural gas 4" LPG 0 electric 0 22) More than 4-per outlet (each) 75
Minimum Permit Fee $50.00 SUBTOTAL l•;S ' 5(J Lo
r � r '
!N'
I hereby acknowledge that I have read this application, that the Information 8% SURCHARGE .1, ^. y. oo
given is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL -^ fi r . , - 1'
Required for ALL commercial permits only �! _r ; r _
the owner, that plans submitted are in compliance with Oregon State laws.
TOTAL 4 .- s°
Signature of OwnerlAgent Date x -r :, ;
_
1-1/-0 Other inspections and Fees:
1. Inspections outside of normal business hours (mininum charge -two
Co Person Name • Phone - hours) $60.00 per hour
2. Inspections for which no fee Is specifically Indicated (minimum
(.✓ p�y7 -2 05 - 41 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
2. Provide drawings to scale showing existing and proposed mechanical
'State Contractor Boller Certification required
units.
"Residential A/C requires site plan showing placement of unit
1:lmechperm.doc rev 7/19/99
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 - :. Line: 639-4, 171
BUP
or
Q/ W7 Date Requested Od AM k PM BLD j �
( ((' S �J � li/ 15 /
Location Suite MEC „ 2O gGqS
�
.Contact Person ('4 41- Ph a V7 ,Z0C PLM
Contractor /5't Cta Ph SWR
BUILDING Tenant/Owner l 4 M1 (o r 39 ` ��r'! ' � 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 Cd 57240P Le >./ 12 / p ' TQ
Fire Sprinkler �[ V `
Fire Alarm & O 51 -) r d ��
Susp'd Ceiling V C 1� /�
Roof
Misc: -
Final
PASS PART FAIL
PLUMBING Q /1 // e(
egtl c6 Tm ///�'0 /--
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer /
Rain Drains yG� / J,4 Q /C
Final //
PASS PART FAIL /97( o /------
MHWAL
Post & Beam
Rough In
Gas Line
Sm. e Dampers
1' L FAIL 57 64-1 /, rep at Poa
CTR ,Q
Service 0r ( () J S ( T` 7 6 ; 0 � J
Rough In ( �� '"� V
UG /Slab
Low Voltage
F' Alarm
• S J PART FAIL
•
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hail Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA 1/ 2 )
Approach /Sidewalk Dat / Other Inspector Ext
Final •
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.