Permit CITY TIGARD MECHANICAL PERMIT
;. 1 DEVELOPMENT SERVICES PERMIT #: MEC1999 -00257
" 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/14/99
PARCEL: 1 S125DA -10300
SITE ADDRESS: 09435 SW 69TH AVE
SUBDIVISION: PP1994 -032 ZONING: R-4.5
BLOCK: LOT: 002 JURISDICTION: TIG
CLASS OF WORK: ALT 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: 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: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: < =10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Remarks: Re- locating gas line.
Owner: FEES
JUSTIN SANDEFUR Type By Date Amount Receipt
9435 SW 69TH AVE PRMT BON 6/14/99 $50.00 99- 316099
TIGARD, OR 97223 5PCT BON 6/14/99 $2.50 99- 316099
Total $52.50
Phone:
Contractor:
J & P BUILDERS INC
PO BOX 19587
PORTLAND, OR 97280 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 293 -6979 Final Inspection
Reg #:
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 obt copies pf these rules or direct questions to OUNC b calling (503)246 -9189.
Issue By: 40. 11144./M- Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
Plan Chec #_
• G;TY OF TIGARD Mechanical Permit Application Recd By ( �
13125 SW HALL BLVD. Commercial and Residential Date Rec'd(0 - rat . 47
4 , TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST
Print or Type Permit #t 1
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Description
941 35 b(.,.) (07t cr..i`re l Table 1A Mechanical Code Qty Price Amt
Job Street Address WWI/ A) Permit Fee ',- ''. .-, , _ _ 16.00
Address • 1) Fumace to 100,000 BTU
including ducts & vents see footnote 1,2 9.65
Bldg# - City /State Zip 2) Fumace 100,000 BTU+
'r oQ' 7g-D3 including ducts & vents see footnote 1,2 12.00
Name (or name of business) a 3) Floor Fumace
Owner J (,t n iP (1 _ � including vent see footnote 1,2 9.65
•
Mailing Address d'� 4) Suspended heater, wall heater
or floor mounted heater see footnote 1,2 9.65
9'y SS _ b ZJ ( 5) Vent not included in appliance permit 4.75
City /State Zip p-� - Phone Check all that apply: *Boiler Heat Air
T oNaord Oa ,,m3 0,14 (o - YC(O to For items 6 -10, see or Pump Cond Qty Price Amt
NaMP(or name of business) footnotes 1.,2 Comp ft‘
0,>(,0 6) <3HP;absorb unit to
100K BTU 9.65
Occupant Mailing Address 7) 3-15 HP;absorb unit
100k to 500k BTU 17.65
City/State Zip Phone 8) 15 HP; absorb
unit .5 -1 mil BTU 24.15
Contractor Name 9) 30-50 HP; absorb
T r� unit 1 -1.75 mil BTU 36.00
U r1( 1109- to t Q 10) >50HP; absorb unit
Prior to permit Mailing Address >1.75 mil BTU 60.15
issuance, a copy Po 12)cy / -75 - 8 7 11 Air handling unit to 10,000 CFM
of all licenses iy/state Zip Phone 7.00
are required if ( -Ce4 DV- 9 ?agO ,V3 - 1 .9 7 12) Air handling unit 10,000 CFM+ •
expired in COT Oregon � on Const. � Cont. Board Lk.# D 11.75
database lo SQJ 7 / Jayv 13) Non - portable evaporate cooler
Architect Name 7.00
• 14) Vent fan connected to a single duct
or Mailing Address 4.75
15) Ventilation system not included in
appliance permit 7.00
Engineer ciyistate Zip Phone 16) Hood served by mechanical exhaust
• 7.00
Describe work to be done: 17) Domestic incinerators
12.00
New 0 Repair 0 Replace with like kind: Yes 0 No O 18) Commercial or industrial type incinerator
Residential Illi, Commercial O 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 , 1
Type of fuel: oil 0 natural gas' LPG 0 electric O 22) More than 4 -per outlet (eac .75 •
Minimum Permit Fee $50.00 SUBTOTAL • • 51),6)
I hereby acknowledge that I have read this application, that the information 5% SURCHARGE _ ;, 7 .s
given is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL
the owner, that plans submitted are in compliance with Oregon State laws. Required for ALL commercial permits only , r ..
TOTAL , , 5 2 -- 0
Signature of Owner/ ent Date ,
LiCLIM/ACUL 1_ 1! L t /99 Other Inspections and Fees:
l�J [ 1. Inspections outside of normal business hours (minimum charge -two
Contact Person Name Phone hours) $50.00 per hour
04-/t0 _ 1� ^ r - 2. Inspections for which no fee is specifically indicated (minimum
IXJI� 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
units. *State Contractor Boiler Certification required
"Residential NC requires site plan showing placement of unit
I:Vmechperm.doc rev 02/4/99
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
G BUP
Date Requested (' 1 D � 1 AM PM BLD
Location "I $ (_c1 At/-e Suite // MEC I t C 1 — OD2 S7
Contact Person 4 'fljf14& , Ph z6/ y(x0(� PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing
Foundation Access: 6
?"' )�� F e tr FPS
Ftg Drain 1J 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 i ��Lf�
Roof
Misc:
Final
PASS PART FAIL -
PLUMBING
Post & Beam
Under Slab ./1"j # /
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
Post & Beam
Smoke Dampers
p F '
A PART FAIL
E LECTRICAL
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 1 Ins K-4 Ext
Final
PASS PART FAIL 0 NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
y BUP
Date Requested 6- c/ AM PM BLD
Location /S O I' t c Suite MEC Iqq 9 -- Qois?
Contact Person 1 Ph ZJi ' 1(z.06, PLM
Contractor Ph 320 - 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
Fire Sp �j J1', /LJ l / /
Fire Sprinkler (,.��' � �l
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
MCHANICIit)
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach/Sidewalk Date Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the.job site.
1, ( i D. wit' CHRIS FI.EICH£R
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FOR: JP Builders & Fletcher's Remodeling
9435 S. W. 69th AVE
Tigard. OR