Permit CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC1999 -00444
`I'l 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/19/1999
PARCEL: 1S136DB-01400
SITE ADDRESS: 10915 SW 74TH AVE
SUBDIVISION: ZONING: R -4.5
BLOCK: LOT: 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:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS: 1
Remarks: Install new gas furnace and gas piping in single family residence.
Owner: FEES
SMURTHWAITE, PAUL R + NORMA TR Type By Date Amount Receipt
10915 SW 74TH PRMT KJP 10/19/19c. $50.00 99- 319169
TIGARD, OR 97223 5PCT KJP 10/19/19. $4.00 99- 319169
Total $54.00
Phone:
Contractor:
SUNSET FUEL CO
PO BOX 42287
PORTLAND, OR 97242 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 503 - 234 -0611 Heating Unt Insp
Reg #: LIC 00002374 Final Inspection
ELE 26 -113C
OR1S11' A�..
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 co s of these rules or direct questions to OUNC by calling (503)246-9189.
Issue By: Permittee Signature: i' G'.-
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
RECEIVED
CITY OF TIGARD OCT 1 1999. mechanical Permit Application Plan Check#
13125 SW HALL
R� Recd By
13125 , OR 97223
S pf OEVELOPMEN1 Co mmercial and Residential Date Recd
(,503) 639 -4171, x304 ' I t Date to P.E.
Date to DST
• Print or Type Permit #0E(.-/ y99 -00A
incomplete or illegible applications will not be accepted called
Name of DevelupinenUFl
Description
Table 1A Mechanical Code
Job ,tree+ nnroG
1) Furnace to 100,000 BTU Suiiek A) Permit i Fee Qty Price Amt
Address 1 1 l �� t ' `' ' °;' I V . n 16. A
Bldg# Cayrstate ( 1�/ including ducts &vents see footnote 1,2 9.65 `7, ilk/ �� _ ^� _/ / 9 , 9 + 2) Furnace 100,000 ducts & i3TU+
\ � J . �,( �:J Q� +} including ducts & vents see footnote 1,2 12.00
e (or nerve of business 3) Floor Furnace Owner 1 , r . 1 �1� ri 7rn h H7 including vent see footnote 1,2 9.65
Maria Address p 4) Suspended heater, wall heater
( 115 C ( 1 -\ . + orfloor mounted heater see footnote 1,2 9.65
}
City/St V �, N1 I'ii ` 5 )_Vent.not.inciuded in appliance- Permit
Phone Check all that apply: i `Boiler Heat Air 4:75 -
T , 1 9 30D3, (Y� -00 For Items 6 -10, see or Pump Cond Qty Price Amt
1 Na (or of business) footnotes 1,2 Comp 1 �*
SI ed 6) <3HP;absorb unit to -
Occupant Mailing Address 100K BTU 9.65
7) 3-15 HP;absorb !nit I
100k to 500k.BTU ! 17.65
C. Zip Phone 8) 15-30 HP; absorb
unit .5 -1 mii BTU 1 24.15
• Contractor me t • . 9) 30 -50 HP; absorb
fk - P. ( unit 1 -1.75 mil BTU 36.00
F
Priorto permit .-- ss ' 1 aais 10) >50HP; absorb unit I
1. >1.75 mil BTU I 1 , 60.15
issuance, a copy 11 Air handling
unit to 10,000 CFM
of all licenses yrstac g
are required if �.t f lci OR P C / -
_ 1 2) A handling unit 10,000 CFM+ f 7.00
expired in COT , er_ Sce;d Lie
^. 11.75
database /V 0 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
Engineer I CItylState Zip I Phone appliance permit 7.00'
1 6) Hoot s . by , machairical exhaust
Describe work to be done: 17) i l l 7.00
Domestic incinerators
12.00
New,Qt" Repair O Replace with tike kind: Yes O Ngie 18) Commercial or industrial type incinerator
ResidentiaJ Commercial ,
48".25
j
19) Repair units
Additional information or description of work:
8.40
20) Wood stoveigas FP /other units /clothe dryer /etc. J NOTE: For Commeal projects only; Uns over 400 lbs. require 21) Gas piono one to for outIL
structural gas caics. See footnote 1 7 515
Type of fuel: oil 0 natural ga) LPG 0 electric 0 22) More than 4 -per outlet feat . 5 /
1111 Minimum Permit Fee $50.00 SUBTOTAL
I hereby acknowledge that 1 have read this application, that the information 5% SURCHARGE ii;'.
given is correct, REVIEW 2 0 ; that I am the owner or authorized agent of 5% CF SUBTOTAL -, I` j
the owner, that plans submitted are in compliance with Oregon State laws, + �_ -, : 1 1 .
g o� ' s '' ,� ° "
Required for ALL commercial permits only �� 4 ` • "
i lure ( Owner/Agent
t � ' J ' D TOTAL -,,::: , -.;! :, � . 1 �)
l 99�)/� Other Inspections and Fees:
rite pew Name l 1. Inspections outside of normal btrsirress hours (rnininum charge - two on
Phone J hours) $50.00 per hour
1 e� 1 ( ' / 2. Inspections for which no fee is specifically Indicated (minimum
Foonot for commercial projects only: charge -half hour) $60.00 per hour
1. Provide full s ommerci of roje o n l proposed gas pressure. 3. Additional plan review required by changes, additions or revisions to
9 p oposed as line and ressure. plans (minimum charge- one -half hour) $50.00 per hour
2. Provide drawings to scale showing existing and proposed mechanical
L
units.
` 1 `Slate Contractor Boiler Certification required
'"Residential A/C requires site plan showing placement of unit
terre ueemedoc rev 02/4199
7nni - t/1 n \r CJnl 1 .In r Till nncr nnn nnn �.c.r nr �r ir.: cc ivn inn
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Regueste 13(q? AM PM BLD
Location /09 /S al) 7' Suite MEC /Q ( — (3 - 04( t
Contact Person Seikiryl,a.)/SU/Yt-S( Ph A34 - 0(0/ 1 PLM
Contractor Ph SWR
•
BUILDING Tenant/Owner Paa it)boritat Snu17KoaaP_, ELC
Retaining Wall ELR
Footing
Foundation Access: e (J c0 rr 0 76`1 FPS
Ftg Drain ( ' C � / 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
ECHANICAL
eam 01,a)
`3 194,1
• ke Dampe ,,1/
ter
AS PART FAIL
RICAL
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 J ! ( f( /9 7 Inspector — 1 --- (5 (5 Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.