Permit 4
A F TIGAR C ITY O D MECHANICAL
,4„,„),„,„,,, DEVELOPMENT SERVICES PERMIT
-. - '.. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -417 �'E RM I T # MEC98 -0 67
�® DATE ISSUED: 07/09/98
4
PARCEL: 1S135DB -03600
SITE ADDRESS...: 11480 SW 92ND AVE
SUBDIVISION....: DOGWOOD RIDGE ZONING: R -4.5
BLOCK • LOT....... ...... :009 JURISDICTION: TIG
CLASS OF WORK.. :ALT FLOOR FURN • 0 EVAP COOLERS: 0
TYPE OF USE.... :SF UNIT HEATERS..: 0 VENT FANS... 0
OCCUPANCY GRP.. :R3 VENTS W/0 APPL: 0 VENT SYSTEMS: 0
STORIES ° 0 BOILERS /COMPRESSORS HOODS • 0
FUEL TYPES 0 -3 HP • 0 DOMES. INCIN: 0
:GAS 3 -15 HP - 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15 -30 HP • 0 REPAIR UNITS: 0
FIRE DAMPERS?..: 30 -50 HP....: 0 WOODSTOVES..: 0
GAS PRESSURE...: 50+ HP • 0 CLO DRYERS..: 0
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.: 1
FURN < 1O0K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN > =1O0K BTU: 0 > 10000 cfm: 0
Remarks : Installation of gas fireplace.
Owner: FEES
TERRY W SMITH type amount by date recpt
11480 SW 92ND AVE PRMT $ 25.00 DEB 07/09/98 98- 307237
TIGARD OR 97223 SPCT $ 1.25 DEB 07/09/98 98- 307237
Phone #:
Contractor:
TERRY SMITH
11480 SW 92ND AVE
$ 26.25 TOTAL
TIGARD OR 97223
Phone #:
Reg #...
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Mechanical I n s p _
Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. Inspection
applicable laws. All work will be done in accordance with Final Inspection.
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 by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952- 001 -0010 through OAR 952- 001 -0080. You may
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obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
Issue - . ,- . . 4 1 4 -� Permittee Signature: ` ' _ ./ �,�....�.._.
I
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + ++ + + + + + + + + + + + +, + + + + + + + + + ++
Call 639 -4175 by 7 :00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + ++ + + + + + + + + ++
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Plan Ch
CITY OF TIGARD Mechanical Permit Application Recd /nil-)
13125 SW HALL BLVD. Commercial and Residential Date Recd 7 -9 -AR'
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to D
Print or Type Permit # /-f , Q
Called
. Incomplete or illegible applications will not be accepted
7C Name of Development/Project Description
Table 1A Mechanical Code QTY PRICE AMT
Job Street Address ., u Suite# A) Permit Fee -0- -0- 10.00
Address 1 1 1- S W 9 2V4n
Bldg# City/State Zip 1.) Furnace to 100,000 BTU 6.00
1 0 ' Q ,... �l 12$ including ducts & vents
Name (or name of business) 2.) Furnace 100,000 BTU+ 7.50
Owner .----- 2#,"4 . t /-1,4 including ducts & vents
Mailing Address � �� 3.) Floor Furnace 6.00
_�A.0M -�. 0..- cc.ti2'V` including vent
City /State Zip Phone 4.) Suspended heater, wall heater 6.00
or floor mounted heater
Name (or name of business) 5.) Vent not included in appliance permit 3.00
Occupant Mailin ddress; 6.) Boiler or comp, heat pump, air cond. 6.00
to 3 HP; absorb unit to 100K BUT**
city /S ■ Zip Phone 7.) Boiler or comp, heat pump, air cond. 11.00
3-15 HP; absorb unit to 500K BTU"
Contractor /Name 8.) Boiler or comp, heat pump, air cond. 15.00
t. 15-30 HP; absorb unit.5 -1 mil BTU"
Prior to permit Mailing Address 9.) Boiler or comp, heat pump, air cond. 22.50
issuance, a copy 30-50 HP; absorb unit 1- 1.75mil BTU"
of all licenses City /State Zip Phone 10.) Boiler or comp, heat pump, air cond. 37.50
are required if > 50 HP; absorb unit 1.75 mil BTU"
expired in COT Oregon Const. Cont. Board Lic.# Exp. Date 11.) Air handling unit to 10,000 CFM 4.50
database
Architect \ erne 12.) Air handling unit 7.50
`,. 10,000 CTM+
or Mailing Address 13.) Non - portable evaporate cooler 4.50
Engineer City /State Phone . 14.) Vent fan connected to a single duct 3.00
Describe work New O Addition 0 Alteration 0 Repair 0 15.) Ventilation system not included 4.50
to be done Residential 0 Non - residential 0 in appliance permit
Additional Description of work: 16.) Hood served by mechanical exhaust 4.50
j -f ) ( p - 9s q Y ,� f eAc e� 17.) Domestic incinerators 7.50
Existing use of � , M ,.. . "'� 18.) Commercial or industrial 30.00
building or property type incinerator
19.) Repair units 4.50
Proposed use of 20.) Wood stove . 4.50
building or property
21.) Clothes dryer, etc. 4.50
Type of fuel - oil 0 natural gasK LPG 0 electric 0 22.) Other units G4* at Atilef„ l 4.50 v S )
I hereby acknowledge that I have read this application, that the information 23.) Gas piping one to four outlets / 2.00
given is correct, that I am the owner or authorized agent of /
the owner, that plans submitted are in compliance with Oregon State laws. 24.) More than 4 -per outlet (each) .50
ignature of Owner /Agent Date "SUBTOTAL 40 CC)
► I --1 / 9. I t1 r 5% SURCHARGE ; � 1 ,e 7 - , /0.
Contact Pe , on , ame Phone PLAN REVIEW 25% OF SUBTOTAL t ;* WNW
- Lp . � ,. 1 t+ 4' D Required for all commercial permits only � 1 ` 1
I � 11-11 1- Q 3 3 4--1.1 if TOTAL m . " .' V , : a /
`Minimum permit fee is $25 + 5% surcharge
"Residential NC requires site plan showing placement of unit.
I:tmechprmt.doc rev 4/15/98
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 4Hour Inspection Line: 639 -4175 Business Line: 639 -4171 t ST
p BUP
1 D Requested O - ! ? AM a X' BL
Location 1 I 44'0 Sw q ,In L Suite ME� cig--0Q {0
Contact Person e Ph 68q4/60 /6 f PLM
Contractor Ph SWR
BUILDING :'` y. ',' ' Tenant/Owner qa_./ ELC
Retaining Wall - ELR
Footing Access: �r itentieco_nbc
Fo undation / Q G� i= PS
Ftg Drain �(o� SGN
Claw
Crawl Drain Inspection Notes: ! of Arnai Ern IV Iti
SIT
Post & Beam
......it. s ekz,
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing N pliel Fire ' /02A Sprinkler /2AW
Sprinkler
7
Fire Alarm
Susp'd Ceiling
maa/
Misc: �"
Final
PASS PART FAIL
PLUMBING.:'_ ` ; . c90P-4u4,6,04
Post & Beam p
Under Slab w V I ab 1
Top Out [
� (� �
Water Service � v 2 ST l C '- 0 /; c)
Sanitary Sewer
Rain Drains 6 * -- 6(0 S,3 ,
Final
• --. °_"_m: FAIL
MECHANICAL ) j L1/ ve_f\ to, LIAA1 U-&C:‘,‘
/�
Rough In . / .. i 4 Oc " V vS 1 'cl (0 (_ o 7;2, '---
Gas Line
env A s
Dampe .1 ( e 1,-C- ■ 4 - lS;
PASS FAIL 1
ELECTR
S ervi ce ��A ‘---Q- 1 / 4 ./"- 7�.J� C
Rough In L � � � �] � ��
UG /Slab S . LA - - �
Low Voltage
_�-' � - —
Fire Alarm \ S 1-2,e \ 1/
Final
PASS PART FAIL
SITE- .:f -; "-':=:: .' . .
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 r- G
Date / 6 ( K Ins p e ctor e " �
Other � Ext3 \ ,
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 7$ 0 0 . - 6 7
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 , aau���p
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 1 Lt. 0 / o / ;, CLASS OF WORK:
SUBDIVISION: I LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: Cai, r p
OWNER: PHONE #:
CONTRACTOR: optitt PHONE #:
Inspection Request Scheduled For: Date: jr- 7 7 Pour Time:
Code # Inspection Description Confirm # Contact # Message
6 ,5 3(0`'3
Corrections /Comments/ Instructions:
12 PASS ❑ PARTIAL APPROVAL I I CANCEL ❑ NO ACCESS
FAIL I I CA L FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: / 7 d Phone #: (503) 718-
5/18/00 Activities for Case #: MEC98 -00267
4:52:38 PM E
Assigned Hold Updated EXPIRED �
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECA007 Application received 7/9/98 DEB RECD DST 7/9/98
MECA008 Create Permit 7/9/98 DEB DONE DST 7/9/98
MECA799 Final Inspection J *H 9/4/98 No final inspection until the
other work has been approved
on MST96 -0422 &
ELC96 -0653.
MECA715 Mechanical Insp 7/9/98 7/10/98 RB PART RB 7/13/98 Contingent to completion of
MST96 -0422 AND
ELC96 -0653. FIREPLACE
INSTALLATION OK, EXCPET
• THAT TOP PIECE NEEDS TO
BE 1" AWAY FROM b -VENT.
MECA750 Misc. Inspection 7/9/98 DST 7/9/98
MECA060 (F) Issue permit 7/9/98 DEB DONE DST 7/9/98
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MECA750 Misc. Inspection 2/18/00 2/18/00 2/18/00 JMT DONE No Hold JMT 2/18/00 Research inspection request
MECA880 Expired by limitation 5/8/00 HAP DONE No Hold AKJ 5/8/00
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