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Permit CITY OF TIGARDp. MECHANTCAL 4,„ SERVICES PERMIT Ipa ( F'ERM I T # MEC98 -0494 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 wAip E ISSUED: 11/03/98 1S135DB -04100 SITE ADDRESS...: 11330 SW 92ND AVE SUBDIVISION DOGWOOD RIDGE ZONING: R -4.5 BLOCK ....... °..: LOT °014 JURISDICTION: TIG CLASS OF WORK..:OTR FLOOR FURN • 0 EVAP COOLERS: 0 TYPE OF USE •SF UNIT HEATERS..: 0 VENT FANS...: 0 OCCUPANCY GRP..:R3 VENTS W/O 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.: 4 FURN < 100K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 1 FURN > =100K BTU: 0 > 10000 cfm: 0 Remarks : Installation of 4 gas inserts and gas piping for each. Owner: FEES JOSEPH H BUI type amount by date recpt 11330 SW 92ND PRMT $ 30.00 DEB 11/03/98 98- 310550 TIGARD OR 97223 5PCT $ 1.50 DEB 11/03/98 98- 310550 Phone #: Contractor : JOSEPH H BUI 11330 SW 92ND AVE -•- 31.50 TOTAL TIGARD OR 97223 Phone #: Reg #..: 000000 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Gas Line Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp applicable laws. All work will be done in accordance with Misc. Inspection approved plans. This permit will expire if work is not started Final Inspection 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 ORR 952- 001 -0010 through ORR 952- 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246 -9187. . Ga tirma t i . Issue B.° Permittee Signat ✓r -e: ,.41147./A ACC. ++++++++++++++++++++++++++ + + + + + + + + + + + + + + ++ + + + + + + + + + + + + ++++ + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for inspections needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Plan Ch CITY OF TIGARD Mechanical Permit Application Recd B . 7 _ ' 13125 SW HALL BLVD. Commercial and Residential Date Recd - 4 TIGARD, OR 97223 Date to P.E. (503) 639 -4171, x304 Date to DST Print or Type Permit# M �C Q -� ?9 Incomplete or illegible applications will not be accepted Called Name of Development/Project Description I , 0 Ctit.) /'2-- Table 1A Mechanical Code Qty Price Amt Job Street Address Suite# A) Permit Fee ;i 10.00 Address "` s � ,{� 1) Furnace to 100,000 BTU • n I I1( - including ducts & vents 6.00 Bldg# City/State Zip 2) Furnace 100,000 BTU+ 46„,„„( , 2.-7-3 including ducts & vents 7.50 • Name (or name of business) 3) Floor Furnace Owner - 7C7 5- H-- A • including vent 6.00 M ailing Address 4) Suspended heater, wall heater • q or floor mounted heater • 6.00 • t '5 U �� -t Z 5) Vent not included in appliance permit City /State Zip Phone 3.00 -TA ot<1 72 6 V - Q( ( CHECK ALL *Boiler Heat Air Name r name of business) THAT APPLY: . . - or Pump Cond Qty Price Amt Comp 6) <3HP;absorb unit to Occupant Mailing Address - 100K BTU 6.00 7) 3 -15 HP;absorb unit City /State Zip 1 Phone • 100k to 500k BTU 11.00 8) 15 -30 HP; absorb unit .5 -1 mil BTU • 15.00 Contractor tame • • 9) 30 -50 HP; absorb \O _ 1 ' kh 11- 7k ,t unit 1 -1.75 mil BTU 22.50 Prior to permit Mailing Address / .10) >50HP; absorb unit - . is_suance,.a copy I "� d c4,tJ q Z 0i .. >1.75 mil BTU 37.50 of all licenses CV /State Zip Phone 11) Air.handling unit to 10,000 CFM are required if u ,yn„c ' ?L2 6 Seg , - • 4.50 - expired in COT Oreg oust. Cont. Board Lic.# Exp. ate - 12) Air handling unit 10,000 CFM+ database , 7.50 Architect Name 13) Non - portable evaporate cooler . 4.50 or Mailing Address 14) Vent fan connected to a single•duct 3.00 • . 15) Ventilation system not included in . Engineer City /State Zip Phone appliance permit • 4.50 - 16) Hood served by mechanical exhaust Describe work to be done: 4.50 17) Domestic incinerators New V Ileriair O Replace with like kind: Yes 0 No 0 7.50 Residential Commercial 0 - 18) Commercial or industrial type incinerator -. 30.00 Additional information or description of work: . 19) Repair•units - V - • 4.50 • • 20) Wood stove 4.50 21) Clothes dryer, etc. / 4.50 Type of fuel: oil 0 natural gas K1 LPG 0 electric 0 . =.22) Other units IOLA • tiv\ p � __ 4.50 ( o � _ � .NC O I hereby acknowledge that I have read this application, that the information 23) Gas piping one to four`tlutlets cc, given is correct, that I am the o wner or authorized agent of . I • - • 2.00 p�' the owner, that plans submitted are in compliance with Oregon State laws. 24) More than 4 -per outlet.(each) . .50 Signature of Owner /Agent Date , ; " , , , 5 9 , 0C) • &Ili / I f y f Minimum Permit Fee $25.00 SUBTOTAL ; 5% SURCHARGE I,S V on . t --rson Name Phone PLAN REVIEW 25% OF SUBTOTAL , . • Required for ALL commercial permits only '� - TOTAL .' �/ is 3 *State Contractor Boiler Certification required • **Residential A/C requires site plan showing placement of unit I:Unechperm.doc rev 07/20/98 6/16/00 Activities for Case #: MEC98 -00494 1:45:42 PM eolv•A ® is, Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated N otes MECA007 Application received 11/3/98 DEB RECD DST 11/3/98 MECA008 Create Permit 11/3/98 DEB DONE DST 11/3/98 • MECA799 Final Inspection 11/24/98 HAP FAIL J *H 12/15/98 1. Provide accurate schematic of gas piping (size, distance, BTU detmand per appliance) at new system. 2. If medium pressure meter, show pressure reducing valve locations. 3. Provide lateral support of gas piping behind range (NOTE: do not attach electrical boxes to gas piping.) 4. Test appears to be uncapped (to control valve at range). 5. Revise permit to include all appliances. GAS TEST OKAY 11 #26 min (new 3/4 line to east of meter). LOAD CALCS: 2 gas logs, 2 gas stoves, 1 range, 1 bbq MECA•05 Gas Line Insp 11/3/98 12/8/98 TLP PART J *H 12/11/98 gas line only 2# pressure 60 #test no regulator installed at this time must be checked at final all heating unit vents /flex liners installed MECA715 Mechanical Insp 11/3/98 DST 11/3/98 MECA750 Misc. Inspection 11/3/98 11/10/98 GS CONF J *H 11/12/98 1. Remove gas pipe support bracket from duct work in basement. 2. Seal penetrations of piping on both sides of masonry fireplaces. 3. Submit pipe sizing diagram for all gas piping and appliances on premises. SEE ELC97 -0601 MECA060 (F) Issue permit • 11/3/98 DEB DONE DST 11/3/98 MECA020 Hold for 11/9/98 HAP HOLD DGW 11/9/98 Action pending...enforcement of electrical code violation and possible zoning /building violations...hap MECA705 Gas Line Insp 11/24/98 HAP FAIL J *H 12/15/98 See final MECA036 Hold Release to Issued 2/2/99 HAP RELS DGW 2/2/99 ELC permits inspected and closed...OK to proceed....hap Page 1 of 2 • 6/16/00 Activities for Case #: MEC98 -00494 1:45:42 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MECA705 Gas Line Insp 2/2/99 GS PASS G.ES 2/2/99 NOTE; All gas appliances will be off a lo- pressure line (2# service is omitted, to -press service only. New 1/2" pipe installed to replace the old pipe to the bsmt furn, fireplace and range it also supplies the upstairs family rm fireplace TAG #323159 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 6/7/00 HAP DONE No Hold AKJ 6/7/00 • • Page 2 of 2