Permit CITY F TIGARD MECHANICAL PERMIT
.., �1� DEVELOPMENT SERVICES OA PERMIT #: MEC1999 - 00389
� --' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 63 D ATE ISSUED: 9/20/99
/' � PARCEL: 2S102BC -00901
SITE ADDRESS: 12805 SW GRANT AVE (r
SUBDIVISION: NORTH TIGARDVILLE ADDITION ZONING: R -4.5
/�
BLOCK: LOT: 029 <JURISDICTION: TIG
CLASS OF WORK: OTR 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:
WOD 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES: 1
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Remarks: Installaton of woodstove insert with full liner.
Owner: FEES
SHERREE FRIEDRICH Type • By Date Amount Receipt
12805 SW GRANT AVE PRMT DEB 9/20/99 $50.00 99- 318418
TIGARD, OR 97223 5PCT DEB 9/20/99 $3.50 99- 318418
Total $53.50
Phone: 639 - 7973
Contractor:
TOM BISHOP CONSTRUCTION
11525 SW CANYON
BEAVERTON, OR 97005 REQUIRED INSPECTIONS
Woodstove lnsp
Phone: 503 - 626 -4652 Final Inspection
Reg #: LIC 00054696
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 i I atl\n Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080.
You ay obtain opies of these rules or direct questions to OUNC by calli g (503)246 -9189.
Issu By: of CLQ6.41 Permittee Signature: AMA -,
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next usiness d y
CITY OF TIGARD Mechanical Permit.Application • .. - • ' Plan• eclk# '.`'••.•
• 1312,SW HALL BLVD. RECEIVE [�ommercial and Resident Date 7 '=. � 1
TIGARD, OR 97223 ial - Date' ,- }
•• (503)' -4171, x304 SEP 171999 ,,. ._ ��!r.
Dat DST �t
• Print or Type , „ . ' ; . Pem,lt , . r . •
Inc 1pI t W4HPe�itI application will not be , ac • .call e d;;•" :,, ' "` ' . • , a , . '
Name of Development/Project Description - <, -• . n - ,, v r.: •�'�p
/0/10 S SW Q rct Ave. :. : :
Table 1A M =' � :'
, w Prioe , . � �,
• Job Street Address suns# A) Permit Fee '16.00 -
.,-.•1P- ` ;
1) Furnace to 100,000 BTU : `!
Address including duds & vents see footnote 1,2 '' " ` 9.65' ' ,
Bldg# City /State Z : f , .
2) Furnace 100,000 BTU+ , +
1 ; including duds & vents see footnote 1,2 • ' ''12:00 ': - :
Name (or name of business) 3) Floor Furnace . • . ; . "K. 1
Owne � I • r r CV1 , ( including'vent' ' - ' see footnote 1,2 • : 9.65 . ` • ' °'
`- Sher >' e✓ 4). Suspended heater - . - ' : : ' ` .�..; V)
-- ,
Mailing C '•o'r floor motiiitedheater : ' See footnote 1,2' -' -• '9.65x• `�' :''rf`' • °
` rv lit
• 1 a O c 5 sw C ralt7 fi ver 5) Vent not included in appliance permit . ' '.•; -- ' 4.75. ' _ , •
C /State Zip Phone Check all that apply: `Boiler Heat Air • - • . ' " ^ - ;u
•
I i q ca ici 97,223 637.7777 For Items 6-10, see or Pump Cond • Qty, . Price : Amt
lc
Name for name of business) footnotes 1,2 Comp . ' • ,.';;
6) <3HP;absorb unit to
C,, 5
Sa vset e— • 100K BTU 9 :65 'F
Occupant Mailing Address 7) 3-15 HP;absorb unit •
100k to 500k BTU ,. ' :'• ' 17.65 ' • - ^ f•`' #•.
City /State Zip Phone 8) 15-30 HP; absorb >
unit .5-1 mil BTU • • 24:15:' -•'r'' „ 1 let.1.
9) 30-50 HP;absorb . •,.Y'. _: - ; 7 . ;�'�; 3 ..},
Contractor Name • :r.gt'h'^ '7::r. - i'' s sY r
:. / P A N 10 )t 1-1.75 mil BTU .. p ,! Att.!' a
aYYI S O t�fC� %OV■ 10) >SOHP; • absorb unit ', -.14? : >, > y M i?
Prior to permit Mailing Address >1.75 mil BTU " . ....„.:::f4:. 7 ,`'..-,:..- • `' .1 ' & reff2 ° f
issuance, a
Jn 60:15,c • a3, x► 411
� 1 sas 24...) el K • r. ' k ,�w o0 E • . - .
11 Air handling to 10,000 CFM a �_
L
Of 8n licenses /State Zip Phone • !- , --•••••'• at '' f % '- :' •7,•:00 uti r
are required if pa ',,e O ` ( # , _ . „ 12) Air handling unit 10,000bFM+ ; ; y . . :
ed in COT Oregon onst Cont. Board k.# Exp. Date - .. - . 1.1 :75 -t: ;A i
expired •.-
database S 9%o• Non - portable evaporate cooler �/� ' ^
Architect . . . / � .,u •3•
. . Name .:0 , . , •' 7.VV ' :g ., C
14) Vent fan connected to a Single duct = ' ::'?1,f, " ' � ' ," ,,,,, r ,^ �° NC tam
Mailing Address
15) Ventilation system not included in .: ; : ` . " ' x,° u - : °' v r , -. ,,
or t., x;4.75; x k ti ,
f ' ga :., w ; :i: ' ;_ :° ` °ti, rl;r.'�" � %' .-
,
appliance permit " ,• -..Y. -° ' „ , . 4. , ,.
Engineer City/State Zip Phone 16) Hood served by mechanical exhaust , ' , • ;.; - „,1„'t' :( '' �,:,' ;
I _ -.. wa . i ,... :7700 ^ '. .. - : 9.t4,4
"Additional information or description of work:
.Describe work to be dune.
17) Domestic Incinerators '..'11 tgs4• M.4 '4 � ; - , - *
c s .- . - .•..; .,,.-,. ,. :'P° is %a..;TM `* ti 2: 00.4 f.1 _ .A d ”
�i� .,
y' , ` f_ New air 0 Replace with like kind: Yes 0 No 0 18) Commercial or industrial type incinerator• - l Y g i r.
`;9 Resi Commercial O :"' w 482 5 t ` ¢ , k -
Repair units ,:• ,4
'" � 19) i �s: �; ^mo t' :•'r` v44.4 �.' � 4
`,, c r •: =8:40 t.. r
1
f O Ve l Y1seY'� W h y� 20 Wood stove/ as FP /other units/clothe�d er /etc::' . :, ,J- t=', ; " , ''
=? ' NOT For Commercial projects only Units over 400 lbs. require 21) Gas'piping one to four outlets <,t 5;; 'q,r.,. , /r=te ,i;v;tzYS 4: - y
:t;°,�;` t' r - Rr 3 :75� '` ,
131: '•`° structural gas talcs. See footnote 1 - ' • '• . °`�. • ^ �„�. =., ��' ,1_� ':.�• fit,
, ,Type of fuel: oil O natural gas O LPG O electric O 22) More than 4 -per outlet (each): - ' �' ••�_ • n'rN,'':;� : �"= y''' r it '+ 04 *4 ? ,k;- tf' + : ; .
' I hereby acknowledge that I have read this application, that the information Minimum Permit Fee $50 :00 ' SUBTOTAL 7% SURCHARGE - , . ?s _e i* �r
: 3. " "a'
given is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL:- , .; > :; • ;."e1g 5; •the owner, that plans submitted are in compliance with Oregon State laws. Required for ALL commercial pew TOTnly'' - ; ; •y ¥ 1., X } ' `
• , ,-V
Signature ... :r/ .nt • Date ,, 3 , , :.. ► . .. ,
„ kr, p' .n 2 t,' ' A a
Other Inspections and Fees: 1: ° ,r{ a ; - t�Y. . q
02A... I �s 1 . Inspections outside: of. normal bu hour '(mininum two* - " 5
Co ,, ct Person Nam : Phone . 5 ° a;g! ,,r. . » : a
i hours li0.00' r,hour•-. �:.;•�,;,� 3
: " t 2. nspectos or, which no> fee isspecifically_, indicaed t±:minimum (
I 4-p Y t L 2 e t/�r � I in^f
7 :f;�'^• s zi t 7 p
. Q�=l 1/t K � `�- T Z � o4a�T (GJat • charge -Half houry$5 per 'h'our , }'' ' " .� �` ., • `" ; "�^•ti "q ;* j t•:' - _'
j z. • Foonotes for cod tmerclal projects only: 3. Additional'plan"review:required by, changes; additions or• revisionszto' ...' e,
1:_,: 1.: Provide full schematic of existing and proposed gas line and pressure. ;' s "`a- ,�,�,,,•• �. ``
I '',
p lane miniinum.cha e- orieshalthou 550,00; ehour. � '' ''
: ;: 2. Provide drawings'to scale showing existing and proposed mechanical . ?_ - :, ; -: ;� ;. ; ` ' .
•' � 'u nits: " � � . • � .'' �`:'•' ': • ,,,,'' • ' _• •'�`, � - �� �' > • #�,�f :•s,+ , '�• '^
; "State' BoilerCertiflca 1 v: 0 �, ,.
"Reside A/ _ l ac m
1.:.:•;,, C;requires;site plan shorn ring > 1
pe rev 0 2/4/99 _ :,.. � '' .: " T 4. : ;r w • :- ' '
'`�� 1:lrttec r n.doc n c���� .� , Y
I rid , • ., : ., .t £ ,`�5' r r , qi , w�� f . Y•! ,•
f � 5 = -. _ . ' - f , _.... ' F=' , • i'. i' :C'' ._r r`"i `.. •i dw t.rAi� '�� . "m', IJ.0 i �l !f' a • a
CITY OF TIGARD BUILDING INSPECTION DIVISION ' MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 1/ f itlg5 AM .
PM BLD
Location t!r 0 ' ' 4 /' _ Suite MEC R ct9- t 3 S
Contact Person Pal I-- �a'Yv�'./ice'+ ; Ca (4 6 PLM
Contractor U Ph SWR
BUILDING r Tenant/Owner & - e -ei -C ELC
Retaining Wall _ ELR
Footing Access: ( LM- Gt -cro.r cr..../- ,U k & �
Foundation FPS
Ftg Drain t.a-8(s • a,�T "- '-- 6....-K4. LrJai, )
Crawl Drain In sU't-- 1 SGT
Slab 1�U (} -f0 SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing / / /SP c, G"- //,, 5- -?/ -LLcsi aii /21A-S o -2Y
Insulation •
Drywall Nailing /L, - 'LA -cc: �. �i . pc, 1 A-1 < Li I '-/'C `
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
FAIL
ECHANIC
Post&Beam `
Rough In
Gas Line
4 ,,
ke Dampers
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
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA / / [�
Approach /Sidewalk Date '< ! —/ F— Pr Inspector ‘...4 EXt
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.