Permit CITY TIGARD MECHANICAL PERMIT
1A DEVELOPMENT SERVICES PERMIT #: MEC1999 -00350
` 111 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/18/99
PARCEL: 2S 112CB -09900
SITE ADDRESS: 15312 SW KENTON DR
SUBDIVISION: ASHFORD OAKS NO. 2 ZONING: R -7
BLOCK: LOT: 113 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: 1
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Remarks: Installation of gas line and gas fireplace insert.
Owner: FEES
SCOT M. SUTTON, ANITA Type By Date Amount Receipt
15312 SW KENTON DRIVE PRMT GEO 8/18/99 $50.00 99- 317744
TIGARD, OR 97224 5PCT GEO 8/18/99 $3.50 99- 317744
Total $53.50
Phone: 503 - 639 -5887
Contractor:
DUNRITE CONTRUCTION
DWAYNE F ROBERTS
14974 SW 109TH AVE REQUIRED INSPECTIONS
TIGARD, OR 97224
Gas Line Insp
Phone: 503 - 670 -8468 Misc. Inspection
Reg #: LIC 133777 - Final Inspection
ORIGINAL
•
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 through OAR 952 - 001 -0080. You may obtain copies of these rules or d' -« • uestions to OUNC by
calling (503)246 -91$x.
� i .
Issue By: . - Permittee Signature: �' , SO_�
Call (503) 6 , 175 by 7:00 P.M. for inspections needed the next business day
Plan Check #
CITY OF TIGARD Mechanical Permit Application Rec'd By
,13125 SW HALL BLVD. Commercial and Residential Date Rec'd
TIGARD, OR 97223 Date to P.E.
•
(503) 639 -4171, x304 'Ilk Date to DST
Print or Type Permit #MFG= fgff - 0 0356
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Description
r Table 1A Mechanical Code Qty Price Amt
J Street Address Suite# A) Permit Fee °,rcc;' „` :`= "''',; 16.00
/c.�,y - /A �_ 1) Furnace to 100,000 BTU
Address 1�77��' including ducts & vents see footnote 1,2 9.65
Bldg# City /State Zip . Furnace 100,000 BTU+ -
- n Dog � � including ducts & vents see footnote 1,2 12.00
Name (or name of business) 3) Floor Furnace
Owner Sa9r Al 57470,V including vent see footnote 1,2 9.65
Mailing Address 4) Suspended heater, wall heater
l or floor mounted heater see footnote 1,2 9.65
`s / - LSD/ t/ be. 5) Vent not included in appliance permit 4.75
City/State Zip Phone Check all that apply: *Boiler Heat. Air
< 77 , 9 (i 97j,,,L' 9 49,..w7 For items 6 -10, see or Pump Cond Qty Price Amt
Name (or name of business) footnotes 1,2 Comp
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 -P one 8) 15 -30 HP; absorb
_/ unit .5 -1 mil BTU 24.15
9) 30 -50 HP; absorb
Contractor Name ' F•. szefteorts unit 1 -1.75 mil BTU 36.00
*,4 2- vrE CCOAS ()rtntt3(11:9J 10) >50HP; absorb unit
Prior to permit Mailin A ddress -h - >1.75 mil, BTU 60.15
issuance, a copy ( ki 4 ' . Li . 1 Q � a Vim. 11 Air handling unit to 10,000 CFM
of all licenses Cit /S tate Zip Phone 7.00
are required if I 6 (70 ct l ZZy vie -awl) 4 12) Air handling unit 10,000 CFM+
expired in COT Oregon Const. Cont. Board Licit Exp. Date 11.85
database `vJv7 - 1'1-1 2 /g -o l 0_; 13) Non - portable evaporate cooler
Architects 7.00
`\ 14) Vent fan connected to a single duct
or Mailing Addres 4.75
15) Ventilation system not included in
_ `___ appliance permit 7.00
Engineer City /State Zip' ' • •ne 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 18) Commercial or industrial type incinerator
Residential Commercial 48.25
19) Repair units
Additional information or description of work: 8.40
20) Wood stokrer units /clothe dryer /etc. l
r 7.00
NOTE: For Commercial projects only; Units over 400 lbs. require 21) Gas piping one to four outlets
structural gas talcs. See footnote 1 / 3.75
Type of fuel: oil 0 natural ga LPG 0 electric O 22) More than 4 -per outlet (each) .75
Minimum Permit Fee $50.00 SUBTOTAL >; '-''!' - elogit.50
I hereby acknowledge that I have read this application, that the information 7% SURCHARGE ,. g ,„ ,. =`'n t;: ayM
given is correct, that.l am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL ' 3 " ... ;2
Required for ALL commercial permits only �-
the owner, that plans submitted are in compliance with Oregon State laws. a=
.
TOTAL " ; "a ;.3
- Signature of Ow er /Agent Date r
Other Inspections and Fees:
za7. � -11 1. Inspections outside ofnormal business hours (mininum charge -two
Co t one" Phone hours) $50.00 per hour
ieW I //4l . • • 2. Inspections for which no fee is specifically indicated (minimum
Seor Al. Sr/l/o d ,4 67 cat charge -half hour) $50.00 per hour
Foonotes for commercial projects only: d� 3. Additional-plan-review-required by changes,- additions -or revisions -to
1. Provide full schematic of existing and o � �+�� plans (minimum charge- one -half hour) $50.00 per hour
g pose gas line and pressure. p
2. Provide drawings to scale showing existing and proposed mechanical
units. *State Contractor Boiler Certification required
* *Residential A/C requires site plan showing placement of unit
I: \mechperm.doc rev 7/19/99
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
/:f, r . -, 01,0 BUP
Date Requested F ` S y l ♦ - - / a = r M - BLD
Location IS3 2 � C J , � 4 . Or r° Suite MEC . 1 qqq-( 73So
Contact Person . . J Ph C93/ -S Sg PLM
Contractor . - Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall EL R
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 wall ^, �-S J /'- / 4 L/2
Fire Sprinkler c �-s / (�U
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Anal Q// J R. QWoed u /
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
fiEt
Post & Beam
Rou h In
•
Smog Dampers
PART FAIL
RICAL
Service
Rough In
UG /Slab
Low Voltage •
Fire Alarm
Final
i
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 fo reinspection RE: [ ] Unable to inspect no access
ADA
Approach /Sidewalk
Other Date C.) Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.