Permit • CITY OF TIGARD MECHANICAL PERMIT
In DEVELOPMENT SERVICES PERMIT #: MEC1999 -00491
`�'` Ail 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/16/1999
PARCEL: 1 S125CD -06100
SITE ADDRESS: 09810 SW LANDAU PL
SUBDIVISION: PP1993 -076 ZONING: R -4.5
BLOCK: LOT: 002 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: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1
> 10000 cfm: GAS OUTLETS: 1
Remarks: Installing gas log set and gas line.
Owner: FEES
PATTY STOREN Type By Date Amount Receipt
09810 SW LANDAU PLACE PRMT GEO 11/16/19c. $50.00 99- 319806
TIGARD, OR 97223 5PCT GEO 11/16/19c $4.00 99- 319806
Total $54.00
Phone:
Contractor:
ANCHOR FIREPLACE PRODUCTS INC
14175 SW GALBREATH DR •
SHERWOOD, OR 97140 -9170 REQUIRED INSPECTIONS
Gas Line lnsp
Phone: 925 -8888 Misc. Inspection
Reg #: LIC 102814 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 direct questions to OUNC by
calling (503)246 -918 . /
Issue By: �% s9 / Permittee Signature:
Call (503) . 9 -4175 by 7:00 P.M. for inspections needed the next business day
08/20/99 FRI 16:55 FAX 503 598 1960 CITY OF TIGARD 41002
Plan Check #
CITY OF TIGARD RECEIVED Permit Application Recd By
13125 SW HALL BLVD. Commercial and Residential Date Rec'd
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 NOV 161999 . Date to DST
Print or Type
Permit #Atie / - a f
COMMUNITY DEVELOPMENT Called
Incomplete or illegible applications will not be accepted
Name of DYelopme / � 1 • Description
l S J��[J LX^/1( 1 Table 1A Mechanical Code Qty Price Amt
J Street Address Suited
Address
A) Permit Fee =: :ir'illtS r iii ;i:ii 16.00
0 Sup I _ X1 I _ P 1 Furnace to 100,000 BTU
k�L(�,�,1A, including ducts & vents see footnote 1,2 9.65
Bldg# dylstate 2) Furnace 100,000 BTU+
A.A a 6, 7. including ducts & vents see footnote 1,2 12.00
Nam (or name of business) . "�'�• 3) Floor Furnace
Owner 49 ' n'O1re.) including vent see footnote 1,2 9.65 -
Mailing Address V 4) Suspended heater, wall heater
or floor mounted heater see footnote 1,2 9.65
5) Vent not included in appliance permit 4.75
City /State Zip Phone Check all that apply: *Boiler Heat Air
For items 6 -10, see . or Pump I Cond Qty Price Amt
Name (or name of business) footnotes 1,2 Comp le*
@ � 6) <3HP;absorb unit to
100K 0K BTU BTU 9.65
Occupant Mailing Address 7) 3 -15 HP;absorb unit
100k to 500k BTU 17.65
City/State Zip ' Phone 8) 15 -30 HP; absorb
unit .5 -1 mil BTU 24.15
9) 30-50 HP; absorb
Contractor Name ^ � unit 0HP mil BTU 36.00
/cJ(„1,,�_, t 1 uni >5 1.75 absorb unit
Prior to permit Mailing Address ,, I r >1.75 mil BTU 60.15
issuance, a copy l Li r+ S , (2
1,� ,1 by ilk q Nr- 11 Air handling unit to 10,000 CFM
of all licenses Ci /State Phone 7.00
are required if g, ut)ood Dr, ci a 9 Zr j g.8 12) Air handling unit 10,000 CFM+
expired in COT Oregon Const. Cont. Board Lic.# Ex p. Date 11.75
database I C) ig i 4 • 1O( 2.(. f 0 ( 13) Non - portable evaporate cooler
Architect Name 7.00
14) Vent fan connected to a single duct
4.75
or Mailing Address
15) Ventilation system not included in •
appliance permit 7.00
Engineer City /State Zip Phone 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 O 18) Commercial or industrial type incinerator
48.25
ResidentialL Commercial
19) Repair units
Additional information or description of work: 8.40
�
1n S � _ 44�� 20) Wood stove /gas FP /other units /clothe dryer /etc. 1 % Y , A u�n�a l 1 it 1, 7.00 7 • 00
NOTE: For Commercial projects only; nits over 400 lbs. require 21) Gas piping one to four outlets
structural gas caics. See footnote 1 1 3.75 .�r"
Type of fuel: oil 0 natural gas LPG 0 electric O 22) More than 4 -per outlet (each) .75
Minimum Permit Fee $50.00 SUBTOTAL Ti :. h V .. S"0 -
I hereby acknowledge that I have read this application, that the information f; 7/o SURCHARGE i `' : `, r Y ''"� q
given is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL i ;fir
the ow r, that ns f smi d are in compliance wit Ore /, $n State flaws. • � Required for ALL commercial permits only x. to `
ntA� (( Date 1 �� TOTAL I y f ,' . (,/ --
Sign'�ture �er ;i A, i.r ', 4r` r
�� f, � gar- Other Inspections and fees:
• (j( � `7aJ - ZO �C 1. Inspections outside of normal business hours (mininum charge -two
Contact Person Name Phone hours) $50.00 per hour
2. Inspections for which no fee is specifically indicated (minimum
• charge -half hour) $50.00 per hour
_ Foonotes _for_commercial.projects only: 3. Additional plan review required by changes, additions or revisions to
1. Provide full schematic of existing and proposed gas line and pressure. plans (minimum charge -one -half hour) $50.00 per hour
2. Provide drawings to scale showing existing and proposed mechanical .
units. *State Contractor Boiler Certification required
""Residential NC requires site plan showing placement of unit
I:tmechperm.doc rev 02/4/99
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line:. 639 -4175 Business Line: 639 -4171
BUP
Date Requested // ((7 q AM PM BLD
Location R & ( - I Y Suite MEC (CI 9 - ° F `� 1
Contact Person StS€t1 j / rT C , L?) / Fy0Q,Ge...., ph ��J = kat PLM
Contractor / Ph SWR
BUILDING . Tenant/Owner PAM-1 s - ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post &Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing `% Q/4- 1= I�[1 /tls �T•� t C—S"i = �U C7 '3 8 co/0
Insulation
Drywall Nailing a:, 5 L A1rry c' •a n GA '■.Pi ref
Firewall , /
Fire Sprinkler /1'
Fire Alarm /
Susp'd Ceiling � oo t „ -c C c 1 Pte: Sr r7G iJ
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
P FAIL
(MECHANICAL
Post & tsearri a o Rough In
('G Line uk
Smoke Dampers
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
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date 7/ / 7 Inspector r Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.