Permit A CITY OF TIGARD MECHANICAL PERMIT
4I DEVELOPMENT SERVICES PERMIT #: MEC1999 -00563
I I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/20/1999
PARCEL: 2S111 BD -00412
SITE ADDRESS: 09700 SW MARILYN CT
SUBDIVISION: DARMEL NO. 3 ZONING: R -3.5
BLOCK: LOT: 029 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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: < =10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Remarks: Installation of a new gas furnace and gas piping for furnace, water heater and two stubs for future fireplace and
BBC).
Owner: FEES
DAVID HATHAWAY Type By Date Amount Receipt
9700 SW MARILYN CT PRMT DST 12/20/19c $50.00 99- 320553
TIGARD, OR 97224 5PCT DST 12/20/19c $4.00 99- 320553
Total $54.00
Phone: 503 - 968 -8208
Contractor:
SPECIALITY HEATING + FABRICTN
9528 SW TIGARD
TIGARD, OR 97223 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 620 -5643 Heating Unt lnsp
Reg #: LIC 00066578 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 - pies • 'es> les or direct questions to OUNC by calling (503)246 -9189.
Issue By: ` / Permittee Signature: A K
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
CITY OF TIGARD Mechanical Permit Application ReCdBY °k#
13125 SW HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST
Print or Type
Permit # /e / yam - 3
Incomplete or illegible applications will not be accepted Called
Name of Development//Pr ject �_ /� Description
n �� / "�"� [ Table 1A Mechanical Code Qty Price Amt
Job � Strereee a t Address
�° L suiteu A) Permit Fee 16.00
Address 9 ?VV S(,(� / J ( 1) Furnace to 100,000 BTU
including ducts & vents see footnote 1,2 I 9.65
Bldg# City /Stat Zip 2) Furnace 100,000 BTU+
d ()E97.2.24' including ducts & vents see footnote 1,2 12.00
Name (or ciame of b sin 3) Floor Furnace
Owner including vent see footnote 1,2 9.65
4) Suspended heater, wall heater
Mailing Address , - or floor mounted heater see footnote 1,2 9.65
7 7 00 0 it l // `f 5) Vent not included in appliance permit 4.75
39/State Zip Phone Check all that apply: 'Boiler Heat Air
/i � ci q? 4/ 9 r .. O For items 6 -10, see or Pump Cond Qty Price Amt
Na a (or a 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 Phone 8) 15 -30 HP; absorb
unit .5 -1 mil BTU 24.15
N -
9) 30 -50 HP; absorb
Contractor e unit 1 -1.75 mil BTU 36.00
A/ 7 10) >50HP; absorb unit
Prior to permit ilin ddress 7 >1.75 mil BTU 60.15
issuance, a copy Lt� rSCi.) ((� ai.4 ST 11 Air handling unit to 10,000 CFM
of all licenses ./state Zip Phone 7.00 •
are required if / r 9 7 03 � f 2O- 3 12) Air handling unit 10,000 CFM+
expired in COT ot. Cont. Board Lic.# Ex . Date / 11.85
database 7 //! b.,' 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 Repaji..0 Replace with like kind: Yes O No O 18) Commercial or industrial type incinerator
Residential Commercial 0 48.25
19) Repair units
Additional info ation or description of work' 8.40
/ } lia4 @C- -ems 20) Wood stove /gas FP /other units /clothe dryer /etc.
7.00
NOTE: For Commercial projects only; Units over 400 lbs. require 21) Gas piping one to four outlets .
structural gas calcs. See footnote 1 3.75
Type of fuel: oil 0 natural gas, LPG 0 electric 0 22) More than 4 -per outlet (each) .75 J �-
Minimum Permit Fee $50.00 SUBTOTAL �"
I hereby acknowledge that I have read this application, that the information 8% SURCHARGE 4f----'
given is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL - -
the owner, that plans submitted are in compliance with Oregon State laws. Required for ALL commercial permits only
TOTAL
Signat of Owner /Agent Date -
Other Inspections and Fees:
/. 1. Inspections outside of normal business hours (mininum charge -two
Co ct Person Name - / Phone hours) $50.00 per hour
� 61 �f .,--0 'S613 2. Inspections for which no fee is specifically indicated (minimum
charge -half hour) $50.00 per hour
wnotes 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 7/19/99 _
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
Flour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested l Z /'Zq 9 e l AM PM BLD
Location 9 pct/ �
it .( �-- C Suite MEN ifc79 -ooscd
Contact Person Wjf v e / f' Ph (D 2C, - SLp PLM / �� - 0- - 0 - e) / . S 1
Contractor Ph SWR ]
BUILDING Tenant/Owner EL� 'L�l C �� l -CO-7 S I
Retaining Wall p ELC q1"° 0 313 J -
Footing y ��?� �0 FPS
Foundation Access b L � ✓
Ftg Drain r'°' SGN
Crawl Drain Inspec 'o Notes:
Slab 1 ae., s'3 g�4, ,.lZ,.l.P ✓ie e. SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
•
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam �-
Top
Under Slab 1� .i� :�v z � ��� n- ? "73
/ ys-
Water Service ,��.,... y 3 j�. t
Sanitary Sewer
Rain Drains
Final
PAS RT FAIL
CHANIC
Post & Beam
Rough %CUM'
mo e Dampers
ina
S PAS PART FAIL
E
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
4 1)
•ASS 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 /may 2 r / - 5 2 Inspector _-�,,e Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.