Permit ., A CITY OF TIGARD MECHANICAL PERMIT
I ` DEVELOPMENT SERVICES PERMIT #: MEC1999 -00482
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'''4.',0 '���! 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/10/1999
PARCEL: 2S112CC-07000
SITE ADDRESS: 08222 SW PATTI LN
SUBDIVISION: LANGTREE ESTATES ZONING: R -12
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: Install gas piping and gas logs in single family dwelling.
Owner: FEES
PORTER, TAU + LISA R Type By Date Amount Receipt
8222 SW PATTI LN PRMT KJP 11/10/19c $50.00 99- 319717
TIGARD, OR 97224 5PCT KJP 11/10/19E $4.00 99- 319717
Total $54.00
Phone:
Contractor:
JAY'S GAS PIPING
11525 SW CANYON
BEAVERTON, OR 97005 REQUIRED INSPECTIONS
Heating Unt lnsp
Phone: 626 -4652 Final Inspection .
Reg #: LIC 0119836 -
ExPI (, I GINAL
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 of these rules or direct questions to OUNC by calling (503)246 -9189.
Issue By: Permittee Signature: A
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
•
- hanical Permit A lication Plan Check*
CITY OF TIGARD , ,.. �;+ � , „ t�� PP Reed B y
13125 SW HALL BLVD. ' ' Commercial and Residential Date Read
• TIGARD, OR 97223 NOV ®9 1999 • Data to P,E. ' • •
(503) 639 -4171, x304 - Data to D
Permit # to e- :J 4 rf - 00'97.2:
COMMUNITY DEVELOPMENT Print or Type . ca .
Incomplete or illegible applications will not be accepted. . •
Name or nevetopmad /Prot Description , .
• Table 1A Mechanical•Code . ' Price . Amt • `, ..
Job Street Address Suited A) Permit Fee V 16.00 _ : -
1 iikaa ' � , 1) Furnace to 100.000 BTU Address
•
1 C'G�.��l „e_ including duds & vents see footnote 1,2 9.65
Cayce Zip 2) Furnace 100,000 BTU +. •
1 Including ducts & vents see footnote 1,2 12.00
(or name of bushel's) 3) Floor Furnace
Owner ( tit t hi 'V....... including vent see footnote 1,2 9.65 •
Address 4) Suspended heater, wall heater •
• 0 as 5 �p or floor mounted heater see footnote 1,2 9.65
o N� 5) Vent not included In appliance rmit - • 4.75
CayrState Zip Phone Check all that apply: `Boller Heat Air • '
&ik (')q-4 (f.. lab l For Items 6.10, see • or Pump Cond Qly, , , Price Amt • ,
name of business) footnotes 1,2 Comte •
6) c3HP;absorb unit to . .
100K BTU • • . ' • • 9.65 ' • •
Occupant + 0 7) 3-15 HP ;absorb unit
� M l ook to 500k BTU 17.65 .
C lly/State Zip Phone 8) 15-30 HP; absorb
• . unit .5-1 mil BTU V ' _ 24.15 • .
9) 30-50 HP; absorb .
Contractor NIT , , - copy / {� unit 1 -1.75 mil BTU ' 36.00 G Gk.o / , p r n 10) >50HP; absorb unit ' v •
' tssrmrboe, a p w roes t permit >1.75 mil BTU I
1$ 25 5 `^-) C /� a v, �Y 11 Alr handling unit to 10,000 CFM '
_ `�
of all licenses �p P 7.00 .
are required If q�) w O� q 7 •0 ° S 12) Jr A handling unit 10 .
expired In COT Oregod Cont. Cont Board tic.o Exp. Date 11.75
database /1 f 23.6 rl,,1 1 OX 13) Non - portable evaporate cooler . .. •
' Name ne . / 7.00
14) Vent fan connected to a single dud • : • • • -
or � Address 4.75
15) Ventilation system not included in ' . •
. • appliance permit • ' 7.00
Engineer "Able tm[ r r E 1 6) Hood served by mechanical exhaust
a
7.00
Describe work to be done: 17) Domestic Incinerators . ` •
New • - _ • = it O Replace with like kind: Yes O No O 18) Commercial or industrial type incinerator - v '7-n'. , '-..:•.. : - '. : ' : ;?i, . . • ..
Commercial O • '411.257' - ‘ 2. ; ,, , •
19) Repair units t •
Addiycnal Information or n of work 8:40.
a d .& l 20) Wood stovelgas FP /other unitsldothe dryerletc ' • • . �• 7.00:' For Commercial l projects only; 9as
Units over 400 lbs. require 21) Gas piping one to four outlets . S •
structural gas talcs. See footnote 1 ` 1 • . 3.75' ; ,
22) More than 4-per outlet (each) • .. , •• ' .75 ` . Y.: ' -
' Type of fuel: oil O natural gas O LPG O electric 0 .
Minimum Permit Fee $50.00 SUBTOTAL _l'')_
I hereby admo�wledge that I have read this application, that the information
SURCHARGE. '
given is correct, that I am the owner or authorized agent of PLAN REVIEW 2 % OF SUBTOTAL .
• the owner, •. • • ., s • hied are in compliance with Oregon State laws. Required for ALL commercial permits only
TOTAL ,
• •gent • Date`
Other Inspections and Fees: r . . fi
• r i // 1 . Inspections outside of normal business hours (mininum charge•two Pre hok:re) $50.00 per hour" Q kJeAvvi-... / �,� 2. Inspections for which no fee Is.speciflcally; ll dlcated' (minimum
r 10 V • charge-half hour) $50.00 per hour' • : , • .: ' •
FormatesFoot fo rl�Ommerclal 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 '' . •. • ,' • t:..
"Residential NC requires site plan showing Placement of unit . •:,;, ..•:, ',.
1:lnbechperm.doc rev 02/4/99 .. '
• • •
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
J pq BUP
Date'Requested 1/ /(d' ( I AM PM BLD
Location $? "PeL4/ L A Suite MEC / 4 7 e 0 - 0 - 6
Contact Person Rai_ L n n / O't-4 R-ep LZC(eh 4' a-4 �� S� PLM
Contractor 1 Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
( JI
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab 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
Under Slab FO ()
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PART FAIL ��� n S
MECHANICAL
'' b
Post & Beam .6"�
AMP
• - P ampers
i -I
PASS PART FAIL •
- TRICAL
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 1 1 d" Inspe • or Ext
Final
PASS PART FAIL DO NOT REMOVE this ins cti • record Om the job site.