Permit CITY OF TIGARD
A J M PERMIT
45111. DEVELOPMENT SERVICES /y,; PERMIT #: MEC1999 -00364
i1 ' y ��� L ISSUED: 9/7/99
�'�' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S1 11 CA -13700
SITE ADDRESS: 09685 SW SATTLER ST
SUBDIVISION: DARMEL ZONING: R -3.5
BLOCK: LOT: 012 JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS WIO APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN '< 100K BTU: AIR HANDLING UNITS • •
FURN > =100K BTU: 1 <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Remarks: Installation of 100,000 BTU+ furnace and associated gas piping.
Owner: FEES
FURLOTT, RODNEY Type By Date Amount Receipt
9685 SW SATTLER PRMT DEB 9/7/99 $50.00 99- 318146
TIGARD, OR 97224 5PCT DEB 9/7/99 $3.50 99- 318146
Total $53.50
Phone: 624 -9439
Contractor:
ABODE HEATING AND A/C
6151 SE HACIENDA STREET
HILLSBORO, OR 97123 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 649 -2440 Heating Unt lnsp
Reg #: LIC 0076115, Final Inspection
•
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 iri the Oregon
Utility ' - 'cation Center. Those rules are set forth in OAR 952 - 001 -00 0 through OAR 952- 001 -0080.
Yo may obta copies of th -se rules or direct questions to OUNC by' •Iin� 03)246 -9189.
• - Iss - By: ,� , ' .'/_:1 ) ' Permittee Signatu • '' _
Call (503) 639 -4175 by 7:00 P.M. for inspections needed t next business day
CITY OF TIGARD Mechanical Permit Application Plan eck#
PP Rec' By
- 1312v SW HALL BLVD. Commercial and Residential Date Rec'd F-7 -f 7
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST
Print or Type Permit # H€Crge -005bfl
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Description
Table 1A Mechanical Code Qty Price Amt
Job Street Address Cd.\suite# A) Permit Fee 16.00
•
Address ek Q 1) Furnace to 100,000 BTU
• including ducts & vents see footnote 1,2 9.65
Bldg# City/State Zip - 2) Furnace 100,000 BTU+
rd.e- ? 2 2 . 2 including ducts & vents see footnote 1,2 12.00
Name (or name of business) / 3) Floor Furnace
•
Owner r0QtKLO.r including vent see footnote 1,2 9.65
Mailing Address 4) Suspended heater, wall heater
96 dS- W
5 , . 9 1 et- or floor mounted heater see footnote 1,2 9.65
C� !J 5) Vent not included in appliance permit 4.75
City/State Zi Phone Check all that apply: *Boiler. Heat. Air
f,. 0..a2 - � l 72- ( For items 6 -10, see or Pump Cond Qty Price Amt
Name (or name of business) footnotes 1,2 Comp
e_ 6) <3HP;absorb unit to
'cc,-* 100K BTU 9.65
Occupant Mailing Address 7) 3 -15 HP;absorb unit
104 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 1 -1.75 mil BTU 36.00
6 eo b f ' 10 >5OHP; absorb unit
Prior to permit Mailing Address qq � / S 4- >1.75 mil BTU 60.15
issuance, a copy l / 5/ SE ftccC tc"da . 11 Air handling unit to 10,000 CFM
of all licenses City /State Zip - Phone 7.00
are required if H 11 (5 � , 2 - 0 Op.97 / 3 772 - 7/ 12) Air handling unit 10,000 CFM+
expired in COT Oregon Const. Cont. Board Lic.# Exp. Dat 11.85
database 7,//5 q/ /Ay 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
Residential 0 Commercial 0 48.25
19) Repair units
Additional information or description of work: 8.40
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 1 3.75
Type of fuel: oil 0 natural gas 0 LPG 0 electric 0 22) More than 4 -per outlet (each) .75
Minimum Permit Fee $50.00 SUBTOTAL
I hereby acknowledge that I have read this application, that the information 7% SURCHARGE
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
Signature of Owner /Ag t Date/ Other Inspections and Fees:
i rm e _ 9 / 7 / 1. Inspections outside of normal business hours (mininum charge -two
Contact Person • • - 1 • Phone hours) $50.00 per hour
Job- tinu.ier S3� � 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:\rmechperm.doc rev 7/19/99 C/- /Gf 4/( ___
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
Date Requested q � 9 l 1 AM K PM \ T BUP
Location `1 g S S 4 q Q I L Suite MEC Hei 9 -tO q
Contact Person - 0\ e ) fl Ph 69 PLM
Contractor Ph SWR
BUILDING Tenant/Owner 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 .I L _ _ _ _ _ -
Insulation
Drywall Nailing
Firewall �r,
Fire Sprinkler ti�N Gam. c A C1, n ( V
Fire Alarm
Susp'd Ceiling $ � ►
Roof c d)
Misc:
Final
PASS PART FAIL -�
PLUMBING 77 Tom, / -S (4rj s 7l
Post & Beam
Under Slab
Top Out
Water Service y\/\_ S S -•-
Sanitary Sewer
Rain Drains �.� 11 1
Final
PASS PART AIL cc_.S •
CHANICN_ , Cq.J \ / 1 •
Post & Beam
aii6 (7(65 • 1 * - — 5;
ad
mo e mpe rs
• a•
40 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
Date Inspector / Itor " f �`
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION M- 9 60
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 V
BU
Date Requested AM PM BLD
Location ` ZS SaMtee Suite MEC I ?9 q- co 360,
aAtez atanil 'RuI0 'Ph lX 2 /Lgi7 PLM
ContractorAcAnat' Ip( IL gala} /[q Ph DP/6 SWR
U16 Tenant/Owner J ELC
Retaining Wall ELR
Footing Access:
Foundation C n - n ° �,� ^ 4 ��/(. acc FPS
Ftg Drain �(' �t [/�f Y �. SGN
Crawl Drain Inspection Notes:
Slab [ SIT
Post & Beam
Ext Sheath/Shear 7.14,11e&h5
Int Sheath /Shear
Framing
Insulation � ^
Drywall Nailing i)1/TJZ- Af
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
=S PART FAIL L�� � -
PLUMBING
Post & Beam
Under Slab / Out Water err Service 4r4r L / /i // /L� , ' �� 07,7
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
ANIC
Post & Beam
Rough In
Gas Line
S i ke Dampers
V� 1
RT FAIL
CTRIC •
Service
Rough In •
UG /Slab
Low Voltage
•
Fire l arm
inaL)
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 r� Inspector %' // Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.