Permit •
/ •
CITY OF TIGARD MECHANICAL PERMIT
A1e#414 � PERMIT #: MEC2000 -00081
� DEVELOPMENT SERVICES
' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/14/00
PARCEL: 2S111 CA -14900
SITE ADDRESS: 09975 SW SATTLER ST
SUBDIVISION: ALDERBROOK FARM ZONING: R -3.5
BLOCK: LOT: 007 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:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
> 10000 cfm: GAS OUTLETS: 1
Remarks: Installation of a gas fireplace and gas line.
Owner: FEES
MCCOBB, JAMES & MARILYN Type By Date Amount Receipt
9 ABELARD PRMT GEO 3/14/00 $50.00 0000648
LAKE OSWEGO, OR 97035 5PCT GEO 3/14/00 $4.00 0000648
Total $54.00
Phone:
Contractor:
LUDEMAN'S FIREPLACE + PATIO
12675 SW BEAVERDAM RD
BEAVERTON, OR 97005 -2129 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 646 -6409 Woodstove Insp
Reg #: LIC 51469 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 c•pies of • ese or direct questions to OUNC by calling 03)246 -9189.
Issue By: _'`�� / Permittee Signature:
i
Call (503) 6 9-4175 by 7:00 P.M. for inspections needed the next business day
1U /U1 /89 FRI 15:11 FAA bU3 bUb 1ybU Lill UP 116AKll WJUUZ
`r CI OF TIGARD - REC EMEChanical Permit Application - Pin By •
PP Redd By
13125 SW HALL BLVD. Commercial and Residential - Date Redd -
- TIGARD, OR 97223 - MAR 1 0 2000 - - Date to P.E.
(503) 639 -4171, x304 - Date to DST
• • - COMAJNI1Y DEVELOPMENT Print Type _ Pertnd# /11tie��
- - - Incomplete or illegible applications will not be accepted • - - Called _
. N8Te of DevetcpmenVPrc eet _ - - Description _ -
- - _ -- 6 a YAP _ _ _ - Table 1A Mechanical Code - DI Price Amt - -
Job Street Address / sunea■A Al Permit Fee i. _ 16.00
- Address . qQ ;S SG 7T_��` 1) Furnace to 100,000 BTU
' including duds 8 vents see footnote 1,2 9:65 -
- - - BidQN City/State . Zip - • - 2) Furnace 100,000 BTU+ - - ., _
- - - • - _ _ - - . _ : - - - including ducts 8 see footnote 1,2 12.00
- _ Name (or one or riesst 3) Floor Furnace - - • -
O wner - 1 cc r I t, v J I - (�, 4 bb. in' eluding vent see footnote 4,2 9.65
mann Address - 4 j Suspended heater, waU heater - -
C LOS `� (� or floor mounted heater . see footnote 1,2 9.65 .
- q f Q .753 6 w v4 -' et 1. � 5) Vent not included in appliance permit - 4.75
ayJSrete Q C aman° • . � For Ile Check all that apply: *Boller Heat Air
0. r r.` r 1 -7 � y - l � � �5 _ es 6 -1 see p :Pump Cond Qty _ - :
ROM Amt
Of na orbus -
- - _ -6) <3HP;absorb unit to • I -
- •. - . - • - -- .100K BTU - - - -I 9.65 =
. Occupant ma4,9 A44. : - : - - -_ ---
7) 3-15 HP;absOrb unit
- - - . _ _ - 100k to 500k- BTU - - - • • - - - 17.65 -
Cep/State _ Bp Phone 8) 15 -30 HP; absorb _
unit .5-1 -mil BTU 24.15
Contractor Tame _ 9) 30-60 HP; absorb -..-
- %\ unit 1-1.75 mil BlU 36.00 -
u. X e VV c r\-.'S _ 10) >50HP; absorb unit .
Pnor to permit , a � S 1.l) ri n 11 Alm h mitt g •
un to 10,000 CFM = 60.15
- issuance, a copy -C (n
of all licenses . Csy�e . G
ar ZIp / x 7.00 - -
e required if 8 0, U Pt -T aln De 7 ' (r, 6 Vv7 - 12) Air handling unit 10.000 CFM +_ _ _ - _ -
- • expired in COT Oregon Const. o �P. pate - _ - . - . _ _ _ _ • 11.85
- database . - c reme - 5 1/y OD - - 13)-Non- portable evaporate cooler - - 7.00 .
Architect ( -
- - - - - _ - - 14) Vent fan connected to a singte duct - - _ _
or - A ddress - - - . - - 4.75
- - - _ . 15) Ventilation system not included In - -
- - - - -- appliance permit .- --_ • - 7.00 _ _
- , Engineer _ cftwstate_ - - ZIP i Phone • - - 16) Hood - served by mechanical exhaust
I L 7.00
- - Describe work to be done: _ - • - - - - _ 17) Domestic incinerators - _ - - • • - - - - _ -
- - _ - - - _ 12.00 - -
- New a • Repair 0 • Replace with like kind_ Yes O goo- - _ 18) Commerciat or industrial type incinerator - -
Residential -- Commercial - 48.25 -
. _ 19) Repair units - = - -
_ - Additional information or description of work: - . - _ - _ - _ - 8.40
- - - - 20) Wood stew: P /other units /clothe dryer /etc.
- _ _- 7.00 - - -
NOTE: For Commerciatprojects only; Units over 400 Ins. require 1 21) Gas plain one four outlets
- . structural talcs. _ - - • - - - - - - See f oe 3.75 ` 3
Type of fuel: _ oil 0 natural guy( L.PG 0 _ electric O - - 22) More than 4 -per outlet (each) - . - - - .75 _ -
- - - - - . _ Minimum Permit Fee $60.00 SUBTOTAL ; $B °�
^ ;-� '
- 1 hereby acknowledge that I have read this application, that the information - - 8% SURCHARGE ; - `t ca
given is correct, that I am the owner or authorized agent. of _ _ PLAN REVIEW 25% OF SUBTOTAL ; eP - =+ ' : _
-
t _ • •- - r, that plans Rfitted - are in compliance with • - • • fate laws. - - - Required for ALL eommeretal permits only ` r# u .
• � _ o TOTAL w [�`� oD
- ignature of OwnerlAgent_ -- - - - i-. - --- - ' - - "�
��� ����JJJJ - - Other Inspections -and Fees:
� t u� )J.-lb, / 5 l 9. a C/ 1. Inspections outside of normal business hours (minlnum charge -two
• C on ct Person Name -- - _ Phone / hours) 580.00 per hour -
2. Inspections for which no foe Is specifically in dicated (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 stowing existing and proposed mechanical - -
unks. - - -
- -. _ - *State Contractor Boiler Certification required
- - - - "Residential A/C requires site plan showing placement of unit . - - - _
I: echmi
pe.doc rev 7/19/99 - - -
m
•
CITY OF TIGARD BUILDING INSPECTION DIVISION '7.i000 COO (,o O
24 -Hour Inspection Line: .639-4175 Business Lin : 39 -4171
rr /,� BUP
Date Requested to �00 AM PM BL
Location `Z 1 S Sa Suite ME 7.IVD — O ae k/
Contact Person Ph 2,09 — S 70 PLM
Contractor Ph SWR
11F-13>V1 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
Insulation
Drywall Nailing
Firewall •
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
mar'
/
ART FAIL
UMBIN
Post 2, Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Drains
t FAIL
CH AJjJC P Ai�
cf& Beam ( (S
Rough In L9
CCIALULIEP r
M i ke Dampers
ART FAIL
E 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 p 61 O0 /f .
Other Date "� Inspector l (� Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.