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Permit • cITY O TIGARD MECHANICAL PERMIT i& DEVELOPMENT SERVICES PERMIT #: MEC2004 -00792 ' II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/3/2004 PARCEL: 1S134BC-00800 SITE ADDRESS: 12398 SW SCHOLLS FERRY RD SUBDIVISION: PP1993 -058 ZONING: C -P BLOCK: LOT: 002 JURISDICTION: TIG CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: 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: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: 2 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Replacement like for like of (2) ventless heater. Owner: FEES THOMPSON/DAVIDSON LEASE Description Date Amount PROPERTY VENTURE, THE [MECH] Permit Fee 12/3/200 $72.50 PO BOX 398 [TAX] 8% State Surcharl 12/3/200 $5.80 PORTLAND, OR 97207 Phone: Total $78.30 Contractor: ROTH HEATING & COOLING P.O. BOX 1265 CANBY, OR 97013 REQUIRED INSPECTIONS Phone: 503 - 266 -1249 Heating Unt Insp Final Inspection Reg #: LIC 14008 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 -0100. You may obtain copies of these rules or direct questions to OUNC by calling (503)246 -6699. Issued By: � o� Permittee Signature: ` ,/ r� Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day Mechanical Permit Application FOR OFFICE USE ONLY � City of Tigard Received 13125 SW Hall Blvd., Tigard, OR 97223 / I ((��JJ / 7/"� Date/By: Plan Review `' ` � —vv Permit No.\ k_ �.i 7 � y -0,0. ( / 9 Phone: 503.639.4171 Fax: 503.598.1960 /� L'! G � a ;er� • , r T ' '� Date/By: Other Permit: /ivv/ sT � I Inspection Line: 503.639.4175 ,_.. „... Date Ready/By: ton ® s: See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information TYPE OF. WORK COMME REP' .SCHEDULE = .UPE;CHECKIsIST Mechanical permit fees* are based on the value of the work ❑ New constructionddition /alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. • CATEGORY 'OF CONSTRUCTION Value: $ / p () • -RESIDENTIAL,EQUIPMENT ISYSTEMS FEES* and 2- family dwelling commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total . JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: 1 7:39 8 ' (A.) x (b l I „(z” ` , �„� Air conditioning or heat pump 1 (requires site plan showing placement) 14.00 City/State /ZIP: C l �L Furnace 100,000 BTU (ducts/vents) 14.00 &)..1142€1, Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Flue/vent for any of above 10.00 Subdivision: Lot no.: Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 Gas fireplace 10.00 (2Q-00.-U-A leb Z. Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace/insert 10.00 PROPERTY OWNER I ❑ TENANT Ot y/liner/flue/vent 10.00 ��'��� ����► Other. 10.00 Name: k s o -� Environmental exhaust and ventilation Address: V2-3 1 Si- yl L Range hood/other kitchen equipment 10.00 City/State /ZIP: X1'A (` c\ 7 JC 1 Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: ( ) 3 ( 2. " (p g lo Fax: ( ) toilet compartments, utility rooms) 6.80 i PPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00 Other: 10.00 Business name: Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Address: • Furnace, etc. Gas heat pump City/State/ZIP: Wall/suspended/unit heater Phone: ( ) Fax:: ( ) Water heater Fireplace E -mail: Range CONTRACTOR Barbecue Business name: /?i*ti /�� Clothes dryer (gas) Other. (/ /> / 2 Address: P� � MECHANICAL PERMIT FEES* City/State /ZIP: a, " / 7 v/ \ 9 70/3 Subtotal Minimum permit fee ($72.50) Phone: (55) / La& .—I 21. f 9 Fax: (5 2 hi a , - 3/ Plan review (25% of permit fee) CCB lic.: / "T Dot State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature: 10011(A This permit application expires If a permit is not obtained within 180 days after It has been accepted as complete. Print name: / f joc 7 r}'l�'t` I Date: / 7/3 /0 L/ • Fee methodology set by Tri -County Building Industry Service Board \ i:Building 'i'amils'.MEC PcsmitApp.doc 12/03 440 -46177 (I I /02 /COM'W • • • 6 CA r0 • - 30k RAdtwet - svo+ ecci\ / LEI Gas cr.s • boor viV 1, P Ri l " M i 6 1 p( 5 4. c 9 3-v f • u • . . _ c-5:e72_y • 1 Item Details <Back HVAC > Heating Equipment > Unvented High Intensity Gas Infrared Heater ' Heater,lnfrared Natural Gas Infrared Heater, BTUH Input 30000, Radiant k. Surface 85 Square Inches, Typical Floor Coverage Diameter m# • @ Mounting 17 -21 @ 11 -14 Feet, Height 14 3/8 Inches, Depth 22 1/2 Inches, Width 12 3/8 Inches, Pressure Regulator, 120 Volts r a iarr _ TECHNICAL SPECIFICATIONS Inlet 1/2 Inch NPT Gas BtuH Input 30,000 Radiant Surface 85 j (Sq.-In.) , Floor Dia. @ 17 -21 @ 11 -14 Mounting H (Ft.) Height (in.) 14 3/8 Width (In.) 12 3/8 Depth (In.) 221/2 Volts 120 Aluminum and Stainless Construction Steel, Bright Aluminum Reflector , Includes Chain hanging set Characteristics Low Maintenance, No Moving Parts Frequency 60 . Ignition Electronic, Assures Reliable Operation . Item Natural Gas Commercial Infrared Heater • Gas -air Mixture passes through a Perforated Ceramic Refractory and -- -- -- - - - - - - -- - Ignites on its Surface, Ceramic Material Heats Operation to Approximately 1780 Degrees Fahrenheit and Generates Large Amounts of Infrared Radiation that is Directec to the Floor 12/2/2004 • • • • - CITY OF TIGARD 24 -Hour BUILDIAG Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 - 4171 MST BUP Received (� Date R uested ( 7C C AM PM BUP �v�iq Location Z v S l_ ±V MEC 2019A-- "0 ( /z- Contact Person Ph ( ) PLM Contractor Ph ) SWR BUILDING Tenant/Owner © «- I `ems ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING ' _ i _ = i Post & Beam Under Slab W IN Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL �MEC ost & Beam Rough -In Gas Line ampers Airen V - AS PART FAIL LEC RICAL Se ce Rough -In UG/Slab Low Voltage Fire Alarm Final Reinspectio fee of $ required b= • next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL i SITE ❑ Please call r rein • ection RE: n Unable to inspect — no access Fire Supply Line f ar ADA Approach/Sidewalk • Date Inspector Ext Other: Final ' O NOT REMOVE this inspection record from the job site. PASS PART FAIL