Permit C ITY OF TIGARD MECHANICAL PERMIT
,� DEVELOPMENT SERVICES PERMIT #: MEC1999 -00530
��� �! 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/03/1999
PARCEL: 2S 104AB -03800
SITE ADDRESS: 13425 SW SCOTTS BRIDGE DR
SUBDIVISION: MORNING HILL NO.3 ZONING: R -4.5
BLOCK: LOT: 071 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS: 1
OCCUPANCY GRP: R3 VENTS W/O 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:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:'
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: •
<= cfm: OTHER UNITS: 1
FURN > =100K BTU: GAS OUTLETS: 1
> 10000 cfm:
Remarks: Freestanding gas stove, vent fan, and gas piping.
Owner: FEES
YORK, RICHARD G + CAROL E Type By Date Amount Receipt
13425 SW SCOTTS BRIDGE DR PRMT BON 12/03/19E $50.00 99- 320146
TIGARD, OR 97223 5PCT BON 12/03/19E $4.00 99- 320146
Total $54.00
Phone: -
Contractor:
•
GAS CONNECTION INC. OF PDX
6022 NE 112TH AVE
PORTLAND, OR 97220 REQUIRED INSPECTIONS .
Gas Line lnsp
Phone: 503- 661 -4821 Misc. Inspection
Reg #: LIC 00103146 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 obt .copies of these rules or direct questions to OUNC by calling (503)246 - 9189...
Issue By: A / / ��Permittee Signature: /\ ( 1L}1 vaS4
Call 639 -4175 by 7:00 P.M. for inspections needed the n ct business day
City ot
' *i and I J)HANICAL PERMIT Planck/Rec. #
13125 SW Hall Blvd. DEC 01 19NPPLICATION Permit # MEe- /-Z
Tigard, OR 97223 • .,. .,,,,, DEVELOPMENT
(503) 639 -4171 •
Nome of Development Description
. Table 3A Mechanical Code QTY PRICE AMT
Ames
Job /32 ,je . g 1) Permit Fee -0- -0- 10.00
• Address �nl vV 1
• 2) Supplemental Permit • 3.00
Name rQ name of Sunless' Furnace to 100,000 BTU
i �/ 4-Ca P61, Yo 1) incl. ducts & vents 6.00
eef1 eee Furnace 100,000 BTU +
Owner /S- / 5LJ 2Cd a Sloe 2) incl. ducts & vents 7.50
Floor Fumance
, n n i7 � 4 7 3 —
3) incl. vent 6.00
6-� « er > Suspended heater, wall heater
4) cr floor mounted heater 6.00
Occupant `/ �O — Vent not Incl. fri
P I " �C �� JIl Phone , 5) apps -. permit 3.00
Stlle Repair of heating, refng.
,
6) cooling, absorption unit 6.00
e Boiler or comp, heat pump, air cond.
Citga eaWr 9v 7) to 3 HP; absorp unit to 100K BTU 6.00
ess Mune Boiler or comp, heat pump, air cond.
416 /J�y 8) 3-15 HP; absorp unit to 500K BTU 11.00
Contractor , e Boiler or comp, heat pump, air cond.
t
(7 ��/T/{,'[/�/// ��� 9) 15-30 HP; absorp unit .5-1 mil BTU 15.00
I YeWI " J �� CO Bus. Tex No. Boiler or comp, heat pump, air cond.
Occ -5 /`-7(,(J 12,- Z- D( 10) 30-50 HP; absorp unit 1 -1.75 mil BTU 22.50
I hereby acknowledge ‘at nave re this application, that the Boiler or comp, heat pump, air cond.
information given is correct, that I am the owner or authorized 11) > 50 HP; absorp unit 1.75 mil BTU 37.50
agent of the owner, that plans submitted are in compliance with Air handling unit to
State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 4.50 •
Board, that the number given is correct. (If exempt from State Air handling unit
registration, please give reason below.) 13) 10.000 CTM + 7.50
Non portable
14) evaporate cooler • 4.50
Vent fan connected
15) to a single duct 1 l 3.00
Ventilation system not
Agir, _ 16) included in appliance permit 4.50
, . p / / ��i' Hood served by •
`/
Alt c a9— 17) mechanical exhaust 4.50
��
j'
tripe work '-
p t121 addainn [ t alteretwnn ( N repair _t Commercial or industnal
•
to be done resid n 0 non - residential 0 I I 18) type incinerator - I 30.00
Existing use of Other i.e., woodstove, water
building or property 19 ) heater, solar, clothes dryers, etc. I 4.50 -
Proposed use of 20) Gas piping one to four outlets / 2.00
building or property
21) More than 4 -per outlet (each) 2.00
Type of fuel - oil Q natural gasilk LPG Q electric Q
i cQe.ef5\cartiflcleist . .
NOTICE=
Minimum Fee weedo S TOTAL .r
• PERMITS RMI BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR g 5% SURCHARGE L/
IF CONSTRUCTION OR WORK IS SUSPENDED OR !
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL Jo?:.JC_J
AFTER WORK IS COMMENCED.
• TOTAL /
•
Special Conditions
Date issued by
H :LLOGIN1DS'TSIMECIPMT
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CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested D(9 (q9 AM PM BLD
Location /3f n om - Sw - 076.S � -v Mdse. DV Suite MEC / Q (' C -C
Contact Person i / CO vt v�-�C''161& Ph ?5 `fb -/ 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 e 645 ?i i nr c Z — S z O i Z /S
Insulation
Drywall Nailing //I/// A-1 u TES CTS S:_ 38 06 / 7
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PAS S-� ART FAIL
�II ECHANIC AL)
Poi & Beam
Rough In
-Vas Lines
Smoke Dampers
anal
AS PART FAIL
ELECTRICAL
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 / - c — Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.