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Permit C ITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2000 -00043 „ IX. AP 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/8/00 PARCEL: 1S133DA-07900 SITE ADDRESS: 12648 SW SNOW BRUSH CT SUBDIVISION: AMART SUMMERLAKE NO. 2 ZONING: R -7 BLOCK: LOT: 139 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: OTHER UNITS: FURN > =100K BTU: < =10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Remarks: Installation of gas piping for fireplace logs. Owner: FEES LLEN, TREVOR + HEATHER K Type By Date Amount Receipt 2648 SNOW BRUSH CT IGARD, OR 97223 PRMT GEO 2/8/00 $50.00 00- 321630 5PCT GEO 2/8/00 $4.00 00- 321630 Phone: Total $54.00 Contractor: ACOBS HEATING +A /C 474 SE MILWAUKIE AVE ORTLAND, OR 97202 REQUIRED INSPECTIONS Gas Line Insp Phone: 503 - 234 -7331 Final Inspection Reg #: LIC 1441 +4 8 P 0 This permit is issued subject to the regulations contained in the Tigard Municipal Code, Sta re. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This •;; : will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTE vi : Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set fo" h in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246 -9189. Issue By: Permittee Signature: Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day • BUP - Building Permit - Electrical Permit J Inspection Description Date Passed By -4 Inspection Description Date Passed By Footing /Setback Underground cover Foundation walls Wall cover Footing drain Ceiling cover Waterproof bsmt walls Electrical rough -in Slab Electrical service Crawl drain Electrical final Underfloor insulation Post/beam structural Shear walls /anchors ELR - Restricted Energy Permit Roof nailing / Inspection Description Date Passed By Firewall Low voltage Tilt -up panel Electrical final Masonry/Reinforcement Framing MFG - Structure set -up- Mechanical Permit Insulation Drywall nailing -4 Inspection Description Date Passed By Suspended ceiling ��Post/beam mechanical Gas line 2/ G i L/ M. S Engineered soils Mechanical rough -in Welding Lab Final Fire damper Concrete Lab Final Duct work EXPI Bolting Lab Final Amoke detector 3/7-4 c Fireproofing Lab Final Mechanical final C.cc) Structural observation Final inspection PLM - Plumbing Permit -4 Inspection Description Date Passed By BUP - Fire Protection System Permit Plumbing underslab Inspection Description Date Passed By Crawl drain Sprinkler underfloor /slab Post/beam plumbing Sprinkler rough -in Plumbing top -out Sprinkler final RP /backflow preventer Fire alarm final Rain drain Storm drain Water service SIT - Site Permit Sanitary sewer Inspection Description Date Passed By Culvert/catch basin Footings Pump /fill septic tank Foundation walls Plumbing final Sprinkler supply lines Sprinkler underfloor /slab Catch basin /Manhole SWR - Sewer Permit Engineered soils 4 Inspection Description Date Passed By Engineering acceptance Sanitary sewer Final inspection Final inspection INSPECTION RECORD - BUP, PLM, SWR, ELC, ELR, MEC SIT PERMITS CITY OF TIGARD MECHANICAL PERMIT l DEVELOPMENT SERVICES PERMIT #: MEC2000 -00043 DATE ISSUED: 2/8/00 A. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1 S133DA -07900 SITE ADDRESS: 12648 SW SNOW BRUSH CT SUBDIVISION: AMART SUMMERLAKE NO. 2 ZONING: R -7 BLOCK: LOT: 139 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: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN > =100K BTU: < =10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Remarks: Installation of gas piping for fireplace logs. Owner: FEES ALLEN, TREVOR + HEATHER K Type By Date Amount Receipt 12648 SNOW BRUSH CT PRMT GEO 2/8/00 $50.00 00- 321630 TIGARD, OR 97223 5PCT GEO 2/8/00 $4.00 00- 321630 Total $54.00 Phone: Contractor: JACOBS HEATING +A/C 4474 SE MILWAUKIE AVE PORTLAND, OR 97202 REQUIRED INSPECTIONS • Gas Line Insp Phone: 503- 234 -7331 Final Inspection Reg #: LIC 1441 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 copies of these rules or direct questions to OUNC by calling (503)246-918°. Issue By: ' Permittee Signature: i • Call (503) •39 -4175 by 7:00 P.M. for inspections needed the next business day CITY OF TIGARD ■ 1 echanical Permit Application RPlan ec'd Byck# 13125 SW HALL BLVD. RECEIV v Commercial and Residential Date Rec'd • ; TIGARD, OR 97223 FEB 7 2000 Date to P.E. (503) 639 -4171, x304 �� Date to DST ,�,,1� COMMUNITY DEVELOPMENT Print or Type Permit #/� Incomplete or illegible applications will not be accepted Called _r Name of Development/Project Description Table 1A Mechanical Code Qty Price Amt Job Street Address Suite# A) Permit Fee 1 16.00 Address 1 -lD` c i ( S(-3noo 1) Fumace to 100,000 BTU Bldg# City /State Zip including ducts & vents see footnote 1,2 9.65 2) Furnace 100,000 BTU+ Ti c UU .tr c9 ' 7.---1.3 including ducts & vents see footnote 1,2 12.00 Name name of C 3) Floor Furnace 2 including vent see footnote 1,2 9.65 Mailing Address 4) Suspended heater, wall heater j ' O " -,tSk1 Vent floor mounted in appliance see footnote 1,2 9.65 5) Vent not included in appliance permit 4.75 City /State Zip P Check all that apply: 'Boiler Heat Air k i. 0 OZ l"1 3 -7q - yool.(p For Items 6 -10, see or Pump Cond Qty Price Amt Name Or name of business) footnotes 1.,2 Comp 6) <3HP;absorb unit to 100K BTU 9.65 Occupant Mailing Address 7) 3 -15 HP;absorb unit 100k 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 p unit 1 -1.75 mil BTU 36.00 �C ( -WY-JR (\ 10) >50HP; absorb unit Prior to permit Mailing Address ( f p >1.75 mil BTU 60.15 issuance, a copy "'1 � � fl , 1 -300.LA� 11 Air handling unit to 10,000 CFM of all licenses / st a Zip Phone y,./ _ 7.00 are required if ma � 1 -3 -- 1A31 12) Air handling unit 10,000 CFM+ expired in COT Oregon Cont Board Lic.# Exp. Date 11.75 database 1 T" t I 13) Non - portable evaporate cooler Architect Name 7.00 14) Vent fan connected to a single duct Or Mailing Address 4.75 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 9- Repair 0 Replace with like kind: Yes 0 No 0 18) Commercial or industrial type incinerator Residential 0( Commercial 0 48.25 19) Repair units Additional information or description of work: 8.40 oc-t- P - p ,r\r Cg! r/ Y p , pe o_ 4 20) Wood stove /gas FP/other units /clothe dryer /etc. ry 7.00 E: 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 3 T5 Type of fuel: oil 0 natural gas LPG 0 electric 0 22) More than 4 -per outlet (eac .75 Minimum Permit Fee $50.00 SUBTOTAL ,1)_p3 I hereby acknowledge that I have read this application, that the information 5% SURCHARGE "f.0J 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 /Agent Date 34 O n n (� &L Q MLrn { 3 Other Inspections and Fees: �LX 1. Inspections outside of normal business hours (mininum charge -two Contact Person Name UPhone hours) $50.00 per hour r t y [ 6, �• Q ��� I 'C jy -1 2. Inspections for which no fee is specifically Indicated (minimum t sfor 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 A/C requires site plan showing placement of unit 1:lmechperm.doc rev 02/4/99 C _S 1311 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 \ / BUP Date Requested 1 / ) /y CO AM PM 1C BLD Location l Z Co (-I Q, Snot( ) � �l/L Suite MEC 2.060 3 Contact Person Y '\Q ,a u Ph 2 -3 1- / -- ) 33 / PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Foundation Access: Ae/ n 1 e v FPS Ftg Drain , /" ( / SGN Crawl Drain Inspectio, •tes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler • Fire Alarm Susp'd Ceiling � �-� � d� Roof Misc: • / Final PASS PART FAIL PLUMBING � ►j/ /� ■ i / Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL Post & Beam Rou h In s Lin Smoke Dampers Fi (TAR"? S 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 Date i /// G f Inspector G�� f' (%'�/f � Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.