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Permit • C ITY OF TIGARD MECHANICAL PERMIT :. DEVELOPMENT SERVICES PERMIT #: MEC1999 -00553 . ' _ 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/13/1999 PARCEL: 1S134CD-05600 SITE ADDRESS: 11735 SW SUMMER CREST DR SUBDIVISION: BURLWOOD NO.3 ZONING: R-4.5 BLOCK: LOT: 016 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: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: < =10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Installation of a new gas furnace. Owner: FEES AVIS, CATHERINE J ANDERSON Type By Date Amount Receipt 1735 SW SUMMERCREST DR PRMT GEO 12/13/19 $50.00 99- 320376 IGARD, OR 97223 5PCT GEO 12/13/19 $4.00 99- 320376 Phone: Total $54.00 Contractor: UNSET FUEL CO 0 BOX 42287 944 SE POWELL BLVD REQUIRED INSPECTIONS ORTLAND, OR 97242 Heating Unt Insp Phone: 503 - 234 -0611 Final Inspection • Reg #: LIC 00002374 ELE 26 -113C • 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 -9189. . - /, Issue By: Permittee Signature: ��-yfr/ Call (503) 63 • -4175 by 7:00 P.M. for inspections needed the next business day a $9q • i • . CITY OF TIGARD RE CE IVE �echanical Permit Application Plan Check # • 13125 SW HALL BLVD. Commercial and Residential Recd By / TIGARD, OR 97223 • DEC 1 3' 1999 • Date Recd • (603) 639 -4171, x304 Date to P.E. COMMUNITY DEVELOPMENT ` ) /q _ Date to DST Print or Type Pem #,�1��'i�'rA, --eG3 Incomplete or illegible applications will not be accepted Called Name of DavetopmadlAaiea Description • Table 1A Mechanical Code • 1 Price Amt Job Street Address 714 A) Perrnft Fee ;, ..:, , ; ' 1 Q����� 1) Fuinrnace ding to du100, vents B see footnote 1,2 il 9.65 q. /P5 t ` ` ` - 16.00 Address ` F x �.} - Bldg:, Ciwrstate clu cts 8 i�- rd el 333 2) 0 + including Furnace du cts 100,00 8 vents see footnote 1,2 12.00 • • Name (or name of business) 3) Floor Furnace Owner r0( l(_ i m` . ads Including vent see footnote 1,2 9.65 Mailing Address • 4) Suspended heater, wall heater I l� ) �� � \ or floor mounted heater see footnote 1,2 __ 9.65 Ci L) m rCreS4Tc'. 5) Vent not included In appliance mitt 4.75 +it -��� �- ,���,� / rl �� Phone Check all that apply: *Boiler Heat Air I 2) r 1 6_1/5/./. For items 6-10, see or Pump Cond Qty Price Amt N name of business) _ footnotes 1,2 Comp 6) <3HP;absorb <3HP;absorb unit to Occupant Melling A�e'e l e. 100K BTU . 9.65 7) 3-15 HP;absorb unit 100k to 500k.BTU 17.65 • City/State Zip 1 Phone 8) 15 -30 HP; absorb unit .5-1 mil BTU 24.15 Contractor are 9) 30-50 HP; absorb c „� ��� 1 unit 1 -1.75 mil BTU Prior4o permit yyy "` Ad 7 r 10) >50HP; absorb unit 36.00 )�. v 14 30st -/ 1 1.75 mil BTU 60.15 issuance, a copy tom. (�fpf 1 11 r andiin • of all licenses rst e Si handling unit to 10,000 CFM are required if c I -Npfrr� _091 7.00 expired in COT Ore . e x . a_ic , 12 Air handling unit 10,000 CFM+ database 1a, 11.75 Architect 13) Non - portable evaporate cooler 14) Vent fan connected to a single duct 7.00 or mane Address 15) Ventilation system not included In 4.75 ' Engineer cny/state I Phone appliance permit 7.00 16) Hood served by mechanical exhaust Describe work to be done: 7.00 17) Domestic incinerators 12.00 New)( ) Commercial or industrial Repair 0 Replace with like kind: Yes O No 0 18 Commel i - Residential Commercial 0 type incinerator 48.25 19) Repair units Additional information description of work: • 8.40 20) Wood stove /gas FP /other units /clothe dryer /etc. NOTE: For Commercial projects only; Units over 400 lbs. require 21) Gas piping one to four outlets 7.00 structural gas cafes. See footnote 1 Type of fuel: oil 0 natural gasd LPG 0 electric 0 22) More than 4 -per outlet (eac 3.75 • Minimum Permit Fee $50.00 SUBTOTAL ` .75 , �5 I hereby acknowledge that I have read this application, that the information g �-' • ;. given is correct, that I am the owner or authorized agent of 25% SURCHARGE y.. a •,:;, -. : TOT the owner, that plans submitted are in compliance with Oregon State laws. Required PLAN ALL commercial permits only � ,; e"--'::;: St n - lure only Owner /Agent Da TOTAL ; ;;R?" �n ! r. 1 '‘4 4:, • A t 1 r ' , 1 / , .� C / l )13_ g - 9 9 Other Inspections and Fees: arson Name 1. Inspections outside of normal business hours (rnininum charge -two �n 1 Lille P I e hours) $60.00 per hour .) • 1 1 l , 1 n /-S n ►' 2. Inspections for which no fee is specifically Indicated (minimum Foonoes for commercial projects only: V�J`Y - lJC 3� charge -half hour) $60.00 per hour F Pro o il schema l projects and proposed gas line and pressure. p 3 . Additional plan review required by changes, additions or revisions to existing P plans (minimum charge - one -halt 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 pian showing placement of unit l: :nechperm.doc rev 02/4/99 7.00f131 0961 86S £OS \VT 6T ZT QHM 66 /Z0 /90 UHVDIL X10 A,LID 1/25/00 • Activities for Case #: MEC1999 -00553 4:13:18 PM • Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes • MECA007 Application received 12/13/99 GEO MAIL No Hold GEO 12/13/99 MECA008 Create Permit 12/13/9 • GEO DONE No Hold GEO 12/13/99 MECA725 Heating Unt lnsp No Hold GEO 12/13/99 MECA799 Final Inspection 12/23/99 MRS PASS No Hold MRS 12/23/99 gas fumance MECA060 (F) Issue permit 12/13/99 GEO DONE No Hold GEO 12/13/99 MECA075 (F) Reprint Permit 12/22/99 DEB DONE No Hold DEB 12/22/99 Contractor did not receive copy of permit, Ona requested that we fax a copy of the permit to her at Sunset Fuel. MECA800 Case Finaled 12/27/99 ' JMT DONE No Hold JMT 12/27/99 • • • Page 1 of 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 6 9-4171 BUP Date Requested 0430/ AM PM BLD Location H � 7 35 sc "" �Yl �� �c-►'YL-v-er- e V OD S Suite MEC /QQ .3 Contact Person f / cc -ifi �'�-C 00 Ph ;'3'1 D / � y /3 / PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: '� Foundation 1 FPS Ftg Drain I Crawl Drain Inspection otes. I SGN Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing 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 PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Elib 4 • PART FAIL E CTRICAL 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 y y �ii Other Date 1 Inspector / � ` d ( Ext Final PASS PART FAIL . DO NOT REMOVE this inspection record from the job site.