Permit CITY OF TIGARD MECHAN I CAL
DEVELOPMENT SERVICES PERMIT
.�j��'I PERMIT # • MEC99 -0073
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 DATE ISSUED: 02/22/99
PARCEL: 2S111DB -04100
SITE ADDRESS...: 09135 SW SUMMERFIELD CT
SUBDIVISION • SUMMERFIELD NO.8 ZONING: R -7
BLOCK LOT :427 JURISDICTION: TIG
CLASS OF WORK..:ALT FLOOR FURN : 0 EVAP COOLERS: 0
TYPE OF USE •SF UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:R3 VENTS W/0 APPL: 0 VENT SYSTEMS: 0
STORIES • 0 BOILERS /COMPRESSORS HOODS : 0
FUEL TYPES 0 -3 HP : 0 DOMES. INCIN: 0
3 -15 HP • 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15 -30 HP • 0 REPAIR UNITS: 0
FIRE DAMPERS?.. : 30 -50 HP • 0 WOODSTOVES..: 0
GAS PRESSURE...: 50+ HP : 0 CLO DRYERS..: 0
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.: 0
FURN < 1O0K BTU: 1 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN > =1O0K BTU: 0 > 10000 cfm: 0
Remarks : Replace existing gas furnace with a new . gas furnace.
Owner: FEES
MARGARET C LUCAS type amount by date recpt
9135 SW SUMMERFIELD CT PRMT $ 25.00 GEO 02/22/99 99- 3131383
TIGARD OR 97223 5PCT $ 1.25 GEO 02/22/99 99- 3131383
Phone #: 620 -1183
Contract or:
FIRST CALL MCCALL HEATING &
COOLING
1650 NE LOMBARD $ 26.25 TOTAL
PORTLAND OR 97211 -4798
Phone #: 231 -3311
Reg #.. : 102030
- -- REQU I RED INSPECTIONS
This permit is issued subject to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Heating U n t Insp
applicable laws. All work will be done in accordance with Final Inspection
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 by 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 -9187.
Issue By: `./ /« Permittee Signature: Il1Jo�,
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
11.1u4/ a ivtai u9: s1 PAA 503 59S 1960 CITY OF TIGARD f j 002
'RECEIVED P tan a,ea� /HAI L
• ". � ZtITY OF TIGARD rrn 2 2 1 99 9 Mechanical Permit Application Recd By
13125 SW HALL Eithill01. Commercial and Residential Date lid
TIGARD, OR 9�7 Date to P.E •
t i . NIT( DEVELOPMENT Date to DST
639 -4171, x 04 • �� o� Permit DST 49 „ 0 673
Print or Type
Called
Incomplete or illegible applications will not be accepted
Name of oe•aopmamPro)ea Description
Table 1A Mechanical Code • Price Amt
A) Permit Fee = - T' = 10.00
Job 9/35" 5u-) $ °�` 1) ce to ,000 TU ~
Address 7 /35 ✓ 3' m r/ e/a' in duds 100 8 ven 1 6.00 6 DD
eidgfr City/State ZIP 2) Furnace 100,000 BTU+ •
including ducts & vents 7.50
•
Narne (or name of bus 3) Floor Furnace
including vent 6.00
Owner , ; !2 t ' G ec S 4) Suspended heater, wall heater •
enawfp a vr or floor mounted heater 6.00
q /35 51L) ,Se ci C/ ?.i ld et 5) Vent not included in appliance permit •
phone 3.00
D Q 2 �_ / / CHECK ALL 'Boiler Heat Air
� THAT APPLY: or Pump Cond Qty Price Amt
N (or name or easiness) ) Comp »
IR f---- 6) 4HP;absorb unit to . -
Occupant M Address .. - 100K BTU - 6.00
7) 3-15 HP;absorb unit
• Cityr/5tate Zip 1 Phone
100k to 500k BTU - • " ' 11.00
• 8) 15-30 HP; absorb
unit .5-1 mil BTU 15.00
Contractor Na 9)30 -50 HP; absorb
1 c. // / y! C/ (7 unit 1 -1.75 mil BTU 22.50
Prior to permit /
rmit Add 10) >50HP: absorb unit
,�" : >1.75 ml BTU 37.50
issuance, a copy t..5 /v ��7s�a /� 4 ��
of all licenses pity/stay; zip P Air handling unit to 10,000 CFM
/�/ z 83 11) 4
are required if n C (4 � /� � Date y _ 12) Air handling unit 10,000 CFM+ •
e xpired in COT �9 7.50
database /0 7,0 3c7. g - - 13) Non -portable evaporate Gooier
Architect Name 4.50
14) Vent fan connected to a single duct
or Mailing Address 3.00
15) Ventilation system not induded in
Engineer •
eitYl zip 1 Phone. appliance permit- 4.50
• 16) Hood served by mechanical exhaust 4.50
- Describe worts to be done: • 17) Domestic incinerators
7.50 • . New O Repair 0 Replace with Re kind: Yes1No O 18) Commercial or industrial typo incinerator Residential Commercial ` 30.00
Additional information or description of work - 19) Repair units •
4.50
/7,5-6 // s Ai ca 4 e�� 20) Wood stove 4.50
21) Clothes dryer, etc. 4.50
Type of fuel: oil 0 natural gas ks LPG 0 . electric 0 22) Other units • 4.50
I hereby adcnowledge that I have read this application, that the information . . 23) Gas piping one to four outlets • 2 •
given is coned, that I am the owner or authorized agent of 24 More than 4 -per outlet ( each)
the owner, that plans submitted are in compliance with Oregon Slate laws. ) .50
Signa re of OwnedA nt Date - . y .
Minimum Permit Fee $25.00 SUBTOTAL "o5007
a?.c..,%" 2 — I9 ` I 9 5% SURCHARGE 1 -2
•
Contact Person Name Phone - PLAN REVIEW 25% OF SUBTOTAL ;: 7: : _-
Required for ALL commercial permits only , _-_=-. � „�
TOTAL a(o.
e,icZ `7 f6 6 'State Contractor Boiler Certification required
"Residential NC requires site plan showing placement of unit
5/17/99 Activities for Case #: MEC99 -00073
4:41:57 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECA007 APPlication received 2/22/99 GEO MAIL GEO 2/22/99
MECA008 Create Permit 2/22/99 GEO DONE GEO 2/22/99
MECA799 Final Inspection 3/9/99 TLP PASS TLP 3/10/99
MECA725 Heating Unt Insp 2/22/99 3/9/99 TLP PASS TLP 3/10/99
MECA705 Gas Line Insp 2/22/99 TLP N/A TLP 3/10/99 existing gas line
MECA060 (F) Issue permit 2/22/99 GEO PASS GEO 2/22/99
MECA800 Case Finaled 3/11/99 VLN 3/11/99
•
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
, •S2 fiDate Requested AM ■ PM BLD
Location �4 «��.� /.4 Suite MEC 99�
Contact Person Ph PLM
/ liie A " Ph . ,-�r�� / ?,V X '% SWR
Contractor s��� i i i,
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
Drywall on
Drywall Nailing
Firewall \
Fire Sprinkler
Fire Alarm 1 /G-e
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Fin
-' • • T FAIL
Beam
Rough In
Gas Line
Smoke Dampers
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 3 ? / Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•