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Permit CITY OF TIGARD MECHANICAL PERMIT � i � 4 , DEVELOPMENT SERVICES SERVICES PERM I ISSUED: 12 MEC98 -0543 PARCEL: 15133AD -04200 SITE ADDRESS...: 10860 SW SUMMER LAKE DR SUBDIVISION • AMART SUMMERLAKE ZONING: R -7 BLOCK • LOT :016 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 :GAS 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.: 1 FURN < 1O0K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 1 FURN > =1O0K BTU: 0 > 10000 cfm: 0 Remarks : Installation of gas fireplace log in residence. Owner: FEES JOHN BOGEL type amount by date recpt 10860 SW SUMMER LAKE DR PRMT $ 25.00 DLH 12/02/98 98- 311214 TIGARD OR 97223 5PCT $ 1.25 DLH 12/02/98 98- 311214 Phone #: Contractor: JOHN 0 BRANCH FIREPLACES & MOR JOHN OSCAR BRANCH PO BOX 23698 $ 26.25 TOTAL TIGARD OR 97281 Phone #: 620 -0255 Reg #..: 003958 REQUI 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 Mechanical 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- ' -0010 through OAR 952- 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (593)246 -9187. Issue By: 4.54414,r Permittee Signature: ,,,G" ++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for inspections needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Plan Check # CITY OF TIGARD Mechanical Permit Application Rec'd By 2-- 13125 SW HALL BLVD. Commercial and Residential Date Rec'd oa / ?79 TIGARD, OR 97223 Date to P.E. (503) 639 -4171, x304 Date to DST Print or Type �� Permit # i.,� v- o .s� Incomplete or illegible applications will not be accepted Called Name of Devetopment/Projed Description Table 1A Mechanical Code Qty Price Amt Job Street Address Suite# A) Permit Fee 10.00 1) Furnace to 100,000 BTU Address 4�cs ® ��L>� including ducts & vents 6.00 Bldg# City/State Zip 2) Furnace 100,000 BTU+ including ducts & vents 7.50 Name (or name of business) 3) Floor Furnace Owner 1 including vent 6.00 Mailing dre ��'�' 4) Suspended heater, wall heater 5,....„____,,,- Ili: or floor mounted heater 6.00 / �j� U �t� 5) Vent not included in appliance permit Ay /S a Zip Phone 3.00 / c; e>-/ ,5 Zit—y/1 CHECK ALL *Boiler Heat Air Name (or name of business) THAT APPLY: or Pump Cond Qty Price Amt Comp 6,-..,,.......„--- 6) <311P;absorb unit to Occupant Mailing Address 100K BTU 6.00 7) 3-15 HP;absorb unit City /State Zip Phone 100k to 500k BTU 11.00 8) 15 -30 HP; absorb . Contractor Name unit .5-1 mil BTU 15.00 9) 30 -50 HP; absorb O Q./0 unit 1 -1.75 mil BTU 22.50 Prior to permit Mailing Add ress 10) >50HP; absorb unit l issuance, a copy , O. /1)k 23 G Fr >1.75 mil BTU 37.50 of all licenses City /State zip Phone 11) Air handling unit to 10,000 CFM are required if �/ ! (.....e J 4.50 expired in COT Oregon C Cont. Board Lic.# Exp. Date 12) Air handling unit 10,000 CFM+ database 39 (f 1 - 0 1 "l 7.50 Architect Name 13) Non - portable evaporate cooler 4.50 Or Mailing Address 14) Vent fan connected to a single duct 3.00 15) Ventilation system not included in Engineer City /State Zip I Phone appliance permit 4.50 l 16) Hood served by mechanical exhaust Describe work to be done: 4.50 17) Domestic incinerators New 0 Repair 0 Replace with like kind: Yes 0 No O 7.50 Residential 0 Commercial 0 18) Commercial or industrial type incinerator 30.00 Additional information or description of work: 19) Repair units 4.50 G ' 5 L V / ---,5 ( 20) Wood stove 4.50 21) Clothes dryer, etc. 4.50 Type of fuel: oil 0 natural gas R' LPG 0 electric 0 22) Other units / 4.50 I hereby acknowledge that I have read this application, that the information 23) Gas piping one to four outlets / given is correct, that I am the owner or authorized agent of 2.00 the owner, that plans submitted are in compliance with Oregon State laws. 24) More than 4 -per outlet (each) .50 Signature of.Qwrrer /Agent Date Minimum Permit Fee $25.00 SUBTOTAL o� a �-) ___ v 5% SURCHARGE �' 5 Contact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL ( c)L /� )' G 2 o -O �55 Required for ALL commercial pe only v 0- (?rc.,c.. TOTAL *State Contractor Boiler Certification required "Residential NC requires site plan showing placement of unit I:\mechperm.doc rev 07/20/98 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP /Xo j Date Requested k �S (/ AM I tZ BLD Location ; ,. A ._ /// /bLeaK.e ,_ ,( Suite a �0 [543 Contact Person , ;i1 _d% iE/L/ : Ph PLM I 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 b c_ i 4_e l c / . ` --- $6 Framing Ili. 1 Insulation 6k 0 et ∎ I t Drywall Nailing 1 l - Fire Sp rinkler C Sprinkler ) �Q Fire Fire Alarm e r--� C. , Susp'd Ceiling - � �■-�q Roof Misc: Final 2, ,`� S r Q Q PASS PART F L l vv °� -^ PLUMBING �_ _,� . �(" Post & Beam J Under Slab • ID Top Out j�� Water Service ( J L ! � _i� �`�` Sanitary Sewer ✓ \ cii Rain Drains (i • Final i P FAIL VIECHANICAL Post & Beam SS Rou • • • n� • P ampers final PASS PART AIL 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: [ j Unable to inspect - no access ADA Approach /Sidewalk /4/ other Date 1 Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. . u CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639-4171 + 11 �14 1 BUP Date Requested ,J / � ', — ,, 8 A r � 9 , 0 / ,, //l AM PM BLD Location 103 6 mil/ 4� , t L Suite MEC Contact Person 9 tA I i 9 L & C.-C � Ph ,'Z /- '- /3� PLM Contractor 7 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 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 r d1W " FIANICAL) Post & Beam Rough In Gas Line Smoke D r PART FAIL L RICAL 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 Inspect Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.