Permit C ITY OF TIGARD MECHANICAL PERMIT
4 DEVELOPMENT SERVICES PERMIT #: MEC1999 -00369
r� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 9/9/99
�A 1 S133CD -02200
SITE ADDRESS: 11786 SW SWENDON LP
SUBDIVISION: COTSWALD MEADOWS ZONING: R -25
BLOCK: LOT: 020 JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
. TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: 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: AIR HANDLING UNITS CLO DRYERS:
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FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1
> 10000 cfm: GAS OUTLETS: 1
Remarks: Gas line for gas logs.
Owner: FEES
JANICE LUSK Type By Date Amount Receipt
11786 SW SWENDON LOOP PRMT DEB 9/9/99 $50.00 99- 318194
TIGARD, OR 97223 5PCT DEB 9/9/99 $3.50 99- 318194
Phone: 524 -9686 Total $53.50
Contractor:
JAY'S GAS PIPING
11525 SW CANYON
BEAVERTON, OR 97005 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 626 -4652 Mechanical Insp
Reg #: LIC 0119836 Final Inspection
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 • °low rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR
_952 -0►' -0010 thro OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by
callini! (503)246 -918' r
_ Issu- = � •�, , Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next bZness day
CITY OF TIGARD Mechanical Permit A • • ' Redd ' `'��`
. ECEIVE® te
13125 SW HALL BLVD. e
� Commercial and Residential Date Rea ■ L ,
-TIGA tD, OR 97223 ' Date toP,E. -
(503) 639 -4171, x304 SEp 0 8 1999 • • Dace to DST
Print or T e Permit 8 !�E c /94V-06 ;�
• . In ► " ' a or� ble applications will not be accepted called , •
Name of Development/Project Descriptio - -
Table 1A Mechanical Code . Price Amt
Job - Street Address Suaeaf A) Permit Fee 16.00 ..
Address •/ 1P4 5;� ,P 61i� . 1) Fumaoe to 100,000 BTU .
B e � including duds & vents • see footnote 1,2 • 9.65
2) Furnace 100,000 BTU+ •
1 including ducts & vents see footnote 1,2 12.00 - - '
qwne (or name of bootless) 3) Floor Furnace
Owner J s Q
Mang Add including vent see footnote 1,2 9.65 ' •
ra ss 4) Suspended heater, wall heater • • •
Swe>�G7 O or floor mounted heater see footnote 1,2 9.65
l i7 8(0
ti Cp 5) Vent not included in appliance permit 4.75 .
CityrState Zip Phone Check all that apply: 'Boiler Heat Air ` • 1 . .
T A a ,ri 0 r T7 ,S2s- ? For items 8-10, see ' or Pump Cond Qty. , Price Amt . . ; •
tftli (or name of bustross) footnotes 1,2 Comp
. Sic vvt e_ 6) 4HP;absorb unit to
occU ntI Address 100-1 BTU 9.65
Pa 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 ' •'
Contractor 9) 30-50 HP; absorb ' • • �� a�r�s n /i �- unit 1 -1.75 mil BTU . 36.00
' r )u t S �S !I pl f i4 �/� g•t°t2 10) >50HP; a bsorb unit • • Prior to permit Address 1 >1.75 mil BTU 60.15 •
issuance, a copy // LS .) C - C! K irn 11 Air handling unit to 10,000 CFM • ' ' , .
of all licenses „„..N { 2Ip Phone 1
are required if ; 2 u'�Y[(JY 9� Co-- G 12) Air handling unit 10,000 1FM+
expked in COT Cont. Board ue.s Exp. Date 11.75
database / 1 34. 1 'D•) -51 13) Non - portable evaporate cooler • • ,, .
= Architect . N 7.00 ' •-
. 14) Vent fan connected to a single dud • " ' • . .
or Mailing Address . ' 4.75 '
15) Ventilation system not included in
appliance permit 7.00
Eng ineer ctlY e ap Ph 16) Hood served by mechanical exhaust ,
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Describe work to be done: 17) Domestic Udneratora
. ' 12.00 .
Nave r
Replace with like kind: Yes O No O 18) Commercial or industrial type incinerator
C
ommercial0 4 - • , f,: , .1(„r r }
19) Repair units ; �'� ,;�;
• ' Additional information or description of work
q OAS 1 i v te - .go v ' Q,S Lo 20) W stovergas FP/ gnits/dothe dryer/etc.. • ✓ : .. 74..
For Commercial projects only; Units over lbs. require 21) Gas piping one to four outlets
structural gas catcs. • See footnote 1 ' ! ' 3.75 `.' _ 41`
. Type of fuel: oil O natural gas O LPG O electric O 22) More than 4-per outlet (each) . ' ' ' .75 , • : 4,
. Minimum Penult Fee $80.00 SUBTOTAL 00. ' w-
I hereby acknowledge that I have read this application, that the information 7% SURCHARGE • I. ' - :
given is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL
the owner, thatplans submitted are in compliance with Oregon State laws. Required for ALL commercial permits only '
• TOTAL fL
�'i gent Date / " a
Other Inspections and Fees: "t
ii ✓iii AV II 4. 1 1. hrepections outside of normal busin ess hours mtninum'
hours) $50.00 per hour' . • . ' j
l I / ,Z 2. Inspections for which no fee Is.speciflcally'Iridlcated (miMarra'rr .•
• / e: %Av\ - o t %•i L 6
. .-T6 r2 • charge-half hour) $50.00 per hour' . ' - . • - = " '
Foonotes for c 11 mercial projects only: 3. Additional plan review required by changes, additions or`revisions to _ ` : 5' m, •
i 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' w } °-
' " NC uires site lan sh lacement of unit '`' •' _ ' '• _ : •
`. • Limech doc rev 02/4/99 , -
; , 1 �
(.• i .'t
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. . LJ`. .
10/7/99 Activities for Case #: MEC1999 -00369 •
2:23:20 PM •
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECA007 APPlication received 9/9/99 DEB DONE No Hold DEB 9/9/99
MECA008 Create Permit 9/9/99 DEB DONE No Hold DEB 9/9/99
MECA705 Gas Line lnsp 9/9/99 9/9/99 9/13/99 MS PASS No Hold AKJ 9/13/99 requires drip leg
MECA715 Mechanical Insp 9/9/99 9/9/99 No Hold DEB 9/9/99
MECA799 Final Inspection 9/9/99 9/9/99 9/13/99 MS PASS No Hold AKJ 9/13/99
MECA060 (F) Issue permit 9/9/99 DEB DONE No Hold DEB 9/9/99
MECA800 Case Finaled 9/13/99 AKJ DONE No Hold AKJ 9/13/99
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CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested i 3 -9'1 AM PM BLD
Location I 1 1 Dip i iftela Suite MEC l qg9 X1Y42
Contact Person : • -: L . I •IA t Ph r SZ 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
Insulation J /
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
CIECHAI
Post & Beam •
Rou h In
Gas Lin
Smoke Dampers
PART FAIL
TRICAL
Service
Rough In
Low Voltage
b
Low V
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 �y�, 2�y
Approach /Sidewalk
Other Date 3 '[ Inspector - I es ., Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
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