Permit •
CITY OF TIGARD
MECHANICAL
,„ �i�;� DEVE SERVICES PERMIT #PERMIT MEC98 -0573
DATE ISSUED: 12/24/98
PARCEL: 2S1O2BA -00901
SITE ADDRESS...: 09570 SW TIGARD ST
SUBDIVISION • NO.TIGARDVILLE ADDITION AMEND. ZONING: I —P
BLOCK LOT :058 JURISDICTION: TIG
CLASS OF WORK..:ALT FLOOR FURN ° 0 EVAP COOLERS: 0
TYPE OF USE •SF UNIT HEATERS..: 2 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.: 0
FURN < 1O0K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 2
FURN > =1O0K. BTU: 0 > 10000 cfm: 0
Remarks : Installation of two gas furnaces.
Owner: FEES
DOUGLAS ALLRED type amount by date recpt
5820 SW CHESTNUT AVE PRMT $ 26.00 DLH 12/24/98 98- 311753
TIGARD OR 97223 SPCT $ 1.30 DLH 12/24/98 98- 311753
Phone #: 292 -4849
Contract or:
ATLAS GENERAL CONTRACTORS INC
9380 SW TIGARD STREET
27.30 TOTAL
TIGARD OR 97223
Phone #: 292 -5002
Reg #..: 35718
REQUIRED 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- 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: e.01 „,,, Permittee Signature: I 70 1
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Plan Check #
-4 'CITY OF TIGARD Mechanical Permit Application Rec'd By -6 e.-/-i
13125 SW HALL BLVD. Commercial and Residential Date Rec'd iz /2Vpep
TIGARD, OR 97223 Date to P.E. -
(503) 639 -4171, x304 /I Date to DST -
Print or Type Permit # 99s 0
Incomplete or illegible applications will not be accepted Called
Name of Development/ProJect Description
Table 1A Mechanical Code Qty Price Amt
Job Street Address _ Suite# A) Permit Fee 10.00
Address 757, S. u /, P 5.1" 6-,2 6 1) Furnace to 100,000 & 00 BTU
including ducts 8 vents 6.00
Bldg# City/State z� 9 7a.3 2) Furnace 100,000 BTU+
G:
/ ct a p , R including ducts & vents 7.50
Name (or name of business) 3) Floor Furnace
Owner 0' , 4 Li- Y'� E O including vent 6.00
Mailing Address 4), Suspended heater, wall heater
6 6 4'. , c Av Vent floor mounted in appliance 6.00 �a
3, 5) Vent not included in ap permit
City /State Zip Phone 3.00
e, /are kr Ok A7• 4(f CHECK ALL Toiler Heat Air
/ N a me (or P. na me of business) rC/ 6) <3HP;absorb unit to ] THAT APPLY: or Pump Cond Qty Price Amt
ll , AL L IQ Comp
Occupant Mailing Address 100K BTU 6.00
,,� -�
99- 70 12 �` c- -g0 7) 3 -15 HP;absorb unit
City /State Zip Phone 100k to 500k BTU 11.00
r a-A - R n .o 2 ' 8) 15 -30 HP; absorb
Contractor Name l/ (� unit .5 -1 mil BTU 15.00
l C ne N /' � /94- a ti1 � 4 4 9) 30 -50 HP; absorb
p� (� ouC Pf /',x5 U unit 1 -1.75 mil BTU 22.50
Prior to permit M a in Address 9 10) >50HP; absorb unit
issuance, a copy 7 i S/ I(Z // 462J) 5 f >1.75 mil BTU 37.50
of all licenses City/State Zip Phone 11) Air handling unit to 10,000 CFM
are required if 24O 6 ('77 z 2 3 g- ` : 4.50
expired in COT Oregon Const. cony oard Lic.# Exp. Date J 12) Air handling unit 10,000 CFM+
database oat J 3 -1- 97 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 Phone appliance permit 4.50
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 0 7.50
Residential Commercial 0 18) Commercial or industrial type incinerator
30.00
Additional information 9r description of work 19) Repair units
/v2tc('J-^ / � ipt 20) Wood stove . 4.50
�/� _
7C / v-af/ (J e n- L� 3 4.50
21) Clothes dryer, etc.
/ 4.50
Type of fuel: oil 0 natural gas 0 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 a�
given is correct, that I am the owner or authorized agent of 2.00 d
the owner, that plans submitted are in compliance with Oregon State laws. 24) More than 4 -per outlet (each)
.50
Signature of Owner /Agent Date
012 . ____C - VaViflit /ca. -- (� Minimum Permit Fee $25.00 SUBTOTAL 0 -0-1-) z / _y� 5% SURCHARGE 1 / 36)
Contact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL ,
!� Required for ALL commercial permits only
5 , _ / °2 t6 ®Z TOTAL /, 3 O
a ?P- - ys-v Q *State Contractor Boiler Certification required
r
**Residential NC requires site plan showing placement of unit
l:\mechperm.doc rev 07/20/98
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
//5 /1011/9 Date Requested AM AM PM BLD
Location 957() , SU/ / / ST7 PO,7' Suite
"� MEC w
Contact Person (PD/ ii, : I ,, f ?- V
Contractor /7,_20 �[d� 1 Ph /� - 5/.23 '/ SWR /,.�
BUILDING Tenant/Owner alt 9- 757 `jQy,, t ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear ,r
Int Sheath /Shear
Framing _� _ - C1 �M ) 0
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
Cearl
Smo e Dampers
Final •
P ASS PART
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 nS p D ' 1 S - t Inspector C Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
/ / /.5' ,VP Date Requested ///f h9 AM PM BLD
Location ..SYt�r�(. / Suite 9a — D x'73
Contact Person 9.5 70) ,i Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing ACCe - w /
Foundation Dr a i n .i �� a � / 'Q 1:z4./1-1
FPS
Ft Drain SGN
Crawl Drain Inspection Notes: L 2_0 J o
Slab SIT falqb
Post & Beam 141/10
Ext Sheath /Shear `!
Ina Sheath /Shear / `O 5,( “
Framing 'Z (r;�
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
as tm
'-Too M.-Dampers
in=
- ASS PART FAIL
C - ICAL
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 \ `, '1 I Inspector X Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.