Permit CITY TIGARD MECHANICAL PERMIT
,4
,�^ DEVELOPMENT SERVICES PERMIT #: MEC1999 -00170
. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/23/99
PARCEL: 2S101 DB -00705
SITE ADDRESS: 07475 SW VARNS ST
SUBDIVISION: ROLLING HILLS ZONING: R -3.5
BLOCK: LOT: 005 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:
LPG 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:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Remarks: Gas piping for waterlreater
Owner: FERN FEES
MILLER, BOB & DOROTHY Type By Date Amount Receipt
7474 SW VARNS - PRMT BON 4/23/99 $25.00 99- 314795
TIGARD, OR 97223 5PCT BON 4/23/99 $1.25 99- 314795
Total $26.25
Phone: 639 -8196
Contractor:
FIRESIDE DISTRIBTRS OF ORE INC
13893 SW BOONES FERRY RD
PORTLAND, OR 97224 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 503 - 684 -8535 Final Inspection
Reg #: LIC 00040979
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 ob copies of trese rules or direct questions to OUNC by calling (503)246 -9189.
Issue By: / / ` (— Permittee Signature: On_ !(��1� — frklAtie,
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the nee t business day
08/07/98 FRI 15:54 FAX 503 598 1960 CITY OF TIGARD Q001
• - - CITY OF TIGARD R ECEIVED Mechanical Permit Application mac, By ak-)
13125 SW HALL 2 2 1999 Commercial and Residential Date Rec'd -
TIGARD, OR 9722f Date to P.E
(503) 639- 4171 DEVELOPMENT Date to DST
Print or Type Permit S Mgr o — 6 '10
Incomplete or illegible applications will not be accepted cooed
Name of DevelopmenUPra)ect Description
Table 1A Mechanical Code Pnce Amt
Job Street Address Suited A) Permit Fee 10.00
-1 4 ! 5 Sc�J r St 1) Furnace to 100,000 BTU
Address C including ducts & vents 6.00
Bldg# cnyrstate rk Zlp 2) Furnace 100,000 BTU+
ttax
11 O-.(i1 Including ducts & vents 7.50
Name or name of business) J ,1 �,, (� ` 3) FloorFumace
Owner B� `t" �JQrt. 4I ). \ `e,c including vent 6.00
Melling Address (� 1 4) Suspended heater, wall heater
�� Q� o� SS or floor mounted heater 6.00
5f1WUt a S ' 5) Vent not included In appliance permit
City/State Zip one 3.00
I Ph G'Icl_ (l c CHECK ALL *Boiler Heat Alr
Name of name of business) THAT APPLY: or Pump Cond Qty Price Amt
Comp ..
6) <3HP;absorb unit to
Occupant MuiiingAddresa 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
unit .5 -1 mil BTU 15.00
Contractor Name AA I 9) 30 -50 HP; absorb
,S 1
ri CQ4- h Fs-k . O er„..� unit 1 -1 75 mil BTU 22.60
Prior to permit al�gMdd ress ,U (3 10) >50HP; absorb unit
I
issuance, a copy Si 5 r'--k 1 � >1.75 mil BTU _ _ 37.50
of all licenses City /Stet Zip Ph 11) Air handing unit to 10,000 CFM
are required if P 4 - t 0 M. 6 1 - 122J-1 ( f" B s 4 50
expired in COT O Ganef. Cont. Bcard Lie.! Exp. pale 12) Air handling unit 10,000 CFM+
database `"L C7 9/ Cl l i /60 O 7.50
Architect Name 13) Non - portable evaporate cooler
. 4.50
r �faiIh Address 14) Vent fan connected to a single duct
or 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 5D ,
17) Domestic Incinerators
New 0 Repair 0 Replace with Ike kind: Yes 0 No 0 - 7.50
Residential 4y Commercial O 18) Commercial or industrial type incinerator
30.00
Additional information or description of work: 19) Repair units
4 50
20) Wood stove
4.50
21) Clothes dryer, etc.
4.50
- Type of fuel. oil 0 natural gas 0 LPG 0 electric 0 22) Other units • '
I hereoy acknowledge that I have read this application, that the information 23) Gas piping one to tour outlets CO
given is correct, that lam the owner or authorized agent of 2.00 1
the owner, that plans submitted are In compliance with Oregon State laws. 24) More than 4 -per outlet (each)
.50
ore of Owner /Agent Date . r 1
Minimum Permit Fee $26.00 SUBTOTAL , - : . � 2
,,,Sr tLly v 5% SURCHARG �,r,.,,4F ,,,,t:..la
Contact Pe Name Phone PLAN REVIEW 25% OF SUBTOTAL Y
;
Required for ALL t
commercial permits only x� - -4.1„,I. 4 ,
TOTAL ' '_ - '� 2 S
: :1,:'i, : 1 2 ,
' 'State Contractor Boiler Certification required
"Residential NC requires site plan showing placement of unit
I:\mechperm.doc rev 07/20/98
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST
BUP
Date Requested /' Z 3 — 1' 1 AM PM BLD
Location 7 V 7$ Vri s - Suite MEC/ 6 t7F-. (JO /. 70
Contact Person Ph 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 L: //607 /A/S/742/4770"J /43 la•�E/L'
Insulation
Drywall Nailing 44,e, ,<_(4- _ cc)/ LL i 6 -$ 5 7" 6/c" V41. N./."
Firewall
Fire Sprinkler e
Fire Alarm r�
Susp'd Ceiling . !' � �Pi S' /"E),62.
.
Roof i/ /.vcI2 CAS) 4 'Vim/
Misc:
Final
PASS PART FAIL
PLUMBING Cz .'L: Got �i /iqL. i '�c��GIZ o•v
Post & Beam
Under Slab cc./��
Top Out
Water Service
Sanitary Sewer
Rain Drains 1
Final
PASS PART FAIL
(�MECHANICAI
s3 &eam
Rough In
S as Line)
moke Dampers
Fin
A 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 4/ - 23 — Fi: Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 5 AM PM BLD
Location 7L1 Vamic g -I ' Suite MEC ' 2S) - 70
Contact Person n Ph ` PLM
Contractor Y h'Y) i)( Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain ,
Crawl Drain Inspection Notes: 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
IltE
Post & Beam
Rough In
Gas Line
Sm= - Dampers
4" (0 PART FAIL
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 5 3 - q InS ector Ext
Other Date p •
Final
PASS PART FAIL ' DO NOT REMOVE this inspection record from the job site.