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Permit CITY OF T MECHAN I CAL v�,� DEVELOPMENT SERVICES PERMIT 11. I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PERMIT S 3/999 -0090 DATE ISSUED: 03 /03/99 PARCEL: 2S1O1DB- 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 ° 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.: 1 FURN < 1O0K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0 FURN > =1O0K BTU: 0 > 10000 cfm: 0 Remarks: Wood fireplace insert Owner: FEES MILLER, ROBERT type amount by. date recpt 7475 SW VARNS ST PRMT $ 25. B 03/03/99 99- 313431 TIGARD OR 97223 5PCT $ 1.25 B 03/03/99 99- 313431 Phone #: Contractor: • $ 26.25 TOTAL Phone #: Reg #.. : REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Final Inspection 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 by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 0011010 through OAR 952-0011080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246 -9187. Issue By: E. � / Permittee Signature ��,��.� // _/L/ ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for inspections needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + ++ + + + ++ Plan Che # CIT! OF TIGARD Mechanical Permit Application Recd By H 'I 13125 SW HALL BLVD. Commercial and Residential Date Recd TIGARD, OR 97223 Date to P.E. (503) 639 -4171, x304 Date to DST Print or Type Permit #MC —)01O 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 44 , 10.00 Address 7/ 75 Sw i)ct,rne S 1) Fumace to 100,000 BTU including ducts & vents 6.00 Bldg# City /State Zip 2) Furnace 100,000 BTU+ including ducts & vents 7.50 Na (o name of business) 3) Floor Furnace .. - 4- C._ MI Her - including vent 6.00 Mailing Address 4) Suspended heater, wall heater Si.' �� or floor mounted heater 6.00 �/ -7S S 5) Vent not included in appliance permit . City /State i Zip Phone - 3.00 1 o-6 q � 6.39-8/96 CHECK ALL *Boiler Heat Air Nar name of business) THAT APPLY: - - or Pump Cond Qty Price Amt Comp "' • 6) <3HP;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 unit .5 -1 mil BTU - _ 15.00 Contractor Name 9) 30 -50 HP; absorb - -a ernall S unit 1 -1.75 mil BTU - 22.50' Prior to permit Mailing Address Q / 10) >50HP; absorb unit issuance, a copy _ f -xj7S c tart / Ors P/' >1.75 mil BTU - - 37.50 of all licenses bate p Phone 11) Air handling unit to 10,000 CFM are required if (.� q7 e - 64/G -6y07 V 4.50 expired in COT Oregon on Cont. Board Lic # Exp. Date 12) Air handling unit 10,000_CFM+ database [) - 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 O _ No 0 7.50 Residential. Commercial O 18) Commercial or industrial type incinerator 30.00 Additional information or description of work: 19) Repair units - . 4.50 - 20) Wood stove wt. n . Cl r ` L (v1 &% , 1 4.50 V 5:3 21) Clothes dryer, et. 4.50 Type of fuel: oil 0 natural gal. LPG O Q electrjc O 22) Other units _ p01 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 • , - . • nt Date • . �.o� �� Minimum Permit Fee $25.00 SUBTOTAL � - a5 / 2-3-9Y 5% SURCHARGE , / /'tact Perso ( ame i Phone PLAN REVIEW 25% OF SUBTOTAL iL , 4 ��yyy" - -, � } Required for ALL commercial permits only � �''� � _ j / " r k Er if TOTAL *State Contractor Boiler Certification required V p "Residential NC requires site plan showing placement of unit 7 I I et I:lmechperm.doc rev 07/20/98!!�� CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Re ested 7 AM PM BLD Location ')-/ 2YV SF • Suite MEC 979 � Contact Person Ph r!p 3 9 - Bl � PLM Contractor 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 ' R l4;P'r7o v,s (z_ a'2rgECTTD L / S C j) Insulation Drywall Nailing – - 7- 75 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 ECHANIttL- p\ Pos v Rough In Gas Line Smoke Dampers m PART FAIL .. ik9 \ ( - TRICAL 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 Y Z. — . 99 Inspector E 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 6 1 - :2 L - 91 AM PM BLD Location '7‘"1 rns $1 • Suite MEC J 9' **tit/ Contact Person 7 • Ph (Q gl `740 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access Foundation 1 -2' _ �� FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear i Int Sheath /Shear ^ ` Framing �� J �` U Insulation Drywall Nailing Firewall Fire Sprinkler 511F 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 <111ECHANM - Post & Beam Rough In Gas Line Smoke Dampers PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ I 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 f,( �( Other Approach/Sidewalk Date ` ' , t Inspector szes-i-, Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.