Permit CITY TIGARD MECHANICAL PERMIT
r . DEVELOPMENT SERVICES PERMIT #: MEC2000 -00028
'' � ! 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 01/24/2000
PARCEL: 2S 101 DB -00702
SITE ADDRESS: 07325 SW VARNS ST
SUBDIVISION: ROLLING HILLS ZONING: R -3.5
BLOCK: LOT: 002 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:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: 1
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 0
> 10000 cfm: GAS OUTLETS:
Remarks: Pellet stove insert installation into existing masonary fireplace.
Owner: FEES
CARNEY, PATRICK G Type By Date Amount Receipt
7325 SW VARNS STREET PRMT KJP 01/24/200 $50.00 00- 321350
TIGARD, OR 97223 5PCT KJP 01/24/20( $4.00 00- 321350
Total $54.00
Phone:
Contractor:
OWNER
REQUIRED INSPECTIONS
Woodstove Insp
Phone: Final Inspection
Reg #:
ORIGINAL
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 R 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by
calling (503)246- 18
L
Issue By: Permittee Signature: X _ _ _
i
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
La I Y or I IUAKU mecnanicai Permit Application Recd B y v,.m
13125 SW HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 Date to P.E
(502*) 639 -4171, x304 k1 Date to DST
Print or Type Permit # MCc o13c, -ouoa8
•
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Description
Table 1A Mechanical Code Qty Price Amt
S treet Address A) Permit Fee , , ': 16 00
Job \ / Suiter'r �?�' k
Address . _7� 61 ^) V aces �c,�— 1) Furnaceto100,000BTu
includin9'dt,�i� & vents see footnote 1,2 9 05
Bidgir City /Stara Zip 2) Furnace 100,000 BTU+
et r 9 7-2 2 including ducts & vents see footnote 1,2 12 00
me (or name of business 3) Floor Furnace
Owner including vent see footnote 1,2 9.65
Mailing Ad ss `t �Q 4) Suspended heater, wall heater
S.2 S t V h r n / � / or poor mounted heater see footnote 1,2 9.65
S < `.'q I 1 5) Vent not included in appliance permit 4.75
City /State Zip Pho C heck all that apply: 'Boller Heat Air
I W ne v.j --' P PP Y
f e h r, j 72 M 64 -10 /s- For items 6 -10, see or Pump Cond Qty Price Amt
Name (r name of business) footnotes 1,2 Comp
P L G ` .' 6) <3HP;absorb unit to l
Occupant ^^Address ` X00 ; BTU 9.65
] .4--- ) 3 5 HP;absorb unit
'J 3,a 5 w zt-vt 5 100k to 500k BTU 17.65_
City /State Zip Phone 8) 15 -30 HP; absorb
5'i'1''Q r S unit .5 -1 mil BTU 24 15
1, P. -4k / ALp 9) 30 -50 HP; absorb
Contractor Na a unit 1 -1.75 mil BTU 3600
10) >50HP; absorb unit
Prior to permit Mailing Address >1.75 mil BTU 60.15
issuance, a copy • 11 Air handling unit to 10,000 CFM
of all licenses City /State Zip Phone 7 00
are required if 12) Air handling unit 10,000 CFM+
expired in COT Oregon Const. Cont. Board Lk.# Exp. Date 11.85
database 13) Non - portable evaporate cooler
Architect Name 7.00
14) Vent fan connected to a single duct
o r Mailing Address 4.75
15) Ventilation system not included in
appliance permit 7.00 _
Engineer' city /state Zip Phone 16) Hood served by mechanical exhaust l
7.00
Describe work to be done. 17) Domestic incinerators
12.0 i
New 0 Repair 0 Replace with like kind: Yes 0 No O 18) Commercial or industrial type incinerator
Residential"( Commercial 0 48 25
19) Repair units
b 40
Additional information or de of port:
411,1- 6k v ✓e 0,45cr � vi. n
s so � � '` � a c��, s n5 20) Wood stove /gas FP /other units /clothe dryer /etc. 7 U� /
cC c� J
NOTE: For Commercial projects only; Units ov 400 it's rei uire 21) Gas piping one to four outlets
structural gas calcs. See footnote 1 _3.75
Type of fuel oil 0 natural gas 0 LPG 0 electric O 22) More than 4 -per outlet (each) .75
Minimum Permit Fee $50.00 SUBTOTAL .-it '`-' 4 1 = - * ,tf 5Q°'-
•I hereby acknowledge that I have read this application, that the information 8% SURCHARGE .! 4 S!
given is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL :-- 1 a
the owner, that plans submitted are in compliance with Oregon State laws. Required for ALL commercial permits only " w�,
TOTAL CC/
Slgna!ure o Own�e� ge p e :,zr - a;.4- � ,J /
jyj i Othepinspections and Fees;
.1-.v t 1. Ins ections outside of normal business hours (mininum charge -two
act Person Na a Cont f� hone hours) $60.00 per hour
I n l 2. Inspections for which no fee is specifically indicated (minimum
'VA - t - 1--:, &L. ( „„ v.„,(, u1) 6 4 — 9_2 d c� charge -half hour) $50.00 per hour
Foonotes for commercial projects o 3. Additional plan review required by changes, additions or revisions to
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
"Residential A/C requires site plan showing placement of unit
1:Vnechperm doc rev 7/19/99
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested r AM k PM BLD
Location ✓Z S U /') St Suite MEC' ___
Contact Person P a o - c Ph CPZq '920 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: /0
Slab prior - l n1 / 11 -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
Pos� t�a�rn
Rough In •
Gas Line
Smoke Dampers
• PART FAIL
CTRICAL
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 Date �l Inspecto Y Ext �.
Other '
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.