Permit CITY OF TIGARD
, MECHANICAL
i DEVELOPMENT SERVICES PERMIT
'� � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 PERMIT # ° MEC99 - 0066
DATE ISSUED: 02/16/99
PARCEL: 2S111BA -02100
SITE ADDRESS...: 09830 SW VIEW TERR
SUBDIVISION : INGEBRAND HEIGHTS ZONING: R -3.5
' BLOCK . LOT :006 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.: 1
FURN > =1O0K BTU: 0 > 10000 cfm: 0
Remarks : Install a as insert and gas piping.
Owner: FEES
JOSEPH KURTZ type amount by date recpt
9830 SW VIEW TERRACE PRMT $ 25.00 GEO 02/16/99 99- 312943
TIGARD OR 97224 SPCT $ 1.25 GEO 02/16/99 99- 312943
Phone #: 620 -3779
•
Contractor:
JOHN 0 BRANCH FIREPLACES & MOR
JOHN OSCAR BRANCH -
PO BOX 23698 $ 26.25 'TOTAL •
TIGARD OR 97281
Phone #: 620 -0255
Reg #..: 003958
REQUI RED INSPECTIONS
This permit is issued subject to the regulations contained in the Gas Line I n s p
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
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- 001 -0010 through OAR 952- 001 -0080. You may •
obtain copies of these rules or direct questions to OUNC by calling —
(503)246 -9187.
/f/
Issue By: Permittee Signature: _
+++++++++++++++++++++++++++++++++++++++++++++++'+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
+++++++++++++++++++++++++++++++++++++•+•++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Plan Check #
CITY OF TIGARD RECEIVIftchanical Permit Application Rec'd By
131 SW HALL BLVD. Commercial and Residential Date Rec'd
TIGARD, OR 97223 FEB 1 6 1999 Date to P.E.
(503) 639 -4171, x304 Date to DST
COMMUNITY DEVELOPMENT Print or Type -114--- Permit #l�r 0'04
Called
Incomplete or illegible applications will not be accepted
Q e Ku rt , Name of Development/Project Description
J 1 C I g 5n S l,ti U t P L3 Te {(• Table 1A Mechanical Code CITY PRICE AMT
Job ( Address Suited A) Permit Fee -0- -0- 10.00
Address
Bldg# - CA /State Zip 1.) Furnace to 100,000 BTU 6.00
(i op _rd. f d. oi -1 as q including ducts & vents
Name (or name of business) J 2.) Furnace 100,000 BTU+ 7.50
Owner 3 \-<_ LA_ r - t - Z including ducts & vents
Mailing Address 3.) Floor Furnace 6.00
30 _5u,.) U i �-v Tyr Cr including vent
d/
Cstate Zip P hone 4.) Suspended heater, wall heater 6.00
c
■ a r cL 9 9 m ( a d o - or floor mounted heater
Name ( ame of business) 377/ 5.) Vent not included in appliance permit 3.00
Sa , vr)e_
Occupant Mailing Address 6.) Boiler or comp, heat pump, air cond. 6.00
to 3 HP: absorb unit to 100K BUT"
Crty /State Zip Phone 7.) Boiler or comp, heat pump, air cond. 11.00
3-15 HP; absorb unit to 500K BTU"
Contractor Name 8.) Boiler or comp, heat pump, air cond. 15.00
`'l(\ c), i3 c c,00e �; : e I0 (eS f:1i %r� 15-30 HP; absorb units -1 mil BTU
Prior to permit Mailing Address 9.) Boiler or comp, heat pump, air cond. 22.50
issuance, a copy PO Go-k a 3u� 30-50 HP; absorb unit 1- 1.75mi1 BTU"
of all licenses City/State Zip Phone 10.) Boiler or comp, heat pump, air cond. 37.50
are required if , C� `1 'l oZ T; 1 (p � l" l.: y -� > 5 `
Ti t i c > 50 HP; absorb unit 1.75 mil BTU"
expired in COT Ore Const. Cord. Board Lac s Exp Date 11.) Air handling unit to 10,000 CFM 4.50
database 3 JC; I
Architect Name 12.) Air handling unit 7.50
10,000 CTM+
or Marla AddfeSs 13.) Non - portable evaporate cooler 4.50
Engineer City/State Zip - Phone 14.) Vent fan connected to a single duct 3.00
Describe work New 0 Addition 0 Alteration 0 Repair 0 15.) Ventilation system not included 4.50
to be done Residential 0 Non - residential 0 in appliance permit
Additional Description of work: 16.) Hood served by mechanical exhaust 4.50
17.) Domestic incinerators 7.50
Existing use of 18.) Commercial or industrial 30.00
building or property type incinerator
19.) Repair units 4.50
Proposed use of 20.) Wood stove 4.50
building or property
21.) Clothes dryer, etc. 4.50
Type of fuel - oil 0 natural gas g LPG 0 electnc 0 22.) Other units 9044 /-7/4,e/it 4.50 S0
I hereby acknowledge that I have read this application, that the information 23.) Gas piping one to four outlets 2.00 ..
4!'
given is correct, that I am the owner or authorized agent of / 0 Z' 0 d
the owner, that plans submitted are in compliance with Oregon State laws. 24.) More than 4-per outlet (each) .50
Signature of OwnedAgent Date SUBTOTAL ;: ;F. ;rr ; j: :;'.:
�' /#� Q-10 11 5 %SURCHARGE
Person Name Phone PLAN REVIEW 25% OF SUBTOTAL ,,.:„, : J -, ' -_ - -
Required for all commercial permits only. - .. -:.: `' '` '' '
c TOTAL ` of l0 ,;/ t
JOhr1 O, .C 42 a_C - - oa� S
'Minimum permit fee is $25 + 5% surcharge
**Residential) NC requires site plan showing placement of unit
•
1:1mechprnt.doc rev 4/15/98 1/
CITY OF TIGARD BUILDING INSPECTION DIVISION ST
24 -Hour Inspection Line: 639 -4175 usiness Line: 639 -4171
BUP
Date Requeste o'L AM t PM BLD
Location S3 V(Le4,() Suite MEC of?(Pco
Contact Person di) . , ' , A _ Ph 4 L) 3 77? PLM
Contractor ■ ) Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR •
Footing
Foundation CCe FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab 3-0 a— g 3 6 'i( . SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing OAS ,P t 1 A-e 4 - T 'Z' r' _ /5
r' 5,1"
Firewall
Fire Sprinkler IS" L4 I." U TS C--/-7,4_ 3V /ZR"
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(,4J)
Post & Beam jjcv2
Rough In
Smo. Dampers
4 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 inspe ion. 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 '2 " 2 > ' 5 Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.