Permit , ,
„14 . CITY OF TIGARD
MECHANICAL PERMIT
r'. DEVELOPMENT SERVIC PERMIT #: MEC1999 -00488
• ' � �t I � 13125 SW Hall Blvd., Tigard, OR 97223 0' : 464N Al. DATE ISSU
: 1S133DD-02800
SITE ADDRESS: 12910 SW WINTERLAKE DR
' SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 2 ZONING: R-4.5 .
BLOCK: LOT: 067 JURISDICTION: TIG
CLASS OF WORK: OTR 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:
GAS 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: 1
> 10000 cfm: . GAS OUTLETS: 1
Remarks: Installation of gas stove and associated gas piping.
Owner: ' . FEES
V S SOMAYAZULU Type By ' Date Amount Receipt
12910 SW WINTERLAKE DR PRMT . DEB 11/16/99 • $50.00 99- 319800
TIGARD, OR 97223 • ' 5PCT '. DEB . 11/16/99 $4.00 99- 319800.
• Total $54.00
Phone: •
Contractor: -
LUDEMAN'S FIREPLACE + PATIO -
12675 SW BEAVERDAM RD
BEAVERTON, OR 97005 -2129 REQUIRED INSPECTIONS
Gas Line Insp •
Phone: 646 -6409 Mechanical lnsp .
Reg #: LIC 51469 Final Inspection
•
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
- Utilityific- '.n Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080.
• ' Youfmay obtain c• •ies'of ese. rules or direct questions to OUNC by cairn (503)246 -918 j. { a
• Issue \y: j„ • __ ,Ak_ , . % _,i, _iv_ Permittee Signature: k
1.! 1 . 40--- Call (503) 639 -4175 by 7:00 P.M. for inspections neeed the ext business day
10/01/99 FK1 15:21 Fill 503 59S 1960 0111 OF 11( UW t¢juu.:
• CITY OF TIGARD _ Mechanical Permit AppliEfi - Plan e / -
- •_[, SW HALL BLVD. - Commercial and t�a( - Date Reed - !lo - 99 -
' TIGARD, OR 97213 - � V 1 6 1999 Date to P.E.
1503) 6394171, x304 ��. L� I Date to DST
0 COMMU DEVELOPMEN Permit# HHfe - Xileg
Print or Type .
- Incomplete or illegible applications will not be.accepted - - Called _
Name of Development/Project ` _ - Description
_ - �/}M A 4.- _ 6-`G(, - _ _ Table 1A Mechanical Code - Qt Price Amt . - -
Job . Street Address - - - Suttee A) Permit Fee ' ` 16.00
- 1) Furnace to 100,000 BTU _ - l
-Address ducts & vents see footnote 1,2 9.65
- - - BIdga - City/State _ zlp. 2) Furnace 100,000 BTU+ - - .
- - - _ - _ - - - • - _ - : - - - induding ducts & vents see footnote 1,2 12.00
- _ Name (or name of business) - 3) Floor Furnace - - .
Owner' V , S. S o m A `1A U (---l) including vent see footnote 1,2 - 9.65
4) Suspended heater; wail healer -
I Z i - SW V�J t N T -P's Lf)IC or floor mounted heater _ see footnote 1,2 ,- 9:65 - -
5) Vent not included in a ptiance milt - - - 4.75
- Z4 P Check all that apply: 'Boiler Heat Air
•
_ . - - - it 6 A RA - 0 12. - I- a 1 q-2...- Z 3 - _ . For terns 6.10, see _ - or - Pump -Cond -Qty.- - Price - Amt -
- - Name (or none or business) . footnotes 1,2 Comp - - -
- - - - - • - - - 6) C3HP ;absorb unitto - _ -
- -• I Wfti o. ai - . 5.135 - -
OCCUpdnt Mailin - 7) 3-15 HP :absorb unit - ' -
-- - _ _ _ 100k to 500k BTU - _ - - 17.65
ceyrstate _ • - Zip - Phone - - 8) 15-30 HP; absorb - - - - - - •
•
- - - - _ - - unit .5-1 mil BTU - 24.15 -
- Contractor Name - - _
9) 30-50 HP;-absodi- _
unit 1- 1.75 BTU _ 36.00 - -
. _ L. (> -M Ap/.s: _ _ _ - 10) >50HP; absorb unit .
Prior to pawn* Staling Address - _ - >t75 mil BTU . - - - - - - _ - 60.15 - _
- Issuance, a copy )2. Ca 7 � s W C a1K y'on! A'� - . - 11 Air handling unit to 10,000 CFM -
of all licenses CNllale - ap Phone 7.00 - -
ere required if 66/Neg.-MN/ 04 92) C'5.-?' 12) A handling unit 10,000 CFM* . _ - _
•
expired in car Deegan cant. Cont. Board Lie.* - _ Exp..Dape _ _ _ - • - _ - - - V 11.85
_. database _ • _ 5/ 4i62 - /D/ o c - -13) Non - portable evaporate cooler _ - - -
- Architect Name - - - V - 7.00 .
- - - - : . _ 14) Vent fan connected ten single duct - -
-
or = Address - - - - 4
- _ _ . 15) Ventilation system not included In - -
Engineer. - appliance permit _- - -- - • - 7.00 _ . • -
gineer. ' - - -- Zip ne - - - - _ 16) Hood Served by mechanical exhaust - -
_ _ . e Pho -
_ : - .- -_ - . = - - 7.00
_ s - 7.
- - Describe work to be done: _ - - - . _ 17) Domestic incinerators - • - • • - - - - _
_ _ _ - - - - _ - - _ - - _ - 12.00
_ - New O - Repair O - Replace h like kind: Yes 041 O - - - - 18) Commercial or industrial type Incinerator • -
_ Residential 0- Commerdal0 ' - 48.25 -
- - _ _ 19) Repair units : - - - - - - - - .
-
Additional _ - Addl Information-or description of work - - _ - - - - - 8.40
- - - _ - - - - f 20) W ood stov •' 1 : -; P other un1 &clgtI a dr�yer /eta / / ' _ -7.0 -
- !' i &- 7_00-_:,_. _
NOTE: For Commercial projects only; Units over 400 lbs. require _ 21) Gas• piping - one to -{ outlets . . 7
- struduratgas talcs. _ - - - - _ - _ - - See footnote 1 / 3.15 J ,
Type of fuel: oil 0 natural gas)( LPG 0 _ .electric O - - 22) More than 4-per outlet (each) - - - - .75 - _
- , \\ - Minimum PermitFee- $50.00 - SUBTOTAL ° ;` s v0 -
1 hereby acknowledge that I have read this application, that the information _ 8% SURCHARGE �z' '& e- f ov
given is correct, that lam the owner or authorized agent.of_ - PLAN REVIEW 25% OF SUBTOTAL " - -
- - Required for ALL commercial permits only w t _... - -
the owner, that plans submitted are In compliance with Oregon State laws. J
_ - - TOTALF''' S f �
Sl re rIAgen' - - - - __- Date - .- - - -'
V Other Inspections and Fees:
1 11 / I tl /� 9 - 1 . Inspections outside of normal business hours ( mininum charge -two -
Contact - Person Name -- - _ Phone hours) $50.00 per hour -
- - - - • 2. Inspections • for which no fee is specifically Indicated (minimum
- 'V ; -Sv SOMA 4AZULU 5? - 253, • . charge -half hour) $50.00 per hour _ -
Formates commercial projects only: - _ - 3. Additional plan review required by.changes, additions or revisions to
V 1. Provide full schematic of exsting. 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 NC requires site 'plan showing placement of unit - _ - .
1:4nechperrn.docrev 7/19/99 -
/19/99 - - - - -
_ _ _ _ - - - - - - 9?-a/P° _
. _ -
_ .
-_ . _
. _, _ _ =_ _ .__ ___ _ _._ _ _ -_ _ .
__
_ _ _ _
F
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
Oft c � BUP
Date Requested (9 1 AM PM BLD
Location /»1 ( SCe) Lth Cep 1)1' Suite MEC /9 ?9 o`f 9
Contact Person LaSelYXA/VIS (jCL4 (Z Ph 6;.`f C (O ((.64 PLM
Contractor Ph 57? )S 3 / 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
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 PA FAIL
ECHANICAL
Rough In
Gas Line
Smoke Dampers
PART FAIL
LECTRICAL
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 / ) Inspector /�2/ �j
!
Approach /Sidewalk Date 1 J L/ l '
Other Ex
Final I
PASS PART FAIL DO NOT REMOVE this inspection record ffrom the job site.