Permit CITY OF TIGARD MECHANICAL
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT
13125 SW Hell Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171 �=??� PERMIT # MEC9 5- 0 4 2121
_ TF_ ISSUED: 12/11/95
PARCEL: 2S102BA -00501
SITE ADDRESS...: 09740 SW TIGARD ST
SUBDIVISION ° NO.TIGARDVILLE ADDITION AMEND. ZONING: I —P
BLOCK LOT °60
CLASS OF WORK..:ADD FLOOR FURN : 0 EVAP COOLERS: 0
TYPE OF USE °SF UNIT HEATERS..: 2 VENT FANS...: 0
OCCUPANCY GRF..:R3 VENTS W10 AFPL: 0 VENT SYSTEMS: 0
STORIES • 1 BOILERS /COMPRESSORS HOODS ° 0
FUEL TYPES - --- 0 -3 HP ° 0 DOMES. INCIN: 0
: /GAS/ / / 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. : 0
FURN < 100K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS. : 0
FURN > =100K BTU: 0 > 10000 cfm: 0
Remarks: Addition of two ceiling heaters
Owner: FEES
SUE SNYDER type amount by date recpt
9740 SW TIGARD ST PRMT $ 25.00 JDA 12/06/95 95- 273553
SPCT $ 1.25 JDA 12/06/95 95- 273553
TIGARD OR 97223
Phone #: 639 -3908
Contract or:
BURKE MECHANICAL
9265 SW 74TH
PORTLAND OR —
Phone #: 244 -8694 $ 26.25 TOTAL
Reg #.. : 47781
REQUIRED INSPECTIONS
This peroit is issued subject to the regulations contained in the Mechanical Insp —
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 peroit will expire if work is not started
within 180 days of issuance, or if work is suspended for core
than 180 days. _ —
// /
Permittee Signature: .` f " - ' w — _ —_—
Issued By:
_►V_��! ✓Q ____- I � - - - - -- -- —
Call for inspection — 639 -4175
't
1
vre ■ 1Z -5 15
City of Tigard MECHANICAL PERMIT . Planck/Rec. # 1 7 - l oC
1'6125 S W Hall Blvd. APPLICATION Permit # MRslC h9 Z
Tigard, OR 97223 •
(503) 639 -4171 Lio ((-7.( 0(tij _
- { - Di d - b .
- Name of Daeelcomont Description
' 1 S'Zi) 771". -A/ '00 Table 3A Mechanical Code QTY PRICE AMT
Job (, iv,eio frOe ?ft ;? 1) Permit Fee -0- -0- 10.00
Address
2) Supplemental Permit 3.00
Name (a name of busm•es; Furnace to 100,000 BTU
` U ° t• 1 ) /9/406 -144 A 7
1) incl. ducts & vents 6.00
aim 7- °^°'° Furnace 100,000 BTU +
?
Owner 7 � 2 " 745.9 a 2) incl. ducts & vents 7.50
"• • S t Z.4f Floor Furnance
T /9�. 0, 97,3 3) incl. vent 6.00
me (or name of busmen) Suspended heater, wall heater, r
M; - 4) or floor mounted heater - `tr`� p 6.00
" ' ° "a ° '° �^°'° Vent not Incl. in
Occupant 5) appliance permit 3.00
%A N""" e T ' • Repair of heating, refrig.
6) cooling, absorption unit 6.00
• 117i ' 70117 Boiler or comp, heat pump, air cond.
V P '01'
>A --8e 'a 7) to 3 HP; absorp unit to 100K BTU 6.00
Boiler or comp, heat pump, air cond.
ir
,� / ` � j ' .r5'' ) 79_ 8) 3 -15 HP; absorp unit to 500K BTU 11.00
Contrac br v �,
` /
R.
Boiler or comp, heat pump, air cond.
�Yl J 9) 15-30 HP; absorp unit .5-1 mil BTU 15.00
"° R °Q ' N o e i°/ �° Tao No Boiler or comp, heat pump, air cond.
1 10) 30-50 HP; absorp unit 1 -1.75 mil BTU 22.50
I hereoy acv owleage that I have read this application, that the Boiler or comp, heat pump, air cond.
information given is correct, that I am the owner or authorized 11) > 50 HP; absorp unit 1.75 mil BTU 37.50
agent of the owner, that plans submitted are in compliance with Air handling unit to
State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 4.50
Board, that the number given is correct. (If exempt from State Air handling unit
registration, please give reason below.) 13) 10,000 CTM + 7.50
Non portable
14) evaporate cooler 4.50
Vent fan connected
C�
/ A 15) to a single duct 3.00
Ventilation system permit not
16) included in appliance ermit 4.50
1. .ygnawte ■omnc or agent; ( Date Hood served by
17) mechanical exhaust 4.50
Describe work new)g., addition 0 alteration 0 repair 0 Commercial or industrial
to be done residential 0 non - residential 0 18) type incinerator 30.00
Existing use or v Other i.e., woodstove, water
�,
building or property Z�� �=x . / , im 0,674
6 19) heater, solar, clothes dryers. etc. 4.50
Proposed use of 20) Gas piping one to four outlets / 2.00
building or property ji I ' / ilr G /.7 / Ofe/Y -
21) More than 4-per outlet
p (each) 2.00
Type of fuel - oil 0 natural gas) LPG Q electric Q
NOTICE
Minimum Fee $25.00 SUBTOTAL 2-5 _ O.1)
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE /
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL
AFTER WORK IS COMMENCED.
TOTAL � 5 S pecial Conditions
Date issued by
4:1LOG I MDSTSIMECHPMT
CITY OF TIGARD BUILDING INSPECTION DIVISION MST qi
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
9 BUP /94 00A ., 7
Date Requested ? p A M !'� PM BLD
Location 4'O �� �R 77
�i Suite MEC eV' a a 0
v
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner FILE ELC
Retaining Wall ELR
Footing T � _ J r . j '(�{ car' � �'s , i . Y
g � c' ' r fY . N � S ` ± f � . i{�1 p 1' ;y; 1{7 `�^.H.- r ; . \ ;. t
Foundation - r � , r ,,,, . N�f ,H .. „.,:. "7 . '}' e • � i ,...‘7. : v:.� - ;' FPS I
Ftg Drain L t1>:.Q• -), Ti :L.. _,..i:.�t : : _ V''. SGN
Crawl Drain Inspection Notes:
Slab ,
SIT
Post & Beam
Ext Sheath /Shear ,
Ina Sheath/Shear th /Shear � ? � 4,Kr., f✓J
Framing ✓ 7r ° 54' /6 (, � F r ! At", I 4/dsi� ' r1 ,/ Insulation /' e - r , f n ) vp 4
Drywall Nailing � ` �/-G (� S
Fire wall / p , -51 '' 4!' Q 1-
Fire Sprinkler '��J (4‘-'''
f�
Fire Alarm
Susp'd Ceiling
Roof ,,�� `;• bb-'-'
Misc: 0Ji� (I °��
P �
ASS PART FAIL ,- Pe`i 2' i' / 11194.69-v7 � ? / / 5 G'' . �
Post & Beam C
Under Slab
Top Out
Water Service ,g Sanitary Sewer / / ir
Rain Drains /d' — 5f/a X / $- / 4 ��� 7 42 1.-- -, ` o zati � Final s v 5 l
PASS PART FAIL / PRA/ 7 "f-/' -_ .:?
.MECHANIC) / / - �' F ��' f' =j/5/ % /,'e�— UR &`Beam , �
Rough In
Gas Line
Smoke_Dampers
1
!, PASS /PART FAIL
1 ,ELECJ'RICAL
Service
Rough.ln
UG /Slab
Low Voltage
Fire Alarm "i! 9174: Q LA J I J
6'✓.A s
Final v
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 j
Approach /Sidewalk D v s 2 BOO Insp r
Other Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.