Permit CITY OF TIGARDp. MECHANTCAL
4,„ SERVICES PERMIT
Ipa ( F'ERM I T # MEC98 -0494
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 wAip E ISSUED: 11/03/98
1S135DB -04100
SITE ADDRESS...: 11330 SW 92ND AVE
SUBDIVISION DOGWOOD RIDGE ZONING: R -4.5
BLOCK ....... °..: LOT °014 JURISDICTION: TIG
CLASS OF WORK..:OTR FLOOR FURN • 0 EVAP COOLERS: 0
TYPE OF USE •SF UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:R3 VENTS W/O APPL: 0 VENT SYSTEMS: 0
STORIES • 0 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.: 4
FURN < 100K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 1
FURN > =100K BTU: 0 > 10000 cfm: 0
Remarks : Installation of 4 gas inserts and gas piping for each.
Owner: FEES
JOSEPH H BUI type amount by date recpt
11330 SW 92ND PRMT $ 30.00 DEB 11/03/98 98- 310550
TIGARD OR 97223 5PCT $ 1.50 DEB 11/03/98 98- 310550
Phone #:
Contractor :
JOSEPH H BUI
11330 SW 92ND AVE -•-
31.50 TOTAL
TIGARD OR 97223
Phone #:
Reg #..: 000000
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp
applicable laws. All work will be done in accordance with Misc. Inspection
approved plans. This permit will expire if work is not started Final Inspection
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 ORR 952- 001 -0010 through ORR 952- 001 -0080. You may
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
. Ga tirma t i .
Issue B.° Permittee Signat ✓r -e: ,.41147./A ACC.
++++++++++++++++++++++++++ + + + + + + + + + + + + + + ++ + + + + + + + + + + + + ++++ + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Plan Ch
CITY OF TIGARD Mechanical Permit Application Recd B . 7 _ '
13125 SW HALL BLVD. Commercial and Residential Date Recd - 4
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST
Print or Type Permit# M �C Q -� ?9
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Description
I , 0 Ctit.) /'2-- Table 1A Mechanical Code Qty Price Amt
Job Street Address Suite# A) Permit Fee ;i 10.00
Address "` s � ,{� 1) Furnace to 100,000 BTU
• n I I1( - including ducts & vents 6.00
Bldg# City/State Zip 2) Furnace 100,000 BTU+
46„,„„( , 2.-7-3 including ducts & vents 7.50
•
Name (or name of business) 3) Floor Furnace
Owner - 7C7 5- H-- A • including vent 6.00
M ailing Address 4) Suspended heater, wall heater •
q or floor mounted heater • 6.00
• t '5 U �� -t Z 5) Vent not included in appliance permit
City /State Zip Phone 3.00
-TA ot<1 72 6 V - Q( ( CHECK ALL *Boiler Heat Air
Name r 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 1 Phone • 100k to 500k BTU 11.00
8) 15 -30 HP; absorb
unit .5 -1 mil BTU • 15.00
Contractor tame • • 9) 30 -50 HP; absorb
\O _ 1 ' kh 11- 7k ,t unit 1 -1.75 mil BTU 22.50
Prior to permit Mailing Address / .10) >50HP; absorb unit - .
is_suance,.a copy I "� d c4,tJ q Z 0i .. >1.75 mil BTU 37.50
of all licenses CV /State Zip Phone 11) Air.handling unit to 10,000 CFM
are required if u ,yn„c ' ?L2 6 Seg , - • 4.50
- expired in COT Oreg oust. Cont. Board Lic.# Exp. ate - 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 V Ileriair O Replace with like kind: Yes 0 No 0 7.50
Residential Commercial 0 - 18) Commercial or industrial type incinerator -.
30.00
Additional information or description of work: . 19) Repair•units - V - •
4.50
• • 20) Wood stove
4.50
21) Clothes dryer, etc.
/ 4.50
Type of fuel: oil 0 natural gas K1 LPG 0 electric 0 . =.22) Other units IOLA • tiv\ p � __ 4.50 ( o
�
_ � .NC O
I hereby acknowledge that I have read this application, that the information 23) Gas piping one to four`tlutlets cc,
given is correct, that I am the o wner or authorized agent of . I • - • 2.00 p�'
the owner, that plans submitted are in compliance with Oregon State laws. 24) More than 4 -per outlet.(each) .
.50
Signature of Owner /Agent Date , ; " , , , 5 9 , 0C)
• &Ili / I f y f Minimum Permit Fee $25.00 SUBTOTAL ;
5% SURCHARGE I,S
V on . t --rson Name Phone PLAN REVIEW 25% OF SUBTOTAL , .
• Required for ALL commercial permits only '� -
TOTAL .' �/
is 3
*State Contractor Boiler Certification required •
**Residential A/C requires site plan showing placement of unit
I:Unechperm.doc rev 07/20/98
6/16/00 Activities for Case #: MEC98 -00494
1:45:42 PM eolv•A
® is,
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated N otes
MECA007 Application received 11/3/98 DEB RECD DST 11/3/98
MECA008 Create Permit 11/3/98 DEB DONE DST 11/3/98
• MECA799 Final Inspection 11/24/98 HAP FAIL J *H 12/15/98 1. Provide accurate schematic
of gas piping (size, distance,
BTU detmand per appliance) at
new system. 2. If medium
pressure meter, show pressure
reducing valve locations. 3.
Provide lateral support of gas
piping behind range (NOTE: do
not attach electrical boxes to
gas piping.) 4. Test appears to
be uncapped (to control valve
at range). 5. Revise permit to
include all appliances. GAS
TEST OKAY 11 #26 min (new
3/4 line to east of meter). LOAD
CALCS: 2 gas logs, 2 gas
stoves, 1 range, 1 bbq
MECA•05 Gas Line Insp 11/3/98 12/8/98 TLP PART J *H 12/11/98 gas line only 2# pressure 60
#test no regulator installed at
this time must be checked at
final all heating unit vents /flex
liners installed
MECA715 Mechanical Insp 11/3/98 DST 11/3/98
MECA750 Misc. Inspection 11/3/98 11/10/98 GS CONF J *H 11/12/98 1. Remove gas pipe support
bracket from duct work in
basement. 2. Seal penetrations
of piping on both sides of
masonry fireplaces. 3. Submit
pipe sizing diagram for all gas
piping and appliances on
premises. SEE ELC97 -0601
MECA060 (F) Issue permit • 11/3/98 DEB DONE DST 11/3/98
MECA020 Hold for 11/9/98 HAP HOLD DGW 11/9/98 Action pending...enforcement of
electrical code violation and
possible zoning /building
violations...hap
MECA705 Gas Line Insp 11/24/98 HAP FAIL J *H 12/15/98 See final
MECA036 Hold Release to Issued 2/2/99 HAP RELS DGW 2/2/99 ELC permits inspected and
closed...OK to proceed....hap
Page 1 of 2
•
6/16/00 Activities for Case #: MEC98 -00494
1:45:42 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECA705 Gas Line Insp 2/2/99 GS PASS G.ES 2/2/99 NOTE; All gas appliances will
be off a lo- pressure line (2#
service is omitted, to -press
service only. New 1/2" pipe
installed to replace the old pipe
to the bsmt furn, fireplace and
range it also supplies the
upstairs family rm fireplace
TAG #323159
MECA750 Misc. Inspection 2/18/00 2/18/00 2/18/00 JMT DONE No Hold JMT 2/18/00 research inspection request
MECA880 Expired by limitation 6/7/00 HAP DONE No Hold AKJ 6/7/00
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