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Correspondence . CITY OF TIGARD MECHANICAL DEVELOPMENT SERVICES PERMIT *.11. 13125 SW Hall 8�Tigard, OR 97223(503) 639-4171 PERMIT #.......: MEC98-0549 DATE ISSUED: 12/08/98 PARCEL: 25111AC-05201 SITE ADDRESS...: 14820 SW 92ND AVE SUBDIVISION....: LAUNALYNDA PARK ZONING: R-4.5 BLOCK..........: LOT ^020 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/O APPL: 0 VENT SYSTEMS: 69 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 UNIT8: 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.: 1 FURN >=100K BTU: 0 > 10000 cfm: 0 Remarks: Installation of gas piping to fireplace for residence. Owner: FEES KAREN C WALKER type amount by date recpt 14820 SW 92ND PRMT $ 25.00 DLH 12/08/98 98-311373 TIGARD OR 97223 5PCT $ 1.25 DLH 12/08/98 98-311373 PRMT $ 25.00 DLH 12/08/98 98-311373 Phone #: 684-9041 Contractor: WINDRUSH CORP/AIR FLOW ENG. 5687 SE INTERNATIONAL WAY STE #8 $ 51.25 TOTAL MILWAUKIE OR 97222-4645 Phone #: 786-2899 Reg #..: 96146 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 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 DAR 952-0014680. You may obtain copies of these rules or direct questions to OUNC by calling (500)246-9187. °�xV Issue By: �� Permittee Signature: �-� +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ Call 639 by 7:00 p.m' for inspections needed the next business day +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ Plan Check # CITY OF TIGARD Mechanical Permit Application Rec'd By .. • 13125 SW HALL BLVD. Commercial and Residential Date Rec'd /a • TIGARD, OR 97223 Date to P.E. (503) 639 -4171, x304 Date to DST Ste— Print or Type / ' Permit # f7 a 9,P 1 3 7 /f- f5 /f Incomplete or illegible applications will not be acce ted Called Name of Development/Project Description W Table 1A Mechanical Code Qty Price Amt Job Street Address Suite# A) Permit Fee - • - 10.00 1) Furnace to 100,000 BTU • Address including ducts & vents 6.00 • Bld City /State Zip 2) Furnace 100,000 BTU+ including ducts & vents 7.50 Name (or name of business) 3) Floor Furnace L t C i mo v c including vent 6.00 Owner - 4) Suspended heater, wall heater - - Mailing Address or m • 1 4.0 7-0 5 q L 5) Vent not include d i n appheater li ance 6.00 permit City /State Zip Phone , 3.00 7j(7- n A ex q o,¢1b4-1 CHECK ALL *Boiler Heat Air Name (or name of business) THAT APPLY: or Pump Cond Qty Price Amt Comp Aiegf 6) <3HP;absorb unit to . _ . _ _ Occupant -, Mailing Address _ •100K BTU - 6.00 7) 3 -15 HP;absorb unit . City /State Zip Phone 100k to 500k BTU _ 11.00 8) 15 -30 HP; absorb . Contractor Name unit .5 -1 mil.BTU . . . 15.00 �.� 4 / 9) 30 -50 HP; absorb gC -O)-1 / i ® 1 1 C unit 1 -1.75 mil BTU 22.50 Prior to permit Mailing Address / 10) >50HP; absorb unit S issuance, a copy S' S� x/ Z ' - �it')4 - , 4 - ( . >1.75 mil BTU 37.50 of all licenses City/State Zip ' Phone . 11) Air handling unit to 10,000 CFM . • are required if /4c Llit' jt4 0241-z-21-71 2 )09 _ . 4.50 • expired in COT Oregon Const. Cont. Board Lic# Exp. ate _ 12) Air handling unit 10,000 CFM+ ' database q& f *6 0 2 9 7.50 Architect Name 13) Non - portable evaporate cooler . 4.50 Or Mailing Address - 14) Vent fan connected to a sin 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 1 New-0 Repair 0 Replace with like kind: Yes 0 No 0 _ -_ 7.50 1 Residentialtl Commercial 0 18) Commercial or industrial type incinerator 30.00 Additional information or description of work: 19) Repair units 0 4.50 1,k f - 7 ' 7 taGe 20) Wood stove - . 4.50 21) Clothes dryer, etc. 4.50 Type of fuel: oil 0 natural gas QL LPG 0 electric O . - 22) Other units . 4.50 I hereby acknowledge that I have read this application, that the information . 23) Gas piping one to four outlets - . given is correct, that I am the owner or authorized agent of • - 1 2.00 the owner, that plans submitted are in compliance with Oregon State laws. . 24) More than 4 -per outlet.(each) . .50 Si na r /A e of Owne a Date . ,.„./ ,_,1 g - g� Minimum Permit Fee $25.00 SUBTOTAL a Pc... /0 v �• /� —c� — � gym. 5% SURCHARGE / Contact Person Name . Phone PLAN REVIEW 25% OF SUBTOTAL r "« „ - Required for ALL commercial permits only 0'7i= , r ' l 1 7 ( Lt v rt ( 9-8 (28q 1 TOTAL I C OYO' *State Contractor Boiler Certification required ""Residential A/C requires site plan showing placement of unit I:\rnechperm.doc rev 07/20/98 6/16/00 Activities for Case #: MEC98 -00549 • 1:55:53 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MECA007 Application received 12/8/98 DLH RECD DLH 12/8/98 MECA008 Create Permit 12/8/98 DLH DONE DLH 12/8/98 MECA705 Gas Line Insp 12/8/98 12/9/98 KS FAIL J *H 12/9/98 MECA060 (F) Issue permit 12/8/98 DLH DONE DLH 12/8/98 Charge double permit fees per Jeanne T. for doing work without a permit (as detected when inspecting MEC98- 0480). DLH MECA715 Mechanical Insp 12/9/98 KS FAIL J *H 12/9/98 1. Has installer obtained prermit for fireplace per RC correction list 120298. 2. Insulate heat ducts at crawl space. 3. Provide metal cap at unused opening at b -vent (water heater). 4. Provide access at attic for (inspection) b -vent clearances also at garage ceiling penetrations. 5. Provide collar at b -vent (exterior). 6. Provide metal sleeve at SST gas tubing penetrating fireplace and seal with high heat caulk. 7. Provide insulation shield at b -vent at attic and secure. 8. Block damper in open position at fireplace. MECA705 Gas Line Insp 12/18/98 KS FAIL J *H 12/21/98 Corrections incomplete. MECA799 Final Inspection 12/21/98 KS FAIL J*H 12/21/98 corrections incomplete. MECA705 Gas Line Insp 1/12/99 RC PASS ROC 1/12/99 NO TAG REQD. MECA799 Final Inspection 2/4/99 RC PASS ROC 2/8/99 reinspect this date all corrections performed MECA800 Case Finaled 1/21/99 JT 1/21/99 Page 1 of 1 • CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date at Requested AM PM BLD Location / Z1 g 'PO � Suite MEC 76)-0(5 Contact Person Ph PLM Contractor Ph 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 0 77^,0 ,( 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 WCHANIC eam Rough In Gas Line Pampers PART FAIL EL 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 j (� p Other Date O' 1 I G 1 Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested ` AM PM BLD Location fl} � 0 2 / 1 Suite � C �S Contact Person Ph bl 0 gj Contractor ft- D.. SWR BUILDING nant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN Slab SIT • Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Qty 1 (J- A9 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 c _ PASS PART FAIL MECHANICA Post & Beam Rough In / ��� Clue ke Dampers •AS' PART FAIL ELECTRICAL 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 t Other Date ( Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.