Permit CITY OF TIGARD MECHANICAL PERMIT
l;� DEVELOPMENT SERVICES PERMIT #: MEC1999 -00571
' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/27/1999
PARCEL: 2S111 CB -02400
SITE ADDRESS: 14945 SW 100TH AVE
SUBDIVISION: MURDOCK HILL ZONING: R -3.5
BLOCK: LOT: 005 JURISDICTION: TIG
CLASS OF WORK: ALT 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:
LPG 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: Installing a gas woodstove with gas piping
Owner: FEES
BOB WHEATLEY Type By Date Amount Receipt
14945 SW 100TH AVE PRMT BON 12/27/19, $50.00 99- 320673
TIGARD, OR 97224 5PCT BON 12/27/19. $4.00 99- 320673
Total $54.00
Phone: 503 - 670 -9648
Contractor:
ANTHONY M. YOUNG
3607 NE 105TH
PORTLAND, OR 97220 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 503 - 502 -3543 Misc. Inspection
Reg #: LIC 131136 Final Inspection
ORIGINAL
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 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)) 189.
Issue By: C v� Permittee Signature: L �l ALP (� ,
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
Plan Che #
CIT OF TIGARD Mechanical Permit Application Rec'd By
13125 SW HALL BLVD. Commercial and Residential Date Rec'd 1Z-L1-
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST
Print or Type Permit# E. ��i
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Description
Table 1A Mechanical Code Qty Price Amt
Job Street Address Suite# A) Permit Fee a 16.00
Address /11//45 ;f.) /00 1) Furnace to ducts & vents BTU
Bldg# City /State Zip including ducts & vents 9.65
2) Furnace 100,000 BTU+
Tya re -( OR g 7AAY including ducts & vents 12.00
Name (or name of business) 3) Floor Furnace
Owner 13.4 (,J li ccc -1 ,_Y including vent 9.65
Mailing Address 4) Suspended heater, wall heater
or floor mounted heater 4 9.65
P11 '7'5 _w /Oe>. ii.Jt_ _ 5) Vent not included in appliance permit 4.75
City/State Zip Phone Check all that apply: *Boiler Heat Air
• T(v.,.v-c l C t 9 7 2 AL./ Lc,, 3 , , For items 6 -10, see or Pump Cond Qty Price Amt
Waffle (or name of business) footnotes 1,2 Comp
6) Repair units
8.40
Occupant Mailing Address 7) <3HP;absorb unit to
100K BTU 9.65
City /State Zip Phone 8) 3 - HP;absorb unit
100k to 500k BTU 17.65
Contractor Name N 441 ci,i L. t i t4 S 9) 15 30 HP; absorb
S unit .5 -1 mil BTU 24.15
Mn y Yav n J 10) 30 -50 HP; absorb
Prior to permit Mailing Address unit 1-1.75 mil BTU 36.00
issuance, a copy 340 m e /o 11) >50HP; absorb unit >1.75 mil BTU
of all licenses City /State Zip I Phone 60.15
are required if �p - t ic: '7220 Z ,1 12) Air handling unit to 10,000 CFM
expired in COT Oregon Const. Cont. Board Lic.# Exp. Date 7.00 '
database /3//_31 4-z -2ab 13) Air handling unit 10,000 CFM+
Architect Name 11.85
14) Non - portable evaporate cooler
Or Mailing Address 7.00
15) Vent fan connected to a single duct
4.75
Engineer City/State Zip Phone 16) Ventilation system not included in
appliance permit 7.00
Describe work to be done: 17) Hood served by mechanical exhaust
7.00
New gi. Repair 0 Replace with like kind: Yes 0 No 0 18) Domestic incinerators
Residential 0 Commercial 0 Modification O =MCI 12.00
19) Commercialor industrial type incinerator
Additional information or description of work: 48.25
/a57411n Ftrt:e CI-d..mA,,,,eJ (.us STo.: 20) Other units, in4luding,woodstoves ( 7.00
NOTE: For Commercial projects only; Units over 400 lbs., located on the 21) Gas piping one to four outlets
1
roof, require structural talcs. prepared by licensed engineer. 3.75
Type of fuel: oil 0 natural gash. LPG 0 electric 0 22) More than 4 -per outlet (each) .75
Minimum Permit Fee $50.00 SUBTOTAL
I hereby acknowledge that I have read this application, that the information 8% SURCHARGE 14
given is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL
the owner, that plans submitted are in compliance with Oregon State laws. Required for ALL commercial permits only e
Si ature of 0 er /Agent Date /2 -1-7_97 TOTAL `'. � . s�
. �dr�6 ) Other Inspections and Fees:
Contact Person Name Phone
1. Inspections outside of normal business hours (minimum charge -two hours) $50.00 per hour
( ' 1 ' /17 6 33 / 7 ( 4 3 o c 2. Inspections for which no fee is specifically indicated (minimum charge -half hour)
r J $50.00perhour
Foonot =. for commercial proj- •t only: 3. Additional plan review required by changes, additions or revisions to plans (minimum
1. Provide full schematic of existi • and proposed gas line and pressure. charge one - half hour) $50.00 per hour
2. Provide drawings to scale showing existing and proposed mechanical *State Contractor Boiler Certification required
units. "Residential NC requires site plan showing placement of unit
I:\mechperm.doc rev 11/1/99
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested / / 06 AM PM BLD
Location 7 Y - s Suite MEC / f / /
Contact Per on 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
Insulation
Drywall Nailing •
Firewall
Fire Sprinkler tiejWiff 1� a F AG
Fire Alarm /
Susp'd Ceiling
Roof
Misc:
Final /
PASS PART FAIL - �� -
PLUMBING /
Post & Beam
Under Slab �'� / _
Top Out /
Water Service
Sewer / Rain Drains C /S n-r--
Sanitary
Final
PASS PART FAIL
IECHANI L
Pos eam
Ro h In
as Lin
Smoke Dampers
Final
PASS 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 fi Approach /Sidewalk Date i 0 v Inspector Ext 3
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.