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Permit • CITY OF TIGARD MECHANICAL PERMIT In DEVELOPMENT SERVICES PERMIT #: MEC1999 -00491 `�'` Ail 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/16/1999 PARCEL: 1 S125CD -06100 SITE ADDRESS: 09810 SW LANDAU PL SUBDIVISION: PP1993 -076 ZONING: R -4.5 BLOCK: LOT: 002 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: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1 > 10000 cfm: GAS OUTLETS: 1 Remarks: Installing gas log set and gas line. Owner: FEES PATTY STOREN Type By Date Amount Receipt 09810 SW LANDAU PLACE PRMT GEO 11/16/19c. $50.00 99- 319806 TIGARD, OR 97223 5PCT GEO 11/16/19c $4.00 99- 319806 Total $54.00 Phone: Contractor: ANCHOR FIREPLACE PRODUCTS INC 14175 SW GALBREATH DR • SHERWOOD, OR 97140 -9170 REQUIRED INSPECTIONS Gas Line lnsp Phone: 925 -8888 Misc. Inspection Reg #: LIC 102814 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)246 -918 . / Issue By: �% s9 / Permittee Signature: Call (503) . 9 -4175 by 7:00 P.M. for inspections needed the next business day 08/20/99 FRI 16:55 FAX 503 598 1960 CITY OF TIGARD 41002 Plan Check # CITY OF TIGARD RECEIVED Permit Application Recd By 13125 SW HALL BLVD. Commercial and Residential Date Rec'd TIGARD, OR 97223 Date to P.E. (503) 639 -4171, x304 NOV 161999 . Date to DST Print or Type Permit #Atie / - a f COMMUNITY DEVELOPMENT Called Incomplete or illegible applications will not be accepted Name of DYelopme / � 1 • Description l S J��[J LX^/1( 1 Table 1A Mechanical Code Qty Price Amt J Street Address Suited Address A) Permit Fee =: :ir'illtS r iii ;i:ii 16.00 0 Sup I _ X1 I _ P 1 Furnace to 100,000 BTU k�L(�,�,1A, including ducts & vents see footnote 1,2 9.65 Bldg# dylstate 2) Furnace 100,000 BTU+ A.A a 6, 7. including ducts & vents see footnote 1,2 12.00 Nam (or name of business) . "�'�• 3) Floor Furnace Owner 49 ' n'O1re.) including vent see footnote 1,2 9.65 - Mailing Address V 4) Suspended heater, wall heater or floor mounted heater see footnote 1,2 9.65 5) Vent not included in appliance permit 4.75 City /State Zip Phone Check all that apply: *Boiler Heat Air For items 6 -10, see . or Pump I Cond Qty Price Amt Name (or name of business) footnotes 1,2 Comp le* @ � 6) <3HP;absorb unit to 100K 0K BTU BTU 9.65 Occupant Mailing Address 7) 3 -15 HP;absorb unit 100k to 500k BTU 17.65 City/State Zip ' Phone 8) 15 -30 HP; absorb unit .5 -1 mil BTU 24.15 9) 30-50 HP; absorb Contractor Name ^ � unit 0HP mil BTU 36.00 /cJ(„1,,�_, t 1 uni >5 1.75 absorb unit Prior to permit Mailing Address ,, I r >1.75 mil BTU 60.15 issuance, a copy l Li r+ S , (2 1,� ,1 by ilk q Nr- 11 Air handling unit to 10,000 CFM of all licenses Ci /State Phone 7.00 are required if g, ut)ood Dr, ci a 9 Zr j g.8 12) Air handling unit 10,000 CFM+ expired in COT Oregon Const. Cont. Board Lic.# Ex p. Date 11.75 database I C) ig i 4 • 1O( 2.(. f 0 ( 13) Non - portable evaporate cooler Architect Name 7.00 14) Vent fan connected to a single duct 4.75 or Mailing Address 15) Ventilation system not included in • appliance permit 7.00 Engineer City /State Zip Phone 16) Hood served by mechanical exhaust 7.00 Describe work to be done: • 17) Domestic incinerators 12.00 New 0 Repair 0 Replace with like kind: Yes 0 No O 18) Commercial or industrial type incinerator 48.25 ResidentialL Commercial 19) Repair units Additional information or description of work: 8.40 � 1n S � _ 44�� 20) Wood stove /gas FP /other units /clothe dryer /etc. 1 % Y , A u�n�a l 1 it 1, 7.00 7 • 00 NOTE: For Commercial projects only; nits over 400 lbs. require 21) Gas piping one to four outlets structural gas caics. See footnote 1 1 3.75 .�r" Type of fuel: oil 0 natural gas LPG 0 electric O 22) More than 4 -per outlet (each) .75 Minimum Permit Fee $50.00 SUBTOTAL Ti :. h V .. S"0 - I hereby acknowledge that I have read this application, that the information f; 7/o SURCHARGE i `' : `, r Y ''"� q given is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL i ;fir the ow r, that ns f smi d are in compliance wit Ore /, $n State flaws. • � Required for ALL commercial permits only x. to ` ntA� (( Date 1 �� TOTAL I y f ,' . (,/ -- Sign'�ture �er ;i A, i.r ', 4r` r �� f, � gar- Other Inspections and fees: • (j( � `7aJ - ZO �C 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 • charge -half hour) $50.00 per hour _ Foonotes _for_commercial.projects only: 3. Additional plan review required by changes, additions or revisions to 1. Provide full schematic of existing 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 I:tmechperm.doc rev 02/4/99 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line:. 639 -4175 Business Line: 639 -4171 BUP Date Requested // ((7 q AM PM BLD Location R & ( - I Y Suite MEC (CI 9 - ° F `� 1 Contact Person StS€t1 j / rT C , L?) / Fy0Q,Ge...., ph ��J = kat PLM Contractor / Ph SWR BUILDING . Tenant/Owner PAM-1 s - 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 `% Q/4- 1= I�[1 /tls �T•� t C—S"i = �U C7 '3 8 co/0 Insulation Drywall Nailing a:, 5 L A1rry c' •a n GA '■.Pi ref Firewall , / Fire Sprinkler /1' Fire Alarm / Susp'd Ceiling � oo t „ -c C c 1 Pte: Sr r7G iJ Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final P FAIL (MECHANICAL Post & tsearri a o Rough In ('G Line uk Smoke Dampers PART FAIL RICAL • 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 Other Date 7/ / 7 Inspector r Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.