Permit CITY OF TIGARD MECHANICAL
.,
�I DEVELOPMENT SERVICES PERMIT
�� PERMI # • MEC99 -0074
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 02/23/99
PARCEL: 15136AA -07100
SITE ADDRESS...: 07081 SW LOCUST ST
SUBDIVISION • AUM DOWNS ZONING: R -4.5
BLOCK • LOT -005 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.: 0
FURN < 1O0K BTU: 1 (= 10000 cfm: 0 GAS OUTLETS.: 0
FURN > =1O0K BTU: 0 > 10000 cfm: 0
Remarks: Installation of new furnace.
Owner: FEES
GUY TANZ type amount by date recpt
7081 SW LOCUST ST PRMT $ 25.00 DEB 02/23/99 99- 313164
TIGARD OR 97223 5PCT $ 1.25 DEB 02/23/99 99- 313164
Phone #: 452 -8307
Contractor:
SUNSET FUEL CO
PO BOX 42287
$ 26.25 TOTAL
PORTLAND OR 97242
Phone #: 503 -234 -0611
Reg #..: 000023
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Mechanical Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Heating Unt Insp
applicable laws. All work will be done in accordance with Final Inspection
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 OAR 952 - 001 -0080. You may
obtain copies of these rules or direct questions to OUNC by calling
1503)246 -9187.
g J ` ��
Issue y: �/ �
�� '" � Permitt Signature: ,� � i ,
++++++++++++++++++++++++++++++++++++++++++++++++ + + ++ + + + + + + + + + + + + + ++ + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD Mechanical Permit Application Plan C w
pp Rec'd :Y , _ f),+I1 k ,. - /
13125SW HALL BLVD. REC'" Commercial and Residential Date Rec'd . -, - _
TIGARD, OR 97223 • Date to P.E.
(503) 639 -4171, x304 FEB 2 2 19
Date to DST Type �-
Print or T Permit # I t _ i-e 9- 00751
OMMUIUIII ui:vl:LUrlult:lVi PP accepted Called
incom �
incomplete or 'Ile ible applications will not be
Name of Development/Project Description
Table 1A Mechanical Code O'y Price Amt
Job Street Address Suite# A) Permit Fee 10.00
Address . 7 (9 '' 1 sea 20c(440-1 1) Furnace to 100,000 BTU /-
including ducts & vents see footnote 1,2 / 6.00 10
Bldg# City/State Zip 2) Furnace 100,000 BTU+
including ducts & vents see footnote 1,2 7.50
Name (or name of business) 3) Floor Furnace
owner G (.l 6 n 2 including vent see footnote 1,2 6.00
Mailing agar ss 4) Suspended heater, wall heater
7 I -5:14). - e eus t or floor mounted heater see footnote 1,2 6.00
G{� 5 ) Vent not included in appliance permit
City /State Zip r'hone _ 3.00
' A `d e/ 7A,23 yl5a 1307 Check all that apply: *Boiler Heat Air
N (or name of business} - - -- For items 6 -10, see or Pump Cond Qty Price And
footnotes 1,2 Comp
Occupant Mailing Address 100K BTUbsorb unit to
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
51/M6 rki '6 ' 9) 30 -50 HP; absorb
unit 1 -1.75 mil BTU 22.50
Prior to permit acing Address _ n 10) >50HP; absorb unit
issuance, a copy q yy at o I I >1.75 mil BTU • 37.50
of all licenses Qtty/Statq Zip Phone 11) Air handling unit to 10,000 CFM
. are required if - i'Q Cr f F 2\ o e_ q 03'1 a# /i
4.50
expired in COT Oregon Const. ard� .ly.# Exp. Date 12) Air handling unit 10,000 CFM+
database `1 (� 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 cny/State Zip Phone appliance permit 4.50
16) Hood served by mechanical exhaust
' Describe work to be done: 4.50
17) Domestic incinerators
New`ft, Repair 0 Replace with like kind: Yes 0 No 0 7.50
Residential 0 Commercial 0 18) Commercial or industrial type incinerator
30.00
Additional information or description of work: 19) Repair units
4.50
20) Wood stove
' NOTE: For Commercial projects only; Units over 400 lbs. require 4.50
structural gas calcs. 21) Clothes dryer, etc.
Type of fuel: oil 0 natural gas`t LPG 0 elactric 0 4.50
22) Other units
I hereby acknowledge that I have read this application, that the information 4.50
given is correct, that I am the owner or authorized agent of 23) Gas piping one to four outlets
the owner, that plans submitted are in compliance with Oregon State laws. See footnote 1 2.00
24) More than 4 -per outlet (each)
Signature of Owner /Age Date
�j .50
` � al I / Minimum Permit Fee $25.00 SUBTOTAL
Contact P Name Phone
riGo 3 _ a y -0(e f/ 5% , .
PLAN REVIEW I'
`/ 25% OF SUBTOTAL .
Foonotes for c o mercial projects only: Required for ALL commercial permits only
1. Provide full schematic of existing and proposed gas line and pressure. TOTAL - .,e
2. Provide drawings to scale showing existing and proposed mechanical O''
units. *State Contractor Boiler Certification required
"Residential NC requires site plan showing placement of unit
1:1rnechperm.doc rev 02/4/99
1
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
/1 BUP
Date Requested L I r7 M AM PM /� BLD
Location 70Esi L O(2v. 3• Suite MEC qq'6:67 q
Contact Person 8(.4.4 1 L..fli OW 1 /L Ph It tI52g3b) 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 / , t
Framing L� Ai as I -= - /0 4 / 79 t / ..
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
QVIECRA CAL
Post & Beam / /
Rough In v
Gas Line
Smo Dampers
al _
PASS 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 Li 1 1 — 9
Other Date Inspector Re9-') Ext
Final
. PASS PART FAIL DO NOT REMOVE this inspection record from the job site.