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Permit
P CITY OF TIGARD MECHANICAL PERMIT IA DEVELOPMENT SERVICES PERMIT #: MEC1999 -00266 `'` ` 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/21/99 PARCEL: 1S135DD-03616 SITE ADDRESS: 11440 SW LOMITA AVE SUBDIVISION: LOMITA TERRACE ZONING: R -4.5 BLOCK: LOT: 015 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SFA 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: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: 1 GAS PRESSURE: 50 + HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: <= 10000 cfm: OTHER UNITS: FURN > =100K BTU: GAS OUTLETS: 1 > 10000 cfm: Remarks: Add fireplace insert and gas piping to an existing dwelling. Owner: FEES RICHARD D. MURRY • Type By Date Amount Receipt 11440 SW LOMITA AVE PRMT GEO 6/21/99 $50.00 99- 316267 TIGARD, OR 97223 5PCT GEO 6/21/99 $2.50 99- 316267 Total $52.50 Phone: 639 -5035 Contractor: HOT SPOT FIREPLACE + PATIO 11525 SW CANYON RD BEAVERTON, OR 97005 REQUIRED INSPECTIONS Gas Line Insp Phone: 503 - 626 -9138 Woodstove Insp Reg #: LIC 00071782 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 o t e rules or direct questions to OUNC b calling (503)246 -9189. Issue By: Permittee Signature: / Call (50.339 -4175 by 7:00 P.M. for inspections needed the next business day Plan Check # CI`� ' OF TIGARD Mechanical Permit Application Rec'd By 131' SW HALL BLVD. Commercial and Residential Date Rec'd • «GARD, OR 97223 Date to P.E. (503) 639 -4171, x304 -c-r. Date to DST Print or Type Permit #//I 6/ 9 - TAM 4 Incomplete or illegible applications will not be accepted Called Name of Development/Project Description e/„ard D. /' 1 u r r ti Table 1A Mechanical Code Qty Price Amt Job Street Address Site# A) Permit Fee ,01, - 16.00 Address 110/0 o' u' /`U!}i/'r'. a .- 1) Furnace to 100,000 BTU including ducts &vents see footnote 1,2 9.65 Bldg# � Ciity /State Zip 2) Furnace 100,000 BTU+ // 'e q %6 including ducts & vents see footnote 1,2 12.00 Nam (or name of business) 3) Floor Furnace Owner K f<%rt t fii D. Muir including vent see footnote 1,2 9.65 Mailing Address 4) Suspended heater, wall heater • / or floor mounted heater see footnote 1,2 9.65 , //4/TO 6' IOmdTgc Qac 5) Vent not included in appliance permit 4.75 City/State / Zip Phone Check all that apply: *Boiler Heat Air /� C?€ 9702:23 6,59:-S For items 6 -10, see or Pump Cond Qty Price Amt Natne (or name of business) footnotes 1.,2 Comp 6) <3HP;absorb unit to TOOK 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 Contractor Name 9) 30 -50 HP; absorb ��// unit 1 -1.75 mil BTU 36.00 /"//q-Spa' ;te fl /44fe a 7 10) >50HP; absorb unit Prior to permit Mailing Address >1.75 mil BTU 60.15 issuance, a copy //..67 5U) ( y471 / 11 Air handling unit to 10,000 CFM of all licenses City/State Zip Phone 7.00 are required if gi /e,• -/- / ©/- 97 O5 e, " 12) Air handling unit 10,000 CFM+ expired in COT Oregon Const. Copt. Board Lic.# Exp. to 11.75 ? oR ' database / 7S5 � ?1 b / et 13) Non - portable evaporate cooler Architect Name 7.00 14) Vent fan connected to a single duct M ailing Address 4.75 or 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 91 Repair 0 Replace with like kind: Yes 0 No 0 18) Commercial or industrial type incinerator Residential?, Commercial 0 48.25 19) Repair units Additional information or description of work: 8.40 20) Wood stove /gas FP /other units /clothe dryer /etc. V O . ( 7.00 f 1 NOTE: For Commercial projects only; Units over 400 lbs. require 21) Gas piping one to four outlets structural gas talcs. See footnote 1 ) 3.75 Type of fuel: oil 0 natural gas LPG 0 electric O 22) More than 4 -per outlet (eac .75 gas? g, Permit Fee $50.00 SUBTOTAL a*. --= , 5 -"o, E I hereby acknowledge that I have read this application, that the information 5% SURCHARGE • a .5O gi is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL Q_ caner hat plat "t i iip s ub� are in compliance with Oregon State law . Required for ALL commercial permits only ' 17 TOTAL ; U • nature of Owner /Agent Date A. g o ? 5 4%," b / 3 c _ 0 3s Other Inspections and Fees: 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 A/C requires site plan showing placement of unit I:\mechperm.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 ' / a AM PM BLD Location r D I& I. t. Suite MEC f .6 d, Contact Person Ph PLM Contractor Ph SWR BUILDING "' a : ,' 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 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 PALS PART FAIL (MECHANICn... , s Post & Beam Rough In �1 5 J� �J 7-A IN‘ Gas Line ? Smoke Dampers PART FAI Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL 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 i spect - no access ADA Approach /Sidewalk Other Date – 2 – Z — Inspector f Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.