Permit CITY OF T MECHAN I CAL
A tio , DEVELOPMENT SERVICES PERMIT
!+L� �I� PERMIT ME C99-0103
13125 SW Hall Blvd .,Tigard,OR97223(503)6394171 DATE ISSUED: 03/1699
PARCEL: 1S136AD -04301
SITE ADDRESS...: 11475 SW PACIFIC HWY
SUBDIVISION • VILLA RIDGE ZONING: C —G
BLOCK • LOT •002 JURISDICTION: TIG
CLASS OF WORK..:ALT FLOOR FURN • 0 EVAP COOLERS: 0
TYPE OF USE :COM UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:B 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..: 1
GAS PRESSURE...: 50+ HP • 0 CLO DRYERS..: 0
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.: 0
FURN < 1OOK BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 1
FURN > =1O0K BTU: 0 > 10000 cfm: 0
Remarks: Replace existing Class A zero clearnace gas fireplace with a direct
vent gas fireplace. (Live gas line)
Owner: FEES
TIME OUT PUB type amount by date recpt
11475 SW PACIFIC HWY PRMT $ 25.00 DEB 03/16/99 99- 313729
TIGARD OR 97223 SPCT $ 1.25 DEB 03/16/99 99- 313729
Phone #:
Contract or:
PIONEER FURNACE
3615 NE BROADWAY
$ 26.25 TOTAL
PORTLAND OR 97232
Phone #: 249 -5000
Reg #..: 36102
REQUI RED INSPECTIONS
This perwit is issued subject to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp
applicable laws. All work will be done in accordance with Duct Inspection
approved plans. This permit will expire if work is not started Misc. Inspection
within 180 days of issuance, or if work is suspended for wore Final Inspection
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 952-801-0080. You way
obtain copies of these rules or direct questions to OUNC by calling _
(503)246 -9187.
IP (0
,,,
Issue y: Permittee Signature: •
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + ++ + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
- -- - -- --•• FEB -04 -' 98 WED 14:13 ID: FAX NO: I#068 P01 -
•
Plan Ch -
CITY OF TIGARD Mechanical Permit Application � � 'dBy�'i
13125 SW HALL BLVD. • Commercial and Residential '- cote Recd - -t
TIGARD, OR 97223 Date to P.E. � -
(503) 639 -4171, x304 ( � �� Date to o ST
Print or Type \�1) ` Permit # �C /h3
Incomplete or illegible applications will not be ccepted called
Name of Develo Description
• Table 1A Mechanical Code QTY PRICE AMT
JOb sawn Address n Sultan A) Permit Fee 4> 10.00
Address 1 I N - 7S SO PA Ci4t? 14
614 CileStato ZP 1.) Furnace to 100,000 BTU 8.00
!TAG -IN 47a 3a including duds & vents
Nand (or name of tu,aness) 2.) Furnace 100,000 BTU+ 7.50
Owner V I r n i 0t, . LO eh ne r including ducts & vents
Mali es �, 3.) Floor Furnace 6.00
JU Including vent
Cayrsnra Zip Phew 4.) Suspended heater, wall heater 6.00
3 -0357o or floor mounted heater
. Name (a name Of business) 5.) Vent not included In appliance permit 3.00
Occupant Mrwis Address 6.) Boiler or comp, heat pump, air cond. 6.00
to 311F; absorb unit to 100K BUT"
Ctbretate ap 1 Phone 7.) Boiler or comp. heat pump, air cond. 11.00
1 3 - 15d4P; absorb unit to 500K BTU"
Contractor Naga 8.) Boller or corny, hest pump, air pond. • 15.00
` Pioneer -Fuv, kale_ 15 HP: absorb unit5 -1 milBTU"
Prior to permit Mai Address 9.) Boiler or comp, heat pump, air cond. 22.50
issuance, a copy � Ij S NE 3 rnaz iA-A9 30-50 HP: absorb unit 1- 1.75mi1 BTU"
of all licenses Cuy/Steto Op Phone 10.) Boiler or comp, heat pump, air cond. 37.50
are required if 7t � q 7013.-, acn -spin _ > 50 HP; absorb unit 1.75 ma BTU' -
expired in COT Oremmn Cont. Cant seam Uc.o Exp. Oats 11.) Air handling unit to 10,000 CFM 4.50 •
database 3(p I h a. 6 1 -a(o -9 )
• • Architect Name 13.) Non- portable evaporate cooler 4.50
or Mailing Address 14.) Vent fan connected to a single duct 3.00
Engineer CniISlate as l I ohona _ 15.) Ventilation system not Included in 4.50
.. ianoe permit
Describe work New 0 Addition 0 : Alteration 0 Repair 0 18.) Hood served by mechanical exhaust 4.50
to be done Residential 0 Non - residential 0
Additional Description of work: '^ -'-'-. 17.) Domestic Incinerators 7.50
IA)s 1A ?I #V.A.(� e 0� Pi rzd ilea* F. .
"_ 18. Commercial or industrial type 30.00
6 b &Aft. ilk i J Incinerator
Exdstino use of v 19.) Repair units , 4.50
building or property •
20.) Wood stove 4.50
Proposed use of 21.) Clothes dryer, etc. 4.50
building or property
22.) Other units f e ) 4.50 Li
Type of fuel - oil 0 natural gas ® LPG 0 electric 0 23.) Gas piping one to fou outlets 2.00 a o)
I hereby acknowledge that I have read this application, that the 24.) More than 4 -per outlets (each) .60
information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with Oregon State QTY. SUBTOTAL
laws. -
Sig , • of OwnedAgent Date 'SUBTOTAL ' aC
- • / / I/ j
- 1/ - 0- 5% SURCHARGE . ,15. - S
C onte Person Name yy Phone f �7� TOTAL PLAN REVI 2 5% OF S UBTOTAL
�4 �r( / �" " 4:734.-°&--
2.-D
i: prntdoc (rev 9 'Minimum permit fee is $25 + 5% surcharge O4
"Residential NC requires site plan showing placement of unit.
z .,- ..../ _ ------7 e.T.... - - 1044 -A , 4.41 " t ---
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6/30/99 Activities for Case #: MEC99 -00103
2:35:37 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECC007 Application received 3/16/99 DEB RECD DRA 3/16/99 •
MECC008 Permit created 3/16/99 DEB DONE DRA 3/16/99
MECC799 Final Inspection 5/6/99 RC PASS AKJ 5/6/99
MECC705 Gas Line Insp 3/16/99 DRA 3/16/99
MECC706 Mechanical Insp 3/16/99 DRA 3/16/99
MECC735 Duct Inspection 3/16/99 DRA 3/16/99
MECC750 Misc. Inspection 3/16/99 DRA 3/16/99
MECC090 (F) Issue permit 3/16/99 DEB DONE DRA 3/16/99 Jim Funk reviewed appplication
and talked to applicant. Jim
approved for issuance over the
• counter.
MECC800 Case Finaled 5/6/99 AKJ DONE No Hold AKJ 5/6/99
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 p B C uusiness Line: 639 -4171 BUP l999 1 � — �
Date Requested 5 - �D - l / AM PM BLD
Location 11 C I � PC(, H t.° 6 1 , Suite MEC g9 - S• - 0
Contact Person Ph PLM
Contractor v �1 Ph SWR
)3WL�U ___ wner �� 04 Q, POD 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:
1410 • PART FAIL
- ING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
RT FAIL
NICAL �)
Post & Beam
Rough In 4
Gas Line
Smo - Dampers
v r 3 .
- ART FAIL
E 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 �f I
Other ach /Sidewalk Date - `� /v Inspector -
Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.