Permit CITY OF TIGARD MECHANICAL
h,�,-� . 2 DEVELOPMENT SERVICES PERMIT
!+� ' � I � 13125 SW Hall Blvd., Tigard, OR 97223 503) 639 -4171 PERM I T # ° MEC98 -0461
9 DATE ISSUED: 10/13/98
PARCEL: 25114BD -02900
SITE ADDRESS...: 09600 SW RIVERWOOD LN
SUBDIVISION • COPPER CREEK STAGE 3 ZONING: R -7 PD
BLOCK LOT :069 JURISDICTION: TIG
CLASS OF WORK..:ALT FLOOR FURN ° 0 EVAP COOLERS: 0
TYPE OF USE •SF UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:R3 VENTS W/0 APPL: 0 VENT SYSTEMS: 0
STORIES 0 BOILERS /COMPRESSORS HOODS 0
FUEL TYPES 0 -3 HP • 0 DOMES. INCIN: 0
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.: 1
FURN < 1O0K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 1
FURN > =1O0K BTU: 0 > 10000 cfm: 0
Remarks : Install a gas fireplace insert.
Owner: FEES
CHRIS COUNTS type amount by date recpt
9600 SW RIVERWOOD LN PRMT $ 25.00 GEO 10/13/98 98- 309941
TIGARD OR 97224 SPCT $ 1.25 GEO 10/13/98 98- 309941
Phone #:
Contractor:
ANCHOR FIREPLACE PRODUCTS INC
14175 SW GALBREATH DR
26.25 TOTAL
SHERWOOD OR 97140 -9170
Phone #: 925 -8888
Reg #..: 102814
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
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 sore
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 say
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
Issue By: '- rmittee Signature:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + ++ + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Plan Check #
CITY OF TIGARD Mechanical Permit Application Rec'd By
13125 SW HALL BLVD. Commercial and Residential Date Rec'd
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST
Print or Type Permit #frFL&- 't?y(v(
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 10.00
Address g ine -) 54) �1 t o_E,to�9 1) Furnace to 100,000 BTU
including ducts & vents 6.00
Bldg# - c State Zip 2) Furnace 100,000 BTU+
A P Q7, I including ducts & vents 7.50
Name (or name of business) 3) Floor Furnace
Owner CAA c( S Cr)0 including vent 6.00
Mailing Address 4) Suspended heater, wall heater
p ccb & i I or floor mounted heater 6.00
6 V �IVeCW ��ld 5) Vent not included in appliance permit
City /State Zip Phone 3.00
T i 9 o - (3 irimasi 0 4 7 3q.$Qj( CHECK ALL *Boiler Heat Air
Name or name of business) THAT APPLY: or Pump Cond Qty Price Amt
Comp
c1/4_K\ 'e_ 6) <3HP;absorb unit to
Occupant Mailing Address 100K BTU 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
/� ( 9) 30 -50 HP; absorb
{I''�'t`C_1jpfFkt2ck0.c-.2—, unit 1 -1.75 mil BTU 22.50
Prior to permit Mailing Address . 10) >50HP; absorb unit
issuance, a copy i S
l,,.) 'jr >1.75 mil BTU 37.50
of all licenses ' s Zip Phone 11) Air handling unit to 10,000 CFM
are required if pate
LJ - Dk 6 17 lj 0 claS - $28e5 4.50
expired in COT Oregon Const. Cont. Board L .# Exp. Date 12) Air handling unit 10,000 CFM+
database I o' -- g 1 L k /0 sol6 - q t■ 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 City/State Zip Phone appliance permit 4.50
16) Hood served by mechanical exhaust
Describe work to be done:
4.50
17) Domestic incinerators
New 0 Repair 0 Replace with like kind: Yes 0 No 0 7.50
type or industrial a incinerator
Residential 0 Commercial 0 Sv.SA_,2A\ t,�l�v - 30.00
Additional information or description of work: c! 19) Repair units
4.50
20) Wood stove
/4 -
4.50
- ' 21) Clothes dryer, etc.
4.50
Type of fuel: oil 0 natural gas; LPG 0 electric 0 22) Other units
4.50
I hereby acknowledge that I have read this application, that the information 23) Gas piping one to four outlets , /
given is correct, that I am the owner or authorized agent of v 2.00
the owner, that plans submitted are in compliance with Oregon State laws. 24) More than 4 -per outlet (each)
.50
Signatu f Owner /Agent Date Minimum Permit Fee $25.00 SUBTOTAL R'
c),-.4.)„,
iv- i3 - 9'X
5% SURCHARGE l,.
Contact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL
T ( 63'1- 5O g (fie Required for ALL commercial permits only - 1� IQ"\ ` `I TOTAL A 7i1,--
*State Contractor Boiler Certification required
"Residential A/C requires site plan showing placement of unit
I:\rnechperm.doc rev 07/20/98
- 11/02/98 14:28. FAX 15039250505 HI THERE Mt�q 8" - 0 uf d2 1 lJ 002/002
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MANTELS ' 37 t/a
V 946 mm
i When the insert is being installed into a woodbuming
fireplace the minimum the mantel can be above the fire- -V--A . i . V
place is governed by local building codes applicable to y
woodbuming fireplaces. Consult local authorities having
urisdiction for these clearances. .___-7------_-..r...
For applicatio - • uiring the use of - o - - - a it,
the minimum a mante &: - ■ • e above the fireplace Is
24" (610mm) from - - op of • • er louvres. The
maximum 1 - -- - depth is 8• (200mm) = = I•. 2). J j
The underside of the mantel will get quite F 9 3
4 ;:, g y; warm. Use only finishes which are heat AIR INLET CHANNEL
resistant and do not discolour.
. t +ii P _,
7U U ° AE I
m l O ! m
. k is
0
1 !1 1 1
DRY WALL
Flg. 4
FINISH WALL DECORATIVE TRIM KIT
Fl
2 NOTE: For K, 0 and P dimensions refer to page 4 ,
chart.
/ 9 `
COMBUSTION AIR
It is very important that an adequate air supply is available
FRAMING & FINISHING when the unit is being operated. Since most homes of
Fo Zero Clearance Kit applications it is imp ant to today are tightly sealed and insulated, additional make -
dete - ins the finished facing material before inning to up air is usually necessary.
frame. his will allow for the thickness e finishing This fireplace has been designed to operate by drawing air
material b - een the frame and the fire ce trim. in from the front and outer perimeters of the fireplace. The
Similarily, con deration must be giv to the one (1") inch air provides combustion air ensuring a clean burning
flame
depth of tha air at nhannpl .ci1Fi nn th�a tirpnlarp hacA
flame, dilution air for proper venting, as well as, the air
which the fan circulates over the firebox/heat exchanger
^ Finishing material • the hea - ould be flush with the top _system
of the air inlet chann=
If the fireplace is installe •• t floor level a non-combustible Insulating around the fireplace will result in overheating
hearth must extend a • imu twelve (12') inches (305mm) and possible malfunctioning of the circulating fan.
in front of the firepl" e. ZERO CLEARANCE APPLICATIONS
• If the fireplace is - - ssed into the - II and at least twelve
(12 ") inches (3. - mm) above floor level, • o hearth is required. An alternate air supply is recommended with
A 4° diame = r Class °B° vent must be us - • when installing this component
the firepl= e insert along with the Zero Cie— nce Kit. The For installations other than in existing woodburning
vent sy - m must be a minimum height of tw - e (12') feet. fireplaces such as new construction or renovation projects,
The use of wall paper adjacenttothi replace a Zero Clearance 1Gt must be used. The HEZC enable
r is not recommended, as the high hea . Ivan these inserts to be installed in combustible environments.
off by this fireplace may adversely effec • e It is recommended that an Air Kit (AKZC) be installed
binders in the adhesive used to apply the whenever using a Zero Clearance Kit. Consideration must
wallpaper, be given to the dimensions of the Zero Clearance Kit and
the requirements of the Air Kit when planning out the
5 - installation.
CITY OF TIGARD BUILDING INSPECTION DIMMS{ON MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
II �1
en t 25 Date Requested 1 q f — 6 1? AM PM BLD
Location 6 36010 ,5,a) c Suite CID cee
Contact Person at 4 • !�.` 1 j i ' h 63? — 5 3 PLM
Contractor . J !_ _ ! Ph SWR
BUILDING Tenant/Owner
r ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Not : SGN
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
PASS PART FAIL
�MEcTHANICAL)
Post & Bea , 0
Rough In v ��;
Gas Line
Sao Damper
,.PASSD PART 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: [ J Unable to inspect - no access
ADA /
Approach /Sidewalk Date // " -37 Inspector Ext
Other nspec
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.