Permit •
C ITY OF TIGARD MECHANICAL PERMIT
+a DEVELOPMENT SERVICES PERMIT #: MEC1999 -00324
r � l I I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/28/99
PARCEL: 2S 111 CA -13600
SITEADDRESS: 09645 SW SATTLER ST
SUBDIVISION: DARMEL ZONING: R -3.5
BLOCK: LOT: 013 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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Remarks: Convert oil furnace to gas, run gas lines to range and firplace, install gas water heater.
Owner: FEES
BRYAN HANSON Type By Date Amount Receipt
9645 SW SATTLER PRMT GEO 7/28/99 $50.00 99- 317206
TIGARD, OR 97224 5PCT GEO 7/28/99 $3.50 99- 317206
Total $53.50
Phone: 503 - 639 -1608
Contractor:
COLUMBIA HEATING + COOLING INC
PO BOX 230397
TIGARD, OR 97223 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 624 -2704 Heating Unt Insp
Reg #: LIC 00076359 Final Inspection
PLM 34 -175
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 -9 :9. - : .�
Issue B �/ Permittee Si natur ��: /�_ 7/ �< <�
Call (503) • �-4 - 5 by 7:00 P.M. for inspections nee. ed • e next b ness day
CITY OF TIGARD Mechanical Permit Application Recd By
13125 SW HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST
Print or Type Permit Itii*e +C6 VV•
•
Incomplete or illegible applications will not be accepted called
ligz Devel pment/Projeet Description
• Qy� Table 1A Mechanical Code Qty Price Amt
Job Street Addess Suite# A) Permit Fee 16.00
((��/ ' / '� .�11 t� //� 1) Furnace to 100,000 BTU
Address %(p7,5 o k��CTT el' including ducts & vents see footnote 1,2 I 9.65 q•65's
Bldg# c' /State zip 2) Furnace 100,000 BTU+
'Nate' d f 91,aa 4 including ducts & vents see footnote 1,2 12.00
Na a (or name of business) 3) Floor Furnace
Owner an5en including vent see footnote 1,2 9.65
Mailing Address 4) Suspended heater, wall heater
CC'' ���,,_�(.�l // or floor mounted heater see footnote 1,2 9.65
964 c0 6aCrtl�e r 5) Vent not included in appliance permit 4.75
City /State Zip ' / Phone gO3 ° Check all that apply: 'Boiler Heat Air
. 7iaard , 0 i2 / p 7�Y /?-//o' For items 6 -10, see or Pump Cond Qty Price Amt
N (or name of business) footnotes 1,2 Comp
6) <3HP;absorb unit to
5ame -- 100K 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 a 9) 30-50 HP; absorb
f � unit 1 -1.75 mil BTU 36.00
CZ urn bla I lea ll')g 10) >50HP; absorb unit
Prior to permit ...Wiling Aggress >1.75 mil BTU 60.15
issuance, a copy V 0 • xa3o3 11 Air handling unit to 10,000 CFM
of all licenses C' Zip Phone 5O3- 7.00
are required if 7 a a. rd 0 e 9 7aa lag -,9 goy 12) Air handling unit 10,000 CFM+
expired in COT reg Const. Cont. Board Lic.# Exp. Date 11.75
database 7 /b,35 /0-0P. -00 13) Non - portable evaporate cooler
Architect Name 7.00
14) Vent fan connected to a single duct
or Mailing Address 4.75
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
Nev Re.. it 0 Replace with like kind: Yes 0 No O 18) Commercial or industrial type incinerator
Residential; Commercial 0 48.25
19) Repair units
Additional inf rmation or description of work: Con e rt ii . $- i.01&E 20) Wood stove /gas FP /other units/clothe dryer /etc. 8.40
i-0 _ te ! �� e to r411042 -4 ,'t eelace_ainslal/ 7.00
l I� TE: For Commercial projects only; Units over 400 lbs. require 21) Gas piping one to four outlets
structural gas calcs. See footnote 1 V' 3.75 3,73'
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 , 5000
I hereby acknowledge that I have read this application, that the information 7% SURCHARGE ^ , , .50
given is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL .
the owner, that plans submitted are in compliance with Oregon State laws. Required for ALL commercial permits only .
TOTAL ix` , , , , t "
Signa - •f Owner /•1: Date ` ' ° ;,r3•6b
7-a26-1k Other Inspections and Fees:
; i' / 1 ., a / Li/ 1. Inspections outside of normal business hours ( mininum charge -two
I -'° `e'rson Nam = Phone hours) $50.00 per hour
2. Inspections for which no fee is specifically indicated (minimum
(a1
',(')r rr)nhl4iid , -rb.3- 6 'I -'7
� O/ charge -half hour) $50.00 per hour
oo notes 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
l:knechperm.doc rev 02/4/99
•
8/30/99 Activities for Case #: MEC1999 -00324 •
4:59:01 PM
•
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECA007 APPlication received 7/28/99 GEO RECD No Hold GEO 7/28/99 •
MECA008 Create Permit 7/28/99 GEO DONE No Hold GEO 7/28/99
MECA705 Gas Line Insp 7/28/99 7/28/99 8/10/99 RB PASS No Hold • AKJ 8/10/99
MECA725 Heating Unt Insp 7/28/99 7/28/99 No Hold GEO 7/28/99 •
MECA799 Final Inspection 7/28/99 7/28/99 8/10/99 RB FAIL No Hold AKJ 8/10/99 1) seal penetration in found wall
at gas line
2) install drip legs •
appliance not installed at this
time
MECA060 (F) Issue permit 7/28/99 GEO DONE No Hold GEO 7/28/99
MECA799 Final Inspection • 8/22/99 8/22/99 8/20/99 MS PASS No Hold AKJ 8/22/99
MECA800 Case Finaled 8/22/99 . AKJ DONE No Hold AKJ 8/22/99
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• Page 1 of 1 .
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 ,r� Business Line: 639 -4171
�(J BUP
Date Requested U � 7 AM X PM BLD
/
Location 1 t ' "1 5 Suite MEC ) — t
Contact Person S CI' V )3A, , Ph Vaii-2/70 PLM i'7'P - OZ.O
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
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
S PART (MECHANIC
Post & Beam
Rough In
Gas Line
Smoke Dampers
PA.S PART FAIL
CTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ I 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 Date " ) Inspector Ext 7
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.