Permit CITY OF TIGARD MECHANICAL PERMIT
iA' DEVELOPMENT SERVICES PERMIT #: MEC1999- 00516
JI ° 1 3125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/29/1999
PARCEL: 2S 104AB -04200
SITE ADDRESS: 13314 SW SCOTTS BRIDGE DR
SUBDIVISION: MORNING HILL NO.3 ZONING: R-4.5
BLOCK: LOT: 075 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:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES: 1
•
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: < =10000 cfm: OTHER UNITS:
> 10.000 cfm: GAS OUTLETS: 1
Remarks: Installation of a gas fireplace insert and gas line.
Owner: FEES •
LARRY M. LATHROP & JANICE M Type By Date Amount Receipt
13314 SW SCOTTS BRIDGE DR PRMT GEO 11/29/19c $50.00 99- 320036
TIGARD, OR 97223 5PCT GEO 11/29/19c . $4.00 99- 320036
Total $54.00
Phone: 503- 590 -1769
Contractor:
FIRESIDE DISTRIBTRS OF ORE INC
•
18389 SW BOONES FERRY RD
PORTLAND, OR 97224 REQUIRED INSPECTIONS
Gas Line Insp -
Phone: 503 - 684 -8535 • Woodstove Insp
Reg #: LIC 00040979 Final Inspection
VPIGIN
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 •f these ules or direct questions to OUNC by calling (503)246 -9189.
Issue By: 4 �� / / � Permittee Signature: l�
Call (50 639 -4175 by 7:00 P.M. for inspections needed the next business day
CITY OF TIGARD REcEi t i ti9hanical Permit Application Rec'd By
13125 5W HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 NOV 2 91999 Date to P.E.
(503) 639 -4171, x304 ( Date to DST
COMMUNITY DEVELOPMENT Print or Type �i Permit #� eon
Incomplete orjllegilgo applications will not be accepted Called
Name of Development/Project ��7 I L Description
4-YNR06 CoVia sc 04 /e it- Table 1A Mechanical Code Qty Price Amt
Job Street Address I Suite# A) Permit Fee 1 16.00
S S 1) Furnace to 100,000 BTU
Address 13319 Sw er i tom_ Qti . including ducts & vents see footnote 1,2 9.65
Bldg# City ate Zip 2) Furnace 100,000 BTU+
7;`� c51_971-1:3 including ducts & vents see footnote 1,2 12.00
Name (or name of business) 3) Floor Furnace
Owner t - � � see footnote 1,2 9.65
Mailing Addre 4) Suspended heater, wall heater
p (� or floor mounted heater see footnote 1,2 9.65
13314 StJJ $et4} I S eA • e • ld'l • 5) Vent not included in appliance permit • 4.75
City /State Zip Phon= . Check all that apply: *Boiler Heat Air
- rI qp,. ave. 9l 223 54O - )-1(o9 For items 6 -10, see or Pump Cond Qty Price Amt
Nam (or name of business) footnotes 1,2 Comp ,
6) <3HP;absorb unit to
100K BTU 9.65
Occupant Mailing Address • 7) 3 -15 HP;absorb unit
100k to 500k BTU 17.65
City /State Zip Phone 8)1 HP; absorb
unit .5 -1 mil BTU 24.15
N ame 9) 30-50 HP; absorb •
Contractor unit 1 -1.75 mil BTU 36.00
ri ce, d Q t Or 10) >50HP; absorb unit
Prior to permit Mailing Address r ti p >1.75 mil BTU 60.15
issuance, a copy 1 '83� td e
SOaAC1.b C rat/ 11 Air handling unit to 10,000 CFM
of all licenses dy /State ( (� Zip Phone 7.00
are required if O �O�I / C) % 1 1 2 -St ( S3S 12)•Air handling unit 10,000 CFM+ • .
expired in COT Oregon Const. Cont. Board Lic.# Exp. Date 11.85
database 40°119 I I-14-60 13) Non - portable evaporate cooler
Architect NaRe . • 7.00
• 14) Vent fan connected to a single duct
4.75
or Mailing Address
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 0 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: I A.ptjt Cp►a , 8.40
ci C QCQ ; tlb 4` 0�_ 20) Wood stov gas F other units /clothe dryer /etc. 1 L�
MO 7.00 7�
NOTE: For Commercial projects only; Units over 400 lbs. require 21) Gas piping one to four outlets
structural gas talcs. See footnote 1 1 3.75 335
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 I • . SO •M
I hereby acknowledge that I have read this application, that the information 8% SURCHARGE . 4.06
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 5C
Sign lure of Owne /Agent Date 4��
"�L A � _ Other Inspections and Fees:
. ( L /-4 qq _ m 1. Inspections outside of normal business hours (mininu charge -two
Con ct Person Name �" Phone hours) $50.00 per hour
2. Inspections for which no fee is specifically indicated (minimum
_II
I'l Aa A
Jr,r cps 4-855 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 7/19/99
•
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 ST
0-141 q BUP
Date Requested /2 � ( 1 AM PM BLD
Location /23 50 560.11-s, 6/a t9 Suite MEC / 7 9 — O3S74
Contact Person Polk (C'(d'e 5rtI- , M't- S Ph Co Ff-f PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access: '
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes � k// l,u
Slab SIT
Post & Beam 7
Ext Sheath /Shear
Int Sheath /Shear
Framing (4S Pa ,pi i..t Fo,y
Insulation
Drywall Nailing !S lilAzt -r 1.772t-S) 7* 38001 g
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
P - ' ' T FAIL
.
Post & Beam (� ,� �Gv
Rou `
as Li
� • e Dampers
- AO PART FAIL
ELECTRICAL
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 [ I Please call for reinspection RE: [ I Unable to inspect - no access
ADA
Approach/Sidewalk Y�
Other Date - 9F Inspector ■ I E
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.