Permit •
C ITY OF TIGARD MECHANICAL PERMIT
:. DEVELOPMENT SERVICES PERMIT #: MEC1999 -00553
. ' _ 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/13/1999
PARCEL: 1S134CD-05600
SITE ADDRESS: 11735 SW SUMMER CREST DR
SUBDIVISION: BURLWOOD NO.3 ZONING: R-4.5
BLOCK: LOT: 016 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:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: < =10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Installation of a new gas furnace.
Owner: FEES
AVIS, CATHERINE J ANDERSON Type By Date Amount Receipt
1735 SW SUMMERCREST DR PRMT GEO 12/13/19 $50.00 99- 320376
IGARD, OR 97223 5PCT GEO 12/13/19 $4.00 99- 320376
Phone: Total $54.00
Contractor:
UNSET FUEL CO
0 BOX 42287
944 SE POWELL BLVD REQUIRED INSPECTIONS
ORTLAND, OR 97242
Heating Unt Insp
Phone: 503 - 234 -0611 Final Inspection
• Reg #: LIC 00002374
ELE 26 -113C
•
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 -9189. .
- /,
Issue By: Permittee Signature: ��-yfr/
Call (503) 63 • -4175 by 7:00 P.M. for inspections needed the next business day
a $9q
•
i • . CITY OF TIGARD RE CE IVE �echanical Permit Application Plan Check #
•
13125 SW HALL BLVD. Commercial and Residential Recd By
/ TIGARD, OR 97223 • DEC 1 3' 1999 • Date Recd
• (603) 639 -4171, x304 Date to P.E.
COMMUNITY DEVELOPMENT ` ) /q _ Date to DST
Print or Type Pem #,�1��'i�'rA, --eG3
Incomplete or illegible applications will not be accepted Called
Name of DavetopmadlAaiea Description
•
Table 1A Mechanical Code • 1 Price Amt
Job Street Address 714 A) Perrnft Fee ;, ..:, , ; ' 1 Q����� 1) Fuinrnace ding to du100, vents B see footnote 1,2 il 9.65 q. /P5
t ` ` ` - 16.00
Address ` F x �.} -
Bldg:, Ciwrstate clu cts 8
i�- rd el 333 2) 0 +
including Furnace du cts 100,00 8 vents see footnote 1,2 12.00
•
•
Name (or name of business) 3) Floor Furnace
Owner r0( l(_ i m` . ads Including vent see footnote 1,2 9.65
Mailing Address • 4) Suspended heater, wall heater
I l� ) �� � \ or floor mounted heater see footnote 1,2 __ 9.65
Ci L) m rCreS4Tc'. 5) Vent not included In appliance mitt 4.75
+it -��� �- ,���,� / rl �� Phone Check all that apply: *Boiler Heat Air
I 2) r 1 6_1/5/./. For items 6-10, see or Pump Cond Qty Price Amt
N name of business) _ footnotes 1,2 Comp 6) <3HP;absorb <3HP;absorb unit to
Occupant Melling A�e'e l e. 100K BTU . 9.65
7) 3-15 HP;absorb unit
100k to 500k.BTU 17.65
•
City/State Zip 1 Phone 8) 15 -30 HP; absorb
unit .5-1 mil BTU 24.15
Contractor are 9) 30-50 HP; absorb
c „� ��� 1 unit 1 -1.75 mil BTU
Prior4o permit yyy "` Ad 7 r 10) >50HP; absorb unit 36.00
)�. v 14 30st -/ 1 1.75 mil BTU 60.15
issuance, a copy tom. (�fpf 1 11 r andiin
• of all licenses rst e Si handling unit to 10,000 CFM
are required if c I -Npfrr� _091 7.00
expired in COT Ore . e x . a_ic , 12 Air handling unit 10,000 CFM+
database 1a, 11.75
Architect 13) Non - portable evaporate cooler
14) Vent fan connected to a single duct 7.00
or mane Address
15) Ventilation system not included In 4.75 '
Engineer cny/state I Phone appliance permit 7.00
16) Hood served by mechanical exhaust
Describe work to be done: 7.00
17) Domestic incinerators
12.00
New)( ) Commercial or industrial Repair 0 Replace with like kind: Yes O No 0 18 Commel i -
Residential Commercial 0
type incinerator
48.25
19) Repair units
Additional information description of work: • 8.40
20) Wood stove /gas FP /other units /clothe dryer /etc.
NOTE: For Commercial projects only; Units over 400 lbs. require 21) Gas piping one to four outlets 7.00
structural gas cafes. See footnote 1
Type of fuel: oil 0 natural gasd LPG 0 electric 0 22) More than 4 -per outlet (eac 3.75 • Minimum Permit Fee $50.00 SUBTOTAL `
.75 , �5
I hereby acknowledge that I have read this application, that the information g �-' •
;.
given is correct, that I am the owner or authorized agent of 25% SURCHARGE y.. a •,:;, -. : TOT
the owner, that plans submitted are in compliance with Oregon State laws. Required PLAN
ALL commercial permits only � ,; e"--'::;:
St n - lure only
Owner /Agent Da TOTAL ; ;;R?" �n ! r. 1
'‘4 4:, • A
t 1 r ' ,
1 / , .� C / l )13_ g - 9 9 Other Inspections and Fees:
arson Name 1. Inspections outside of normal business hours (rnininum charge -two
�n 1 Lille P I e hours) $60.00 per hour
.) • 1 1 l , 1 n /-S n ►' 2. Inspections for which no fee is specifically Indicated (minimum
Foonoes for commercial projects only: V�J`Y - lJC 3� charge -half hour) $60.00 per hour
F Pro o il schema l projects
and proposed gas line and pressure. p 3 . Additional plan review required by changes, additions or revisions to
existing P plans (minimum charge - one -halt 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 pian showing placement of unit
l: :nechperm.doc rev 02/4/99
7.00f131 0961 86S £OS \VT 6T ZT QHM 66 /Z0 /90
UHVDIL X10 A,LID
1/25/00 • Activities for Case #: MEC1999 -00553
4:13:18 PM •
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes •
MECA007 Application received 12/13/99 GEO MAIL No Hold GEO 12/13/99
MECA008 Create Permit 12/13/9 • GEO DONE No Hold GEO 12/13/99
MECA725 Heating Unt lnsp No Hold GEO 12/13/99
MECA799 Final Inspection 12/23/99 MRS PASS No Hold MRS 12/23/99 gas fumance
MECA060 (F) Issue permit 12/13/99 GEO DONE No Hold GEO 12/13/99
MECA075 (F) Reprint Permit 12/22/99 DEB DONE No Hold DEB 12/22/99 Contractor did not receive copy
of permit, Ona requested that
we fax a copy of the permit to
her at Sunset Fuel.
MECA800 Case Finaled 12/27/99 ' JMT DONE No Hold JMT 12/27/99 •
•
•
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 6 9-4171
BUP
Date Requested 0430/ AM PM BLD
Location H � 7 35 sc "" �Yl �� �c-►'YL-v-er- e V OD S Suite MEC /QQ .3
Contact Person f / cc -ifi �'�-C 00 Ph ;'3'1 D / � y /3 / PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access: '�
Foundation 1 FPS
Ftg Drain I
Crawl Drain Inspection otes.
I 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
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Elib
4 • PART FAIL
E CTRICAL
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
Approach /Sidewalk y y �ii
Other Date 1 Inspector / � ` d ( Ext
Final
PASS PART FAIL . DO NOT REMOVE this inspection record from the job site.