Permit `/A CITY OF TIGARD MECHANICAL PERMIT
r DEVELOPMENT SERVICES PERMIT #: MEC1999 -00550
014- ^ FI J I 13 125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/10/1999
PARCEL: 2S111 DB -03600
SITE ADDRESS: 09130 SW SUMMERFIELD CT
SUBDIVISION: SUMMERFIELD NO.8 ZONING: R -7
BLOCK: LOT: 422 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: • AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Remarks: Installation of gas line for gas logs for existing fireplace.
Owner: FEES
SYLVIA RICHEN Type By Date Amount Receipt
9130 SW SUMMERFIELD CT PRMT GEO 12/10/19E $50.00 99- 320326
TIGARD, OR 97224 5PCT GEO 12/10/19E $4.00 99- 320326
Total $54.00
Phone: 503 - 624 -6032
Contractor:
HOT SPOT FIREPLACE + PATIO
11525 SW CANYON RD
BEAVERTON, OR 97005 REQUIRED INSPECTIONS
Gas Line lnsp
Phone: 503- 626 -9138 Final Inspection
Reg #: LIC 00071782
•
•
ORGNAL
•
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 89. /
Issue By: - Permittee Signature:
Call ( ) 639 -4175 by 7:00 P.M. for inspections needed the next business day
RECEI Plan Check #
CITY OF TIGARD I�chanical Permit Application Recd By
13125 SW HALL BLVD. DEC 0 9 1999 Commercial and Residential Date Recd
4TIGA OR 97223 / Date to P.E.
(503) 639 -4171, X30 DEVELOPMENT Y i e to DST
► • Print or Type Permit ° /ffg - ' 9 S
Incomplete or illegible applications will not be accepted Called
• Name of Development/Project Description
Table 1A Mechanical Code ooding vent see footnote 1,2 9.65
Price Amt
Job Street Address r t Suite# A) Permit Fee 16.00
Address c' / 3a SL.c)sc. r%lerd'i 1) Furnace to 100,000 BTU
including ducts & vents see footnote 1,2 9.65
Bldg# City /State Zip 2) Furnace 100,000 BTU+
including ducts & vents see footnote 1,2 12.00
N e (or name of business) 3) including lce t
Owner t �f Q 11r�1 C L L 4) Suspended heater, wall heater
Ma:::ng Address
ess or floor mounted heater see footnote 1,2 9.65
clI 3D 5 t<J Sit vneneW/e/a ( 5) Vent not included in appliance eermit 4.75
City/State Zip - � P " hone fir, Check all that apply: 'Boiler Heat Air
4 1or d O t7I7 J 1,o3 For Items 6-10, see or Pump Cond Qty Price Amt
nam business) footnotes 1,2 Comp
6) <3HP;absorb unit to
100K BTU 9.65 ,
Occupant Mailing Address 7) 3-15 HP;absorb unit
SAVE 100k to 500k BTU 17.65
City/State Zip - Phone 8) 15 - HP; absorb
unit .5-1 mil BTU 24.15
Contractor Name 9) 30-50 HP; absorb
"" �/-- unit 1 -1.75 mil BTU 36.00
J Cam
aaee `Ppl no I 1CI0�,�OOt t veplatt 10) >50HP; absorb unit
Prior to permit Mail' (J >1.75 mil BTU 60.15
issuance, a copy / f 6V-5 ,1) a (it( 11 Air handling unit to 10,000 CFM
' /
of all licenses CState /__ Q Zip Phone J` 7.00
are required if .e v0l� Dv 91oID 6.26 12) Air handling unit 10,000 CFM+
expired in COT oregori onst Cont. Board Llc.# Exp. Date , 11.75
database ' 1 ` r 13) Non - portable evaporate cooler
Architect Name 7.00
14) Vent fan connected to a single duct
or I 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
New R pair 0 Replace with like kind: Yes O No O 18) Commercial or industrial type incinerator
Residents Commercial 48.25
19) Repair units
Additional information or description of work: 8 ' 4
(qa3 l i vie_ ets 10$5 20) Wood stove/ as FP /oth its/clothe dryer /etc. 700
NOT6i For Commercial projects tinly; Units over 400 lbs. require 21) Gas piping one to four outlets
structural gas calcs. See footnote 1 1 3.75 8
Type of fuel: oil 0 natural ga LPG 0 electric 0 22) More than 4 -per outlet (each) .75
J Minimum Permit Fee $50.00 SUBTOTAL S CD
I hereby acknowledge that I have read this application, that the information b% SURCHARGE web'
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 rnits on
TOTAL V- Do
Signiwn er/ ent Date
ag 4,6 ia /g-7-?7
Other i nspections and Fees:
1. Inspecticoons ns outside of normal business hours (minimum charge -two
Cont Nam , f u-- Phone hours) $50.00 per hour
1 /,; I /_, // 5 � 2. Inspections for which no fee Is specifically Indicated (minimum
lll��� ¢ Z_ 7[o charge -half hour) $50.00 per hour
Foonotes for c mercial projects only: 3. AddlUonal 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
1:lmechperm.doc rev 02/4/99
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date 2 ateRequested I 29 q AMPM BLD
Location 9 (-70 Stun �9 Nei G Suite MEC (I-1 GG
9 SO
Contact Person Ph Co Z(p' ?S Z PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing ACC-
Foundation �j�i� � _ C: Jj FPS
Ftg Drain
���''
Crawl Efrain Inspection Notes: / 'j �� SGN
! %�� Slab _40/ _ �_ SIT
Post & Beam
Ext Sheath /Shear /7 d
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
Post & Beam
Rough In
^c in Th
Smoke Dampers
'r` 1
-•S PART FAIL
LECTRICAL
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 �/
Other Date I / je iT Inspector y /� � � Ext
Final ��
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.