Permit ti
CITY OF TIGA
1GINA MECHANICAL PERMIT
r DEVELOPMENT SERVIC =� � oe PERM": MEC1999 -00198
� ��I %,.•_ ISSUED: 5/10/99
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
RCEL: 25111 CD -02300
SITE ADDRESS: 09600 SW SUMMERFIELD DR
SUBDIVISION: SUMMERFIELD NO.7 ZONING: R -7
BLOCK: LOT: 342 JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: 1 VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: 1 VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
GAS 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: • OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Remarks: Installation of gas insert, associated venting & gas piping.
Owner: FEES
BARBARA SPENCER Type By . Date Amount Receipt
9600 SW SUMMERFIELD DR PRMT DST 5/10/99 $25.00 99- 315212
TIGARD, OR 97224 5PCT DST 5/10/99 $1.25 99- 315212
Total $26.25
Phone: 620 -4101
Contractor:
COST PLUS HEATING + AIR
7132 N FESSENDEN ST
PORTLAND, OR 97203 REQUIRED INSPECTIONS
Mechanical lnsp
•
Phone: 286 -2009 Duct Inspection
Reg #: LIC 000479 Misc. Inspection
•
Final Inspection
•
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
Utilit •'o !Ica 6 • Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080.
Y• may obtain c• •i -s of ese ules or direct questions to OUNC b calling (503)246 -9189.
I
sue By: �.� 1 • / 4! ' Permittee Signature: ;;
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
Plan Ch
Cl TY OF TIGARD Mechanical Permit Application Recd B
13125 SW HALL BLVD. Commercial and Residential Date Recd ,6 /o '99
TIGARD, OR 97223 Date to P.E. -
(503) 639 -4171, x304 Date to DST
Print or Type Permit # Hi. /9 95 /9 g
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Description
Table 1A Mechanical Code Qty Price Amt
Job Street Address Su;te# A) Permit Fee 10.00
Address %Op 5 S'vw►aw 1) Furnace to 100,000 BTU
including ducts & vents see footnote 1,2 6.00
Bldg# City/State Zip 2) Furnace 100,000 BTU+
972-2y including ducts & vents see footnote 1,2 7.50
Name (or name of business) 3) Floor Furnace
Owner ! Ar, ier, Sprr,(pr including vent see footnote 1,2 6.00
Mailing Address 4) Suspended heater, wall heater Y Gck
��tx) ����� or floor mounted heater see footnote 1,2 ( 6.00
5) Vent not included in appliance permit
City /State Zip Phone ( 3.00 3
- 1 -1 54Y 1 ) 9 2.-w (zo -y /c/ Check all that apply: 'Boiler Heat Air
Name (or name of business) For items 6 -10, see or Pump Cond Qty Price Amt
footnotes 1,2 Comp
Occupant Mailing Addre 6) <3HP;absorb unit to
P 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
�C.S - PL 5 tfP��^ y 9) 30 -50 HP; absorb
unit 1 -1.75 mil BTU 22.50
Prior to permit Mailing Address 10) >50HP; absorb unit
issuance, a copy 713 z A/ ss r, o je^ >1.75 mil BTU
37.50
of all licenses City/State Zip Phone 11) Air handling unit to 10,000 CFM
are required if r -A v '"" g7:LC 4 .2.(4-.e.,/
4.50
expired in COT Oregon Const. Cont. Board Lic.# Exp. Date 12) Air handling unit 10,000 CFM+
database L/71 .7J' 5'12 - 11 - 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: clA S FiRe f'( =,NS err 4.50
jl��P/{ 17) Domestic incinerators
New 0 Repair 0 Replace with like kind: Yes 0 No 0 7.50
Residentially Commercial 0 18) Commercial or industrial type incinerator
30.00
Additional information or description of work: 19) Repair units
4.50
20) Wood stove
NOTE: For Commercial projects only; Units over 400 lbs. require 4.50
structural gas talcs. 21) Clothes dryer, etc.
Type of fuel: oil 0 natural gas 0 LPG 0 electric 0 4.50
22) Other units
I hereby acknowledge that I have read this application, that the information 4.50
given is correct, that I am the owner or authorized agent of 23) Gas piping one to four outlets / the owner, that plans submitted are in compliance with Oregon State laws. See footnote 1 / 2.00 Z
24) More than 4 -per outlet (each)
Slgn t of r /Agen4 Date .50
�, 5 / Minimum Permit Fee $25.00 SUBTOTAL A6
Contact Person Name Phone
/ �V C Sr/kr(� if- Su 7�� U j V 5% SURCHARGE /
��
7 PLAN REVIEW 25% OF SUBTOTAL
Foonotes for commercial projects only: Required for ALL commercial permits only
1. Provide full schematic of existing and proposed gas line and pressure. TOTAL e c.!" 2. Provide drawings to scale showing existing and proposed mechanical ' A
units. *State Contractor Boiler Certification required
"Residential NC requires site plan showing placement of unit
I:lmechperm.doc rev 02/4/99
I
6/8/00 Activities for Case #: MEC1999 -00198
2:44:14 PM
Assigned Hold Updated eb
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECA007 Application received 5/10/99 DEB DONE • No Hold DST- 5/10/99
MECA008 Create Permit 5/10/99 DEB DONE No Hold DST 5/10/99
MECA715 Mechanical lnsp 5/10/99 5/10/99 No Hold DST 5/10/99
MECA735 Duct Inspection 5/10/99 5/10/99 No Hold DST 5/10/99
MECA750 Misc. Inspection 5/10/99 5/10/99 • No Hold DST .5/10/99 •
MECA799 Final Inspection 5/10/99 5/10/99 3/10/00 KBS FAIL No Hold AKJ 3/12/00 no one home, left note to
schedule insp
MECA060 (F) Issue permit 5/10199 DEB DONE No Hold DST 5/10/99 .
MECA705 Gas Line lnsp 5/11/99 5/11/99 5/11/99 KS PASS No Hold AKJ 5/11/99
MECA845 Request inspection research 3/24/00 JMT DONE No Hold JMT 3/24/00 over 180 days. no contact with
owner. no inspection
MECA799 Final Inspection 4/12/00 KBS FAIL No Hold AKJ 4/12/00 1) no phone given for home
• owner or installer, left note to
schedule final insp
' MECA880 Expired by limitation 6/7/00 HAP DONE No Hold AKJ 6/7/00
r
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested IM AM PM BLD I Location �tU( .y �(.1 � J�� I�l Suite EC 1 '9 / 9R
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall
Footing
Foundation Ac NOT REQUESTED FPS
Ftg Drain FOUND DURING RESEARCH n - SGN
Slab
Crawl Drain I n ' NO INSPECTION(S) FOUND IN FILE ay Y I
Post & Beam � — - SIT
Ext Sheath /Shear T /S74
Int Int Sheath /Shear >
Framing id , /O ' i v,-.- r-f G 1c/L- ijo 41c.5 Clcc. /z ,
Insulation
Drywall Nailing d 7Z 1AY 57 - 14 - LLCL i2 • Zr cF /r/6i2G,r /2T7' - cI - I ‘57 --
Firewall
Fire Sprinkler _= -- , (----) a 1 N c C /CCU
Fire Alarm
Susp'd Ceiling •<--i/ — JAZS / 776/v. /ACS P C 7 off/ -�� S
Roof Z ti/c_ jCGi / tic L�.: �r — L 7 (7,4,e_ ----- -7-2/ O le___.
Misc:
Final
PASS PART FAIL - 7 d �� - � r - 1 S G14 A17.. //S ? '---- '-
PLUMBING
Post & Beam
Under Slab
Top Out .
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FA
ICA
Post m
Rough In .
Gas Line V
Smoke Dampers
- PART FAIL
_ - r
s. p� Ro ' f fid UG •
Low V • , ge �/ • „; i1.
Fire • r V I `
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 �j /
Approach /Sidewalk Date � v DG Inspector Ext
Other _
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.