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Permit CITY TIGARD MECHANICAL PERMIT - ul^ DEVELOPMENT SERVICES PERMIT #: MEC1999 -00360 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 09/02/1999 PARCEL: 2S 104AD -03700 SITE ADDRESS: 12730 SW WALNUT ST SUBDIVISION: ZONING: R -7 BLOCK: LOT: JURISDICTION: URB 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: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: 1 Remarks: Remove oil furnace and replace with new gas furnace and add gas piping. Owner: FEES ELEANOR F. OLSON Type By Date Amount Receipt 12730 SW WALNUT ST PRM4 DST 09/02/19E $50.00 99- 318083 TIGARD, OR 97223 5PC2 DST 09/02/19E $3.50 99- 318083 Total $53.50 Phone: Contractor: G L HEINTZ HEATING & COOLING 20871 SW 216TH PLACE SHERWOOD, OR 97140 REQUIRED INSPECTIONS Gas Line Insp Phone: 503 - 625 -6798 Heating Unt Insp Reg #: LIC 00102831 Final Inspection nR!GINAL 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 the - rules or direct questions to OUNC by calling (503) 46 -9189. Issue By: � ;�/ Permittee Signature• /, is/,0,i Call 03) 639 -4175 by 7:00 P.M. for inspections needed the n 3• usiness :R7 Plan Check # CITY OF TIGARD Mechanical Permit Application Rec'd By 13125 SW HALL BLVD. Commercial and Residential Date Rec'd TIGAF D, OR 97223 f� Date to P.E. (503) 639 -4171, x304 use Date to DST � /��� f Print or Type -�- 7 � Incomplete or illegible applications will not be accepted Called Name of Development/Project Description Table 1A Mechanical Code Qty Price Amt Job Street Address suite# A) Permit Fee . OW .ft''l r;` 16.00 Address 1213 SO I h k 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 Name (or name of business) 3) Floor Furnace Owner _ HeAVCIL 0 JSaJ including vent see footnote 1,2 9.65 Mailing Address 4) Suspended heater, wall heater �� 5 W�I Iv 1 or floor mounted heater see footnote 1,2 9.65 5) Vent not included in appliance permit 4.75 City /State Zip Phone Check all that apply: *Boiler Heat Air (6! ` (2-D 97;23 For items 6 -10, see or Pump Cond Qty Price Amt Name (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) 15 -30 HP; absorb unit .5 -1 mil BTU 24.15 Contractor Name 9) 30 -50 HP; absorb '' II / /-�� unit 1 -1.75 mil BTU 36.00 L T7�( , , / J`r - 2 ("T6 ' C d (6 0 6 10) >50HP; absorb unit Prior to permit Mailing Address >1.75 mil BTU 60.15 issuance, a copy 20671 St / 2 c, p(, 11 Air handling unit to 10,000 CFM of all licenses City/State Zip P hone 7.00 are required if rJU)00c/ 97/y0 625 74e 12) Air handling unit 10,000 CFM+ expired in COT Oregon Const Cont. Board Lic # Exp. Date 11.85 database X02 F3 / // - 0 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 New 0 Repair 0 Replace with like kind: Yes'' No 0 18) Commercial or industrial type incinerator Residential jk Commercial 0 48.25 19) Repair units Additional information or description of work: 8.40 20) Wood stove /gas FP /other units /clothe dryer /etc. 7.00 NOTE: For Commercial projects only; Units over 400 lbs. require 21) Gas piping one to four outlets structural gas calcs. See footnote 1 / 3.75 Type of fuel: oil 0 natural gas AL. LPG 0 electric 0 22) More than 4 -per outlet (each) .75 Minimum Permit Fee $50.00 SUBTOTAL aya,; ? r� >;':, ,� I hereby acknowledge that I have read this application, that the information 7% SURCHARGE 'ft* t• ,?cJ 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 • °, ` - - ,,V TOTAL - _"x Signature of Owne Agent a Date „,-,. , . `,;,- '-"r) � Other Inspections and Fees: / Q� 9 -�� 1. Inspections outside of normal business hours (mininum charge -two Contact - it on Name Phone hours) $50.00 per hour 2. Inspections for which no fee is specifically indicated (minimum 619 /J i2Y lie/707"Z- TZ- 3/.3-5423 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 MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 n BUP Date Requested �' -- ZO' 7 7 AM PM BLD Location f Z 7 30 (,Occka mAA. Suite MEC / / 9 — Ov Contact Person 6a Ph " 3 —S f 2,3 PLM Contractor / Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Acces Foundation A FPS L l G/lQ, � V y � � 5 ► � ,� l 5nd/ C� Ftg Drain SGN Slab Crawl Drain Inspection Notes: OW►t.S toil I 1 ^ „ �,� �G SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing ' i ! l . T ` _ Rs, — — 0 Insulation Drywall Nailing /< P1 /■ii 2 CT14 -9) 7 ;37 36 87 Firewall Fire Sprinkler ? EL3c'TZi ML C L2CJL r Ca: 1e/ S Tin4 s) 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 CRAM AMMO Post & Beam Rough In Smoke Dampers - Fin- . ..a> PART FAIL �` CTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm `\ Final I J 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 9 _ Ins Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 / 6 3� BUP Date Requested / / AM �C PM BLD Location I 2 7 LOW)/tic Suite Ca Iq9 / -- t5,2 Contact Person (':x i r Ph Si ��S) ZS PLM Contractor Ph SWR • BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Foundation Access: �f, W-Q p 1 - ���,1n1 �� FPS Ftg Drain A— Crawl Drain Inspection Notes: SGN Slab SIT Post & Beam Ext Sheath /Shear l/ 1/ Int Sheath /Shear - ^ 1 ' Framing `"T� l �V t- b C ` Insulation CA-- - Drywall Nailing Firewall 7�G P Fire Sprinkler Fire Alarm ^ _ Susp'd Ceiling \/ /'■5 .--, 11, Roof Misc: Final PASS PART FAIL c PLUMBING �. Q._ , i C - V\/ —\ 5 S ‘ . . . - - - - - 7 ‘ ___ Sy Post & Beam Under Slab 0-r------ O I ` Top Out Water Service 1) l U..->...Q S ��- ---- Sanitary Sewer Final Drains a 1/4—.4n.- Final PASS PART FAIL Post & Beam Roush In t" Smoke Dampers I .41 _ ` 1 % r Final PASS PAR ' FAIL ELECTRIC Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE 4 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 ° 7/ I 7 / �� t1' Approach/Sidewalk Other Dat Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. .