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Permit CITY TIGARD MECHANICAL PERMIT 'I DEVELOPMENT SERV PERMIT #: MEC1999 -00365 6' � 13125 S Hall Blvd., Tigard, OR 97 2 MalottlIAL DATE ISSUED: 09/07/1999 PARCEL: 1 S 125DA -02900 SITE ADDRESS: 06607 SW WALNUT TERR SUBDIVISION: KINGS VIEW ZONING: R -4.5 BLOCK: LOT: 014 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: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: 1 Remarks: Installation of a gas line. Owner: FEES DEIBELE, CURTIS DEAN + DANA D Type By Date Amount Receipt 6607 SW WALNUT TERR PRMT DST 09/07/19c $50.00 99- 318154 TIGARD, OR 97223 5PCT DST 09/07/19c $3.50 99- 318154 Total $53.50 Phone: Contractor: OWNER REQUIRED INSPECTIONS Gas Line Insp Phone: Final Inspection Reg #: • 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 3)246 -• 89. / ti Issu By: , Jam./ Permittee Signature: Call (503) •39 -4175 by 7:00 P.M. for inspections needed the next business day Plan Che CITE OF TIGARD Mechanical Permit Application Recd By 13125 SW HALL BLVD. Commercial and Residential Date Recd TIGARD, OR 97223 Date to P.E. (503) 639 -4171, x304 Date to DST Print or Type Permit #"1.6C /WW-- o Incomplete or illegible applications will not be accepted Called Name of Development/Project Description 6007 Su-D wPr Ur- 7 R' Table 1A Mechanical Code Qty Price Amt Job street Address Surte# A) Permit Fee 5 s , i 16.00 .�° Address 6O1 SW WHC-N U fTEW 1) Furnace to ducts & 0 BTU including ducts 8 vents see footnote 1,2 9.65 Bldg# City/State Zip 2) Furnace 100,000 BTU+ 0607 77&/ 2D 9722 3 including ducts & vents see footnote 1,2 12.00 Name (or name of business) 3) Floor Furnace Owner Caen 5 bs D m e-z-L- including vent see footnote 1,2 9.65 Mailing Address 4) Suspended heater, wall heater or floor mounted heater see footnote 1,2 9.65 660 7 S u) uoict-c_.NC" re-Va. 5) Vent not included in appliance permit 4.75 Cdy/State Zip Phone Check all that apply: *Boiler Heat Air 7769/4/ D �/ 7 Z 2 3 245 6o 37 For items 6 -10, see or Pump Cond Qty Price Amt Name (or name of business) footnotes 1,2 Comp SRMLr HS d ®ot>� 6) <3HP;absorb unit to 100K BTU 9.65 Occupant Mailing Address 7) 3 -15 HP;absorb unit 104,to 500k BTU 17.65 Cay/State Zip Phone 8) 15-30 HP; absorb unit .5 -1 mil BTU 24.15 Contractor Name 9) 30 -50 HP; absorb unit 1 -1.75 mil BTU 36.00 10) >50HP; absorb unit Prior to permit Mailing Address >1.75 mil BTU 60.15 issuance, a copy 11 Air handling unit to 10,000 CFM of all licenses Crty /State Zip Phone 7.00 are required if 12) Air handling unit 10,000 CFM+ expired in COT Oregon Const. Cont. Board Lic.# Exp Date 11.85 database 13) Non - portable evaporate cooler Architect Name 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 O No O 18) Commercial or industrial type incinerator Residential 0 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 1 3.75 Type of fuel: oil 0 natural gas 0 LPG 0 electric 0 22) More than 4 -per outlet (each) . Minimum Permit Fee $50.00 SUBTOTAL a Aii, s ='t hereby acknowledge that I have read this application, that the Information 7% SURCHARGE =* Ma* -,:: given is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL t f" lg. gip,: Required for ALL commercial permits only _',g :` °t the owner, that plans submitted are in compliance with Oregon State laws. TOTAL Signature of Own r /Agent Date + ' �+ Other Inspections and Fees: �" l 1. Inspections outside of normal business hours (mininum charge -two Contact Person Name Phone hours) $50.00 per hour 2. Inspections for which no fee is specifically indicated (minimum 24S 7 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 *State Contractor Boiler Certification required units. "Residential NC requires site plan showing placement of unit I:\rnechperm.doc rev 7/19/99 - - CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 n Coq BUP D ate Requested % d � �4 -sO- /AM PM BLD Location 69<�0 ^ l� ( - (e '^/ , / Suite MEC r Cil / Q — C ) g6OS Contact Person �i( Ph ?,C(7 n -SqD Z PLM Contractor " Ph 0-4.S -(aDY? SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam . Ext Sheath /Shear Int Sheath /Shear Framing iU `i AA. - a S Co r Insulation C J 37169y 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 ECHANICA eam Ro hln Gas Lin moke Dampers VI I SS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage 4)t 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 3� Other Date r � f Inspector - 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 BUP n Date Requested '7 'ZVI ? AM PM BLD Location (000 W0- +- TQf Suite MEC i q 4 ( - , 9 - 0.3G S Contact Person C,,l/rtiS Ph 2-q PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear -� Framing F// �2�T�`�!J �. -Z-7/ Insulation Drywall / Drywall Nailing G✓1 c7F� V44 (1/ ,,V-c> coy. Firewall Fire Sprinkler - Fire Alarm Susp'd Ceiling 114t Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANIC Post & Beam r) h In Gas Li Smoke Dampers Final PASS PART I ELECTRICAL • Service Rough In UG /Slab Low Voltage Fire Alarm - Final PASS PART FAIL SITE v 11 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` ! l Ins / �� Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.