9155 SW HILL STREET .... ...._. _..... ,..�,.... ......,,.r._.. _........... ,._................u..+.u�.ur r�.Y.O+r.r1+sN'w:...... �r'+--. >Lw�.d�+:su'. -Wi-:IY J;..
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9155 SW HILL ST ---
CITY OF
TIGARD — MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2000-00176
13125 SW Hall Blvd., Tigard, OR 97223 ( 03) 639-4171 DATE ISSUED: 05/10/2000
PARCEL: 2S 102DB-06800
SITE ADDRESS: 09155 SW HILL ST
SUBDIVISION: CHELSEA HILL N0).2 ZONING: R-4.5
BLOCK: LOT: 045 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:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 4P: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES-
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS
FURN >=100K BTU: <= 10000 cfm: OTHER UNITS:
DRYERS:
> GAS OUTLETS:
10000 cfm:
Remarks: Replacing a gas furnace
Owner: _ i FEES _
FORSTER, DAV;D Type By Date Amount Receipt
VALENZA NEEN F'RMT BON 05/10/20( $50.00 0002058
91.55 SW HILL ST rPCT BON 05/10/20( $4.00 0002058
TIGARD, OR 97223
Phone: --
Total $54.00
— ---- --- —
Contractor:
SPECIALTY HEATING + FABRIC'ATIO
9528 SW TIGARD ST
TIGARD, OR 97223 REQUIRED INSPECTIONS
Heating Unt Insp
Phone:620-5643 Final Inspection
Reg #:SUP 257ORET
LIC 006657
ELE 34-341CR ORIGINAL.
Piis permit is is,ued subject to the regulations contained in the Tigard Municipal Code, State of Ore
Specialty Coaes 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. ATT;:-_NTION Oregon law requires you to follow rules adopted iii the Oregon
Utility Notification Center. Those rales are set forth in OAR 952-001-0010 through OAR 952-001-0080
You may oL ain copies of these rules or direst questions to OUNC by calling (503)246-9189.
Issue , ,l
3y: �� — --- Permittee Signature: VI �v�c�t�'� NJ
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
Plan Chec #_
CITY OF TIGARD Mechanical Permit Application Recd By
13125 SW HALL BLVD. Commercial and Residential Date P,ec'd '�
TIGARD, OR 97223 Date to
(503) 639-4171, x304 Dale to DST
Print or Type Permit# l
Called —
_ _Incomplete or illegible applications will not be accepted --�
Name of oevelupmenvProiec" Description
Table to Mechanical Code Qty Price Amt
A) Permit Fee -- _- ,yV_i ?'i�A4' 16.0_0
Job sryeltdress /j Sunea 1) Furnace to 100,000 BTU tflf
Address //l/ includin ducts&vents_ see footnote 1,2 1 9.65
Bight CityrState ZZIP 2) Furnace 100,000 BTU+
includirg ducts&vents see footnote 1,2 - 12 00 _
Name(or name of business( 3) Floor Furnace
I^ includin,vent _ see footnote 1,2 _ 965 _
Owrer Y)FOALS 4) Suspended heater,wall heater
ailing Address / or floor mounted heater see footnote 1,2 965
l /_5 S S W / /( _ 5) Vent not included in appliance Permit _ — 4.75 __—
CnyrState Check all that apply 'Boiler Heat Air
For items 6.10,see Pump Cord Qty Price Amt
footnotes 1,2 (.omp :17
_
Na a tar name of business) 6).<3HP,absorb unit to
100K BTU 65
Occupant Mailing Address 7)3-15 HP;ahsorb unit
100k to 500k BTU 65
CrtyiState zip Phore 8) 15-30 HP, absorb
unit 5-1 mil BTU 24.15
_ 9)30-50 HP. absorb
Name unit 1-1.75 mil BTU 36.00
Contractor r
S I�C/ � (/Yl _ 10)>50HP, absorb unit
Prior to permit Me.ng Address _�^ >1.75 mil BTU , 160 15
Issuance,a copy
Sa i� .5 _/y �j T 11 Air handling unit to 11..000 CFM 7 00
of all licenses state �f ' :i Phone .SC^�are required if / �f�s'�( �� �oZ�`� G ov-S6{�3_ 12)Air handling unit 10,000 CFM+
expired in COT 0/e�gos Co st Cc.t Board L x -E,p CJ'to 11'85 –
database rP �81 O I 5/�/ 13)Non-portable evaporate cooler
--- 700
Architect Name -
14)Vent fan connected to a single duct
_ 4.75
or MemngAddress '^ 15) Ventilation system not included in
_ appliance permit 7.00
Engineer CtyrStaro za Thorif 16)Hood served by mechanical exhaust
700
Describe work to be done 1;i Domestic incinerator:
12.00
New O Repair O keplace with like kind Yes V No O 1 B)Commercial or industrial type incinerator
48.25
Residential O Commercial O 19)Repair units
8.40
Addi�tmnal informalron or escnpt,on of work.
J��t/1f`QU� 20)Wood stove/etas FP/other units/clothe dryer/etc 700
NOTE: For Commercial projects only,Units over 400 lbs require 21)Gas piping one to four outlets —�
See footnote 1 .7 5
Structural gas colts. 75
r Type of fuel oil O natural gasf LPG^ electric O 22)More than 4-per outlet(each)
Minimum Permit Fee$50 JO SUBTOTAL_
I hereby acknowledge that I have read this application,that the information B°'�SURC_HARGE _-
given is correct.that 1 am the owner or authorized agent of PLAN REVIEW 25116 OF SUBTOTAL-
1 Required for ALL commercial perits only
the owner.that plans submitted are to compliance with Oregon State taws TOTAL '1 00
Signature gf Owner/Agent Date.11 Other Inspections and Fees:
j 00 1. Inspections outside of normal business hours(mininum charge-two
Contact Pe n Name Phone hours) $50.00 per hour
►n/� 2. Inspections for which no fee is specifically indicated (minimum
G2� ���2 ,��}(�,✓( Sd Gp�O-'SG charge-half hour) 550.00 per hour
1. Additional plan review required 5y changes,additions or revisions to
Foon es for commercial projects only: plans (minimum charge-one-half hour)$50.00 per hour
1 Provide full schematic cf existing and proposed gas line and pressure
2. Provide drawings to scale showing existing and proposed mechanical -State Contractor Boiler Certification required
unks. "Residential,'>u'C requires site plan showing placement of unit
I:Vmechpem doc rev 719/99
1
CITY OF TIGARD BUILDING INSPECTIC ,4 DIVISION VST
74-Hour Inspection Line: 539-4175 Business Line: 639-4171 - - —
BUP —
Date Requested �' AM PM -- BLD
�- �, Suite MEC "c 4'� � 7
Location �1 f1 I I _
Contact Person -�` '� :�� Ph (P Cat/U PLM
Contractor �. Ph — — SWR _—
BUILDING Y Tenant/Owner _ ELC —
Retaining Wall - _ _ EL'-. —_—
Footing Access: FPS
Foundation — -- —
Ftg Drain SGN _
Crawl Drain Inspection Notes
Slay _._.___—_____ ,-- -- SIT _---A--��
Post&Beam
Ext Sheath/Shear - ---
Int Sheath/Shear
Framing --—
Insulation
Dr/wall Nailing -- ---- --
Firewall _
Fire Sprinkler -- T
Fire Alarm
Susp'd Ceiling ---- - - — -
Roof —
Misc: -
Final
PASS PART FAIL
PLUMBING
Post& Beam
Under Slab
I op Out __...
Water Service -- -
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL -
NI
Post,Z Beam - —
Rough in
Gas Line —
moke. Dampers —
PART FAIL —
ELECTRICAL
Service --
Rough In
UG/Slab - - - --- — —
Low Voltage
Fire Alarm -----
Final
PASS PART FAIL --SITE _
Backfill/Grading
Sanitary Sewer
Storm Drain [ J Reinspectior fee of$ required before next inspection Pay at City Hall, 13125 SW Hall E-Ivo
Catch Basin ( J Please call for reinspection RE: _ ____ _ ( ]Unable to Inspect-no acceus
Fire Supply Line
ADA
Approach/Sidewalk Date 157 b- Inspector T L Ext
Other 1 �._.. -- --
Final _
PASS PART FAIL DO NOT REMOVE this itispection record from the job site,
CITY OF TIGARD BUILDING INSPECTIOIN DI SION
24-Hour Inspection Line: 6394175 Business Phony: 639-4171
AAs 11y'stot-f-
Date Requested: A.M. — P.M.\ I.v 1� MST:
Location: 9/53�— —------ - BUP:
Tenant:— — -- —� ,5,►�te--' —gjd8;'-�_ ' (J
Contractor:— M:
-q _ --
Owner. ) — � -l y� -
one. LC:
ELR
SIT:
BUILDING BLDG(con't) PLUMBING ChiAN— ELECTRICAL SITE
Site Post/Befun Post/Ream o:; cam Cover/Service Sewer/Storm
Footing Roof UndFV;;;ab CEu - Ceiling Water Line
Slab Framing Top Ot.t a Rough-In UG Sprinkler
Foundation Insulation Sewer IloodA)uct Reconnect Vault
Bsmt l)wnp Drywall Storm Furnace Temp Service MISC.
Mason-v Ceiling Rain Drain A/C LTC}Slab
Shear/Sheath fire Spklr/Alm 1'rawUFaund Ir I[eat Pump Low Volt
Approved I pprovcd d Approved Approved
Appr/Sdwlk Not Approved Not Approved pproved Not Approved Not Approved
FINAL FINAL FINAL FINAL,
v -- -
D7 Call for reie_:p,,tion D Reinspection fee of S required before next inspection D 11nrt 1 it,i n 1k,i
Inspector —.- ---- -- rNte: Page of
CITY OF T M[=CI-iMN I C11L.
DEVELOPMENT SERVICES PFRMIT
M 1 13125 SW Hall Blvd., Tigard,OR 9722; (503)639.4171 F'E RM I T ii`. . . . . . . : ME'
DATE IrGLI!'D: 10/229/77
r,AR.C'7L. '='r'1 7r�._:1 P... 0C-1307
T TF r)!);^R E.:;r.. . 091.5" 03W HILL M
URD T V I G I ON. , , . G'1-IEL aC'A HILL ':C. :. Z 0 N
'LOCI'. , . ., l_QT. . .. . . . . . . . . . . . ' S I1_IRl. 'DICTION: T17,
7i_n7,r OF wnpi/,. . :ALT FLOOR F't_1RI,'. . . . . 0 rvnr CCJ01_rm",..
TYPE OF UCC. . . . :G'F MTT HEATE.RS. . : 0 VENT FANE3. . . : Qi
1.1CCUPAP1C" CRF'. . :R3 W7,79 W/0 P.PrL.: 0 VENT OYgTrM^; 0
^TORIE0). . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
;1F l 7YI''E`C 0 7 HP, . . . 0 DOME 3. I I\1C I N: 0
EIAs) 3--1 r Hr''. . . . : 0 COMML.. TWIN. 0
11Ak INPUT: 0 DTU 1'j 30 I-ir . . ., . : iT REr='(;;R IJN T TE;: 0
DAMF'(`RFc^. . . ;.;0__4.:,0 Hr . . . . : 0 WOODCTOVEC. . : 1
"If15 f'f?FCOl.1R!'. . . r0�. Hr,. . . . . 0 CL O 1)RYF7RG. . . 0
W. OF L1NTT ..-.. _._._______._. ()IR HANDLINII L_INTT2 OTHER L.INITC. : 0
' != 11,10417, c�"m : 0 rrF1S OUTI C'T^. �r
URN l 100K BTU: 0
-URN � 1.00V F4TU: 0 > 10000 t:'Fm: 0
71,_. ^ I<r• ; Installing a gas fireplace insert
"C1FtrTCR, DAVE 8 NEt=.P! t } pry ill St+.1T:� t.y c:iL,t t:
�;`;; 5W HILL CT PRMT $ ^5. 00 B 10/7'9,'97 7i,'_�,V�I?��,�iF,
T'TCARD OR 9727"f7 - t , , 1't 11,;! 'rl 7_' `1.7 . �00�s
.7
l
tt
rtt,t-aCt CII'
;* )SEL. WrHnNICAI.. INC.
'4r NW GLENCO ROAD
C-nOR>O OR 97134 441000,Ill_. _
r'hUllll #:
I+. . . 001..~:;•-
_..._ .......... REP.i. rRE:D tiJ!: i. I .I.1,. iti,..
.s re•iit is issued '-abject to the regulatiors contained in the Mi :,c.. Illsrraac t i r)n
Tigard M,inic ipal Code, State of Ore. Specialty Codes and all other c i ni.t 1 I n s pe c:t i o r, �� �____�•- -.-„�_
applicable laws. All wort+ will be done it acr,rdance with
approved pians. Th.s permit will expire if , is not started
6ithin 180 days or isivance, er i° were is suspended `or more
:han 162' days. 1?'' rVION:1regon law requires you to follow rules
adopted by the Oregon Utility Notif,cation Center. Those rule are
-4 fcrth it DAA 952-MI-Nit thrc Ig` DAR 552-01-00. Yoe, lay
,in copies of these ales or di;-ect questions to OLdVC by calling __..
Plan Check#
CITY,Oi .3ARD Mechanical Permit Application Rec'd By_�
131266 SW HALL BLVD. Commercial and Residential Date Recd _
TIGARD, OR 97223 Date to P.E.
(503) 639-4171, x304 Dato to DST
Print or Type Permit# =TxZ
:•ailed
_Incomplete or illegible applications_will not be accepted
Name of Development/Proleo Descnption
Table 1A Mechanical Co('e CITY PRICE AMT
Job Street Address Suite# A) Permit Fee -0- -0- 10.00
Address /`�� _`kc' l-//LL s7 _
Bldg# Cllylstatilit Zip 11 Fumace to 100,000 BTU 6.00
�/ " ?• including ducts&vents
Name for name of business) 2.) Furnace 100,000 BTU+ M 7`0
including d r+;r:vents
Owner I - UA-VE including
Mailing Address 3) Floor Furnace 60
;//-S5 �� PILL' —S-7— including vent
l lataZip I Phone 4.) Suspended heater,wall heater 6.G) _
//�/1/r'✓� ) �,'7� z, E�� -�l�S or floor mounted heater_
Name(or nai of business) 5) Vent not included in appliance permit 3 f)
Occupant Mailing Address I 6) Boder or comp,heat pump,air cond. f 00
to 3 HP,absorb unit to 100K BUT-
city/state Zip Phons 7) Boiler or comp,hes;pump,air cond. 1.00
_ 3-15 HP;absorb unit to 500K pump,air cons 15.00
BTU"_
contractor Noma 9.) Boiler or comp,heat
) . 11x30 HP;absorb unit 5-1 mil BTU—
Prior to permit Mailing Address r 9.) Boiler or comp,heat pump,air cond. 2250
issuance,a cony /,%_' '-�.��f,�E E�r�1 ~•--, _ 30-50 HP;absorb unit 1-1 75mil BTU"_ _
of all licenses fC INES p ren - 10) Boiler or comp,heat pump,air Gond. 37.50
are required if �1.,9Y�lTT�'1Li l`( J,S- - o.�i, _ >50 HP,absorb unit 1.75 mil BTU—
expired in COT Oregon Conti._ t Exp. tis 11.) Air handling unit to 10,000 CFM _ 450
tatabase / =?'�;5' ,A7E:� /�� 9R _ _ -___� __
Architect ' Name- 13.) 4on•portable evaporate cooler 4 50
Or Mailing Address 14.) Vent fan connected to a single dud 3.00
Engineer crtyrstate Zip Phare 15) Ventilation system not included in 450
appliance permit _
Describe work New O Addition O Alteration O Repair O 16.) Hood served by mechanical exhaust 4.50
to be done _Residential m Non-residential O
Additional Description of work: 17.) Domestic incinerators 750
18) Commercial or industrial type30.00
Incinerator
Existing use of 19.) Repair units 4.50
budding or property _ _
20.) lNood stove 4 50
Proposed use of 21 )—ClothA dryer,etc. 450
building or property 22 _
) Other un_ds� 4.50
Type of fuel-oil O natural gac O LPG O electric O 23) Gas piping one to four outlet! 200
I hereby acknowledge that I have read this application,that the 24 1 More than 4-per outlets(each) 50
information given is correct,that I am the owner or authorized agent of
the owner,that plans:submitted are in compliance with Oregon State CITY SUBTOTAL
Signature of OwnerlAgant Date _ 'SUBTOTAL n ,
5%SURCHARGE /
Contact Person Name Phone PLAN REVIEW 25%OF SUBTOTAL.
TOTAL �>!/
Vnechpm!dot: (rev 9 'Minimum permit fees S25..5%surcharge
"Residential ik/C require3 site plan showing p arxment of unit.
21.