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Permit CITY OF TIGARD MECHANICAL PERMIT A * 1 1 1 I 6 DEVELOPMENT SERVICES PERMIT #: MEC2002 - 00059 �13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/13/02 PARCEL: 2S112CA -13600 SITE ADDRESS: S: 15565 SW 79TH AVE SUBDIVISION: PP1992 - 044 ZONING: R - BLOCK: LOT: 001 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 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: 1 AIR HANDLING UNITS FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Gas furnace replacement. Owner: FEES RUETER FAMILY LIVING TRUST Type By Date Amount Receipt 15565 SW 79TH PRMT CTR 2/13/02 $72.50 2720020000 TIGARD, OR 97224 5PCT CTR 2/13/02 $5.80 2720020000 Total $78.30 Phone: Contractor: CLIMATE CONTROL INC 16500 SW 72ND AVE PORTLAND, OR 97224 REQUIRED INSPECTIONS Mechanical lnsp Phone: 453 -4822 Final Inspection Reg #: LIC 62196 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 obtai opies of these ules or direct questions to OUNC by calling (503)246 -9189. Issue By: irA _? -` Permittee Signature: (7}2 7 0 . 1( 61, '7 CaII (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day • . Feb 12 02 10:40a . climate control 503 968 7224 p.1 y' ( ,b a 'r i:,,,, T \ )3 j k } u `t i p'. '�e'3i ^, d` n yy i . "°4 ! /'` \ 11//y2f siT: l5r'{�yiCat a_ er /� �5}�y� {p �'y{ in1,�ni 1+�y���ti 1 cn ,'`1� ¢, " $ 0,,,p It '� c 7 ° §3'£. . , "i•.) E 5 � 4 y at,elf s + z' � � Fa.� .=, L'AILY�Wl' _L Wlli Illl1LY / x\ �}(. ll` r Uib 4NdY�lLi. :1 4d. �l'�.e9e R�G)i r{ t,,.. " t ri 5l lksi r� y g r4 il �i 'l 0 / _ . . -._.�. " S`�'( \1i:11`fTi .:35:+A1 rrJ.Vi.''9 k §'+a i;Y Cyf _ti1 l i �x'ii. if 4 : vv' Date received: 2 / 7 / b,cy Pe :I ® rnlitno.�J���� ^�Y q5 �! "l° m inward a 3 z ! f�ll&;# a , of h �1g i '"• °^ .,,, _,. , Project/appl. no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Phone: (503) 639 -4171 Date issued: By: Receipt no.: Fax: (503) 598 -1960 TA Casefileno.: P aymenttype: Building permit no.: Land use approval: sp • 2 '} i 0it ) r St )r5 3 ..4 ir"a( i ,l. .a.:. -� A J , , �3 i j ., +5: i `. \: NO tt � .,. .... i ,:. , MuZ • .,Z;t5 i,, ., ,.1g,,,.. V ( t. t 4 , � 1 T � . } ii l c y ) } 3 i t .1 J � R'.;q .. : 5 1 '� .xc �_ i 4..:: . ,. 7 x:. .. ! E «:'. . -fir: � t r. * Y ,a :;r.' � . '�:a"�.� >>;7�b(�,1`S 4 i � rt -�, � 5. 1 & 2 faintly dwelling or accessory © Commercial/industrial Multt family f Tenant improvement New construction 0 Addition/alteration/replacement 0 Other: Y t,1•Alt l: E �A t 4 ri„ f ;M N a r . ., a f 1� \ � 7 � c u� t : r.,,.,,):, , ,..,.v ,, .....� .., ,.ii, .: . . ., . ., . : , , E ., :, ,�A1 I' � � � n i2, i a Job address: ( s4 „, .. (/. 79• ... Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: Suite no.: vilue of all mechanical materials, equipment, labor, overhead, Tax map /tax lot/account no.: profit. Value $ Lot: • Block: Subdivision: *See checklist for important application information and Project name: ju-isdiction's fee schedule for residential permit fee. City /county: 7'7 6 P GL/A ZIP: g7Z 52..oEd111 ay V!'r'il<it lsip B1Y + 11 (7 . m Description and locatio of work on premises: � Git1�',� a e �CO1Vf1`t'JERI AIM' INTDNS IAZ t�' S(3III?I)] ? Fee(ea.) Total Est. date of completion/inspection: 0 /(Val Description Qt Res on Res. only • Tenant improvement or change of use: f YACt Is existing space heated or conditioned? Cl Yes 0 No Air handling unit CFM Air conditioning (site plan required) Is existing space insulated? 0 Yes CI Alteration of existing HVAC system L ✓ j ( ti ; wA 4 A S3 � " i e A I l i y� k.' . • • Business name: �l 'f'7 Co'A. 7 (.. St;lteboilerpermitno.: Address: / j0G (�, t r - IIP Tons BTU /H 7 ' � — Fire/smoke d ampers /duct smoke detectors City: pp -" ,ru4) State: ZIP: 9 7ZZ(/ Heat pump (site plan required) Phone: l ��} -� —i/5•3 . Fax: 5 9(g - mail: lm,talUreplacefurnace/burner } (,/ BTU /H GCB no.: �Z / - 7747 - mail: ductwork/vent liner CI Yes El No / /‘7 / • 4D Im :tall/replace/relocate heaters -- suspended, City /metro lic, no.: icz/(9 wz11, or floor mounted Name (please print): ■' ""C ---be4 (._ Vent for appliance other than furnace - J V ,' E l 5 ;' ? tr i s t i t g� rn\ i Jlt it I'l tirigerati°n: .. _ .. r:: l E ., , 5 i iii. � /1� r } 1 ( N ..... ,. . . , . � ,,w \Yal,)"�.r l d . .v t: At sorption units BTU /H Name: k./X. /C (w Chillers HP . Address: Compressors • HP Environmental exhaust and ventilation: • City: State: ZIP: Au pliance vent Phone:5o3'4'S3 Fax: E -mail: Dryer exhaust 1 i s tti s J t .. ' r �r.Ft i $r tt i i r ),y7 i -. \ c ,r._ y f i - Hcod5, Type 1/ Aires, ltitchen/11azmat • s \ : is Ca, :... t i ' _ y , ' i;iA , .;; hood fire su system • Name: ,___ 1 / �/ 7 • ga Exhaust fan with single duct (bath fans) Mailing address: j5'S-� , i 797% ,q . Exhaust system apart from heating or AC . City: 77 ,rrf -,�� State ZIP: 97 1 Fuel piping and distribution (up too outlets) 5Q3�9& � f2- Fay E-mail: Ty 1e: LPG NG Oil Phone } Rid] piping each additional over 4 outlets i Y ,i tt t J f i ri'k 1C - �: t l q �n i tj�S i 2; A4 , t �I,M r N t i I'�j 1 o d —7- ` : 9 3, "? ,. -aAS; a f 'i' .'�i it ;=' ,, `i_ ,,,.Z :1 ti' , , 0 _ ,,,iw j .aa r � if x ? &'¢'9CCSS p ➢191IB °(schematic required) Number of outlets • Name: Ot Iles• listed appliance or equipment: - Address: De :orative fireplace . City: State: ZIP: Insert — type Phone. Fa Wtodstove /pellet stove ____ Applicant's signature: �f'AilwIDate: /2 GZ___ Utl:er: —Other: . Name (print): /0 K i LUCG(__- 1 Nn all jurisdictiuus accept credit cards, please call jurisdiction for more informadon� Permit fee e'a visa 0 masterpard No t i ce: Th is permit application �— v� minimum tee $ �7Z. So _ Credit card / e it a perrut i s not o b t aine d num. ' yb,.. �.., x_ �.' ^ ,,. � ''" U Plan review (at �Io /:—//____ l/ .R = , " s x ins within 1110 da aft it has been ( 8 %) v , _ �. t= J p State surcharge (3°l0) :f: �'G i ame, , cardli r ass wn on credit card i accepted as complete. ;.,, . :;.:rQt;<il::rr ..:�..ccul.. A.I:1CIF:i vP CITY OF_TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection' Line: 639 -4175 Business Line: 639 -4171 (/ BUP Date Requested : O AM PM BLD Location /5 s CJ 54) 7f Suite MEC 2 e.. Contact Person Ph 45 -C(a)Z- z 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 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 P 1 FAIL Rough In Gas Line Smoke Dampers AMY- •ASS PART FAIL ELECTRICAL 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Date /t G Ext Other 7 Inspecto Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.