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Permit C ITY OF TIGARD MECHANICAL PERMIT 1& DEVELOPMENT SERVICES PERMIT #: MEC2003 -00089 � fl l 1 3125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/7/03 LRlI W PARCEL: 2S 112BA -02300 SITE ADDRESS: 14170 SW 80TH CT SUBDIVISION: WAVERLY MEADOWS ZONING: R -7 BLOCK: LOT: 030 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: 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: 1 > 10000 cfm: GAS OUTLETS: 1 Remarks: Install gas fireplace insert fuel piping and 1 outlet. Owner: FEES BILL BETTIS Description Date Amount 14170 SW 80TH CT [MECH] Permit Fee 3/7/03 $72.50 TIGARD, OR 97223 [TAX] 8% StateTax 3/7/03 $5.80 Total $78.30 Phone: 503 731 - 9695 Contractor: SPECIALTY HEATING & COOLING 1601 SE RIVER RD HILLSBORO, OR 97123 REQUIRED INSPECTIONS Phone: 503 640 - 3607 Gas Line Insp Mechanical Insp Reg #: LIC 66578 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 Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling (503)246 -6699. Issued By: /J.,/ � , �� �_ Permittee Signature: �'1-- Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day or Aar 0:3 03 02:53p Specialty Heating 503 598 0718 p. .. ,_. • ` Mechanical Perm it Application - » . • Date -) _0 3 Pemlit no.� deg _i,1,A „,t,4.1. City of 'I l_ r C E I�! ® Ect3�? 03 Project/appl. no Expire date: Giry ofTigard Address: 13125 SW Hall Blvd, Tigard, OR 9722 - -� Phone: (503) 639- 4171MAR Q `3 2003 Date issued: By�,� Recciptno.: Fax: (503) 598 -1960 Lase the no.: Payment type: Land use appro4 ILDINC ITY OF TIGARD Building permitno,: DIWSI.Od�! • TYPE OF PERMIT ,f 1 & 2 family dwelling or accessory 0 Comtr ercial/industrial 0 Multi- family Cl Tenant impros ement 0 New construction Addition /alteratiott/replaeement 0 Other: JOB SITE INFORMATION COMME ICIAL VALUATION SCIIE SEIMI .lob address: / /-7 Sc.) G6 C Indicate equipment quantities in boxes below. Indicttc the dollar Bldg. no 1 Suite no.: value of all mechanical materials, equipment, labor, )verhead, Tax map /tax lot/account no.: profit. Value $ . Lot: Block: I Subdivision: *See checklist for important application information and Project name: • 6.a_ 7r-Ls jurisdiction's fee schedule for residential permit fee. - .. - -- -- City /county: --1 - j - ZIP . I & 2 FAMILY WELLING PEilti■1IT Fa, S 1 IIEDIULE ' -- Description and lokttion of work on premises: / 44/17 Ara ktedd AND COMMERIC . L /INDUSTRIAL EQ UIPA7E SC11E1)11L1 _irtae-t,t F g Fee ;r .) Total Est. date of completion/inspection: Description � Qty. Ices, only Res onl y V C: Tenant improvement or change of use: Air handling unit CFM Is existing space heated or conditioned. Yes 0 No AU - conditioning (site plan required) Is existing space insulated? ®lYes 0 No Alteration of existing HVAC system 1%IECIIANICAL CONTRACTOR Moil . compressors Business name: i re dp 1e . H G State boiler permit no,: Address: eV Se- © vg r R ©1�4.,p ' HP , Tans BTU/I + 1 Fire/smoke dampers/duct smoke detectors City: / • ■ Stater ZIP: ' / 3 heat pump (site plan required) Phone: , W.-- Fax: • ir7 Dy43 E -mail: . Instal replacefurnace/burner BTU /H CCB no.: S? Including ductwork/vent liner 0 Yes 0 No install/replace/relocate heaters suspended, City /metro lic. no.: / lr ' wall, or floor mounter[ Name (please print): D1 4'2 • • "4 - 7ftL$ Vent for appliance other than furnace CONTACT PERSON Refrigeruhon: : - AbsuipLiuu units, BTU /H Name: KM11 N , S / /N/y..P ' Chillers HP Address: ,KD( :,'e g RO44) Co • MUMS HP uvu^onme>a , • ust and Tentilat>iion; City: // 5 i,r/t' State0t‹ ZIP: ?743 -3 Appliance vent . Phone: 6,i1/40- 360? - I Fax :4 g' / -D94Z E-mail: Dryerexhaust - Hoods; Type I/11/ms. k kitchen/hazmat hood tyre suppression system Name: • 7 � , � Exhaust an with single duct (bath fans) - Mailing address; C? - /.(/ - i C' C 7 • • Exhaust s stem a . art from heating or AC City: Gay . State: Q� Zip: q piping an ' ■ ' ibtttion ( up to 4 outl i � Fax: E Ty.e: ' LPG � NG Oil Phone: 9 - uel piping each additional over 4 outlets ENGINEER ' . ess pipmg (schematic required) _ Numher of nutlels: N a me; . Other listappliance or equipment -- Addreess: Decorative fireplace City: ' ' ' • • • • I State: • I ZIP: • - - Insert - type , • LE 4 ,_•„ I - _ - • Phone: '., N p . �t7LNl.YLOVt;lpelleistuve �- ... Pp g • a / • 1E-mail: r � • • // l �fL ter. Applicant's signature: Date.� 43 Othex: Name (print): ,- -ei i ■'e/Mtf Nor nit jtuisdictioas =opt credit cards, please call jwisdictiou for more Information. Permit f $ 7� . > Q Visa Cl MasterCard Notice: This permit application Minimum fee $ _ , _ _ Credit coed euwbx /Fx tzxr z expires if a permit is not obtained within 180 nays utter it ilas been Plan review (at %) $ � y 9 _ F State surcharge (896) $ _`�. 0 6 Saute of cardholder as attowm on credit card S r accepted as complete. TOTAL $ _ ` f- Cardholder sigeolre Amount 441.4617 (6/00/COM) CITY OF TIGARD_ 24 -Hour z BUILDING Inspection Line: (503) 639 -4175 . INSPECTION DIVISION Business Line: (503) 639 -4171 MST � BUP L Received Date Requested ` Li AM PM BUP Location / d S4 C,� Suite MEC 3 - 6a6 8 7 Contact Person Ph ( ) G Vo " 3( O 7 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post& Beam • Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In (Gast ink Smoke Dampers PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm - Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 111 Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date � �� Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL