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Permit A- CITY OF TIGARD MECHANICAL PERMIT A-Neo DEVELOPMENT SERVICES PERMIT #: MEC2001-00179 ° 13125 S Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 05/30/2001 PARCEL: 2S111 AA -02300 SITE ADDRESS: 14415 SW 86TH AVE SUBDIVISION: GREENSWARD PARK ZONING: R -4.5 BLOCK: LOT: 015 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: 1 DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Install NC. Cannot be placed within the set back. Owner: FEES DEHN, STEPHEN L Type By Date Amount Receipt 14415 SW 86TH AVE PRMT CTR 05/30/20( $72.50 2720010000 TIGARD, OR 97224 5PCT CTR 05130120C $5.80 2720010000 Total $78.30 Phone: Contractor: FIRST CALL HEATING & COOLING 1650 NE LOMBARD PORTLAND, OR 97211 -4798 REQUIRED INSPECTIONS Cooling Unt Insp Phone: 231 -3311 Final Inspection Reg #: LIC 102030 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 coyies of these rules or direct questions to OUNC by calling (503)246 -9189. r Issue By: _ Aftr _ _ / Permittee Signature: i �,/a,1 fj4/yi V Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day / ✓ ` ' Mechanical Permit Application � • � � ���: Datereceivod n Pecmitno- :1FXIl -lb /79 .-Al; ... City Tigard 1S [ Project/sppl,no.: Expire date: Ciryopigarld Address: 13125 SW Hall Blvd, Tigard. OR 972f Date issued; By: Receipt no.: Phone: (503) 639 -4171 �N{ cA Fax: (503) 598 -1960 nc\t�t �5 � ' k`c %� Case file no_: Payment type: Land use approval: Building permit no.: TYPE OF PERMIT 1 & 2 family dwelling or accessory 0 Commercial/industrial O Multi - family ❑ Tenant improvement 0 New construction r Addition /alteration/replacement ❑ Other. .. JOB SI l L l''I OH t1 \TION ('O\1MMERC'L1L VALI. ATIO` SCIIL• UIi1,E . Job address: /y`/ /S •5 4,4_7 ,i 6 h .9-(.."---e-__ Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: I Suite no.: value of all mechanical materials, equipment, labor, overhead, Tax map/tax lot/account no.: profit Value $ • — Lot: 1 Block: I Subdivision: *See checklist for important application information and Pro'cet name: ' jurisdiction's fee schedule for residential permit fee. • /county: ZIP: 1 & 21 A3111.\ DWELLING PERMIT TEE SCI1111111.E. Description and location of work on premises: f i > 1`D COM51ERICAL /ENIN'S I R I a I. I:QLTIPMENTSCHEDLIE Fee(es.) Tots Est date of completion/inspcction: Description Qty. Res. only Res. only Tenant improvement or change of use: IiVA(1: Air handling unit CFM • Is existing space heated or conditioned? 0 Yes 0 No < Is existing space insulated? 0 Yes O No Alt conditioning o n of existing ACayater ( 7 .(-in �S Alteration of eting AC ■yseam T er compressors • Business name: /i, ea /f ' &ice?9 f pdt/25 StateboilcrHP t _Tons BTU/H BT Address: 1& D ,r/ /� Zp r» bK .-e Fire/smokedamp ers/duct smoke detectors — Cl • ro e,.--, -,, d State:O ' ZIP. r7zif Heat .. . (site Ian required Phone :z zc�S41 Ftut:?�G�i4� ESL Install/replace furnac •(Truer :TU/H CC$ no.: /020 0 Including ductwork/vent liner O Yes 0 No Install /replacelrelooato heat ers - suspended, City/metro Ile- no.: .908 • wall, or floor mounted Name (please print): Loci ry DA 5e s Vent for appliance other than furnace ■ CONIAC I )'1 RSON Refrigeration: Absorption units BTUM Name Chillers HP Address: Compressors vir omental a:kanst and ventrlr+t foci: City I State: J ZIP: _, Appliance vent . Phone: Fax: E -mail: Dryercxhaust hoods, Type!' i!/rra. kitchet/hazmat hood fire suppression system . Name 5, ve e �rni / y -h 4 E Jsaustfan with single duct (bath fans) . Mailing addr : y t s 51A- gb h toast system aput from heatin or AC City; �c $ fate: O 4 ZIP w 7, '� ne piping an . moon up to 4 outlets Y• Gt 1. • LPG NG Oil Phone; FILE 0 EMICiiiM 13 'mat - l: Fuel pi . n • • • addidona over ou eta LNCINEER ' • _ • ; emadcrequired Number of outlets Name: , CM _ app) • aloe or equipment: Address: _ Decorativefireplacc City: _ State: ZIP: lased- type Phone: F : E-mail: Wondswvc/pelietstove ���� Other: Applicants signature l���.71)►!M Dare: — -v O m Name ,. ' ■ t). � a+ — -C e Not as 3�4+ ar«� swat alk c, please oin i.aLdladao ..� for iateoWioa Notice: Th pctm appl minimum &x $ O Vise O MasterCard expires is not obtained / / %) $ is if a Plan review (at c,edn card number : Pew , Expire* within 180 days after it hes been State surcharge, (896) .... $ NUM of armour or shown on erodit card - accepted as complete. TOTAL $ S cstmoi x signutu.e .noun , 4404617 (MO/COM) znnrm ThTirtSITT To C1 T1 /a7r6onene vwT keen nun .rinn,nr S.LN3WWOO CITY TIGARD MECHANICAL PERMIT '° -'l`� DEVELOPMENT SERVICES PERMIT #: MEC2001-00179 `U' '�' II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 05/30/2001 PARCEL: 2S1 11 AA -02300 SITE ADDRESS: 14415 SW 86TH AVE SUBDIVISION: GREENSWARD PARK ZONING: R -4.5 BLOCK: LOT: 015 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: 1 DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Install A/C. Cannot be placed within the set back. Owner: FEES DEHN, STEPHEN L Type By Date Amount Receipt 14415 SW 86TH AVE PRMT CTR 05/30/20( $72.50 2720010000 TIGARD, OR 97224 5PCT CTR 05130/20C $5.80 2720010000 Total $78.30 Phone: Contractor: FIRST CALL HEATING & COOLING 1650 NE LOMBARD PORTLAND, OR 97211 -4798 REQUIRED INSPECTIONS Cooling Unt Insp Phone: 231 -3311 Final Inspection Reg #: LIC 102030 la 0 1 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 4 for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon J 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 (503)246 -9189. Issue By: l' ��,� �,f Permittee Signature: (Dil ( .J ii f�,'y[ " Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day - BUP - Building Permit ELC - Electrical Permit 4 Inspection Description Date Passed By I _ Inspection Description Date Passed By Footing /Setback Underground cover Foundation walls Wall cover Footing drain Ceiling cover Waterproof bsmt walls Electrical rough -in Slab Electrical service Crawl drain Electrical final Underfloor insulation Post/beam structural Shear walls /anchors ELR - Restricted Energy Permit Roof nailing 1 4 Inspection Description Date Passed By Firewall _ Low voltage Tilt -up panel Electrical final _ Masonry /Reinforcement Framing MFG - Structure set -up MEC - Mechanical Permit Insulation 4 Inspection Description Date Passed By Drywall nailing Post/beam mechanical Suspended ceiling Gas line Engineered soils Welding Lab Final Mechanical rough in Concrete Lab Final Fire damper Duct work Bolting Lab Final Smoke detector Structural observation Mechanical final 7 - 1 I - b Fireproofing Lab Final — ` Final inspection PLM - Plumbing Permit BUP — Fire Protection System Permit Inspection Description Date Passed By Plumbing underslab 4 Inspection Description Date Passed By Crawl drain Sprinkler underfloor /slab _ Post/beam plumbing Sprinkler rough -in Plumbing top -out Sprinkler final RP /backflow preventer Fire alarm final Rain drain Storm drain Water service SIT - Site Permit Sanitary sewer 4 Inspection Description Date Passed By Culvert/catch basin Footings Pump /fill septic tank Foundation walls Plumbing final Sprinkler supply lines Sprinkler underfloor /slab Catch basin /Manhole SWR - Sewer Permit Engineered soils 4 Inspection Description Date Passed By Engineering acceptance _ Sanitary sewer Final inspection Final inspection Inspection Record - BUP, PLM, SWR, ELC, ELR, MEC, SIT Permits is \dsts \forms \InspRecordBUP.doc 04 /17/01 u J 'CIY OF TIGARD BUILDING INSPECTION DIVISION �� 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST -7 BUP / Date Requested 1 / AM PM v BLD Location / Y �1 1) 5'' �G Suite MEC Z.4d Contact Person Ph S — `t 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 . Lr.- Gr%i(74-1 . (44PO/Wav, /7 _ 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 PASS PART FAIL Cg tG Post & Beam Rough In Gas Line Smoke Dampers 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 Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date 7 // 4/ Inspector E Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.