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.