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Permit ,a CITY TIGARD MECHANICAL PERMIT i DEVELOPMENT SERVICES PERMIT #: MEC2000 -00439 --- „ 13125 SW Hall Blvd., Tigar O R 97223 (503) 639 -4171 DATE ISSUED: 11/3/00 R-PA PARCEL: 2S1 11 AD -13500 SITE ADDRESS: 15119 SW 91ST AVE SUBDIVISION: MALLARD LAKES ZONING: R -4.5 BLOCK: LOT: 001 JURISDICTION: TIG , CLASS OF WORK: OTR 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: > 10000 cfm: GAS OUTLETS: 1 Remarks: Installation of gas piping from meter to fireplace. Owner: FEES CAMERON, DUNCAN D + DEBORAH K Type By Date Amount Receipt 17984 SW FREDERICK LN PRMT CTR 11/3/00 $72.50 2720000000 SHERWOOD, OR 97140 5PCT CTR 11/3/00 $5.00 2720000000 Total $77.50 Phone: Contractor: COLUMBIA HEATING + COOLING INC PO BOX 230397 TIGARD, OR 97223 REQUIRED INSPECTIONS Gas Line lnsp Phone: 624 -2704 Final Inspection Reg #: LIC 76359 PLM 34 -175 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 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 Notifi . on Center. Those rules are set forth in OAR 952 - 001 -0010 throu•h OAR 952 - 001 -0080. You m obtain c• •ies of these rules or direct questions to OUNC by calling (563)246 -9189. Issue y: ,___01 -41.41L _ Permittee Signature J� �, �/ /i t / , o' "d Call (503) 639 -4175 by 7:00 P.M. for inspections needed the nex business Mechanical Permit Application ' • • ( Date received /0_ /_ Permit no.:/ 4efi * ___. j Ci ty of Tigard ��(� �� Projectlappl. no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigartlp& 97223 Date issued: By: Receipt no.: Phone: (503) 639 - 4171 Fax: (503) 598 - 1960 QG� O� VO � o01\ Cas Case file n.: no.: Payment type: : . -. _- _ Land use approval: U � a � g p o TYPE OF PERMIT - & 2 family dwelling or accessory U Commercial/industrial 0 Multi - family 0 Tenant improvement U New construction O Addition/alteration /replacement 0 Other: " JOB SITE INFORMATION . .COMMERCIAL VALUATION SCHEDULE Job address: f t j r S 0 a- Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: ' Suite no.: value of all mechanical materials, equipment, labor, overhead, Tax map /tax lot/account no.: profit. Value $ a I ( ) . Lot: [Block: I Subdivision: *See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. City /county: ' •• ZIP: °\ _ — I & 2 FAMILY DWELLING PERMIT FEI' SGIIEDULF D caption and 'cation of work on p ses: l'CIS 11 ■n; AND COMMERICAL/ INDUSTRIALI:QUIPMFNTSCIH�,DIILL V scpm ,Mete [ -O -t_ ■. -c e c Fee(ea.) Total Est. date of completion/inspection: Description Qty. Res. only Res.only Tenant improvement or change of use: HVAC: Is existing space heated or conditioned? 0 Yes 0 No Air handling unit CFM space insulated? 0 Yes U No Air conditioning o fxi existing plan required) y Is existing p Alteration of existing HVAC system MECHANICAL CONTRACTOR - Boiler /compressors . Business name: ♦ v t % , Slate boiler permit no.: ._ - H P Tons BTU /H Address QjpjE a ,03T — I Fire smoke dampers/duct smoke detectors Cirri-740 . • State> Q ZIP: - Heat pump (site plan required) " Phone: Y -..�. �� E-mail: �_j Insta /replace furnace /burner BTU /H , Including ductwork /vent liner 0 Yes-O No - CCB no.: -- "i -, Installirepl7relocate heaters — suspended, City /metro lic. no,: ) ai -, wall, or floor mounted Name (please print): c\ . 1 Z Vent for appliance other than furnace CONTACT PERSON Refri • Absorption units BTU /H IEISIEIIIIFIWIFIIIIMIIIIMIIIIIIIIIII Chillers HP Compressors HP Address: Pty g „ 4, t En • onmental exhaust and ventilation: City: \ ,cok ,f , State:N__ Z I P : Appliance vent Phone: 51) , ' t -„ 7pc Fax: E -mail: Dryer exhaust ' OW NE R Hoods, Type U II /res. kitchen/hazmat . _ . . _ hood fire suppression system J Name: �V f) IN o E'x' Exhaust fan with single duct (bath fans) Mailing address: 1 5 1 tel 5 W oil . Exhaust system apart from heating or AC City: e,,v ( . D R l Z1P. 7 a a Fuel piping and distribution (up to 4 outlets) State: Type: LPG K NG Oil 1 5 Phone:503- .- ,' q I Fax: E-mail: Fuel piping each additional over 4 outlets ENGINEER rocesspiping (schematicrequired) Naive: Number of outlets Address: Other listed appliance or equipment: Decorative fireplace City: I State: ZIP: Insert —type Phone: Fax: \ 1ts -mail: oodstove/pellet stove Applicant's .signs'l`J _t�� Date: . O ther: Name (print): 111111V '1,c i A: 'VI Z Not all jurisdictions accept credit cards, please call jurisdiction for more information. Permit fee $ 0 Visa 0 MasterCard Notice: This permit application minimum fee $ _1_ a . • Credit card number: expires if a permit is not obtained / / Plan review (at _ %) $ _ Expires within 180 days after it has been State surcharge (8 %) $ • Name of cardholder as shown on credit card accepted as complete. TOTAL $ 1 '7 , Fin Cardholder signature Amount • 404617 (6 /00 /EOM) CITY OF.TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 • BUP d Date Requested /k AM PM BLD , itw�mP' Location /57/f 'l l S 1 t' - Suite MEC a./G -- 4(3 if Contact Person Ph ego3i& 4r PLM Contractor Ph Gay z-70(/ 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 ( 1 - ��: 1 Fire Alarm war Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final pow- ART FAIL ICIAEC.HANICA=111111 Post & Beam o e Dampers r PART FAIL ECTRICAL 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 / 1' - ' q ' Inspector �7 ' I/ E Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. BUP - Building Permit EL C - Electrical Permit !1 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 - q Inspection Description Date Passed By Firewall Low voltage Tilt -up panel Electrical final Masonry /Reinforcement Framing MFG - Structure set -up MEC - Mechanical Permit Insulation Drywall nailing 4 Inspection Description Date Passed By Post/beam mechanical Suspended ceiling GC> Engineered soils Gas line // �/ ` Mechanical rough -in Welding Lab Final F Concrete Lab Final Fire damper Du Bolting Lab Final Duct work Smoke detector Fireproofing Lab Final Mechanical Structural observation final � �— 4' -Q(/ Final inspection PLM - Plumbing Permit -4 Inspection Description Date Passed By BUP — Fire Protection System Permit Plumbing underslab 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 -q Inspection Description Date Passed By Engineering acceptance Sanitary sewer Final inspection Final inspection INSPECTION RECORD - BUP, PLM, SWR, ELC, ELR, MEC, SIT PERMITS .., . _, .., , , A C ITY OF TIGARD MECHANICAL PERMIT D EVELOPMENT SERVICES PERMIT #: MEC2000 -0049 ,1 DATE ISSUED: 11/3/00 • . — 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 25111 AD -13500 SITE ADDRESS: 15119 SW 91ST AVE SUBDIVISION: MALLARD LAKES ZONING: R -4.5 BLOCK: LOT: 001 JURISDICTION: TIG CLASS OF WORK: OTR 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: AIR HANDLING UNITS OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Remarks: Installation of gas piping from meter to fireplace. Owner: FEES CAMERON, DUNCAN D + DEBORAH K Type By Date Amount Receipt 17984 SW FREDERICK LN PRMT CTR 11/3/00 $72.50 2720000000 SHERWOOD, OR 97140 5PCT CTR 11/3/00 $5.00 2720000000 Total $77.50 Phone: Contractor: COLUMBIA HEATING + COOLING INC PO BOX 230397 TIGARD, OR 97223 REQUIRED INSPECTIONS Gas Line lnsp Phone: 624 -2704 Final Inspection Reg #: LIC 76359 PLM 34 -175 X ii 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 Notif - on Center. Those rules are set forth in OAR 952 - 001 -0010 throu;h OAR 952 - 001 -0080. V You m- ■ obtain c• •ies of these rules or direct questions to OUNC by calling (5 63)246 -9189. _ Q Issue ;y: - J -J• /L.:4 ,,. - Permittee Signature' J`_ .., 4 _/i 6 ;/ ' Q�j�� : " Call (503) 639 -4175 by 7:00 P.M. for inspections needed the nex business • ay r 1