Permit /-
CITY OF TIGARD
MECHANICAL PERMIT
• DEVELOPMENT SERVICES PERMIT #: MEC2001 -00170
! 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/17/01
PARCEL: 2S111 BA -04200
SITE ADDRESS: 14040 SW 98TH AVE
SUBDIVISION: MCDONALD ACRES ZONING: R -4.5
BLOCK: LOT: 017 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: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Remarks: Installation of gas piping for gas cooktop.
Owner: FEES
MCMILLAN, ROBERT L AND Type By Date Amount Receipt
MARGARET R PRMT CTR 5/17/01 $72.50 2720010000
14040 SW 98TH AVE 5PCT CTR 5/17/01 $5.80 2720010000
TIGARD, OR 97223
Total $78.30
Phone:
Contractor:
ANCTIL PLUMBING INC.
16900 SW MERLO ROAD
BEAVERTON, OR 97006 -0000 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 642 -7323 Final Inspection
Reg #: LIC 00024184
EXPIRED
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 copies of these rules or direct questions to OUNC by
calling (503)246 -•12
•
Issue By: L i /l �� Permittee Signature:4 j266i2
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
05/17/2001 09:40 5036427755 ANCTIL PLUMBING PAGE 01
Mechanical Permit Application
,i Date received: .S /7 0/ Pcrmit no.:/`it i3OOf_Z »7O City Alhi
of Tigard projecU4ppl.no.: Expire date:
' Receipt no.:
Date issued:
Ciry ofTigard Addrzbs: 13125 SW Iiall Blvd, Ti"fi ard, OR 97223
Phone: (503) 639 -4171
Case file no.: Payment type:
Pax: (503) 598 -1960
Building permit no.:
Land use approval:
•tn rl: OF rt :RMI I'
OMulti- family C3 Tenant improvement SA & 2 family dwelling or accessory U Commercial /industrial 0 Other:
Q New construction O Addltion/alteration/replacem
.1011'+117- INI 01111A 110N ('OM1MMI :R(7, \1. VALUATION ION S(7II :1)1'1.1.
no,: 0 0 SL) 0 " ; f S't Indicate equipment quantities in boxes below. Indicate the dollar
Job
ad / value of all mechanical materials, equipment, labor. overhead.
Bldg. no.: Suite no.: profit. Value S
Tax ma• tax lot/account no.: 'See checklist for Important application Information and
Lot: S {�k S ubdivision: jurisdiction's fee schedule for residential permit fee.
Project name: /Y M i LL 1 & 11 ":13111.1' h \1'I li.l (; P1 :It�11T t l'1: tiCllh.l)('1.1: •
City /county: ZIP:
1N1 \C0;1t11F.lt1(:; \L11!�IN,ti11U 11.1•Ql'IP tic llla)1' .
Description and location of work on remises : R Fee(ea) Total
Az i E 1CifL p,m(, Ion MI )Res. ant Res. only
Est. date o(complelion / inspection: V handling
Tenant improvement or change of use: Air handling unit MA
Is existing space heated or conditioned? C] Yes U No Air conditioning (she plan req ut �
Is existing space insulated? Q Yes CI No tut cr compressctrs
1\11_('fLMNI /'; \l. (' /)N77t 1 /)lt Slate holler permit no.:
Business name: JrNC li Pe VI'' l$,',. r#4 C • HP Tons BTU /}l �r
Address: tv ' 0 li
Le, ' P 'ir smoke am r; • uci smoke electors
State: tg • cal punt. (site p an require ) ��
City: nsta 'rep ace urnac urncr •T
Phone: 44/2., 3 3 Fax: 2773r E-mail: Including ductwork/vent liner O Yes 0 No
CCB no.: 24 i Sy n sta i re p at re acute caters - suspen ed,
/ 6Z - . es we, floor mounte u ran of cr than furnace
- CONi :�l'l I'I:R ' e germ on: SON Absorption units , 19TU /li �
Chillers
ill)
Name; Com _ HP
Environmental exhaust and ventilation:
State: Appliance vent
Phone: Fax: Hoods, aunt �
O �
\ \' \bat Moods, Type f/ II /yes, kitchenlhazmal
li
hood fire suppression system 11111111111111 Exhaust fan with sin, le duct (bath fans)
'x roust system apart corn eating or
}Yet piping and dlalributlo p to d outlets)
City: State: T LPG ii Oil 2
Phone: E uc .1 n _ eac a• ;tone over • outlets
I :NGINI :I :It rocesap p ng at emattc require • )
Number of outlets
Name: Other listed appliance or equipment: . 111111
Decorative fireplace
Mall owl - type ��
Phone: �t� , W oodstovc/pcllet stove
01 er:
Applicant's signature: - ' ,ei o Date: 5=/�- Q� 0 er: r —
Name (print): 2 itt, Armc,YL .
-Ka on jurisdictions crept near cards, rde.ae cal )wtdkuan for moo inrarrrioe.‘ Permit fee S
Cs visa 0 MasterCard Notice: Thus permit application Minimum fee S
Expires y aller it has been
expires if a permit is not obtained Plan review (at %) S 1 cre�;t cud numb= w ithin 1110 days e State surcharge (8%) .... $
Name of cardholder v shone on credit card s accepted as OTAL $
d6oldrr signature Amount � IE
Gr 4404617 (5111a9C0M)
CITY t F TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested — l � PM BLD
Location , I �U 110 ?;5 Suite MEC ,-O 7 f -? CO
( c 1
Contact Person Ph _� �/ – 3 8 c? �o P IP �DO/ --O 0 ( - 7D
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: �I , L -D�—� 1J��t
Slab SIT
Post & Beam q
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing 41P ' --
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
j ' Drains
- - _ RT FAIL
MECHANICAL)
Postea"m
Rough In
Gas Line
Smoke Dampers
S PART FAIL
C TRICAL
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 ther D 7 /7 ' Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.