Permit .
CITY TIGARD MECHANICAL PERMIT
i DEVELOPMENT SERVICES PERMIT #: MEC2005 -00003
4
SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/4/2005
PARCEL: 2S 110AB -02900
SITE ADDRESS: 14335 SW 114TH AVE
SUBDIVISION: COLE'S ACRES ZONING: R -2
BLOCK: LOT: 014 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:
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: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Replace furnace.
Owner: FEES
MIRICH, MARCI Description Date Amount
14335 SW 114TH AVE [MECH] Permit Fee 1/4/2005 $72.50
TIGARD, OR 97224 [TAX] 8% State Surchar€ 1/4/2005 $5.80
Phone: 503 - 253 - 7789 Total $78.30
Contractor:
SUN GLOW INC
2428 SE 105TH AVE
PORTLAND, OR 97216 REQUIRED INSPECTIONS
Phone: Heating Unt Insp
hone: 253 7789
Final Inspection
Reg #: LIC 48131
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: ) Permittee Signature: ;-_, cam_ c
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
01/04/2005 09:15 5032537693 SUN GLOW INC PAGE 01
_ , ...Ali um 11v�1HU
1001
Mechanical , er 't A j ��
Fax: 503,5K1960
City of Tigard
lFOR of OTT ICE 1 SE t>,�'Ly
13125 SW Halt Blvd., Tigard, OR 973 Penult 1 A Q
N � P1m; Reviety
Phone: 503,639,41 t �� �l�S D4L`rJ
Line: 503.639.ai75 Jt� , � lt Na. �-�' Date/By. Other Parent:
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Inepecdon
itaterner www.ei.0gard.or.ua t - ! blue ReattylBy;
v O `' ,M Notified/method: H ,fee Fir Z fOr
' ���: s 7 ,� f��1S r- Supplemental Deformed flees
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aw tinascuC[ion • ,. li..L 1+�!�,a -ls • •• �
A,ddit iOn/sllteratian/replraelment Mechanical pewit fhte are based On the e o f w ork
❑ Demolition Other: performed. indicate the value (rounded to the nea
�t ,+ TI! 3' metl,arlicalmpterials les[dol]ar)ofali
LtL�u f' f J .r; I� )! � il r �.7�t j t 1 1 F ) ! �!+ t ftil P +e�Lr P �, ; `4,j U t label over and . (At.
a.t1,J:r�,�A�14�t,lyvn �+' ��:_ i��Cl T.
1 - d 2 family dwelling Q Cotttmercial/indusrtial 0 Acc=sory btrilding ' °�sYc '` :� '� t !e cr ;e,n ,
•• •4 tie
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❑ C Multi-family 0 Master builder 0 Other, For special vl}brtnatton ids "poly I . lit I 1 � a d i4r- 1 r ' 4`a , f _ DWCiI G017 CkIC�4iLCP-
.t , ]. , .. ... .! ,1 - _l� 1 V.���r�� l I�'' �!Yi: � r 1�1 nr •�1:.�; rl6 , h �S R RCQC� e061• Q7' Total
'
Job site address. + i 55 ' ` � "��; I � to ,
I ��th'a I � � IL- � / L • Air condielmingor heat putnp
City State/2 r_ `� ' Ct S1tC Am 6$O _placement) I
/ / ( PUrnaee 100 000 BTU d1I te/venu 14.00 1Lf c+-?
Suite/Mg/apt. no.: Project Dame: Furnace 100000+ BTU ducelvms
1 7.94
Cross street/directions catfdia ecrj to job site: Gas hear r a t 14..00 ��
_ Duet work 14.00
H roc hot water system "�
—
Residential boiler (radiator es 14.00 j
— h drank
- it heaters fuel- ] 4.OR
( type, not electric),
in-wall in-dud s : •en4ed etc.. 10.00
Subdivision: Lot tlo,: Flue/vent for Ian of above ��
10.00 I
_ di
Tait map/parcel aa.: Other. 10.00
' th
�. L ! . l u .. 1,- f 4 7: :72I � i .ry * r I fl': 1 1 Z ; � '; t 1 : fa�'P, j 1 . Y1'ater heater ■ • Trances
10,00
�� Gas fireplace 10.00 --
Flue vent for vrater heater or gas
ti r lace 10.00
Lollighter 'a 10.00
Wood/pellet stove 10.00
'Wood f]reo]accelinacrt 10.00
I :a.1 1 � lfLt, � :7 „ ; I - . .�t -.�: 1 ,.:Ft 1E I Lt { . 1 y , ' 2 c � 777;') a /]1[1Cf /�1 10.00
Nome: , r �, r gyp "i r 1 n ?i'I,,.t :l 6'rrr, � .'� ttelvcnt III
I O
A L J Ir ,, Environmental exhaust and ventilation
Adctzeao; j . I - ' 5 �� 1Z't I yam e. Range hood /other kitchen
J "C ✓L 0 u' meet
City/State/Z1FI -- r a a Cris - 10.00
- � � Cl odtes dryer eit]talast 10,00
Phone: t ) , r Sit lcduct exhaust (1 ethroosu,
• r ,� :� �' ' i t:k r �' ; , ' s? r ! :b = mile* cvmp tldNi moms) . 6.80
'L2,,,2 . ,L'1,i t t.; Y .. I _ , :_� � , 1 r F ' , -..1,:.-- -fi; ti ` i.,' i ,,
; Actin / arawla l sano faun l 0 00
Bt1SfIIC . tYanie i 1
` —ill Pulp I O.C�
Contact bane: Foal . i . in_
Address:
- '�P r ,,, 5F+,40 for lltst four $1.00 for each additional
� 0 ■ ,/�' Furnace, ctc.
City/State/ZIP: ''' , • , IA e 0 r
2 L , Gas heat pU,t1p
'"' wall/Su . elldedlamit heater 1.M
Phone: f3) ?T3. Z 1: r : (am) Z _ C 3 water heater � —
E - [sail. -din K e ^Su -41.. ickot ( c. C CSNY1 Fite lace
, - 1L .N L ` , 411 ,, : % 111 P• 't.F I P i H I °T,g IL' ,W wl� .∎, . jai's
;z ,.,� -�.d ,,,, ,,.�..s I� -,J=. ro t., , Barbecue
atisiuesa Dame: Lk-1 �,� i.
Clothes s)
Address: � � e y 4-----4--.
Other:
Ill
Ci /Staid ..rr,fp. !Ir 1 ; t.2.. 'r J ' , a i it ;, ':i:
� ct�- i • '
Phone: ) � t '� 'o j •, SabNtal CO `� � / Fax. (t�3j 2533 ,_ 3 --�_ Plan r e V {CW ( mi fhn permit fee
_ �
OCR Ise.: • 1 1 tr r ( otpermit fe
State aurtha - pa (64b of permit fix)
AuthOrked signatwe: q
TOTAL PERMIT E ZT
S • Tan permit application e.pirrn If a pnrmlt is net •htalned ,.,t In e a
r -mama ..51,....1 Gi ,Y 1 �`' 10� rt te: - Fee axth odoao alter in eye bete acct td e: complete, V Sy Se[ by Tri- County A uitding fne. I,;,y 5ery;,;e yoerd
iAl BentaleTerrenslavtae.Persellnpp 17103 aa0 4etM'(1l02/COWWA13)
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (5
INSPECTION DIVISION Business Line: (503) - 4171 MST
BUP
Received Date Requested / ` /i- AM i PM BUP
Location 7 : //9 A-41``'-' Suite ME ,2,065--Gic o
Contact Person Ph ( ) PLM
Contractor Ph ( ) r2 S 3 -7 1 o q SWR
BUILDING Tenant/Owner ELCG'I'
Footing
ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation \TY\ (.MA 4- l__ 5 )9 5-3 C
Drywall Nailing
Firewall
Fire Sprinkler qq r
Fire A /
Alarm � , 1 j 1 2 � f (� w■
Susp'd Ceiling _ � (
Roof G%L..1 - ' L.___ /IA �,� L-- r v-
Other:
Final F4( c-e CS
PASS PART FAIL
PLUMBING _ _
Post & Beam r ti S (J � t ,. 1 �^ S - i-�
Under Slab J'� 1"�c J��l
Water Service �) - v ` •
(
Sanitary Sewer ' ,
Rain Drains �, ,
Catch Basin / Manhole
Storm Drain Noy
Shower Pan _ A WAIIIPIPF •
Other: allrlagrilff
Final
ART FAIL I
ECHANI AL a .
a
Post & eam
Rough-In
Lin
Gas Line
Smoke Dampers Irel
- -- .12,
Air PART FAIL
Gil' TRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: D Unable to inspect - no access
Fire Supply Line `
ADA D l �
Approach/Sidewalk 2 ( U Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site:
PASS PART FAIL