Permit 1
A-
CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2003 -00050
� Jf � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/7/03
PARCEL: 2S 110AB -03000
SITE ADDRESS: 14325 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:
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: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Remarks: F
Owner: FEES
FLOREN, VERNON /MAGDALENA Description Date Amount
14325 SW 114TH AVE
TIGARD, OR 97224 [MECH] Permit Fee 2/7/03 $72.50
[TAX] 8% StateTax 2/7/03 $5.80
Phone: Total $78.30
Contractor:
CLIMATE CONTROL INC
16500 SW 72ND AVE
PORTLAND, OR 97224 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 453 - 4822
Heating Unt Insp
Reg #: LIC 62196 Final Inspection
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 • • allow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -00
I .sued By: . � �� j� . ,//4 / Permittee Signature: m ( e , Airf —
Call (503) 63= -4175 by 7:00 P.M. for inspections needed the ex business day
Feb 07 03 05:OOp climate control 503 968 7224 p.2
, . r O� t , ,. - •
t:
Mechanical Permit Application
, 1,
�y►
Date received: A 7 Permit
i City of Tigard C E Cit d R c I V
V Project/appl. no,: a date:
City ofTigard Address: 13125 SW Hall Blvd, igard, OR 97223 Date issued: Receipt no.:
Phone: (503) 639 -4171
Fax: (503) 598 -1960 FEB 07 2003 Case file no.: Payment type:
Land use approval: CITY OF TIGARD Building permit no.:
• ► D IVISION
TYPE OF PH HT
yCl & 2 family dwelling or accessory 0 Commercial/industrial U Multi - family 0 Tenant improvement
0 New construction 0 Addition /alteration/replacement ❑ Other:
JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE
Job address: ll- F? '5w 114 .1e— 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: IBlock: ISubdivision: *See checklist for important application information and
Project name: Undo_ e 1 p.reX - S 300C1 jurisdiction's fee schedule for residential permit fee.
City /county: 1 t cai.c I ZIP: 11 say 1 i 2IAMiLYD%VELLINGpERMiTFSCIWDIJLE
_ .
Description and l aJ o of work on premises: I COMMERICALIINDUSTRIALEQUIPMENTSCRED t
rl5
1 t° 1 ,V, 1 4-4./■c Fee (ea.) Total
Est. date of completion/inspection: '0--1C) - CO Description Qty. Res. only Res. on1!
Tenant improvement or change of use: HVAC:
Is existing space heated or conditioned? U Yes 0 No Air handling unit CFM
Is existing space insulated? 0 Yes 0 No Alt conditioning (site HV AC system
g P Alteration of existing HV AC system
MECHANICAL CONTRACTOR Boiler /compressors
Slate boiler permit no.:
Business name: e ty )ckit HP Tons BTU /H
Address: U1), e, 5jL) --- -Y` k .lit. - F re/smoke dampers/duct smoke detectors
City: Pc:, r-1-\°,..,v, a I state: 0R I ZIP: CI -7aLL Heat pump (site plan required)
Phone:503 4 - Fax :9f .7 . I E -mail: Install /replace furnace/burner BTU /H
Including ductwork/vent liner A. Yes CI No 1 iM • .1
CCB no.: (pajc Lo Install/replace/relocate heaters - suspended,
City /metro lie. no.: 1 4 19 wall, or floor mounted
Name (please print): il,LLy Vent for appliance other than furnace
CON RUT PERSON Refrigeration:
Absorption units BTU /H
Name: Chillers HP
Address: Compressors HP
environmental exhaust and ventilation:
City: I State: I ZIP: Appliance vent
Phone: Fax: E -mail: — Dryer exhaust
_ .. , 0 1 ; . , ., _'... .. _ Foods, Type lJ lures. kitchen/hazmat
r hood fire suppression system
1
Name: .."4 Fl 6 reArl Exhaust fan with single duct (bath fans)
Mailing address: (L-?5l.' J c5 l..) t 1 L4- -s Avg_ Exhaust system apart from heating or AC
Fuel piping and distribut . • to 4 outlets)
City: �i C., IState:p(�I ZIP: Lf'] L{ Type: LPG AV Oil \ 5.-40 °v
Phone: �$ -S'2� I Fax: E -mail: Fuel piping each additions . • • r 4 outlets
Process piping (schematic required)
Number of outlets
Name: Other listed appliance or equipment:
Address: Decorative fireplace
City: _ State: I ZIP: Insert -type
Phone: I Fax: I E -mail: Woodstove/pelletstove
Other:
Applicant's signature . `t Date: a-7-03 ether. .
Name (print): ,/{- G , 4 'y •
- , -
'Not all juri •ietions accept credit cards, please call jurisdicti. • - • . information.
Permit fee $ �q •`-4 0
Cl Visa a terCard Notice: This Jemrit application Minimum fee $ 7Q-
expires if a permit is not obtained
Credit card number: Plan review (at %) $
•- pines within 180 days after it has been State surcharge (8 %) .... $
Name of cardholder own on credit card accepted as complete.
S TOTAL $
■ dholder signature Amount , 440.4617 (6/00/COI
CITY OF TIGARD 24-Hour , •
BUILDING Inspection Line: (503) 639-4175
• MST
INSPECTION DIVISION Business Line: (503) 639
BUP
Received Date Requested AM PM, Ze2-• BUP
Location / 1 1 ( 3 // L I 444— At/ Suite MEC ;:2�3 azSZ
Contact Person Ph ( ) 5 702- PLM
Contractor Ph ( SWR
BUILDING Tenant/Owner ELC
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
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough-In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough-In
Smoke Dampers
Final
ZEV PART FAIL
RICAL
Service
Rough-In
UG/Slab
Low Voltage
Fire Alarm
Final
El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
Date 0 (e5‘ (; Inspector Ext
Approach/Sidewalk —
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested AM PM BUP
Location / �✓ S) L / Ir Suite MEC 3 6-0 er S�
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof -
Other:
Final j
PASS PART FAIL 60°' /
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
T FAIL
41ECHANWAL
Post & Beam
Rough -In
Gas Line
S... ke Dampers
4
411 e PART FAIL
TRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA j� -777)
Approach/Sidewalk Date _� f V Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL