Permit CITY TIGARD MECHANICAL PERMIT
PERMIT #: MEC2001 -00335
-Al- DEVELOPMENT H BMENg Tigard, ) 639 -4171 DATE ISSUED: 9/25/01
PARCEL: 1 S134CA -00504
SITE ADDRESS: 11195 SW 119TH AVE
SUBDIVISION: PANORAMA NO.2 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: 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: 1 AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Remarks: Replace gas furnace and (1) outlet.
Owner: FEES
CHRIS SERRANO Type By Date Amount Receipt
11195 SW 119TH PRMT CTR 9/25/01 $72.50 2720010000
TIGARD, OR 97223 5PCT CTR 9/25/01 $5.80 2720010000
Total $78.30
Phone:
Contractor:
SUN GLOW INC
2428 SE 105TH AVE
PORTLAND, OR 97216 REQUIRED INSPECTIONS
Mechanical Insp
Phone: 253 -7789 Heating Unt Insp
Reg #: LIC 48131 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 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
(� \2 .A -Q1 P-
Issue By: Permittee Signature: On/ if'i°G /C'"9'
all (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
09121/ 01 11:04 503 - 253 -7693 SUN GLOW INC PAGE 01
vr.xai u,4 vn.LJ rtsn uvauo'icai 1...,i. 1...y 01 1115tLI1U 10VV2
• .
Al MechanicalrermitApiiiig on
Datemeeived �!:�I Permit no.: Elnen
•
J 4 i '� .. City of TigaTd Praject/appl. no.: Expire date:
1 d
Address; 13125 SW Hail Blvd, Tig , . P
, 23
Phone (503) 639 -4171 Date issued: By j / Oleo,:
Fax: (503) 598 -1960 Cate tile no.: Paymentty.
Land use approval: _ Buiilding no
TvPF OF PLii!11IT
• I & 2 family dwelling or accessory ❑ taial/indusuial CI Multi - family O Tenant 1 prvvement
U New construction D Cl Other.
•108 Si 11: INFORM VI ION COM :MLitt IA1. V.11.1. :1I1 ON SClILi.)1
Job addrosa: t I I • i PI ".+ Indicate equipment quantities in boxes below. ndicatc the dollar
Bldg. no-: I Suite no Value of all mechanical matcdala, equipment.. • bar, overhead,
Tax . • lot/account no.: profit, Value $ .
Lot: Block; Subdivision: *See checldistt for important appllcadon 1 LI ation and
Pro . name: - jurisdiction's fee schedule for rraidenlial perm t fee.
CI% /county: L I e . .MI11 Zip; 9"'I -Z3 I & 2 FAMILY UW1 U.UNG PINIII 11'I:I SCHF11111 :r
Descri on and ova on of work on premises: AND (t:1h1M1TFRIC.1LIlND S1HIAI.I :illruP7 ENT SCllklll I,L
!' Tee(w.)
Est dale of coonpletian/inspcelion: Description El Rz .o$ PR
Tenant im i
Ta r .I
ptovement or change of use:
Air unit t"EM
Is existing space heeled or aondt net? es 0 No • An.cnoAitiani. site , an _.aired) m1 Mil
Ts existing apace insulated? Yes 0 No Alteration o moth. _ r•.• . system PEI 11 FCH tNICAL tON I IM t'roR T.. comprcaaois
Business name: • - t! a ` - Stat : 11111
name: HP Tons B'PIJ/i�
Address: _, •S ALS - • . LOVIImokedampers (duct smoke detectors NMI In=
WLfto h, tl i ZIP; . 1 (, Hcat pump ' te . an - • MI MN
plume: "ins • ri .4 sw i.I , E-mail: Instal l i7F �i�F'' • - T16: STyl�ili of � MM,
Inaludiegductwerk/ventliva laYes0'No
MB no- usual/replan so • telheaiers- suspen." 1. .I
ty /, - • lie. i a.: a wall, or floor mounted
Name Weems print): s ("es • • 0 0'40 Vent - , rap • i ante o e< rhea furnace Mai
t' l'EltSON
:.
CON I A .11111111111 te Absorption units
ErrtVH
Name SY1CI. Y n E c\ r o Chillers HP IIIIi ME
. Co • • RIM IIP 1111111 -�
�� 11 I i� 1 ZIP: ' } 2-1 -. Appliance event and ventilation: ��
Phone: _:+w 4.4 EZ2 :� , _ mail: I Cr exhaust MI
On:1IIt :, 1 res.l5tchen/hazmat ■I IIIIII
hood fire suppression system
Name: a r - / • Exhaust fan with Bin(lle duct • th fans II' _ME
Mailing address: • - arhst system a• Ent . m . „ Or ME1 -�
MIS ��t�L. • , Tr p , it , , , mhos up to - • ir'.
i Stars :. ,s_... -_ LPG 1 Ntl Oil L I
Phone: E-mail: ' - • p ng each addit tonal o owlets 111 =
1:1(.I N I:I.IL Process piping (schce atio required)
Name: Ot her list o ed utlets 11111111 Address; Other t � p la e rectee egodpOtlCntr
Ci . Mal Z1P inaart- a.- - - -- M1��
• , ,ne Fax; E -mail: Woodstove/* etsrove MINIM
Applicant's signature - 1 / a i .7i , ♦ /IJ • - f,, A 11, . I M � -
Name • .0; aAt ♦7o r,._. • 0..41 . 1■1 ��
w �
`f+ot.+t' +� .oaept.o.dil wade Pirate c r a c k,. ,. Permit fee $ '7 2.
0 Visa ati rt�rd Notice: I This permit application minim $
- te �a.[d sun 54 ?.!-1 ! `�4 j 4 C � � - e if a pra i s no obt ( %) $
t� ? / Plan review at _ %
c ty� within 180 days after it has been
r �d L 4 accepted es com plete- State euteha[ge (8%) ... $ . �U
6110 i1 f s S. 3 o . TOTAL -- $ - 725
A...m `
440.4eT7 wooicum)
CIPY OF TIGARD BUILDING INSPECTION DIVISION tr
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST
BUP
Date Requested lb "S AM PM BLD
Location / / / c 75 // � 1 Pt• Suite MEC 6 .9,00/ 46 , 3 Contact Person Ph PLM
Contractor )21-e Ph D 7 7 SWR
BUILDING Tenant/Owner 5 ? 9 —11,53 ELC
Retaining Wall ELR
Footing
Foundation ces •
FPS
Ftg Drain SGN
Crawl Drain Inspection N es: p - �
Post SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing oso ��P,�• . e i1 v�� , rc a ar."2 ; = 4
Insulation
Drywall Nailing c ..r sz , vs" wi i nt GAS) 4245
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
,InatiSttag, Pa"
Post & Beam
Rough In
Smoke Dampers
1 A 1 * 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 /1-- 5 Inspector /5Z4 Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.