Permit CITY TIGARD MECHANICAL PERMIT
Ir DEVELOPMENT SERVICES PERMIT #: MEC2001 -00087
- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 03/09/2001
PARCEL: 2S 103CA -02000
SITE ADDRESS: 13460 SW 121ST ST
SUBDIVISION: WOODCREST ZONING: R -4.5
BLOCK: LOT: 001 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: 1 DOMES. INCIN:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
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: Installation of gas furnace, NC and gas piping. Exterior unit cannot be placed within the required setbacks.
Owner: FEES
JERRY HAWKINS Type By Date Amount Receipt
13460 SW 121ST AVE PRMT CTR 03/09/20C $72.50 2720010000
TIGARD, OR 97223 5PCT CTR 03/09/20C $5.80 2720010000
Total $78.30
Phone:
Contractor:
FIRST CALL HEATING & COOLING
1650 NE LOMBARD
PORTLAND, OR 97211 -4798 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 231 -3311 Mechanical lnsp
Reg #: LIC 102030 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 (503)246 -9189.
Issue By: Permittee Signature: /9 /e/9 ' /MIL
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
Mechanical Pernit Iilication
1 Datersceivod: j/4/4 / Permitno.: /- 00D
City a Tigard '�_�� `7 b" Projeotfappl. no.: Expire dare:
, o f n gil ,d Address: 13125 SW Hall Blvd, 'Tigard, OR 97223,, v; Date issued: By: �n cccilltno.:
Phone: (503) 639 -4171 U i . 0 IV- "'
Pax: (503) 598-1960 COMM Case file no.: Payment type:
Land use approval: Building permit no -
T WI. OF PERM I1
& I I I & 2 family dwelling or accessory U Commercial/industrial 0 Multi - family ❑ Tenant improvement
New construction ■ dditiodalteration/replacement 0 Other.
JOB SILL l\l Olt NI:ATION V0\l \1E11(•1 V ALI ATION St IILDI;I I'
. Job address: `/ - o } 2 5 - /?(../ e_ Indicate equipment quantities in boxes below. Indicate the dollar
B
B. no.: Suite no.: value of all mechanical materials, equipment, labor, overhead,
Tax . • lot/a000tmt no.: profit Value $ •
Lot: Block Subdivision: *See checklist for important application information and
Pro name: jurisdiction's fee schedule for residential . ermit fee.
a /count 1 e c[- ZIP: i72 3 '3 1 ,t 21:1'111.\' DWELLING PERMIIT FEE SCI I rail r
• pdon and l. .ationof work on premiscs:... / /1' >J al 9a_s aN1)( OMn1LitlCAI /IN IRSII Z IAI.I.QC 11'1tFNIs(111I)FLE
v;' cu ( f r c... ' c cc s / /.--Le Fee() • ata
Est date of tom . lesion/ins tion: Description Qty. Sea. only Bas. only
Tenant improvement or change of use: Air . . • ' : unit • UM II •
space
Is existing spa heated or conditioned? 0 Yes O No
Is existing space insulated? O Yes O No 1.r on n _ (cite " T - a n t t M WNW
y r ��
\1F( 1I: 1!SI(AI, C(1 \17t,1CTOK : • 11 x e 001 prellS 0 m , .
Business name: L- rs - C i / . = 4 i_c" L e� c- C_C�o /14 State boila permit no.:
HP Tons • BTU/E1
Address: - Is , _ Lc. -h .u. —d r,7 I'M 77Fr"rr-7vrnr :7_,- :... 1.1.
WINIMINIEMIIMIStateti.e ZIP.• ! 7a i Heat . .. • to to , an req r" II=
Install/replace •inner + ' � �
Phone: 2 y �, 5 Fex:286 / E-mail: Including duetworkfvent liner O Yes ❑ NO IPA
CO3 no -: /0 20,30 as • 'rep ac a orate Haters- suspended. 1 �-
City/metfo llc- no.: L/08 c7 wail. or floor mounted
Name (please print): L /4 ' SE641 S 'eat .. r a .. t attce o — . , • ilM
CO\ I A(1 PERSON Absorption units BTU�I
Name: Chillers HP M rs
., Co
Address: .• mots HP — ��
State: ZiP:
Phone: Fax: E-mail: / .- . Type , .
� . • FLAIIM
( ■ ��
()IN It umec
hood fire suppression system
:J
Name : ctiw` ,e, ,- S Exhaust fan with si ; duct (bath fans) IM .
Mailing address: ,564-) / 2 i 5t Pik C= : system apart . . m hea . or A N ��
IIEMPEINIMMII State: Gg• ZIP: _Pmt ' . ' i. . up to 4 outlets
17 Z 3 A' /243 NG Oil II
Phone: --- e - Fax: E -mail: Fuel .1. . ..•non over ore ME
I_ MANEEK C requ - IIIIIIMIMMI■
Number of outlets I
Name:
Address: Decorativefireplacc
qty: State: ZIP: , crt- A . NIB
Phone: Fax: E-mail: i %'7'mRt7r G. stove NM •
er
A .. licant's slgna •; 4 _ `� Date:3 - - G ' Others
/ NM
Name . - '1): • / « v,o,q 5 t7,e_ 5 N -
Not .a jat.etmtaoa slow► mill tardt, ptaae iudedicdoa for =it ietetamiion permit fee $ 12 , S 1
Piss O MasterCard Notice: This permit application Minim fee $
O
c+.du cad number , expires if a permit is not obtained plan review (at , %) $
within 180 days after it has been stare surcharge. (8%) .... $
um e 1. shown 0 c accepted as complete. TOTAL $ R • 3c.._
_ s
cardhorder srmataa Amosot 4404617 (6R00/C014)
( e. a_ � �)•1t. k- ks a- p
. r - ,
` ,, r. ,_ Q cf- ci •
Inn r 1 OJRATT IO t1T'1 . a7.,,00ene vw.r ee • an nnn7 ,on ,nT
- ,—� I h S S4X- -
( 2_0 (
I o f
Dek°v o Z 1
Additional Instructions: 1 -1 b �' -
e
Refrigeration line size
Condensate Pump ❑ Yes ❑ No ❑ Box New Registers
❑ Vibration Pads New Grills
Add Return Duct
Add Supply Duct
Special Needs
CITY OF TIGARD BUILDING INSPECTION DIVISION •
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -41 1 MST
BUP
�j « Date Requested � /�D AM P BLD
Location L q6,0 S 11(4 T . Suite MEC ( ( g
Contact Person (,',t/ M Ph Z t 7 Zos PLM
Contractor � Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Ftg Drain 2 '.600 `1 c, SGN
Crawl Drain Inspection Notes: •
Slab O
Post & Beam SIT
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
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
S T FAIL
MECHA
Post & Beam j ��i3U�
�
Dampers
PART FAIL 411 a taw.
RICAL
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 � Dl Inspector X 1 1
�� Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
BUP - Building Permit ELC - Electrical Permit
Inspection Description Date Passed By 4 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 -4 Inspection Description Date Passed By
Firewall Low voltage
Tilt -up panel Electrical final
Masonry /Reinforcement
Framing
MFG - Structure set -up MEC - Mechanical Permit
Insulation
4 Inspection Description Date Passed By
Drywall nailing
Post/beam mechanical
Suspended ceiling Gas line 3 i 4 ti
Engineered soils Mechanical rough -in
Welding Lab Final Fire damper
Concrete Lab Final Duct work
Bolting Lab Final Smoke detector
Fireproofing Lab Final Mechanical final
�1 ZhC
Structural observation
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
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 Inspection Description Date Passed By
Engineering acceptance Sanitary sewer
Final inspection Final inspection
INSPECTION RECORD - BUP, PLM, SWR, ELC, ELR, MEC SIT PERMITS
•
CITYOF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2001 -00087
- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 03/09/2001
PARCEL: 2S 103CA -02000
SITE ADDRESS: 13460 SW 121ST ST
SUBDIVISION: WOODCREST ZONING: R -4.5
BLOCK: LOT: 001 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: 1 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: Installation of gas furnace, A/C and gas piping. Exterior unit cannot be placed within the required setbacks.
Owner: FEES
JERRY HAWKINS Type By Date Amount Receipt
13460 SW 121ST AVE PRMT CTR 03/09/200 $72.50 2720010000
TIGARD, OR 97223 5PCT CTR 03/09/20C $5.80 2720010000
Total $78.30
Phone:
Contractor:
FIRST CALL HEATING & COOLING
1650 NE LOMBARD
PORTLAND, OR 97211 -4798 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 231 -3311 Mechanical Insp
Reg #: LIC 102030 Final Inspection
SU
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)246-9189.
Issue By: ' , Permittee Signature: &IV eP/'G /C'r ' ,% / L- Z
all (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day y