The URL can be used to link to this page

Permit CITY OF TIGARD MECHANICAL PERMIT war ?\ DEVELOPMENT SERVICES PERMIT #: MEC2001 -00119 „AL. DATE ISSUED: 04/11/2001 - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S133AD-10300 SITE ADDRESS: 10659 SW 127TH CT SUBDIVISION: AMART SUMMER LAKE NO. 3 ZONING: R -7 BLOCK: LOT: 159 JURISDICTION: TIG CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: SFA 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: 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: 1 FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Installation of HVAC (heat pump). Owner: FEES JACOBS, GREGORY TODD + Type By Date Amount Receipt JULIE ELIZABETH PRMT CTR 04/11/20C $73.50 2720010000 10659 SW 127TH CT 5PCT CTR 04/11/20C $5.88 2720010000 TIGARD, OR 97223 Total $79.38 Phone: Contractor: JACOBS HEATING +A/C 4474 SE MILWAUKIE AVE PORTLAND, OR 97202 REQUIRED INSPECTIONS Cooling Unt Insp Phone: 503 - 234 -7331 Final Inspection Reg #: LIC 1441 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: Lam , _ � Permittee Signature•i , � / _ �p - Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day . //\P ',.s q c, Mechanical Permit Applicati � 01 `� D 1 Permit no:: Date received: i1.0., ��jJ /, "`I City of Tigard � ' = y g ®\ Project/appl. no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard, O R 97223. Phone: (503) 639 -4171 '0',',. ' - kg-N Date issued: By: Receipt no.: Fax: (503) 598 -1960 O wF� De Case file no.: Payment type: Land use approval: Building permit no.: TYPE OF PERMIT =& 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 Tenant improvement 0 New construction 0 Addition/alteration /replacement 0 Other: JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE Job address: ce , q S („1 03 +" C# c. 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: Block: I Subdivision: *See checklist for important application information and Project name: � O COLL � jurisdiction's fee schedule for residential permit fee. City /county: 1 Op I ZIP: q1 � 1 & 2 FAMILY DWELLING PERMIT` FEE SCHEDULE Descri tion and llocatiion work on premises: AND COMMERICAL /INDUSTRIAL EQUIPMENTSCIIEDULE '� ( N UAL:- Fee(ea.) Total Est. date of completion /inspection: Description Qty. Res. only Res. only Tenant improvement or change of use: HVAC: Is existing space heated or conditioned? 0 Yes 0 No Air handling unit CFM Air conditioning (site plan required) Is existing space insulated? 0 Yes 0 No Alteration of existing HVAC system MECHANICAL CONTRACTOR Boiler /compressors Business name: Ot(`lQj ICS q H e t _ n State boiler permit no.: HP Tons BTU /H Address y4 ii% t'v t, l ,' u� 2 v e_ Fire/smoke dampers /duct smoke detectors City: 0 t" tOZ I State:09 I ZIP. ( -- J,0� Heat pump (site plan required) Phon • y - 7 I I Fax: 44151 E -mail: — Install/replace furnace/burner BTU /H 7 3 , S CJ CCB no.: 1 ( Including ductwork/vent liner 0 Yes O No Install/replace/relocate heaters- suspended, City /metro lic. no.: I5 wall, or floor mounted Name (please print): LI•ci ■ ‘ Vent for appliance other than furnace CONTACT PERSON Refrigeration: Absorption units BTU /H Name: i „- VY\ O r ev..s G Chillers HP Address:4 /4 S?; vyy,104.A if E-e_ Compressors HP ,�./ Environmental exhaust and ventilation: City: -1-10,,,. I State�I ZIP•: t 1eJ a. Appliance vent Phon - 7331 Fax: E-mail: „t3cD5zs = Dryer exhaust OWNER Hoods, Type 1/ II/res. kitchen/hazmat hood fire suppression system Name: re CYO Exhaust fan with single duct (bath fans) Mailing address: 1 i ` l ai Exhaust system apart from heating or AC Fuel piping and distribution (up to 4 outlets) Cit y I Stat 1 I ZIP:3 Type: LPG NG Oil Phone: - Fax:^ E -mail: Fuel piping each additional over 4 outlets Process piping (schematic required) Name: Number of outlets Other listed appliance or equipment: Address: Decorative fireplace City: I State: I ZIP: Insert - type Phone: `tt x: E- 1 ai , Woodstove/pellet stove Applicant's signature: IMIIII . l� t �,� Other: �+• - �- Other: Name (print di i , , Or` Not all jurisdictions accept credit cards, please call jurisdiction for more information. Permit fee $ , N 0 Visa ❑ MasterCard Notice: This permit applicatio Minimum fee $ Credit card number: / ex if a p ermit i n ot obtained Plan review (at _ %) $ Expires _ Expires within 180 days after it has been State surcharge (8 %) .... $ 5 S. 468 Name of cardholder as shown on credit card accepted as complete. • $ TOTAL Cardholder signature Amount 440 -4617 (6/00 /COM) GJ occo- i \ p• NauSE FRONT STREE .±MAmrn cec_013 Ali L)/2r' tlioL ' *L" )-C Uckfc Jt1t&I35 Al C tiy (5 . miLivAuKte AV& Poiz r CSR - 7 ZO 503 - - 733 / rax 503- ?/5 - 125 7 Z CITY OF TIGARD BUILDING INSPECTION DIVISION OW MsT � 24-Hour Inspection Clone: 639 -4175 Business Line: 639 -4171 • ( BUP Date - Requested J- / 1 AM PM BLD Location / C -1 5 i✓ /„V 7 - Suite MEC 2-4 — aU /19 Contact Person Ph 5 -5 ? 9- 8a 3 J PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear ]., /� Framing �� ojeD Jx e• c -e- . /C-0 Insulation U I 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 PASS PART FAIL ECH i�CAL Post & Beam Rough In filw,- Gas Line � "��' Smoke Dampers Final ASS 4+, FAIL ELECTRI 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 / Other oach /Sidewalk Date 4a to I Inspector S ,/Dc/ Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. BUP - Building mit ELC - Electrical Permit -4 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 EI.R - 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 Drywall nailing 4 Inspection Description Date Passed T By Post/beam mechanical Suspended ceiling Gas line Engineered soils _ Mechanical rough -in S / /I / Ol PP Welding Lab Final Fire damper ` Concrete Lab Final Duct work Bolting Lab Final Smoke detector Fireproofmg Lab Final Mechanical final f !i / p i RP 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 fmal _ 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 fmal Sprinkler supply lines Sprinkler underfloor /slab Catch basin/Manhole SWR - Sewer Permit Engineered soils 1/ Inspection Description Date Passed By Engineering acceptance Sanitary sewer Final inspection Final inspection INSPECTION RECORD - BUP, PLM, SWR, ELC, ELR, MEC, SIT PERMITS CITY TIGARD MECHANiCALPERMIT PERMIT #: 'MEC2001 -00119 =„ � � 1 �; � DEVELOPMENT SERVICES DATE ISSUED: 04/11/2001 � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1 S 133RD -10300 SITE ADDRESS: 10659 SW 127TH CT SUBDIVISION: AMART SUMMER LAKE NO. 3 ZONING: R -7 BLOCK: LOT: 159 JURISDICTION: TIG CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: SFA 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: 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: 1 FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Installation of HVAC (heat pump). Owner: FEES JACOBS, GREGORY TODD + Type By Date Amount Receipt JULIE ELIZABETH PRMT CTR 04/11/200 $73.50 2720010000 10659 SW 127TH CT 5PCT CTR 04/11/20C $5.88 2720010000 TIGARD, OR 97223 Total $79.38 Phone: Contractor: JACOBS HEATING +A/C 4474 SE MILWAUKIE AVE PORTLAND, OR 97202 REQUIRED INSPECTIONS Cooling Unt Insp Phone: 503 - 234 -7331 Final Inspection Reg #: LIC 1441 li g 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 •1.11 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: • _,, ,_ _ _ , _ i Permittee Signature:097 4A �j/J?j - Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day