Loading...
Permit CITY OF TIGARD MECHANICAL PERMIT I n, DEVELOPMENT SERVICES PERMIT #: MEC2004 -00188 l l 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/14/2004 PARCEL: 2S 109AD -00300 SITE ADDRESS: 14580 SW 126TH AVE SUBDIVISION: BLUE RIDGE ZONING: R -7 BLOCK: LOT: 003 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: 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 FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Furnace and AC. Owner: FEES CRINO, ARTHUR D + SALLY J TRUSTE Description Date Amount 14580 SW 126TH [MECH] Permit Fee 4/14/200 $72.50 TIGARD, OR 97224 [TAX] 8% State Surcharl 4/14/200 $5.80 Phone: Total $78.30 Contractor: JACOBS HEATING + A/C 4474 SE MILWAUKIE AVE PORTLAND, OR 97202 REQUIRED INSPECTIONS Phone: 503 Heating Unt Insp Cooling Unt Insp Reg #: LIC 1441 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling (503)246 -6699. Issued By: L2Z.L Permittee Signature: d7 C-ork 7 Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day Apr -13 -04 10:13A P_02 FOR OFFICE, USE ONLY ' Mechanical Permit Application Received 4 � .' 7 Mechanical F)ate/9y. / � y / v .te / ' � Permit No.:m �� O Planning Approval Building City of Tigard E - Date./By: Permit No.: 13125 SW Hall Blvd. RE G��v Plan Review Other Tigard, Oregon 97223 �� 1 `� �tt4 Date/By: Permit No^ Land land Use Phonc: 503 - 639 -4171 Fax: ir. 9a 1h60 ",, �,� I .. D - Re v se I See Page 2 for Internet: www.ci.tigard.or.us A ft * 4. ti �l i Contact J icmental Information. 24 - hour Inspection Request: 5�3t�$ t y s Name/Mc / / Supp ' etil .0 TYPE OF WORK ' : '' ' ` ;, ' . `' ?COMMERCIAUFFE* SCHEDULE - USE :CHECKLIST • - . ❑ New construction Demolition Mechanical permit fees arc based on the total value of the work ❑ Addition /alteration/replacement 0 Other: performed. indicate the value (rounded to the nearest dollar) of all mechanical mater equipment, labor, overhead and profit. CATEGORY OF.CONSTRUCTION : See Page 2 for Fee Schedule 2- Family dwelling; L1 Commercial /industrial .. Value: S —. ❑ Accessory Building Multi - Family . RESIDENTIAL EQUIPMENT /SY51'E& S FEIN,* SCHEDULE -- Description _ =Qty I Icc(ea.) - I Total [ - Master Builder ❑ Other: Ileating/Coolh JOxi S1TE INFORMATION and LOCATION .. • • Furnace - add -on air conditioning *_ , 14.00 Job site address: [u 5 = c �{t �� j Q� 9,.. heat pump 14.00 CJ .. - Bld /A t. #: Duct work _ 14.00 Proj K .. - — 1lydronic hot water system 14.00 Proect Name r r rl 0 Residential boiler Cross strect/Directiofs to job site: (for radiator or hydronic system) 14.00 Unit heaters (fuel, not electric) (in wall, in - duct, suspended, etc.) 14.00 — Flue/vent (for any of above) 10.00 • , Repair units 12.15 Subdivision: Lot #: - - Other:Fue1 A , glances Tax ma II/ • areel #: Water heater 10.00 =•;:^ '° ,' . �'. .. t 'u •S' ]1 ieF 'd0' _ '. ' , , ' . . : Gas fireplace 10.00 ij.;r, r: 10.00' _Flue vent (water heater /gas fireplace) Log lighter (gas) 10.00 r _ ----A-V.--C-L---1 • _ Wood/Pellet stove 10.00 . — Wood fireplace/insert - . _ 10.00 Chimney /liner /flue/vent , 10.00 TEi i : 'F:1?..:t Other: 10.00 fir :V. OP:�r ' R " ® Environmental Exhaust & Ventilation 2die' r' nU. Range hood/other kitchen cquipme:tt 10.00 Address: ,C� � . I! �X � Clothes dryer exhaust 10.00 City /State/Zip: Single duct exhaust PI Fax: (bathrooms, toilet compartments, SP ' PPLWC T 7 .. : CONTACT PERSON " utility rooms) 680 ' _ Name: (:,(' <>.L1•`_'} l ✓c:;'l • •� =� Atttdcrawt space fun 10.00 Other. --- 10.00 Address: , , r l _ • Fuel Piping _ L' 5 ' (Si_40 for first d, 51.00 each additional) Zi C ity /State/p: .. D�c„ - -)� Furnace, etc. a Phone: Fax: .— Gas heat pump s. • E -mail: - Wall/suspended /unit heater ss +•:..... r • ' :.1 ' °'' Water heater .cc ;IS:7 F'.', _,,' '�:! p A� TOR :: -' :ii �': ... _ "! ... - - 2,C ✓J� c Fireplace 1 " - Business Name: C - -' t� � C /�•� � "� Range ss - Address: �-1c-1 • 5`e 1'1. `tier -:�+K i_ . BRQ as C A City /State /Zip: 4 •1 IC�, ( :: 1 ..2 o .= Clothes dryer Ws) — • s+ • Phone < - i 1 •�,3 I lax: `;.:, j 1 L Other. Total: _ • CCB Lic. #: , ` I ` . - Mechanical Permit Fccse &4_ - Authorized Subtotal: S . Signature: Date: • Minimum Permit Fee $72.50S Plan Review Fee (25% of Permit Fee) S - State Surchar a 8% of Permit Fee S .\ ) (Please print name) TOT Al. • PERM FEE S� I1 _ , _ - C +Fce methodology set by Tn -County Building Industry Service Board. Notice; This permit application expires If a permit is not obtained within **Site plan required for exterior A/C' units. 180 days after It has been accepted as complete. is \Tmsta\Permit torn t\MecPermitApp.doc 01/03 6(Q 1 , I< `. Apr -13 -04 1O:13A P_03 SITE PLAN 7S J 7 ( 0 > �`� ♦ C)IRF.CTION • E [OUST: • - ► FRONT STREE ......._ Job Name 4-"1SS- C ' • •``k �v_._ 2Z Model 4 t; A (‘\ J Malec JACOBS HEATING & AC 4474 SE Milwaukie Ave. Portland. OR 97202 (503) 234 -733 (50 3} 813 -9257 fax CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested 4 a / AM PM BUP / ` Location l `7 S 0 /c Y � Suite _ - d C) ��� Contact Person r/ w Ph ( ) ' 3 - �o SAS PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: ELC 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 1761 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 ,Q/p Rough -In /�� Gas Line Smoke Da ers P eA5 e PART FAIL ECTRICAL 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 • r reinspeition RE: Unable to inspect – no access Fire Supply Line 2 ADA Approach/Sidewalk Date Inspector ice. — Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL