Permit - CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2002 -00339
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/5/02
PARCEL: 1S133DD-01500
SITE ADDRESS: 11778 SW 129TH PL
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 2 ZONING: R -4.5
BLOCK: LOT: 054 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:
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:
Remarks: Install gas furnace and exterior A/C.
Owner: FEES
BOYCE, AARON I + Type By Date Amount Receipt
WHITE, DEBRA G PRMT CTR 8/5/02 $72.50 2720020000
11778 SW 129TH PL 5PCT CTR 8/5/02 $5.80 2720020000
TIGARD, OR 97223
Total $78.30
Phone:
Contractor:
FIRST CALL HEATING & COOLING
1650 NE LOMBARD
PORTLAND, OR 97211 -4798 REQUIRED INSPECTIONS
Mechanical lnsp
Phone: 231 -3311 Heating Unt lnsp
Reg #: LIC 102030 Cooling Unt lnsp
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: , G� Permittee Signature: )' 1; (317 2/
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
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A Mechan�icalPer-mi._ U l ' fl
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u u i. ` / '[ u v t. Date
atereceived: 570 Permit 120.: toECG' >oa 6 I
. • 1 1 ° . i ).. " " of Tigard Proiect/appl.uo.: Expire date:
�, a Address! 13125 SW Hall Blvd, Tiga ORJ 9,72233 Q 2 �. Big? I Receipt no.:
Phone: (503) 639 -1171
Fax: (503) 598 -1960 Cii 1 fig' ilatri , D •1 Case file no.: I Payment type:
Land use approval: — !BUILD NG DPT! O 1 Buulding permit no.:
T1'PL OF 1'E10111
� 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi family 0 Tenant improvement
• New construction 11 Addition/al on/replacement 0 Other.
JOB SILL liNtCO t1AT!ON ('O \IMERC'1.11_ VALI.ATION S('IILDI;Lr
, indicate equipment quantities in boxes below. Indicate the dollar
B . _ no : Suite no.: • value of all mechanical materials, equipment, labor, overhead,
Tax lot/accotmt no.: profit Value $ •
Lot: Block Subdivision: *See checklist for important application information and
pro - name: jurisdiction's fee schedule for residential . .•'t fee.
Cl /county. ex ." - , ZIP: ' 7 ?.z' 1 . 21 A\IIIN OWELLING PERMIT PEE SCII11HJ1.1'
sescripdon and location of work on premises: _J/1S C�I/ �iCis • A\ 1 ) COMMERICAL/INDUS 1 Itt%I. t:QI-ilP11[NTSCHLDLTE
,-
✓ Fee(ea.) 'Total
Est. date of con .1 :.,. • • - •: • • - you Qty. Res. only Rea.Only
Tenant improvement or change of use: Air • I . , unit CFM II •
Is existing space heated or conditioned? CI Yes 0 No Air co •t . . e • . i ( , , , aired) A fiat,
Is existing space insulated? 0 Yes 0 No �;trsYrhmCn. Mi • :MTii M ��
MELI1:1N[CAL CON 1 1C :.i compressors
Business name: fir G4 (a 'f-+L „,z. (h t / ,.,, Statcbeilerpermitno,: .
Address: /f/2;-:: �ir7 &ot-� rte ,, ., ___ _rr. 77 T!�____ EN
1E7 t- State: ZIP: Heat . •... (:, lc , anreq r MIIIIMM= rte
Phone: ” Fax 6 S 9' E-mail: . I
Iar:rallRt:place l5an - miner .
Including d u c t w o r k / v e n t liner O Yee O No i ta)
CCB no.: --2--c:7,5 • e 4 - c.9 _. ) es , 'rep ., ,oenue - - .- suspended. III _ �_-
City/metro lic. / no.: • wall, or floor mounted
Name (please print): 2_4 f'9 5 5 'wt.. a - o. - ... ••.,.
r�rrrT
CO ■ �-
\1'.�( - 1 PERSON Absorption BTU/H
Name: ., 11P _
Address:
City: State:
Phone: Fax: E-mail: ZIP; , u• _ —
(J 'N1:11 . � _ nn. ... ■ _�
hood flue suppression system
Name: /4 ,-v r, Exhaustfanwfth ■.. duct .athfans) I .
Mailing address: l l7 I: , ,' , . system apart • . m hea , _ or A fiiiiiE
Arms . , . • • ulna up to 4 outlets
Ci.l • / at_ r-� Sratet!�L ZIP: 97 > . -- LK; NG Oil .
Phone :.$2 -'it/ t/ Fax: E-mail: Limir : . -In over ou - pm _
ENGINEER ., , requ � � —
Number of outlets
N a m e : ri. _ r . r a p . • . ... or equipments .
Address: Decocntivefireplaoc
City: State: ZIP: • at- j •. -. ANIS .
1110: mr77,71 etstove = �
Phone: Fax: E , r. _
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A. • licanrs ai- , :. • • � z ' ' Date: 2. • Other: r ��
Name . .t): L cd/YO4 ` - i M
Permit fee n
Not a) woo aedu conic Pusan will lmldicace fa --'- idegin uoa _... . $ , ! Z Div
Notice: This permit application Minim fee $ ,
O Visa t] MaateICud expi if a permit is not obtained Plan review (at %) $
Quin cad mamba: within 180 days after it has been
accepted as complete. Stan surcharge. (896) .. S
,m, ;;� mo ea S TOTAL S < 1")0
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CITY OF TIGARD 24 -Hour WWI°
BUILDING Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested Z AM PM BUP
Location /1 2 • Suite (a 0)- -- Qa31
Contact Person Ph ( ) Y 2 - -S4/ PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner. � 'r 60 5 99 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
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
HAIL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
PAS PART FAIL
ELECTRICAL
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 0 Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line ?•/1----,„.
ADA Date
Approach/Sidewalk �- Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL