Permit CITY TIGARD MECHANICAL PERMIT
I'c DEVELOPMENT SERVICES PERMIT #: MEC2004 -00441
' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/6/2004
PARCEL: 2 S 109AB -10300
SITE ADDRESS: 14183 SW 132ND TERR
SUBDIVISION: RAVEN RIDGE ZONING: R -7
BLOCK: LOT: 032 JURISDICTION: TIG
CLASS OF WORK: ALT . FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: 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:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1
> 10000 cfm: GAS OUTLETS:
Remarks: Install exterior A /C, do not place within the required setbacks
Owner: FEES
BOB CARTER Description Date Amount
14183 SW 132 TERR [MECH] Permit Fee 7/6/2004 $72.50
TIGARD, OR 97224 [TAX] 8% State Surcharl 7/6/2004 $5.80
Phone: 503 - 579 - 1516 Total $78.30
Contractor:
COMFORT MECHANICAL INC
17936 SE DIVISION STREET
PORTLAND, OR 97236 REQUIRED INSPECTIONS
Phone: 503 761 - 1500 Final inspection
Reg #: LIC 79558
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: / ' - Permittee Signature: ! f ,
Call (503 639 -4175 by 7:00 P.M. for inspections needed the ne t • usiness day
Meclh.anl ^al Permit Application Received FOR OFFICE USE ONLY ' '
Mechanical 7 /!�
Date/By: Permit NomO(�c�Ojly'O� J/
EC B 1 Planning Approval Building
City of Tigard Date /By: Permit
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 JUL 2 2004 Date /By: Permit No.:
Phone: 503- 639 -4171 Fax: 503 -598 -1960 Post - Review Land Use
Internet: www.ci.ti ard.or.us CITY OF TIGARD b r.d�, l!i �h Conntact tact Case No.:
Co
g . � I Juris.: See Page 2 for
24 -hour Inspection Request: �9 i 405/ISI '`�' ■ "° Name /Method: Supplemental Information.
<' «. r. ;::��;,; *s D 'E "= E:CAECRI:IST<,;v., ;
s ;:; >,� -� : 'a..f .. :; :TYPE'OFWORK�'� :`:- = z ,. , .i ._- >;COIVIMERCIAL��'EE: SCIiE_ iJL ..,.US ;. . �.
❑ New construction ❑ Demolition Mechanical permit fees* are based on the total value of the work
Addition/alteration/replacement ❑ Other: performed. Indicate the value (rounded to the nearest dollar) of all
... . -' :.. � �.,�� - ._ . � }; � mechanical materials, equipment, labor, overhead and profit.
. ,,; ., {;;;: . :CATE.QORVi,(M'CONSTRIX.TION ,, s;; ; ' •3 ';; ;=< „;.,e :,.. >.;
1 & 2- Family dwelling ❑ Commercial /Industrial Value: $ See Page 2 for Fee Schedule
Accessory Building ❑ Multi- Family
RESIDENTI AI IODP MENT %S.YSTEMS: FEE;*.S.CHEDiJI E „$,
Description I Qty I Fee(ea.) I Total
. ❑ Master Builder El Other: • . HeafinWCooliii
`' °`' JOB SITE? INFORMATION andLOCATIONK i' '''i Furnace - add -on air conditioning I 14.00 )
Job site address: \ 1.4 183 u) I -2r Txro Gas heat pump 14.00
Suite #: Bldg. /Apt. #: Duct work 14.00
Project Name: Ca,(-EQ ( Hydronic hot water system 14.00
Residential boiler
Cross street/Directions to job site: (for radiator or hydronic system) 14.00
(OM —A- ( Unit heaters (fuel, not electric)
(in wall, in -duct, suspended, etc.) 14.00
Flue /vent (for any of above) 10.00
Subdivision: Lot #:
Repair units 12.15
OtliiiYUel 'Appliances .
Tax map /parcel #: Water heater 10.00
'V ;',: ...., :; " 10.1' ?, �- Rn,•';';W:,:',.,47i Gas fireplace 10.00
Flue vent (water heater /gas fireplace) 10.00
h € L - � b p 1 A ) J�1 Log lighter (gas) 10.00
�1 l� Wood/Pellet stove 10.00
Wood fireplace /insert 10.00
Chimney /liner /flue /vent 10.00
_.__ ... _... yzyfi ....;
.a. "� 1P�RQE:ERno ii �1 , zTENANT I :: Other: 10.00
� y f n x - ( ` "Enviiion' menial'Eitiaiii €:8 '�V.entila°tion < .; s
Name: l (
_
Range hood other kitchen equipment 10.00
Address: 4 ( P 3 5( (? 2nd (err Clothes dryer exhaust 10.00
City /State /Zip: ' 1 ( Cad Ql 2 2!-I Single duct exhaust
Phone: 51q- 5 ( Fax: (bathrooms, toilet compartments,
S .,'' .`+ PL][CANT.: x ? rvse`i<`ar:t v '. = .' "�"`• utility rooms) 6.80
;�; ; -.guy ,� .;,. N'��:`?x�;� %%
Name: Attic /crawl space fans 10.00
Address: Other: 10.00
-
. �i�F,uelPiping ?�� .. e. .. .. ,
City /State /Zip: * *($5.40 for first 4, $1.00 each additional)
Phone: Fax:
Furnace, etc. **
Gas heat pump **
E -mail: Wall /suspene..at- iit heater **
..;;� 4£.: _ X. • -, T - ' T , R .a ^" i '"'x'�5-e': **
:;� < rs '`s��;. =,.�'�� ..;�,�.,.,CQN; :RA`C i0 � , =;: : -..;`,• ,_ . ,..w., , .., «:r. ;_';; ',i?;' Water heater
Business Name: (V'YYY(Dy - Nt.c ttuiti (set Fireplace **
Address: 1'Ig3t0 5C 61Vis1 ow S -. Range **
City /State /Zip: pt-i-1 i.-k. &rZ en 202 Clothes dryer (gas) **
Phone: tpt • 15Ocj Fax: Other: **
CCB Lic. #: 1 q GS% Total:
Authorized /
lm atur Mechanical-PermifFees *'
Si : f (4 : 9.0 4 1 Subtotal: $ ( -
��. �__ j /�: G� Date:
Minimum Permit Fee $72.50 $ 1 2_ �'
'� Plan Review Fee (25% of Permit Fee) $
( G a print name) _ State Surcharge (8% of Permit Fee) $ 5 , An
TOTAL PERMIT FEE $ 1, e)-,3C)
Notice: This permit application expires if a permit is not obtained within *Fee methodology set by Tri - County Building Industry Service Board.
180 days after it has been accepted as complete. * *Site plan required for exterior A/C units.
i:\Dsts\Petmit Forms\MecPermitApp.doc 01/03 .
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LOT LINE:
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ST.A.1-1...ATION A.DDRESS; V (-1 / 3 z xi aTy: STATE: cve,
PROPERTY 11NE
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FRONT
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PROPERTY LINE
X 7a; OUTSIDE LINIT•
Con:fort Mag4;maida4
27946 AIX Divieks $t,
PortianWeir 94284
Atu 400,46104409
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (50 4175 MST
INSPECTION DIVISION Business Lille: 3) 639 -4171
BUP
Received I Date Requested 7 J / AM PM I BUP
Location ! / g3 /3 ? -y!' /..e.44 Suite •— CO -CO _
Contact Person Ph ( ) / — 7_5 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC N VV-
Footing
Foundation Access: ELC
h/f `��` T° �
Ftg Drain W ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors / -_„ 3
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation w \/(PCZ 6 j
Drywall Nailing U ° �'
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
MECHANICAL
Post & Beam
Rough -In - 16/
Gas Line
�Smomokke Dampers
Aim"" -
AS PART FAIL
CTRICAL
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 reinspectio RE: / El Unable to inspect - no access
Fire Supply Line
ADA / ' �
Date ` v Inspector /_ L�� Ext
Approach /Sidewalk P
Other:
Final DO NOT REMOVE this inspection recordfr k . the job site.
PASS PART FAIL