Permit 4
- 4 4,, CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2004 -00401
II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/23/2004
PARCEL: 2S104CA -08400
SITE ADDRESS: 13362 SW 136TH PL
SUBDIVISION: HILLSHIRE ZONING: R -7
BLOCK: LOT: 084 JURISDICTION: TIG
CLASS OF WORK: OTR 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:
ELE 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: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: AC install.
Owner: FEES
FARRIMOND, RONALD K + L KRISTI NE Description Date Amount
13362 SW 136TH PL [MECH] Permit Fee 6/23/200 $72.50
TIGARD, OR 97223 [TAX] 8% State Surcharl 6/23/200 $5.80
Phone: Total $78.30
Contractor:
BRUTON COMFORT CONTROL INC
12855 SW 22ND ST
BEAVERTON, OR 97008 -5152 REQUIRED INSPECTIONS
Phone: 503 Cooling Unt Insp
Final Inspection
Reg #: LIC 65296
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: g7"/ GC/PA„'`
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
Sent By: BRUTON COMFORT CONTROL; 503 646 0126; Jun -21 -04 1 :58PM; Page 2/3
11 ec: a'ia.ai Permit Application 1 t >R l>i I. i , :I: ()NI.}
CiijOf Tigard
Received : Permit /" )1
13125 SW Hall Blvd., Tigard, OR 97223 Y - ' ' I I , f� - Z I P ;
Pled Review
Phone: 503.639:4171 Fax; 503,598.1 1)atc/BY: Other Permit:
Inspection Line: 503.639.4175 0 ' ' IL . Dale Readylay. ,. Page 2 toe
Internal: www.ci,tigard.or.us ikt, ^ 00
n 1 1.
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❑ New construction r Additit a1 ; h' iMechaaieal permit foes* are based on the value of the work
1.,:l Demolition 0 ( r \�1G P • Indicate the value (rounded to t nearest dollar) of all
o mechanical materials, equipment, labor, overhead and pro&
�ir, 5E^ � t . a.
;irk 7j`w d'aa: �� ��g i'•p. � ., :i'?i�oz(a�i $ '�- �-•
.r ..a-idi ttii} �uWk44 Wniik)k?t4 w•tiafk , „ r . v , 7 ,,. .v 4 cn.r�v,rn • „� 7: }r t i,: ya, y ,� i s.. 4 t• Y.,a`r` „
P ` 1- and 2- family dwelling ❑ Cornett rcial/industrial El Accessory building, tn 44 y p s ' �. , „+ ' i rf5 h',
El (Multi. - family r] Master builder El Other:
I'o *Waal r►ltormatton USE checklist.
rsrrs Qty. Total
if
w Description � �`J • f
. ;,;s - �4�i :• : r , ° �'�'a s ts�aau s ' t) a �` > a lr a 1 ' %+ llcsting/cooling
Job Site address Air conditioning of heat pump
I �+ • r , Lt • wires sire plan ahowiag placenietu 1 ( 140
City /State/ZIP: T, ca d + 0 I V G 1 a� /� - Funace: 100,00013'1 (chwts /Tema) 14.00 ,
Suite/bldgJapt. no.: �J Project name: ��VV Furnace 100.0001 BTU (ducts/yeas) 17.90
Gas heat pump 19.1111
Cross street/direc:ticma to job site: Duet warts _ 14.00
Hydronic hot wafer system 14,00
Residential boiler (radiator or
hydmnic) 14.00
Unit heaters (firel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: 1 Fiue/vont for an of above 10.00
tx no.:
Other 10.00
Tax map/pared no.:
rue appliances
.:)�, . O .ti• ? %' ":ai;� "'.i; , Y(: :.(i,,. :i 9::, -: `; �tili
fi'. k 6, ,.�,. _Y�, W
�"' v�- ih..( •aZ;r � utar heater ,. :4 5 `:;a:" .:�':.,, 10.00
I. AA.) L O }. ( vent for water heater or gas
10.00
111‘101, 111‘101, ll • L • �'� � ` ' J l 1 I Cos £ Flue
, vent as
._ _ i ∎1- _ ' , fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
1'My
:;.., .i e } "l'Y 4 .�i�V�• i ;,: F.]; I'f, g ,,A , �:t• , i;i
;:4t.::i; Chimne /lrn ;.` : cr c00
L,w. �Q �'r : "T'A i�l. :� �41 ; : U4' : �4 .• jam):;.• ',"r te't{ ��4�. n %:,, {',.,,: Y /ludvnt \r.0W
! C ''�'(• r,`.)i, L ; <, 'Nl ;. .4yt;),r,' ; , , .,. 1
ms U � 1 .7�k.�� . , .ot -` > ' ' � " .,Yx,il•� �� 't 2 : �' 'c�,`%
{5 : Oth 10.00
Name: .71 . mk s saIIIIMIIIIIMIIIIIII Environmental exhaust and ventilation
Address: •
• t#� Raoge hood/other kitchen 10.00
City /State/ZIP: 1 \ s, ` Cei f< 411 e I _ • 4 C,'{crthea dryer exhaust (bathrooms. 111,00
1 Single -duet exhaust (bathrooms.
Phone: . Fax: ( )
i>a _ • .,i toilet wnlptatimtrots, utility nxlms) 6.80
;,r:,• ? - nr %'r' sq „ 5,,,:m m;; ' a ' ;r ;, _,, <bx:;,.,,
;;i <C:itC ;, $ lX'e ter °. , z E AttiGCniwlspott £rule 1(1.0()
Other: 10.00
Business name:
ii, a 1.L. 0 aI = *listr.
Fuel piping(
Contact name: .. L ` SSA0 for first Court $1.00 for eaeb additional
Address: s 1 fi Furnace, etc:
.
City/State/ZIP: ti Gas heat pump
� . t . imam 'P IL Wall /suspeaded/Imithaater
Phone: ), - i 0 - 1 • I Fax: �, • �6 ,' Water hratnt
E -mail: Fireplace
'i''' ;:3=1/ 4'.;; :,ytin ^ 4 8+m" r,., Rano
":.. ,.:., ",' .::. ..:,.:fin :: i `. ,. �` � ?� %.,.;!•.
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Yv
,., ,�.{., <�, .., -.>v - ,ta..,a; ,-h, iii;" Barbecue
r. .y N��. ! :,.�. -- n• /.: \��� ",, art>aCl1 e
I3usinrss name: L ! MI6 I i MI Clothes dryer (gas)
Address: ♦ =•1 � li�J v . ; S rww
5 4Y1 % 9p.� r t rt rcno f 4 /,
city/Stale/ZIP: Addre • • .u. /. :�. � r N n t ' / m4W'q RW t HE .1Y4, 7'':: iiH' � y y ( .V1
�♦ - 6 _ 1t $ C . On (3 0 , Subtotal
Phone: ( 5(33) (p2 to . -iT \'"1 D Fax: ( J o M) n - ( 7 Minimum permit fee ($72 50) � . �O
���'✓✓ <-1D - --1.� LJ Ul tiEl V Pisareview(25 %of permit fee)
CCB lie.: f / �(1 �� / ^. State surcharge (11% of permit fee) 6 0
uu��`"'rr �X TOTAL PER1bIIT FEE i `d • 30
Authorized signet ".` av j ! jo ` . £ . . This permit eppticatlon ek RR R permit is not obi , UM
within
7 I aye after it bas been accepted as complete.
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� 1-erlc s • BrooKS lo-1"1- 11
Sent By: BRUTON COMFORT CONTROL; 503 646 0126; Jun -21 -04 1:58PM; Page 1/3
•
, r mm .Bruton Comfort Control
Heating & Air Conditioning • tlectncal £, Mechanical Maintenance • Commercial fi Residenttat '
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FAX °,�' so4,
To: 0 litAnLi From:
Fax: O3. It. apo Pages: _I _I , /. .% . ii ".(
Phone: ' ,j12Y 11 Date:
0 Urgent Cor Review El Please Comment Please Reply
Comments:
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12855 S.W. 22nd Street • Beaverton, Oregon 9700 • (503) 626 -7477
CITY OF TIGARD 24 -Hour
BUILDING Inspection L!: (503) 9 -4175
INSPECTION DIVISION Business Line: (5 ) 9 4171 MST
BUP
S
Received Date Requested ' L • A PM BUP �}
Location ' 3 (p Z ■ (.- Suite EC c O Y 2d i/
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: c ") v S ✓ 11-1....-1 S SIT
Post & Beam
Shear Anchors
d--e•---4e,
Ext Sheath /Shear
Int Sheath/Shear _ 262 ', _ C•%;;( .
Framing O�V
Insulation r' U Y W" _
i e/', Lid ww)
Drywall Nailing
Firewall Y)) s r� __€��7 � 3 d / _ ,o
Fire Sprinkler ""'�
Fire Alarm P J 3 6 � Susp'd Ceiling — ��
Roof / _ �
Other: �i� (. " � . l
Final ij��/
PASS PART FAIL
PLUMBING
. Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
(/ ... ; r 1 5.----'
Storm Drain
ri ( -, -
Shower Pan
Other:
Final
PASS PART FAIL
M
/
A ICAL
Po eam j
Rough -In ` � ' - 1
Gas Line
Smoke Dampers
Ana
AS PART FAIL
E TRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hail Blvd.
PASS PART FAIL
SITE Q Please call for reinspection RE: 0 Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk Date P( Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL