Permit CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2001 -00063
„I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 02/22/2001
PARCEL: 2S110DC -90472
SITE ADDRESS: 15522 SW 114TH CT 47
SUBDIVISION: FOUNTAINS AT SUMMERFIELD CONDO ZONING: R -25
BLOCK: LOT: 047 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: MF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R1 VENTS W/O APPL: VENT SYSTEMS: 1
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
LPG 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: 1
Remarks: Install gas fireplace inserrt and chimney liner.
Owner: FEES
CARSON, HAZEL M TR Type By Date Amount Receipt
15522 SW 114TH CT #47 PRMT CTR 02/22/20( $72.50 2720010000
TIGARD, OR 97224 5PCT CTR 02/22/20( $5.80 2720010000
Total $78.30
Phone:
Contractor:
GEORGE MORLAN PLUMBING
9806 SW TIGARD
TIGARD, OR 97223 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 503 - 624 -6895 Mechanical Insp
Reg #: LIC 2734 Final Inspection
PLM 26 -60p
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 o these rules or direct questions to OUNC by calling (503)246 -9189.
Issue By: 41 � A -di -.4i. - - Permittee Signature: -1, Q
4 1 13) 639 -4175 by 7:00 P.M. for inspections needed the next busine s day
++ FEB -16 -2881 18:56 r'e�
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Mechanical Permit AppJxcatxon
a a n
*' r �� (.s V (.. VU M DMerecetved: ?'2(j `� r U!lilt n0.: Lt„)tJ 1 �� { V V V C73
•• .•;•�� ` city of T .g ard p Pro' �' no.: F''p ecbi tredutc:
'' Address: 13125 SW Hall B1f�Tig�d,�OR �97zZ3PncPlT )
City afTtgord Dace issued: ?._I 2Z ( By v Receipt no.:
?bone. (503) 71 �� ra
) as• (503) 598 -1960 8- 1960 Cast flc � no.: Payment ryDe:
Land use approval: T f _Buiadingpermitno.:
'a a • • g x a � tip gym r`�t{ 3 �� t� F7s tf?�»xtrr
Y th ✓A; t'�C �, ^". 5�y 4Z 4 �ti �lrL' U1• F�1, �1�� 111.'�..':F_�rilr��a�.��•tilt.
�1 & 2 family dwelling or accessory ❑ CommerCill/illdQSt i ❑ Muid- family ❑ Tenant improvcmcnl
Q New oonstrucuon 0 Addltion/altcranon/replacement O Other
�JUU I It'INIURM tTIOn �" i n, �;k `� cnnm I2( Iw I-t V !J (I t I . U1 b( lIEDVI.
Job address: ii * * r { / Indicate equiprneot quan [ities in box rs below. In dieare the dollar
Bldg. no.: Suit no.: Value of all lncrhanical rnatetials, equlpmeutt, lebor, ovcrLcad,
Tx map /tats lot/account no.: profiL value S
L.ot_ Block: ISubdivisioo: aScc checklist for important application inforrnatlon and
Project mime' / , , S • yunsdiction's fee schedule for rtsiden4al permit fee.
Cry/county: , t d ZIP _ ____ I £,2 ltaMILas U� , LLING PFRMIT 11$ tIILWcLL4 '
. .. , .. . _ .. • � .•..'� • ;►NDC,OMnn�;ult,�l.fl . nl !tii " Rl�t•LL'QUIrA1CNTSC11C�i 1 1 1
• �� •'/ F�(ea)Tod
Aexrtiptiou Qty. Rei. on y Res orl1y
•
Air ltar7dlinl; unit
Atrcon • uoning (site plan requires)
• Alteration ofexisting H�/Ai� aystetn
x r �a f 4' oilrssors
nt,Et�HANIC�L (tirTR%(frnI Ber compr
���.,:.t� .,�.
8tuiness name: ����1 Statcboilcrpermitao.:
t! , � .i iFJ� /i tt . BTU/H
Address: • :o LQ: :: _r L5 R Fir smo c dntnpers / duct sniole detectors
City: / l . a r<Y � ld - t(cntputnp (site plan requirrd)
Phone' •: • • —, , • )✓a x: y E -mail: Instal Jrep ncc aa-Jburn r BTU /H
1ae1uding ductwork/vent liner O Yes O No
CCB no.: a'T,� IastalUreplae a oeatcacnt7s— ruspmded
City /metro lit no.: / ( / wall, or floor mounted
Name (please print): — • / S Vent fot • •lianee other than furnace
a I ) ij ('1'PLIZSUV~ r,. �" Ab0( ml~ BTU /H
., Chillers w'
- Cnmressors HP -
�rirvamenfal achawt and •dIr1int1ons
"r Appliance vent
Phone: Pax: ! -mail: ryere tlusi
- .U11.NLSR : �` , ' a Hoods. Type Ulllres.1 rtcbts/hdaast
2 'A hood fire ruppreexlon aymtrnl
Nome: t - 5C)& 6xhaurt f1n with single duct (11th tens)
M*ihag eddress: /55 c _ . + E .biust system a• tram 6 ci5 t or AC
C, S �
t
: 9 L,! .7 7 keel pip��i! ia�' t n o (up co 4 ottrlecs)
'y , r� P � i} pe: c 1>+c oil
Phone: r Pax: Fraud: Fuel piping cacti additional over a oat era _
r t , rl\lal'vl f'R .i x xr x Yroces9 ptplat (sehemr ti a nuiro�
Name Number of wtlets
met bstetlapplanec or olulptnenL
Add Decorndvef lace _
Cily: J Stare: 1271': In G ie
Woodstovdpcllct wove
Phone: Fax: Fs -mail: � om�: l�.,h,L+Yinr� r' �L� I
Name signtu
src: Due: ter
(print) : _ t.
�Na alt joatJCCeot aoapl CLtdr alai, plcoa o n l aL•6afiva rat a.we i.Jonn600 Permit fee
oyua O>`(urelplttt - Notice: This permit application Mirimtlm fee.._ S
Gam. ord J J otpires if a pemit l: not obtained Plait review (at _ 96) $
• � within I80 daps alter it has been State aut+chatga (896) „, S '
tvaaa or c aoiar as l eo c edt wN scccpted as complett 107AL i ��Y
f
twawloa•(aaacc we.o�a.t aaoe6l7(6Od+C0) �
l:
C`: OF TIGARD BUILDING INSPECTION DIVISION
•
24- I1our Inspection Line: 639 -4175 Business Line: 639 -4171 MST
BUP
Date Requested 7- Z`1' AM PM BLD
Location / > > Z Z 5 c '/( t./1, Suite MEC .26o / - 0006 3
Contact Person Ph ,/ - Gs S 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 l 1) Ai7er% e Z Li 74 Or,'s'.>
Insulation
Drywall Nailing /"^i u SOh ,7 J 'I? y / e e
Firewall
Fire Sprinkler
Fire Alarm
. Susp'd Ceiling
Roof � /
Misc: �1?S9'I�'?i 7/? i cv4. /
Final
PASS PART FAIL
PLUMBING
• Post & Beam � -
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains .
Final ,�/
PASS PART FAIL ,a-/
Post & Beam
Rough In
Gas Line
Smoke Dampers
'
PASS PART FAIL
'ECEETRICAL
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 � �
Approach /Sidewalk
Date 7,2 % �� i �:✓/
Other Inspector Ext -
�' c
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.