Permit CITY TIGARD MECHANICAL PERMIT
" III DEVELOPMENT SERVICES PERMIT #: MEC2001 -00064 •
AO- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
DATE ISSUED: 02/22/2001
PARCEL: 2S110DC -90632
SITE ADDRESS: 15514 SW 114TH CT 63
SUBDIVISION: FOUNTAINS AT SUMMERFIELD CONDO ZONING: R -25
BLOCK: LOT: 063 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: CMS 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: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 1
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Remarks: Install new fireplace insert and liner.
Owner: FEES
BILLIE LOU DIAS TRUST, THE Type By Date Amount Receipt
15514 SW 114TH CT #63 PRMT CTR 02/22/20C $72.50 2720010000
TIGARD, OR 97224 5PCT CTR 02/22/20C $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 of these rules or direct questions to OUNC by calling (503)246 -9189.
Issue By: $ , / Permittee Signature:
iii• : ( 503 ) 639 -4175 by 7:00 P.M. for inspections needed the next busi day
FEB -16 -2001 16 56 r.u..d
lU /11 /cuuu va.u+
» , •'
r r
Allie Mechanical Permit Application 4t. t 4 - 7 , k (m ''' A 4hitfi _ n a r y j J 73
Date receiv ed: Z • Permit an.: e, 001 '0 CO U-1
,: '.ri City of Tigard Projxdippl.no.: Expire date:
City u- 'ward Addre 1312.5 SW Hall Blvd, Tigard, OR 97223 Date issued: By: Receipt no.:
Phone: (S03) 6394171 .-
'Fax:. (S03) S98 -1960 L( -y/p- /661) c 2 g3 Case file no.: Payment type:
. Building permit no.:
Land use approval: _
.' , 4',~ ;14 :- �r yi flitUl YLltnllt r `: . Cr r r
le t & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family 0 Tenant improvement
0 New construction 0 Addition/alteration/replacement 0 Other:
, E , 'y a ,IOLi SI'1'CINE,URM.1TIOn -. 1 _ -. . cOMMf•.1 (l. 1 v;cl,I'%I'IUN S4INEDUI.F. =
lob address / 5 � 0 ' _• . 63 Indicate equipment quantities in boxes blow. Indicate the dollar
Bldg. no.: S uite no.: value of all mcchanicel materials, equipment, labor. overhead.
Tex map /tax lodaccount no.: profit Value S •
Lac Block: !Subdivision: 'Sec checklist for imporant application information and
Project name. G - • ' 0 1 jurisdiction's fee schedule for residential permit fee.
City/county: i ZIP: ''r 17
of work, , AND C0 1 n Si' 1?1L SCIitD%�11
De = • tion and 1• aline tk,on • anises a .7 ;7 111!11 I lI ,1111 .1!
l , / - .113If Fee Om.) Total
Est. date of completion/inspection: Deseci• sci on Qty. Res. only Res. only
Tenant improvement or change of use: )A�
Air handling unit CFM
is existing space heated or conditioned/ 0 Yes 0 No Air cond,aoning (site plan required)
. Is existing space insulated/ D Yes 0 No Alteration of existing H VAI!. sysletu
'z ` ' ''1/4... ". NIEC}IANIC.11'(ONTR.1( rout ... r boiler compccssors
State boiler permit no.:
- Business name: e. C • ��.a g�� /i1 HP __ Tons BTU/H ------ -
Address: ■ _ trj� �ll � Fire /rmokc amp crslducfsmolecete ctnn ,
City 1� CI t--ri S. c:Cr ZiPq 7c�U _ Hcat pump (site plut : cyuircd) j
Phone:,, - ( , t 3 I Fax: ( e 7c Ct I Email: Instal l /roplacc fstrnacdbUrn^t BTU /H
Including ductwork /vent liner O Yes Q No
CCB no.: 7,3 y Instalt/replac c ocatencao:xa— syspended.
Ciry/metro tie no.: f / C2 / well, or floor mounted
Name (Please print): ' . !• / / S Vent for a• •liancc of �a ai f urnace I
` ,„- , , i l:Uh'1 I' PEItS'O . rpti u BTV /H
Name: Chillers HP -
Compressors HP
Address: Eavaranwcat l extatast and rsttllatlon:
City: State: ZIP: , Appliance vent —
Phone: Fax: E -mail: bryer exhnust _
' ' _' - ` tA%NLR Hoods. Type I/II/res. l:iccben/ha�.t •
: - !rood Ere supptrsraiort syseerti b Name: 4: _s � Exhaust fun with single duct (bath faro)
Mailing address: 5 . V�Z3s . / etbaus t Lys torn a art l -- r}n lcaung or AC rt"i ,
� / `/ )Fuel piping as • • , radon (up to 4 outlets)
t-ty : 9,` • S u ite: - ZIP" 7r� i v^c: IL2G NC CO
Phone: • J Pax: E Fuet i i each anal over4outlets
Irrocess plpta6 (sell emu a rMuirod)
Number of outlets
Name:
its •er list ell appliance or°roil: neat:
Address: Decorative fireplace
City: !State: I2IP: Insert- type = t 7 € '/ ;
Woodsco vdpcilet stove
Phone: Fax: • b mail; , a, , —. 7 e r . -7--
ogler 1 J
Applicant's signnwre: %1. 1 'lJ e a 0 ,,,,,. :
Name (print): ' -- TF i '7 ,
Permit fee $
Na ail jorird a tAro credit wt+dt, plea+e cad paSe6a:+a fm more ie/otmed Notice: This permit application _ Cii Val O AtutetOrd C P aFP Minimum fee ..... $ 7? , ,5
expires if a permit is not obtained Plan review (al „ %) S .
Oulu food samba: w ithin 1 80 days after it has boon
• �e• �' State surcharge (896) .... S
tv .m.or meek' taa4 accepted as complete
: TOTAL ...... ._......... -._S i5i!EiE
u..... a- alD+uvrt Ameent 4484611 (6100KAF4
TOTAL P.03
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175_ Business Line: 639 -4171
BUP
Date Requested 7- AM CAM BLD
Location / , 5 S / V _5 t -t-'l / Suite MEC 0 a c (
Contact Person Ph ] 7 / —li S S PLM
Contractor Ph 6 — Zf P 7A 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
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling ,
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
Post & Beam
Rough In
Gas Line
oke Dampers
Final
S PART FAIL
ELECTRICAL ."
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
F'
SS 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
Other Date 7 "' D/ Inspector E
Final
•
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.