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Permit . CITY TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2003 - 00300 „.441111‘ 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/6/03 PARCEL: 2S 103BD -10200 SITE ADDRESS: 11533 SW ELTON CT SUBDIVISION: HUNTER'S WOODLAND ZONING: R - 4.5 BLOCK: LOT: 014 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: Install exterior AC unit. AC cannot be placed in the required setbacks. Owner: FEES ANDREA O'REILLY Description Date Amount 11533 SE ELTON CT. TIGARD, OR 97223 [MECH] Permit Fee 6/6/03 $72.50 [TAX] 8% StateTax 6/6/03 $5.80 Phone: 503624 -9942 Total $78.30 Contractor: SPECIALTY HEATING & COOLING 1601 SE RIVER RD HILLSBORO, OR 97123 REQUIRED INSPECTIONS Phone: 503 Cooling Unt Insp Final Inspection Reg #: LIC 66578 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: r Permittee Signature: e Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day PPP"— ..., Me r, Permit Application 1�1 Date received -Os _f�J Pertnit (,aZG�3 — bfj'�� `; j "1'�'!' City of Tigard IEG `� N E L � Pro ect/appl. no.: Expire date: City ofTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: By:`� [Receipt no.: Phone: (503) 639 - 4171 1 `A� ld O 4 2003 ' Fax: (503) 598 � v Case file no.: Payment type: Land use approval: __QTY O. T �l Building permit no.: /6 ,.'to r,1N a Ut \i 1 """' 1 TYPE OF PERMIT J1 & 2 fa :Wily dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 Tenant improvement 0 New cot istruction O Addition/alteration/replacement Cl Other: j JOB SITE INFORM/ 'ION COMMERCIAL VALUATION SCI IEDULE . Job address: its 3 , .S i,J Er #v ` c , Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: 1 Suite no.: value of all mechanical materials, equipment, labor, overhead, Tax map/tat lot/account no.: profit. Value $ - Lot: Block: . I Subdivision` . *See checklist for important application information and Project nam ,,' • jurisdiction's fee schedule for residential permit fee. City /county art,.e' ZIP: 2 - 3 1 & 2 FAMILY DWELLING PERMIT FEE SCIIEnuir, Description and location of work on premises: AND COMMCRICALJINDUSTRIAL £QEI1'MENTSCIIEDULE Fee(ea.) Total Est, date of ;ompletion/inspection: Description Qty. Res. only Res. only Tenant imp: ovement or change of use: • ifIVA( Is ex isting space heated or conditioned? 0 Yes O No Air handling unit _ CP2vl Is ex isting space insulated? © Yes Cl No Air conditioning (alto plan required) 1 $ sP Alteration of existing HVAC system I WECIIANICAL CONT ACTOR Boiler /compressors Business nn not '• s n-• > - • c.,�. c....• . N ` State boiler perdue no.; HP Tons BTUfH Address' Q/ Se f?/ t/e iQ O /},17 Fire/smoke dampers/duct smoke detectors City:.Y /4 fete, ( Stater J ZIP: 9 7/a,3 Heat pump (site plan required) ' Phone: ly1 3O7 J Fax: o $" /' 0 1 4 -3 --Mail. — Install/replace titmice/bitmer ATI I/H CCB no.: 4 $ ?� Including ductwork/vent liner U Yes O No Install/replace/relocate heaters - suspended, ' City /metro 1 ic. no.:/'' wall, or floor mounted ' Name (plea :e print): Org7 '4 A 074.111 vent for a I Ilancc otter than furnace I CONTACT PERS 1 N Rebngervhon: Absorption units BTU/H Name_ K t - Ne - e - 8 tf , Pl Chillers HP . Address: 4 F)( J//e. ' Rp44-.2) Comyressors HP )EnvuoWnental exhaust and ventilation: City: 70//5 State71+P 7I': /n9 /Z3 Appliance vent . Phone: eph ■-• 3607 Fax r/ E `- Wryeroi daust Hoods, Typo I/ II/res_ kitchen/hazmat I � � hood fire suppression system Name: i p� 1) ' /2- " i-.. `lid Exhaust fan with single duct (bath fans) Mailing ad< ress• FatTtaiisi system apart from hosting or AC City: State:' piping and distribution (up to 4 outlets) Type: - LPG _ NG Oil Phonef5Y5 a.2.4 9 ( (/). Fax: E - mail: Fuel piping each additional over 4 outlets 1 ! Process pIptng (schematic required) Name: • Number of outlets Other listed appliance or equipment; Address: uecorativefireplacc City: State: 1 ZIP: Insert —type V • Phone: F ax: E - mail: Woodstove/pel let stove Applicant's signature: 11,34,1404. Date: b ter: ��(? Other. Namc (prin :): , { -f -ee ..cio Nom . Not t jusi,dioti, nc iwaept credit ,,,F161.2 . plaa call jurisdiction for mote informatio ar Permit fee $ ❑ Visa Q 1 dasterCard Notice: This permit application minimum fee $ �� Credit czar numl or: / / expires if a permit is not obtained plan review (at %) $ Expires within 180 days after it has been State surcharge (8%) .... $ s'� Name a rardtol(er as mown on ewdi; caret accepted as complete. TOTAL $ c Cardholder signature Amount , • 440 -4617 (6/00/COM) z'd BILO B6S EOS Zuzzeaid 6•letoadS d9S:T0 60 'Is0 unC SITE PLAN PL ],L PL g P� M PL % /S 33 St,•) / -L c� 1 , 02 gf2Z3 STREET Specialty Heating & Cooling, Inc 9528 SW Tigard Street Tigard, OR 97223 Phone 503.620.5643 Fax 503.598.0718 Hillsboro Phone 503.640.3607 Fax 503.681.0793 I'd BILO 86S EDS ZutzeaH RztetoadS EO trO unr CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION- DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested 6 - / I AM PM BUP Location / .S•' j c , fY` t Suite MEC Contact Person C 41,,1 /L? Ph ( ) (to -3' 0 7 PLM Contractor Ph ( )W�i BUILDING Tenant/Owner Footing Foundation ELC Ftg Drain Access: `4 p , i EL Crawl Drain � ? Slab Inspection Notes SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath /Shear Framing Insulation Drywall Nailing .001F 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 Gas Line Smoke Dampers - PART FAIL ECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm fi � Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. • S PART FAIL SITE El Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date ;Al } Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL