Permit `' CITY OF TIGARD
MECHANICAL PERMIT
Avfo � I � DEVELOPMENT SERVICES PERMIT #: MEC2003 - 00446
13125 S W Hall Blvd., Tigard, OR 97223 (503) 639 -4171
DATE ISSUED: 07/30/2003
PARCEL: 1S134DC-10300
SITE ADDRESS: 11496 SW CORNELL PL
SUBDIVISION: TIGARD PARK ZONING: R - 4.5
BLOCK: LOT: 019 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:
GAS PRESSURE: 50 + HP: WOODSTOVES:
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 unit. Do not place within the required setbacks.
Owner: FEES
BOWKER, LEANNE MARIE Description Date Amount
11496 SW CORNELL PL [MECH] Permit Fee 07/30/20C $72.50
TIGARD, OR 97223 [TAX] 8% StateTax 07/30/20C $5.80
Total $78.30
Phone: 503- 624 -0939
Contractor:
SPECIALTY HEATING & COOLING
1601 SE RIVER RD
HILLSBORO, OR 97123 REQUIRED INSPECTIONS
Phone: 503 640 - 3607 Final Inspection
Reg #: LIC '66578
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codesand 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: //l
Call (503) 39 -4175 by 7:00 P.M. for inspections needed the next business day
A v 1echauticaJ Per jt A! e ' o ijeatj;OII ]FOR QFF.YCE USE ONLY
o ° a IC —' L., ti = I. I�
Date/B Received
, Mechanical �� ii
(o / of Tigard IIuild:nbo�2oa3 -°n P Y�o
Planning Approval
1312,; SW Hall Blvd, JUL 2 9 2003 Date/a ' Permit No.:
Tiger 1, Oregon 97223 P!° " °" Other
Phone 503 - 639 - 4171 Fax: 5031T48Qg61 Post-Review .: Permit No.:
Post•Review Land Use
intt net: www,ci_tigard,or.us BUILDING DIVI «' �.� . ,,'if, Date/B :
24 -ho.cr Inspcctio�t Request: 503- 63y_4175 Case :, :�
. ''' � ' Name/ .r' g See Page 2 for
Name/Method: ��� . lemma' Information.
�W My
N� :w construction • ' COMMERC I ` :. 1 SC1 E► ILE USE.CH.ECKLIS
r Demo lition
ILA
Mechanical permit fees* :• e based on the total value of the work
ldition/alteration/re lacemelit D Other: performed. Indicate
.;a GO ONS the value (rounded to the nearest dollar) of all
FtX:'QF:C T1tt7rcTxol,�- °fine
E mechanical materials, equipment, labor, overhead and profit.
1 2- Family dwelling r Commercial/Industrial Value: S
[ Ac Gesso Buildin Sec Page 2 for Fee Schedule
�' • Multi F amil .: •
RES><BENTEAV. - a r It lrr-T/SYS: EMS. x >~S Ye
L] Ml aster Builder • Other:
Descri a10
,]fOB STTE'lNE1�Z ; TI.OI�TM i n �f Total
t rid ::I OG" 11' Ol�l ; <; Reatin • Cooiio
Face air conditionin '* 14.00 En
Job site address: (I L. ''
S _... Bld / Gas heat .umn 14.00
_.Apt. #: _ Duct work
P: ojec :Name: H dronic hot waters stem NM 14 :00
1111 C ross : ;treet/T)irections to job site: Residential boiler
_ 14.00
for radiator or h ironic s stem 14.00
Unit heaters (fuel, not electric)
in wall, in - duct, Gus ended, etc. 1111 14.00
Flue/vent for an of above r 10,00
St..b div_ . sion: Lot #: ,
Tax ma / a1•cel #: Other fuel A minces
nces
12.15
1)ES CRI ] ?ION ° :OFR�?RR>t'' " 'a /�' "'' : <' Water h ea t er _
,i , . : ,.:.... 10.00
10,00
Flue vent water heater /; as fire. lace) MI 10.00
- La li-htcr as 10.00
Wood/Pettct stove 10.00
`__~ Wood firc•lacc /inscn
:PRUiiRrpVti'NEJR :; 10.00 —
r ' -: ' Lk%t` 1�11�1.T", iwi '; , ■ 10.00
Name: 1 .e :,--)8,,‘ O ther:
Le, ke4 Environmental Exhaust .4c Ventilation •
Ventilation
a hoodlothe
Address': Range r kitchen equipment 11.11 10.00
C1ty /Sly ,te /Z1 ■ : Clothes dryer exhaust _ to,00
Phone: ,
Fax. Single duct exhaust
® 1;] CANS "utal' " {; „ff0 :0•� (bathrooms, toilet compartments,
Natne : ONrfK ' utili rooms)
Address: 6.80
Other:
' ■ 10.00
Cite /S tar e /Zi • ;
•
*. 5.40 for first 4, 51,00 each additional
Fucl:P1,; r 1 0.00
•
•
Phone: Fax:
E- rr.ail: -` _��
.... -• . 'CON. 'RAC'P.OR -.; !;2 :_r� -. Wall /sus •ended/unit heater 111.181111111 IleSS 1' . : • Name: , �.. ' c v •-f c. 4-' _ �
BUS1
Address: I 0 Fireplace
'City,'Stnt . /Zi ■ : L 1/P.- �aQ , Ran,o _®
Phone . t. Lc • 71Z. , C 1- L :: ��
��• - ?y, t) Fax W l O ther: . er gas
CCE Lie. #: — ` ,� outer:
Author zed f ��,( � Total: __
Signat Ire: L � f i- a.� ^ � t) Mechanical Permt *
Dat Subtotal: S
t ,56 _ - L e) 1 S . Minimum Permit Fee 372_S0
P1ati Review Fee 25% of Permit Fee
(Please print name) State- Stvchar a 33G of Permit Fee
Notice; This permit application expires if a permit is not obtained within a TOTAL PERMIT FEE $ y
180 days after it has been accepted as complete. Fee methodology set b
i' \Dsts\E crmil 1 °rms\MecPermitA *'Site plan required for exterior A/C C gnitc�ng Industry Service Board.
pp.doc 01/03
I BTLO 86S EOS u RziesoadS eOb:TT ED 6Z inC
• •
SITE PLAN
PL
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PL
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Nettiv
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PL
J W
STREET
Specialty Heating & Cooling, Inc
9528 SW g
Tigard Street
Tigard, OR 97223
Phone 503.620.5643 Fax 503.598.0718
Hillsboro Phone 50 3.640.3607 Fax 503.681.0793
x.0793
E'd 8iL0 B6S EOS Zuz•eaH R.zietvadS E0 62 inC
CITY OF TIGARD • 24 -Hour
BUILDING Inspection e03) 63 -4
INSPECTION DIVISION Business L' • 639 - 4171 MST
BUP •
Received Date Requested ` i< AM 'PM BUP
Location l) L i 9 (e �� Nt I°L- Suite 1` 3 - d v Li q
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner . 3 - 6 6 vC, 3
Footing C -S ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: - A SIT
Post & Beam = ' ( ' ! —
Shear Anchors
Ext Sheath/Shear
int Sheath /Shear
Framing
Insulation
Drywall Nailing
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
PA — •". FAIL
Pos eam
Rough -In
Gas Line
Smoke Damper'
PART FAIL
_riT t' AL
-
!e
Rough -In G .
UG /Slab LA , /
Low Voltag: (s pi
Fir larrn
ina Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
SITE Please call for reinspectio• RE: In Unable to inspect — no access
Fire Supply Line
ADA —'—
Approach /Sidewalk. Date Inspector A/4. -- Ext
Other:
Final DO NOT REMOVE this inspection record fro the Jo site.
PASS PART FAIL