Permit CITY TIGARD MECHANICAL PERMIT
I DEVELOPMENT SERVICES PERMIT #: MEC2002 - 00050
�a1,L �:> 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/5/02
PARCEL: 1S135DA-01400
SITE ADDRESS: 11515 SW HALL BLVD
SUBDIVISION: ZONING: C -
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R1 VENTS W/O APPL: VENT SYSTEMS:
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: 1 AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
<= 10000 cfm:
FURN > =100K BTU: GAS OUTLETS: 1
> 10000 cfm:
Remarks: Replace existing oil furnace with new gas furnace and gas piping.
Owner: FEES
BRAHMA PREMANANDA ASHRAM Type By Date Amount Receipt
11515 SW HALL BLVD PRMT CTR 2/4/02 $72.50 2720020000
TIGARD, OR 97223 5PCT CTR 2/4/02 $5.80 2720020000
Total $78.30
Phone:
Contractor:
PREMIER HEATING + AIR COND
PO BOX 86295
PORTLAND, OR 97286 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 233 -6566 Heating Unt Insp
Reg #: LIC 96473 Final Inspection
•
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 obtai copies of these rules or direct questions to OUNC by calling (503)246 -9189.
Issue By: , -' �� . �/i �� /� / Permittee Signature: a
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
•
•
Feb 01 02 12:54p PREMIER HEATING 503) - 4998 p.2
JvJOf19 /ZH
City of Tigard
0
ec ca] PTI6 i f .'s . t } i t . i r t n -'
- - . 4..- DIVISION
.41.1 ' • ii.. City of Tigard
Date rreceived: 0 9 Permit n.: M o gx4,0oa -ocb5o
c wy n /Tigard Address: 13125 SW Nall Bav . E ok 211 Projecuappl.no.:
Phone: (503) 539 -4171 Date issued:
Fax: (503) 598-196o �� '
: �+ Dg Case file no.:
Land Use approva_ ++ �v�x�s�Y Payment type
Building permit no.:
1 1 l'E OF 1'f HMI 1
0 Co
O I & 2 family dwelling or accessory O New family titxt Commercial/industrial 0 Multi-famil
Add ition/alteratiodmplaccment 0 O t h er: Y 0 Tenant improvement
JOil SI I L INFORMATION
lob address: COMER( IM. VALUATION SCIIL)I:'I.F
Bldg. dr e I L ! / •/�i� Indicate equipment
Suite no.: value of all mechanical rrta equipment. 1 labor, e avc l rhead( iar
Tax map/tax lot/account no.:
profit Value $
Lot: Block:
Subdivision:
Project r 'See checklist for important application information and
City /c t n am /'�� jurisdiction's fce schedule for residential permit fee.
City psion and , . , of 1 . 2 F,%111L] DWELLING PERMIT TEE SCHEDULE
g I work •n remises: ANT) C() t111t Rlt' Slll�`U[:57111:1I. L4►[:IP tIF17'.5C111(�L7.E
Est, date of completion/ins t1
pection: 2.— 5 ` • IFe onl
Tenant amptovemt or of use: SOD Rea only
Cn change
•
Is existing space heated or conditioned? 0 Yes 0 No HVA : .�-
Airhandli : unit C
Is existing space insulated? O Yes ❑ No a
Alteration of eitisungII VAC system III
�1l (Fi:l:tili'aL F'01TRAt "l OR
Busine Ii Boiler/compressors
R. ill e { gym` Slate boi]erpermitno.: �
Address: i �� [mama Hp
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� Brut
�I ■r / p ��., , =irersmokc mpersltittcts eetcc rM nill
i)... nay
"�: InsW r tier.' a . '13;0T[711°1311-1
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Inciudln: oeatliner ". es�N., lei
CCB no.: 4116X110011111111111111111111111111111111.1. I, City /Met m lie no.: iir #V , w o lr ocat
mountet • ters -susp I -
Name �� � wall. or floor mounted
�P tint : A ifi! i .tr Vent or :,.Iiafccothctthen(urnace •
CONTACT PERSON Name: Absorption units
BTIJ/H 1111
e" _ HP
Address: � Co ". _ ors HP r __
ate ZIP:
—
"' E-mail: _
- Dryer _ scut III
OWNER H... ype tes. lche.dh
Name: \ i ` hood fu c supperssion system
alma(
� an with single duct (bath fans) � �=
I N � . , v INB (Ub . Exhausts stem • . art ... ' • . er AC
•
g �i:1.:ZA� fir/ Z2 ' P , .: rrr"'`*;�* ' up to 4 outlets) n �
- a te 1i1G9Y. Fix: -- E-mail,--. Ti' : LPG NG Oil
uel plDmS .nalavcr ou etc _
f;V(;11LLIT prig {schcmtcaorequited) Lill
Numer of ol
Address:
b
AMINIIIIIMIMIENEMIEMEMEMIE r tr. •ut
• aets . ,. : coregmpuaeW: 1 ��
Decora[lvc fircptace
State: ZIP: occur -t pe Mli
MN
Phone: E -mail: WoodStovet . neve
Appli : Date; a
'�'�(pnnt):. omits: rte
� °��;+a+.dJ.,tee rn mid'. o
eN Ps'.' oui.ai.6cdon f" ."'"v i ar� , ; a ; Permit fee $ WW1) : " aca °M as Notice: This permit application
a ° Y — l 32 22X /i 0 % o7- expires if a permit is not obtained Minimum fee S 72, �J
K 'au
t . ■ \ Z � • (p w i 80 d ays titter it has born Pl a n t[ :vi t y. -at _ �) S
Q
s �j], , accepted as complete. State surcharge (896). $
UJ TOTAL l $
CPa4tre Mtaat
4404617 t6ADC01.t)
0 `
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION, Business Line: (503) 639 -4171 MST
'BUP
Received Date Requested AM PM BUP
Location t I s 1 S -_Q-Q 61u-4 Suite MEC - )C.)-. 6 0 O Sly
Contact Person Ph ( ) PLM
w
Contractor PJl Ph ( ) -3 3 (-5 SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: 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
FAIL
IeAL
`Post & Beam
Rough -In •
Gas Line
Smoke Dampers
PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
•
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line / 2-- ADA
Approach /Sidewalk Date Z / L� Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL