Permit ti
CITY TIGARD MECHANICAL PERMIT
4
DEVELOPMENT SERVICES PERMIT #: MEC2003 -00286
r 1 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/30/03
�
PARCEL: 25111 CB -01703
SITE ADDRESS: 10235 SW HOODVIEW DR
SUBDIVISION: HOOD VIEW ZONING: R -3.5
BLOCK: LOT: 2-3 JURISDICTION: TIG
CLASS OF WORK: ALT 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:
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: Installation of exterior A/C unit. Unit cannot be placed within required setbacks.
Owner: FEES
PATRICK CORRIGAN Description Date Amount
10235 SW HOODVIEW DR
TIGARD, OR 97224 [MECH] Permit Fee 5/30/03 $72.50
[TAX] 8% StateTax 5/30/03 $5.80
Phone: 503 - 598 - 4732 Total $78.30
Contractor:
COLUMBIA HEATING + COOLING INC
P.O. BOX 230397
TIGARD, OR 97223 REQUIRED INSPECTIONS
Phone: 503 Mechanical Insp
Final Inspection
Reg #: LIC 76359
•
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 -00
Issued By: Permittee Signature: � _ _ -_ 44 _
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
'V ..
•
.4,
Mechanical Permit Application
Date received: 5 b , Permit no. fle7C r [_ -,i • ! -
4 0•
ECEIVED A,L ..1 � .. City of T>< Project/appl. no.: Expire date: •
City of Tigard Address: 13125 SW Hall Blvd Tigard, OR 97223
Phone: (503) 639 -4171 M A Y 3 0 2003 Date issued: By.: j 1 Receipt no.:
Fax: (503) 598 -1960 CITY OF TIGARD Case file no.: Payment type:
•
Land use approval: RUB flhN(; fIVir,If)N Building permit no.:
` TYPE OF PERMIT •
•
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family ❑ Tenant improvement
❑ New construction gAddition /alteration/replacement ❑ Other:
JOB SITE INFORMATION - COMMERCIAL VALUATION SC HEDULE :
Job address: / /),USS4J 4 AzAbeG, Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: I Suite no.: value of all mechanical materials, equipment, labor, overhead,
Tax map /tax lot/account no.: profit. Value $ .
Lot: IB lock: I Subdivision: "See checklist for important application information and
Project name: jurisdiction's fee schedule for residential permit fee.
City /county: 7%t...4.4, I ZIP: 1 & 2- FAMILY DWELLING PERMIT FEE SCHEDULE
Description and location of work on premises: ZA/5•774 // AND COMMI RICAIJINDUSTRIAL EQUIPMENTSCIIEDIILE
# C Fee(ea.) Total
Est. date of completion/inspection: Description Qty. Res. only Res. only
Tenant improvement or change of use: IIVAC:
Is existing space heated or conditioned? 1:1 Yes ❑ No Air handling unit CFM
space insulated? CI ❑ No Air conditioning (site plan.required)
(
Is existing P Alteration of existing HVAC system
.. MECHANICAL CONTRACTOR Boiler /compressors
Business name: 6 /u 6%� ,„44;,„4„ Gu/iiY G State boiler permit no.:
H tL HP Tons BTU /H
Address: O 0 6 OK .2 3 O 3 7 Fire/smoke dampers /duct smoke detectors
City: 17, e„,, „g? 44 I Stater I ZIP: 9,7 /s,L/ Heat pump (site plan required)
Phone: `atr/_ 27 O y I Fax54g Oz_7c E -mail: InstalUreplace furnace/burner BTU /H
Including ductwork/vent liner ❑ Yes ❑ No
CCB no.: 9` 3 3 9 InstalUreplace /relocate heaters- suspended,
City /metro lic. no.: /a 7 a wall, or floor mounted
Name (please print): /c A a c _ / o IS cZ Vent fora fiance other than furnace
e gerat on:
n DAN Absorption units BTU /H
Name: /`7 AM OA /6 AN OD4 Real Chillers HP
Address: g y Compressors HP
Environmental exhaust and ventilation:
City: I State: I ZIP: Appliance vent
Phone: - ;7 p Fax:$ , , L ,„ E -mail: Dryer exhaust
oimit Hoods, Type 11 II/res. kitchen/hazmat
hood fire suppression system
Name: i I UL CO a.4 N Exhaust fan with single duct (bath fans)
Mailing address: /Q 1 ma ,, , / Exhaust system a.art from heating or AC
City: State: ZIP: 97 Z-y ue p p . g an..1 st . ut on up to 4 outlets)
Type: LPG NG Oil
Phone: — 2- Fax: E -mail: Fuel i ing each additional over 4 outlets
rocess p p g (schematic required)
Name: Number of outlets
Other listed appliance or equipment:
Address: Decorative fireplace
City: I State: ZIP: Insert - type _
Phone: I Fax: I E -mail: Woodstove/pellet stove
Applicant's signature: �y� D ate: Other:
� Z��J Other:
Name (print): 4 D A-ib y / .
Not all jurisdictions accept credit cards, please call jurisdiction for more information Permit fee $
Notice: This permit application
❑ Visa ❑ MasterCard Minimum fee $
Credit card number: / / expires if a permit is not obtained Plan review (at %) $
Expires within 180 days after it has been State surcharge (8 %) .... $
Name of cardholder as shown on credit card accepted as complete.
. $ TOTAL $
Cardholder signature Amount , 440-4617 (6 W/COM)
B C s' ,J .✓ to Tiff €/1e y
4
- Iw
RECEIVED • •
/�
/� �j �J MAY 3 0 2003
edam '/ CITY OF TIGARD
HEATING & COOLING, INC. BUILDING DIVISION
8900 S.W. BURNHAM ROAD, SUITE E110
TIGARD, OR 97223
(503) 624 -2704
■ FAX (503) 598 -0270
I
5
JOB ADDRESS: /41 .4J ooa&vi rDi uae-/
SITE PLAN FOR AC OUTDOOR UNIT LOCATION
CITY OF TIGARD 24 -Hour •
BUILDING Inspection Line: (503) 639 -4175 .
INSPECTION DIVISION Business Line:. (503) 639 - 4171 MST
BUP
Received Date Requested — (a-- AM PM BUP c�/
Location 7 U a 3s ��t" U �-c �P
c3 Suite MEC 3 b b a a
Contact Person f aTYL/ Ph ( ) 6 a y_ 0 - 7O (/ PLM
Contractor Ph ( ) SWR
BUILDING Tenant/0Z. �/ ..1L ..( S : — ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors •
Ext Sheath/Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Fi rewal I
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
aajli
PART FAIL
RICAL
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 •.II for reinspection RE: El Unable to inspect — no access
Fire Supply Line
ADA
Approach /Sidewalk Date Inspector Est
Other:
Final DO NOT REMOVE this inspection ecord from the job site.
PASS PART FAIL