Permit 44' MECHANICAL PERMIT
CITY OF TIGARD DE VELOPMENT SERVICES PERMIT #: MEC2003 - 00700
L. DATE ISSUED: 12/9/03
Alt 1 3125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1 S134AB -00400
SITE ADDRESS: 11306 SW IRONWOOD LP
SUBDIVISION: ENGLEWOOD ZONING: R - 4.5
BLOCK: LOT: 003 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: DOMES. INCIN:
LPG 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: 1
> 10000 cfm: GAS OUTLETS: 1
Remarks: Replace elec. range with gas range, piping and outlet.
Owner: FEES
SAWATZKI, LINDA Description Date Amount
11306 SW IRONWOOD LP.
TIGARD, OR 97223 [MECH] Permit Fee 12/9/03 $72.50
[TAX] 8% State 12/9/03 $5.80
Phone: 503 -598 -3358 Total $78.30
Contractor:
G P & W SYSTEMS INC
732 MARBLE RD
WASHOUGAL, WA 98671 -9601 REQUIRED INSPECTIONS
Phone: 360 Gas Line Insp
Mechanical lnsp
Reg #: LIC 108176 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 -0100. You may obtain copies of these rules or direct questions to OUNC by calling
(503)246 -6699
Issued By: 4 ', ,/, Permittee Signature: IA. ,,. �/ / ` �� AN;
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
12/08/03 14 ION 09:29 FAX 3608355716 Kent & L Ynne Kettering 0 001
P ,
•
/\ . - Mechanical Permit Application
ation • if b l u{ . .Datcreccived:1 , A Pe rmi t no -.
, fy. Ci a Txga'rd . ' Mc. o3: oe
• P ilo, Expire date
•
Ciryrif . Address: 13125 SW Hall :81vd;.Tig d , ( OR 9 • •g .'Re too
Phone: (503) 639- 41'71.. ti p L 2 UIT • Date issued:. _ y �j� P.
Fax: (503.) 5481960. CITY OF TIGARD ' ; C ase file no Payment type: ' ' •
Land! use approv BUILDING DIVIgi; jji\i Buiiding;pertiti
TYPE OF PERMIT • • ❑ 1 & 2' family dwelling or accessory. ❑ c9 riiercaalliitdustrial, nst :Multi= family • . ❑ Tenant'impr*o • '
❑'New coruction • ' •
• ,.. , ....: : • . ' ' • C l Q , . re'pla mCnt ' 0•:�thee
JOB SITE-INFORMATION �on/alcerara[iJ ce • •
COMMERCIAL VALUATION SCHEDULE
Job address: 7/ 3,6 6 .5'cu , extacCi 6 :Indicate equipment quantities i:n boxes below: Indicate the dollar '
Bldg. •no.: • • ..I' Suite no :: ' . 1i,aluc of all mechanical materials, equipment, labor, overhead.
Tax map /tax lot/account no,: . profit, Valnc S .
' Lot: IBlock: • Subdivision • . • ' ' *See checklist forimportant application information' and
Project ttarne: •'. , :jurisdiction's, fee. schedule for residential permit;.fee.. , •
City /county: e ZIP: ■2' • ' ! I • 2 FAMILY 'DWELLING PERMIT FEE SCHEDULE
Description and location of work on premises: `e , .. I AND COMMLEHICAId1NDUSTRIAL EQUIPMENI'SCILEDULE '
e&.L.i rs • - 02.,e3 z 11 - . .
• •• ' Eee(ea)' • Total
Est, date .f •completio nspection: • /.. / .Desciription • .. Qty. b:km Res. only .
Tenant.improvement or change of use :. • .. .
:Airhandlingunit. CFM
Is existing 'space heated. or coiiditioned, O'Yes O':No A conditioning (site plan rcquired)
Is °extsttng space us ulatcd ?• • 0';1'es : . C] , No
o ....•
.,. Alteration of existing .HVAC system
MECHANICAL CONTRACI Boiler /compressors
•
Business name:. / ' State boiler peiinit tlo.
r� .(, s:'!_e1Y�S 1. NG� Id? Tons BTU /ht
Address: 7- 3 : 2 . I ,.1p lkire/ smokedampers/duct smoke detectors
City;i13 AS I40:t 4 A-L. SkakeLLI#'.I ZIP: 4 4 -1 Heat parry (siteplau.rcgbired).
•
Phone:36(j R - 3 ll CIS :as - "T
?tiitg , .rnstatU rn
rcptace•fuaceiburner • BTU /H
SS �� . Including.ductwork/vetit liner .0 Yes C1'No
CCIB,i'io.:' 1' 6.11-17.65 1 lU
nsta re ac: relocate h
eaters - suspended, •.' City /metro,tic_ no.;. • 45 • .wall',or floor mountcd • •
Name (ple pririta:, .. , .., ,. . r• .. . . Yent.for app lance other than furnace .
CONTACT PERSON Refrigeration: :
Absorption units BT•U/H
Natne: ,�j, {CC �• NlU_�i Chillers ' • . • • HP
'�'�" Y 3� - g3
Address: . .Corsipressors• • • •_ •HP
- • 1 exhaust and ventilation:
• City:,. • . 1•Statc; .1:ZIP:
Phone:' ,:. , .: F B-ml :> .. t •
Appliance vent
..
J]ryereicliaust
.Floods, Type l.1/res. kitchen/haztnat
.. • ,. • . hvod fire suppressioti'sysrein :
' N �l • n � LJQ / ;: ... pxh with single duct (bath fans) .
Mailing address: //3 j , .21..J , /j a w -c! 4:, lsxhaustsyst artfrom,heating
Fuel p plug an istnbutio to out ets)
City: , ._ —A + Stat L ;, ZIP; ?...2.3 /
• • Phone: , . 'Type:. LPG Oil .
Fax: ''E- mail ;. : .- . • ar • ingeachaddition utlets
ENGINEER •• • Yrocesspiping (schematicrequired)
Na •
. •t umbcrofoutlets• ' •
Other : edppp fance•oregtiipment:
Address: , ; : Deeoiativefireplace. ' . ' •
City= . State :. :.ZIP :. . . . . insert — type . •
Phone: E_mall:L. • .. : . ' ..Woodstove/pcll-Ctstove
Applicants signer �',.. - .'1. .Date• ' / ' , Ot9cr� en .
Name•(print): LL ,v' ' .rT i
�:pirei f. a pe{
`Nor 1,11 JurlgdictiOna accept credit cards, please con jurisdiction for rno informatien.' • • Pt rmit fee -
Livisa ❑ meme Csird , • • ' Notice.. >per a ppl i c a tion inimum f 7 .5 $ R.-
c
,L'mdir care numOct � , • t: •[ • • mit is not aht Plan. review (at %) $
.Lavtrcs .. within' 180 days,nfttr'it been • State su •
(8 %) .... S.. . •sJ : Al
Name of.cerdboldtr nss own.on cr'eau.csru ' accepted :as cm lete
S. • •:. oP . 'TOTAL s. 7
• Cardbold¢c.eignat uro Amount . . . •
. . 940 -4617 (6r0(1/COM)'
1.
CITY OF TIGARD 24 -Hour
BUILDING Inspecti • e: (503) 639 -4175 MST
INSPECTION DIVISION Busine s i . (503) 639 -4171
BUP
Received Date Re uest /,; - /7 AM v PM BUP
Location / 1 66 �• -�'f u- Suite MEC — w 7 0 0
Contact Person e„e/Y /Gl ace Ph ( ) 590 -- 335 — PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation
Access:
Ftg Drain
Crawl Drain
Slab Inspection No SIT
Post & Beam -! d
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 1111.11h.
Rough -In 7
Water Service
Sanitary Sewer ,
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
P�E
ECHANICA --}'_
Post eam
•
Rough -In
Gas Line
Smoke Dampers
� PART FAIL
CTRICAL
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 0 Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line 411.1. ADA • Approach /Sidewalk Date I L_.._ I ` 0:13._ Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
. PASS PART FAIL