Permit ' CITY OF T I GA MECHANICAL PERMIT
� I �l DEVELOPMENT SERVICES PERMIT #: MEC2002 -00543
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/3/02
PARCEL: 1S134AC-01600
SITE ADDRESS: 11399 SW IRONWOOD LP
SUBDIVISION: ENGLEWOOD ZONING: R -4.5
BLOCK: LOT: 044 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:
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 of exterior AC unit. Cannot be placed in the required setbacks.
Owner: FEES
NELSON, ROBERT 0 SUSAN S Description Date Amount
11399 SW IRONWOOD LOOP
TIGARD, OR 97223 [MECH] Permit Fee 12/3/02 $72.50
[TAX] 8% StateTax 12/3/02 $5.80
Phone: 503 - 590 - 9500 Total $78.30
Contractor:
SPECIALTY HEATING & COOLING
9528 SW TIGARD ST
TIGARD, OR 97223 REQUIRED INSPECTIONS
Phone: Cooling Unt Insp
hone: 620 5643
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. 7 r
Issued By: jr ,t/��GlG;f Permittee Signature: ( fl) L a QJ,(
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
. ‘ .
• A'', Mechanical ';; ) , i
e � O � 200 m : �.� j �;� Permi no.:���.� ; ��� �(�j "
zi"°`f City of Tigard DEC no.: Expire date: City of Tigard Address: 13125 SW Hall Blv k SIG K Phone: (503) 6394171���g Y ' ' `" By� I Receipt no.: Fax: (503) 598 -1960 BUILDING DIVISION
Land use approval: : Payment type: mit n o.:
. TYPE OF PERMIT
X1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 Tenant improvement
0 New construction [ 3 Addition/alteration/replacement 0 Other.
JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE
. Job address: // 319 sc. beerw /6m d Ge Q Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: ] Suite no.: value of all mechanical materials, equipment, labor, overhead,
Tax map /tax lot/account no.: profit_ Value $ •
Lot: JBlock: I Subdivision: *See checklist for important application information and
Project name: 4,40, lamer -vv jurisdiction's fee schedule for residential permit fee.
City /county: ricfagf I ZIP: 97..2_ .2--3 I S 2 FAMILY DWELLING PERMIT FEE SCHEDULE
Description and location of work on premises: / lf -r AND COMMERICAL/INDUSTRIAL EQUIPMENTSCIIEDULE
CL OR K. Fee(ea.) Total
Est. date of completion/inspection: Description Qty. Res. only Res. only
•
Tenant improvement or change of use: HYAC:
Is existing space heated or conditioned? Cl Yes 0 No Air handling unit CFM •
Air conditioning (site plan required)
Is existing space insulated? 0 Yes 0 No - Alteration of existing HVAC system
MECHANICAL CONTRACTOR Boiler /compressors
Business ram S y�- j, Ii ¢ • - State boiler p ermit no
9 HP Tons BTU/14 4 c . 71- a l : S T / P t BTU/
Fire/smoke dampers/duct smoke detectors
City: TS'u/) el I State: tO £j ZIP: q 7,, 9.. .3 Heat pump (site plan required)
Phone�lo36,846 Fax 5 07 /g'E - mail: nstall/rep acefurnace/bumer B /II
CCB no.: 44_5 7 8 -. Including ductwork /vent liner 0 Yes 0 No
install/replace/relocate heaters -suspended,
City /metro lie. no.: /4,, y6 wall, or floor mounted
Name (please print): " ! rn14.- #14-11f el .S Vent for appliance other than furnace
CONTACT PERSON Refrigeration:
Absorption units 8TU /H _
Name: /4-1 Lee N n 7 e to.. Chillers HP
Address:. 9'.$ r S f C)' / l QT S T Un o ninental exhaust and ventilation:
City: 7 d I Stak:G. ZIP: ci 7,44-3 Appliance vent
Phone• 3 Goo -5( ' Fax:59( - Cfl$' E -mail: Dryer exhaust
OWNER Hoods, Type 1/ 11/res. kitchen/hazmat
hood fire suppression system
Name: �4* d r f - Ai--e l:50 Exhaust fan with single duet (bath fans) .
Mailing address: //3 qq 660 /Ra naloOc/ tody0 Exhaust system apart from heating or AC
City: / / i arc/ I State: D2�. ZIP: q1 . Fuel piping and distribution (up to 4,autlets)
T ype: LPG NG Oil
Phonez$ D — y`$1D Fax: 'E Fuel piping each additional over 4 outlets ,
ENGINEER Process piping (schematic required)
Name: Number of outlets
Address: , Other listed appliance or equipment: ,
Decorative fireplace
City: I State: I ZIP: Insert -type
Phone: J ax: 1 E -mail: Woodstove/pelletstove
■
Applicant's sign re: Date: Other.
b�f>� ,���� �� �. ; Other:
Name (print): 24 et W r 1V/C/
$
No/41 jurisdictions accept ciedit'cxda, please call jurisdiction for ;more information. Permit fee
1+�Visa 0 MasterCa ..„; r Notice: This permit applicati Minimum fee S
Ctedit card number. ' 11..."2W expires if a permit is not obtained
� ' 4 4 U6 0.5 6N /0 Plan review (at _ %) S
.. : , Expires within 180 days after it has been
t4 a of can '' a an car accepted as complete. Slate surcharge (8%) .... $
'
ail eit i , '��, hA l $ • p TOTAL $ ,'"--) q 210
Cardholder signature Amount
440 -1617 (6N0/COM)
2,2:d 096186S20S:01 26L0T89EOS 301dd0 OJO8ST 1IH :W02id dt72 :TT 8661- t7 -NUf
JAN-4-1998 5A FROM:HILLSBORO OFFICE 503E810793
JIIII T0:5035981960
P:1/1
SITE PLAN
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STREET
• .
•
Specialty Heating Sz 'Cooling, Inc
• 9528 SW Tigard Street
• .
Tigard OR 97223
I:,
Phone 501620.5643 Fax503.598.0718
Hillsboro Phone 503.640.3607 Fax 503.681.0793
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIV!SIO 1 Business Line: '‘ (503) 639 -4171 MST
•
II • • BUP
Received Date Reques ed /a- — i AM PM BUP
Location � J • iare ' Suite MEC p 60, -CT 3
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
BUILDING TenantI r b k ELC.
Footing —
ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors � ' z / "" T S r/ xe..10d12
Ext Sheath /Shear
Int Sheath /Shear a . C v .v LA C- sv _-
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 /y
PA T FAIL
HANICA
Pos Beam
Rough -In
Gas Line
•. • ke PA T FAI• itio FAIL -
EL - CAL
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 L Please call for reinspection RE: El Unable to inspect — no access
Fire Supply Line
ADA /i / / r
Approach /Sidewalk Date / Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL