Permit CITY T ARD MECHANICAL PERMIT
'`I DEVELOPMENT SERVICES PERMIT #: MEC2004 -00124
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/18/04
PARCEL: 2S1 14AB -14600
SITE ADDRESS: 09370 SW JULIA PL
SUBDIVISION: KNEELAND ESTATES NO.2 ZONING: R -4.5
BLOCK: LOT: 101 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: DOMES. INCIN:
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:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Replace furnace with like kind.
Owner: FEES
HVAL, LEO Description Date Amount
12155 SW GRANT
TIGARD, OR 97223 [MECH] Permit Fee 3/18/04 $72.50
[TAX] 8% State Surchar€ 3/18/04 $5.80
Phone: Total $78.30
Contractor:
SKY HEATING + AIR CONDITIONING
1637 SE NEHALEM
PORTLAND, OR 97202 REQUIRED INSPECTIONS
Phone: Heating Unt Insp
hone: 235 9083
Final Inspection
Reg #: LIC 50244
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility N. •.n Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR
952 '.01 -0100. may obtain copies of these rules or direct questions to OUNC by calling
(51 )246 -6699.
I cA
Iss -d By: , � % �j, u Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
Mare 16 0.5,- 04: 23p p. 2
IV , . li
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,
Mechanical Permit Application G X00 ��
FOR AFFIL F.. 1'SF. ONLY
City of Tigard rw 11�R �.:7�iZ ,'!L/!, Mtcltanlcal
•
fY ga GV . G DWI ,s‘1.--
Planting .c.. , ���r` ./� Bu ildii xo.: ;, --40, 13125 sw Hall Blvd. g� � '. N Wawa : �, % g
Pemtit No.:
Tigard, Oregon 97223 Plan Review Other
Phone; 503 - 639 -4171 Fax; 503 - 598 -1960 Pon Pa U :
Internet: www.Ci. Land Vac
O$ard Cr.ttS r �' t " ��J t - Case No.:
24 -holu Inspection Request 503-639-4175 4` ti i "' -` S+ see Page 2 for
N amcJMetliod: s Su • • nRCata1 Information.
i :...1L..3JV . ?ri € ..':'.C " •`:':.F:` fir,
.
❑New construction : -� • "�.�'���as I`i: , ? � . --�,
Danolition e::tf ,t a o k ; i r_�
• • _A Addition/attefationh laeement • Other. performed. permit fcce• arc based as the total value -d the work
. ,:: t; d •. Performed. Indicate the value (rounded to the nearest- dollar) of all
1 & 2 -FA kfQefitiSRU�"3,�talI •: Yi....:; ...... •" : mechanical malaials, cquipnxnt, labor, overhead and profi
roily dwelling [] Commercial/Industrial value: s
See Page 2 for Fee Scdednte
Accessory Building ❑ Multi - Famil - - ..:- tl c„, 11"77':77
Et Master Builder Li ` a e
;�,,,•,:• .:. 5>[� Other:
. Da' • loon
. ..,r;:i , . , • .., , .. :. ! ► Fee ea. Toad
Yob site address: q-570 SW Jl l t i Fl ?I Furnace - ado on air wnditioni.: • �� 14.00
Suite #: Clue h ta
e at • n. 14.00
,r B1dRJApt. #: Duct work 14.00
Project Name: ^ H • . nie hot water sultan _
Residential boiler
14.00
CroSS streel/IZirections to job site:
for radiator or b. dronic • • m1 . 14.00
Unit heaters (fuel, nor electric)
in wall, in -duct, su •ended, etc. 1111 14.00
Flue/vent for an of above 10.00
Subdivision: I Lot #: Re• units _
Tax cnar/parcel #: tz_as
Ober otw• see:.
.,., ... .. : i.;; "' .: a1; Water beaus 10.00
re • lace 10.00
Flue vent (water rxxer //ac fireplace) 10.00 III
POph(1)Q 7 1 P [.o: h :titer :as 10.00
Wood/Pellet stove 10.00
Wood . .lace/insert
Chirrme /liner /flue/vent 10.00
/
' • tl tl!)N±I,Isit 1 fo( :.:e: ; , ..: : Other_ 0.00 . • 10.00
Name /�
•. ental Esker.* Si= Veatilition.
Address: 3 7th -5? < ,\U Ira_ '--P1- Range hood/other kitchen equipment 10.00
City /StatelZ.ip�•� o 4 ( _ 9 7 q Clothes dryer xhaususc 10.00
!►x .5395 Fax: `� single duce exhaust
Phone. ' :
�; ,::.:: ,: (bathrooms, toilet compartments,
y . ; : i _:,. :y ..__ r =!N e ii ' P meats
t' i i :. • Qh utth rooms 6,80
Name: /- 10.00
Address: <,r---&-- - rte Attic/crawl s.acc fans /r,u4) Other:
City /State/Zi , 10.00
Phone: -• s.40 for fins st.00 e:.e additi,■ual
Fax: Furnace etc. ..
-mall: ,.
Gas heat • u •. _
ii ! WatVsu • nded/unit heater 11111111 ..
Business Name: : i ;: water heater
�ir! : ,1 Fire.lacc .
Address /7a, A. .4 ai 5 Ran :e - ..
City/State /Zip. %� t ,)n . 9-72,62__ Blot+ .„
Phone :r. - � O . r : =s _ ..
Fax: - Ct(� other: " MI
CCB Lic. #: � " h74
Au thorized Total:
_: IKiihielcatP. enta Fees!' . : . ' . : -. • -
Signarur4: D ato • • L SUbtotat: s
. �r�( — Minimum Permit Fee $72.50 S ' •.�
tom Plan Review Fee 25% of Permit Fee 5
(Please print RA7nc) State Surchar (8% se (s i of Permit Fee s
Notice: This permit application expires permit is not obralncd within TOTAL PERMIT FEE S 40 - ■
180 days after It kat been accepted as completes 'Pee methodology set by Trl Cwnty 1
i aR tadustry Serrlee Board. .
lDsulPcrmit Fornu�Niet? ltgpy.da 01/03
**Site plan required fur exterior A/C salt!.
CITY OF TIGARD 24 -Hour 4
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Bess Line: (503) 639 -4171 MST
BUP
Received Date Requested /l' AM PM BUP
9.376 Location f 1- Suite eE V' 00 /-
Contact Person - J Ph ( ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain - -
Slab • Inspection Notes: • SIT
Post & Beam A,
Shear Anchors
E xt Sheath/Shear /11•11■11iNIII/L41111•■■•■■■
Int Sheath/Shear
Framing
Insulation 5'9 id G`i
Drywall Nailing 9
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
PASS PART FAIL
MECHANICAL
Post & Beam"-
Rough-In
Line
Gas Line
Smoke Dampers
P •T 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 call for reinspection RE: El Unable to inspect — no access
Fire Supply Line
ADA
Date Inspector -- U _ Ext
Approach/Sidewalk p ector '
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL