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Permit CITY TIGARD MECHANICAL PERMIT I DEVELOPMENT SERVICES PERMIT #: MEC2003 -00433 hall 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/28/03 PARCEL: 2S 112CB -09900 SITE ADDRESS: 15312 SW KENTON DR SUBDIVISION: ASHFORD OAKS NO. 2 ZONING: R -7 BLOCK: LOT: 113 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: 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: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: • > 10000 cfm: GAS OUTLETS: 1 Remarks: Gas piping to range Owner: FEES SUTTON, SCOT M Description Date Amount 15312 SW KENTON DR TIGARD, OR 97224 [MECH] Permit Fee 7/28/03 $72.50 [TAX] 8% StateTax 7/28/03 $5.80 Phone: Total $78.30 Contractor: GEORGE MORLAN PLUMBING 2222 NW RALEIGH PORTLAND, OR 97210 REQUIRED INSPECTIONS Phone: 503 274 - 4222 Gas Line Insp Reg #: LIC 2734 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: IA/ Permittee Signature: JA ♦ � , j ./ Call (503 639 -4175 by 7:00 P.M. for inspections needed the nex b siness day JUL -27 - 2003 12:56 P.02 i' MechanicalPermtiA�ictia re.' r. r P° tl q q® I I I . `, •' `° 's° Date received: 7/a g I d Permit no.:/nu, Rap -. " i �` ' ` City o f Tigard ,•f I' g '11 ii cl Q ,) ProjecUappL no Expire date: City of Tigard Address: 13125 SW Hall Blvd. Tigar `©R c97223. Date issued: By: Receipt no -: Phone: (503) 639-4171 i V r\ Fax: (503) 598 -1960 (1) (7 � Case bile no.: Payment type: / 0 St.�1-if l o N - Land use approval: Building permit no.: TYPE OF 1'EI(I.1IT ` I & 2 family dwelling or accessory 0 Commercial/industrial i7 Multi- family O Tenant improvement 0 New construction :■ Addition/alteration/replacement 0 Other: JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE Job address: iiltir� [ loA. � 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.: prof t. Value $ Lot: Block: I Subdivision: *See checklist for important application information and Project name; ,,[ - LL jurisdiction's fee schedule for residential permit fee. Cityicounty: /r s r ZIP: " f -1'' &44 i HY`l)WI I .1:ING's PEltil71;FI E'Scii EDUIX ' Des ription and ocation of work on pemises: G (IS pi pi /'1 Cj AND CONINW1tI AI ANU IjS'IRI. \I.1 :QUIPN1ENTSCl1EDULE so CQ Q e . J —' Fee(ea.) Total Est- date of comple ion/inspection: Description Res, only Res. only Tenant improvement or change of use: HVAC: • Air handling unit _ CFM Is existing space heated or conditioned? GJ Yes 0 No Air conditioning (site plan required) ls existing space insulated? 0 Yes 0 No Alteration of existing HVAC system _ 1 ll•_('l1ANit CONTRACTOR • oiler compressors I State boiler permit n°.: Tons m" ��� HP Tons BTU/H Address: . irt "; < Firelsmoke /duct smoke detectors . Ill City: 1 r rr I IMIIMEEM ' " . al Heat pump (site plan required) 121 1 1�� Fax:,,. , 5..0 3 ! E -mail: l nstal Ureplacn furn,ce/burner_ BTU /H Including ductwork/vent liner O Yes O No CCB no ._ 73 Instal Vreplaee/rclocate heat s- suspended, - City /metro lic. no.: / ' ep / wall, or floor mounted Name (please print): - o.r'- a AMVCIIIIIIIIIII Vcnttora Hance other than urnace CONTACT PERSON Re l gera' on; . • Absorption units _ _, _ BTU/H Name: Chillers - �_,_�, ,�, - . HP _ Address: Compressors, HP City: - State: Imo, nvironrnental exhaust and ventilation: Y• J Appliance vent Phone: Fax: E -mail: Dryer exhaust OWNER it `o • . s, 'ype Tres. ratchcn/hazmat III hood fire suppression system Name: e • , Exhaust fan with single duct (bath fans) Mailing address; 5 _31._ • liras , Exhaust system a •art from heatin: or AC , ri ,---- 4 ue p p ng an , . t - . t on up to • out cts - City: /9 r -,-/ state ZIP: �' . j ' Type' _LPC _ NG Oil •4/ o Phone. J Fax: E -mail: • NLej .1 l ing each additional over 4 outlets F.NCINEER 'roccssp pug sc ematicrequired) Il= . Number of outlets Name: _. Other listed appliance or equipment: Address: Decorative fireplace City: State: ZIP: : o • .stow Pe ct stove in rr Phone g i'r� Other: ME Applicant's si nature: i/ �_ � i . Date: , t en "-- ---"*" _ Name (print): 1102 • • . Nat en i,viadicdoua accept coedit cases, please call jcairdictiaa for attic lnfonnuii n Permit fee ' - ' $ Cl Visa Cl MasterCard . . .. N ot i ce: ' thi perm applica Minimum f — '7� SO Credit number expires if a permit is not- obtained— plan ( at • , % $ . -- - - - -- pl within 180 days after it has been . . State surcharge (8%) ..: 5 Nam of cardholder ae ehowo on =Wit Clint . • ,: !'.:• - _ • accepted as complete. TOTAL _ Caaa,otaer Osamu e • ... . • • . • ._: wmo ®t 414x61 ( ;.a ' ' ' • 7 him 'O M) TOTAL P.02 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 • INSPECTION DIVISION Business,' ine: (503) 639 -4171 ©,� MST BUP Received Date Requeste ^ ' 13 AM PM BUP Location /3 7 * I 4 I L Suite MEC f- 440 1 / .3 3 Contact Person 71 Ph ( ) PLM Contractor _ G91� Ph ( � - 7 4 / / 14/17/ SWR BUILDING Tenant/Owner ce7 %a• ELC Footing Foundation ELC g Access: Ft Drain 17, A 5 �,� '- V 7,--(4T/1 ,o Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear q. n G 5 ( e Framin g l� 7 Insulation • Drywall Nailing Firewall Fire Sprinkler Fire Alarm / Susp'd Ceiling 1 6 `/ Roof \ I / Oth• F I i TT a o iriat. ART FAIL cost & Beam Under Slab Rough In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL ,/ Post & Beam Rou h � as` me K Smo a Dampers �5 �; PART FAIL 4 1 1 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: ❑ Unable to inspect — no access Fire Supply Line — — ADA ) $/o Approach /Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL