Permit CITY TIGARD MECHANICAL PERMIT
'. + I " ,. DEVELOPMENT SERVICES PERMIT #: MEC2004 -00338
`- 11 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/3/2004
PARCEL: 2S111 CB -03200
SITE ADDRESS: 10135 SW LADY MARION DR
SUBDIVISION: MARION ESTATES ZONING: R -3.5
BLOCK: LOT: 005 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: 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:
Remarks: Install AC Unit
Owner: FEES
MCGREGOR, MARK D + LYNDIA J Description Date Amount
10135 SW LADY MARION DR [MECH] Permit Fee 6/3/2004 $72.50
TIGARD, OR 97223 [TAX] 8% State Surchaq 6/3/2004 $5.80
Phone: Total $78.30
Contractor:
SKY HEATING + AIR CONDITIONING
1637 SE NEHALEM
PORTLAND, OR 97202 REQUIRED INSPECTIONS
Mechanical Insp
Phone: 235
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 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: ` ' `% Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
Jun 01 04 05:53p Sky Heating S. A/C 5032350454 p. 2
OFFICE = _____ l Pe lie n
ro
City of Tigard FOR P t se opt 1
I3125 SW Hall Blvd., Ti 1 l` Received
Phone: 503.639.4171 OR -97'213 T�GA
Fax: . 03 C,II 1 1c O Rt � y
Permit o' t
Inspection Line: 503 .639.417: 1 f !`f�, �`(� D ,v . t`� PlenReview y Q ® 0 0 3 2 (
Internet: Lin i 503. d 9 41 B s t ,LD 11V "^ � x 'ILL. I)el Ready/By:
Other Permit:
1
V Notified/Method: See Page 2 for
. . .• TYPE OF WORT{ ® SOPP[emcntat Information
❑ New construction ii y ..'tion/altetatiott/replacement
Mechanical are based on the value of the work
COM)I'' SCHEDULE USE
❑ Demolition Other:
KT.IS7 •
Permi fees*
performed Indicate the value (rounded to the nearest dollar) of all
C4TEGURY:OP C'ON
• �t l and 2 - STRUCI70N _ ENTImec hanical mate e.u labor, overhead, and 'rant
ply d welling ❑ Co mmerciayindttstzial -
V Multi - family 0 building
For special information EQUIPMENT f S
❑ Master builder SYSTEMS STEMS FEES*
JOB Other:
o nnetion use checklist.
Sri INFORMATION AND l
Job site address: LOCATION De�+ip
�'
H. ; �� Total
City/State/ZIP: e adre v J Ai tting p Mill -
� ---, �Z� j� / Air coaditio site .left shor o heat .laceump meat III
Suite/bldg./apt. no.: t Furnace 100,000 BTU 14.00
Project name:
Gas heat .0 (ducts/vents) r 14.00 Milli
Cross street/directions to job Furnace 100,000+ BTU (ducts/vents 11111111 lob site :
rn, 17.90
Duct work 14.00 _
H dronic hot = 14.
waters stem
Residential boiler 14.00
h dronic (radiator or
Unit heaters (fuel-type, 1111 14.00
t
Subdivision: of above Yp not electric), MI
Lot no.: in in -duct, sus, ended, etc.
Tax ma / Flu vent for an f 10.00
map /parcel no.:
M. Other: 10,00
DESCRIPTION OF WORK Other fuel a ■ . lianres 10.00 _
_ ! O E vhear or g _ fire .lace
Io:li_ er : , s
EMI Wood/.ellet 10.00 _
S tove ME ;!.4 PROPERTY O�rg Wood ltre.lace/insert 10.00
Name: ❑ TENANT Chiron. /liner/flue /vent 10.00 10,00 Mill
�i'!1r. .41! � `�+ Other
address: _ 10.00 —
EnWironntental exhaust and ventilation
= fry /State/ZI!': Clothes • Range hood/other kitchen
• i•mcnt _ ___
'hone: ( ) er exhaust 10.00
Single -duct exhaust (bathrooms, 10.00 IIIIIIII
❑ APP LICANT ❑ toilet c. .at•tments, utility rooms -
usiness name: T PERSON AC 6.80
Other: = 1 0.00 _
=act name: MIN
Fuel .1.1n • • 10.00
IMISIMINIMMIll im a lliMil imm 1111.1
S5,40 for first four, 57.00 for additional
:y/State/ZIP:
one: ( )
WalUsus.ended/urtit heater ___
pail; __— MIIII
NTRACTOR B an: a _�
Mess name: N. � � _
r � Barbecue __ is., 001117,211 __
�� Fax Dj) r � r —_ Subtotal —
lie.: ' —
Q !1 J / �� G� Minimum permit fee ($72 :50)
O_ ` � Plan review (25% of permit fee)
sized �. State surcharge (8% of permit fee) —
signature: TOTAL PERMIT FEE -
This permit application expires ira permit is not obtained within IRO
days after it has been accepted as complete.
CITY OF TIGARD 24 -Hour
- ? UILDING t Inspectio e: (503) 639 -4175 MST
INSPECTION DIVISION Busine ine: (503) 639 -4171
BUP •
Received Date Requested lD AM PM BUP p�
Location l 6 ! 3,� , " � m Suite MEC ROB 4 - 04330
Contact Person J i I Ph ( ) e7735 l 0 83 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Access: coo M v Cbee K. j WA-S4.6
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes SIT
Post & Beam //
Shear Anchors /4
Ext Sheath/Shear �� '� !' -�'_ /
Int Sheath /Shear
Framing •
Insulation j ( i°i' -`j=�-
Drywall Nailing ,/ • -c10.1.1
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
Gas Line
Sm.. Dampers
'ART FAIL
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 ❑ Please call for reinspection RE: 4 ❑ Unable to inspect — no access
Fire Supply Line
ADA 6.2 ` D � /
- -� Ext
Approach /Sidewalk Date Inspector
Other:
Final DO NOT REMOVE this inspection record fro the Job site.
PASS PART FAIL