Permit . T,- 1 .
CITY TIGARD MECHANICAL PERMIT
Ail DEVELOPMENT SERVICES PERMIT #: MEC2004 -00458
�''� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/12/2004
PARCEL: 2 S 103 BA -00142
SITE ADDRESS: 11875 SW LYNN ST
SUBDIVISION: LERON HEIGHTS NO. 2 ZONING: R -4.5
BLOCK: LOT: 032 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:
ELE 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: AC install.
Owner: FEES
ALAJMI, ABDULHADI M + MARCIA M Description Date Amount
11875 SW LYNN ST [MECH] Permit Fee 7/12/200 $72.50
TIGARD, OR 97223 [TAX] 8% State Surchar€ 7/12/200 $5.80
Phone: 503 - 524 - 1129 Total $78.30
Contractor:
OREGON HEATING + A/C INC
PO BOX 397
DUNDEE, OR 97115 REQUIRED INSPECTIONS
Phone: Cooling Unt Insp
hone: 538 2953
Final Inspection
Reg #: LIC 125815
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: 25 ala 0!)/ erYL_
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
Jul pa 04 03:04p Oregon Heating and Air 503- 537 -2172 p.2
t :tr
Mechanical Permit AP FOR OFFICE USE OBI.:
JI 7� [�
5
I V E Date y: , O , i ff Perna No.: II r _/ i /�(/ /
City of Tigard Rec elBy: �J [l
13125 SW Hall Blvd. Tigard, OR 97223 Plan Rcvic (Tiber Permit: •
Phone: 503.639.4171 Fax: 503.598.1960 JUL - , 2 � _ 4-,4 .. i I Date/B
) . : 4 D ate Rcady/By. tI � Eil Page 3 for
I nter n et: w ion Line: 503.639.4175 (,� ppiemental Information
Internwv v.ei.tigard.or.us Notificd/Mahod:
CITY OF TIGARD
. : : n "' , g .: :: .. " .� .. Mechanical permit fees* are based on he value of the work
0 New construction (=J Addition /alteration/replacetnent performed. Indicate the value (ruundo • to the nearest dollar) of all
0 ❑ Other. mechanical materials, equipment, labs r, overhead, and profit
I)cntolition V 3
.. ....: :. r.: :' ' ii . .. : : +JS: ; : : S: > <: ':i'' :
.`Y : :i ?i. >:i . ' 4X: <;(;.::
.....::....: :..:•.......:::........:.,..:.. ::: ;; C;4T:1��Cf�x4��.:��1Y�'Itil�' Q .- ..:::.:... N fa °, S '�:A�S „� ..: :.... ,..;..:_ ".
Erl and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special info »nano , use check list.
0 Multi - family ❑ Master builder ❑ Other Description 1 Qty. ( Ea. 1 Total
coo li e
H
ea t;
K /
<::: r >: > :<:: •;: ..:.... .......... Air conditioning or heal pump
(/V 14.00 Lir" Job site address: 1I 17 S 0 nI Ai conditioning o r heat l um p
n 2f Furnace 100,000 BTU (ducts/vents) 14.00 -- ao jj a a-4 City/State/ZIP: 4/4 17.90 ,1 / ,
Furnace 100,000+ BTU (ducls/veots)
Suite/bldg./apt. no.: l Project name: Gee-heat pump l 14.00
Duct work 14.00
Cross street /directions to job site: 14.00
Hydronic hot water system
Residential boiler (radiator or 14.00
hydronic)
Unit heaters (fuel -type, not electric), 10.00
in -wall, induct, suspended, etc.
Flue/vent for any of above 10.00
Subdivision: Lot no.: Other 10.00
Tax map /parcel no.: Other fuel appliances -
...,.... -. .- . ".::• - <: �,,.:- 's.:: » .::.�.:i <'3 ^:'cam % %:: ::�«_
wafer heater IA .........:.: . . � , ::>: I }TsaC>l�l.'')1'�;bl!I:;�iIY.: -; ::!t7 :
:;.;::; �:: ri p::::::;.;: p<> i'[:< i �:::::''"°>:; �:< :;, >:«.., ::::.:.,..:.,..:.... ... ... Gas fireplace �` ,�/ /� • Flue vent for water heater or gas
vJ - a/{/I V� •�+r► fireplace 10.00
Log lig) Aer (gas) 10.00
Wood/pellet stove _ 10.00
Wood fireplace/insert — 10.00
<::. <: > <::•:;::•;:;;.,; CttrmncyRiner /flue/vrnt
'T1C
1
0.00
; ' ', /a 1 ,t MA 1 Environmental exhaust and ventii ation
Name: V i � v i(/!ir L 1 Range hood other kitchen
..., ...: .:.: • ` ^/^ ` 10.00
Address: l L g 7 Range hood/other
vvvv I g 2'2) Clothes dryer exhaust 10.00
City/StatelZlP: I d 7 Single -duct exhaust (bathrooms,
PhonteO3) ` 2 Fax: ( ) toilet
c Tom space fans rooms)
I L� toilet compaAments, utility 6 80
..:..:. .. Grp :_......: <.:............,.. .........
• 10.00
Other: Business name: Fuel piping
55.40 for first four, $1.( 0 for each additional
Contact name:
Furnace, etc. •
Address: Gas heat pump . • City /State/ZIP: Wall /suspended/unit healer
Water heater
Phone: ( ) Pal` : ( ) Fireplace
E -mail: -
�fI!TY' .....
B arbecue
dryer .... .... Clothes dry )
. (gas)
Business na e: f/ Au tijo �/�L Other ..;,...: : :;:;: ;>
,,:.:: ;135:: >:. >:::.: ;; _::<<::':s;'
Address: . r /inn
J I 1 � ........::: .. . :-
t � � Subtotal ,hi
City/State/ZIP: , f u Minimum pc mil fee (572.50)
l'honc: y) S3 Fax I , p 3 7 L/(1 Plan review (2..°/0 of permit fec) ,.
CCB lie.: State surcharge (' : % of permit fee) ir
[ TOTAL PERMIT FEE ma ,
` This permit application cipl if a pcnntt s not obtained h ISO
Authorized signature: n /1 Olt
i res days after it has been : permit
as complete.
P8 Jul A8 04 03:04p Oregon Heating and Air 503- 537 -2172 p. 3
Site Plan: Alajmi
11875 SW Lynn St.
Tigard, OR
Back
55' 0 ' — 46 '
21'
SW Lynn street
CITY OF TIGARD 24 -Hour .
BUILDING ' -." : - Inspection Line: (503) 639 -4175 - MST
INSPECTION DIVISION Business' Line: (503) 639 -4171
BUP
Received Date Requested 9 7 AM i PM BUP
Location / 1 g 7,C +vi m) Suite MEC d vY—Cl
Contact Person /1,Ln Ph ( ) 53 F ,?`I,..C3 PLM
Contractor Ph ( ) SWR A
BUILDING Tenant/0 ELC h:Y iZ
Footing ,s y -1 1 a— ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear Vn/\ `JAL. i/2.0. -4 1 CID Pik FAO
y ,��
Framing , ` l /�.e� l �" �1!
Insulation 0 E 0
Drywall Nailing K
Firewall NO OE 1 Th C� , a V
Fire Sprinkler A.01 `{ J n J
Fire Alarm t�. GW 1- ktz s P 20 N (k c n')(,) -R-1'' I C P�
Susp'd Ceiling F 1 r I J °» p' � � a
Roof Nii c ��S C X f� V\ V
Other: J V {,�+ \� r (� `
Final l r� G (aCA \1N , l�1 }C 1� `o kV f 1,,iA d-
PASS PART FAIL
PLUMBING — .) Cyr ■ V I OD D VTh 1 4 , n
e-k,'R ,
Post & Beam Q�
Under Slab l (1 ^ , ' N `
Rough -In I CA L.- D GT7 1 - r - J i �� Q Ct ` 1 P I al 5 0 3.- 5 ' 3 ® '� a✓Q 9 Water Service _ `N ,l
Sanitary Sewer i TAD 1`•1 K 4 T IV T C� �,G�lit g Y\ff'
Rain Drains
Catch Basin / Manhole Z N4 04, C (AV( I y 0 A U (.2 � Y
,ro . A .4 ► C 1—
Storm Drain ( "� I { � 1 y
Shower Pan C I 11 ` tk )3 k
Other: 1
Final
4 7
PASS PART FAIL
M ANI L
Post am
Rough -In G,
7
Gas Line
Smoke Dampers
r
- ASS 0 cM�� - ■ t 1 )
ELECTR °'` r
Service
Rough -In
UG/Slab V '
Low Voltage
Fire Alarm
F i PART FAIL 0 Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd.
SITE 0 Please call for einspect' n RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date 7 Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the J.
PASS PART FAIL
L
L .