Permit •
i t
CITY OF TIGARD., MECHANICAL PERMIT
° .#I4 DEVELOPMENT SERVICES PERMIT #: MEC2004 -00232
� I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 -DATE ISSUED:-4/30/2004- PARCEL: 2 S 110 DA -05300
SITE ADDRESS: 10506 SW NAEVE ST
SUBDIVISION: ERICKSON HEIGHTS ZONING: R -3.5
BLOCK: LOT: 014 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: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
> 10000 cfm: GAS OUTLETS:
Remarks: AC install.
Owner: FEES
MCPIKE, CINDY Description Date Amount
10245 SW ELSIE CT. [MECH] Permit Fee 4/30/200 $72.50
TIGARD, OR 97224 [TAX] 8% State Surcharl 4/30/200 .$5.80
Phone: 503 639 - 6369 Total $78.30
Contractor:
TRI COUNTY TEMP CONTROL
13150 S. CLACKAMAS RIVER DR
OREGON CITY, OR 97045 REQUIRED INSPECTIONS
Phone: 503 - 557 - 2220 Cooling Unt Insp
Final Inspection
Reg #: LIC 72623
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: __ Jy`�
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
•
Apr 28 04 09:46p TriCounty Temp Cntrol 5035570919 p.1
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4111- _� City of Tigard `' Projet ppL Expire ac
Ciro oj Tigmd Address: 13125 SW IEV Tigard, 97223 Dade issued: Bf ) I kil °'.: _ _
Phone: (503) • ' 1 r`oo� Case ale nog Payment type:
Fax: (503) 59: ' =' 1. 71
Land use approval: 1:• Building permit no.: er ICI
•
111'1- OI 1'1
1 & 2 family dwelling or accessot • otamaciallindusttial 0 Multi - family 0 Tenant improv
0 New consnvcdon tv Addition/alteration/replacement 0 Other:
IOU ' I I L INFORM 11 ION ( 011 \1(.Il.l 11l. 111A \I ION ti( IIEI)4 LE
Job address: i 0 1 `i'v NafiV Indicate equipment quantities is boxes below. Indi- the dollar
Bldg. no.: )Suite no.:
value of all mechanical materials, equipment, labor, o - . end,
Tax map /tax lot/account no.: profit. Value S -
Lot: Block: I Subdivision: 'See checklist for important application information , ..
Project name: jurisdiction's fee schedule for residential permit fee.
Cityicounty: - pc ZIP: (rE2- 1 S 21-11111.1 11111.:I.1.1\(. I'rR1tIr FIi1: sl I.F.
Description and ocation of wade on miser• 17s.1) [ 01111LRI( 1. /INDI still Ill %I. 1'QI II'SIE' f tClIGU1•LE
(ti y_,,,1( *•• Fee i - ) Total
`7JT1 I Qh'.I Res � • rl
Est. date of completion/inspection: HYAC- Deatt>v I
Tenant improvement or change of use: Air handling unit CFM __
Is existing space heated or conditioned? 0 Yes 0 No Au- conditioning (site plan r equired) I '
Is existing space insulated? 0 Yes 3 No Alteration at existing HVAC system I I
M1EC11:\ \I(• \l. CON 1'12: \C l()1( Boiler/eompressors I I
State boiler permit no.:
Business name: Tri County Temp Con trs) 1 HP Tons BTUM
Address: 13150 S . Clackamas R ' ver Dr _ Fire/smoke dampers/duct smoke detectors I I
City: Oregon City ( (7R
State' ZIP: q 704 Heat pump (site plan required) I I I
L Install/replace furnace/burner HTUrH
Phone: 557-2220 Fax: 3 5 7 0 91 ((E Including ductwork/vent liner 0 Yes 0 No
CCB no.: 7 . Install/replace/relocate heaters - suspended. I i
City /metro lie. no.: 1 126 wall. or floor mounted II
Name (please print fralaritafb.StrI141 Vent for appliance other than furnace I 1
• fregeration:
(•()\ I \(• 1 PERSON Absorption 'units BTU/1.1
Chillers HP
Name: - - - -- , - Compressors HP
Address: Same As Above Entriroom exhaust and ventilation. I
City: I State: I ZIP: A.•liance vent
Phone: 5 5 7 - 2 2 2 0 Fax5 5 7 0 91 9 E -mail: Dryer exhaust I 11111
Hoods. Type V II/res. kitchcruhaanat
()11 \F:li hood fire suppression system
Name: C i re WIC P i - D a S Exhaust fan with single duct (bath fans) IIIII.-
..t� rj�,i�1���I � xhaust tem apart from heatin: or AC I NM
Mailing address: is �r � 5�� and distribution (up to �I outlets
C1i:i:a ___ �C.!'f: T ud LPG NG Oil
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Phon, i E -mail: ue pt • . • -, Trr .. . , 4 ., . di
ENG1\ELli Proems piping (schematic required)
Number of ullets
Name: Other listed appliance or equipmet
Address: Decorative fireplace 411111111111111111 City State: ZIP: codstovespei Cl stove 11111 Phone. Fax: E-mail: Other.
Applicant's S i : ' . ' Brij //I r q . 0 Date: 4 V 1� • Other: MI:=
Name (print): /_ l S
Permit fee ____.._.
.ten all r� mm
d+c accept credit ard L
it e Owe call *edictal' 1 fOf ore 1nienna000 Notice This permit applictaon . Mi n i mums fee ................. S
7 visa 0 masurend mires if a permit is not obtained Plan review (at _ Vs) S
Credit crop umber: w ISO days after it has been sate surcharge (8%) — S
accepted as complete. - - -- S �, i w
!JSme of eaNhotda as shown on create cud TOTt1 • -•• --•
. S 440.4617 6500010:0
Cu border signature Amount
Apr 28 04 09:46p TriCounty Temp Cntrol 5035570919 p.2
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2004 -00232
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/30/2004
Phone: (503) 639 -4171 �'�'N'�' '4PW`:'?f �i'li\
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/1/2005 TIME: 8:14AM PAGE: 1
SITE ADDRESS: 10506 SW NAEVE ST CLASS OF WORK:
SUBDIVISION: E- _.. - GHTS LOT #: 014 TYPE OF USE:
PROJECT NAME: CPIKE
DESCRIPTI• : AC install.
OWN' :: r- , CINDY, PHONE #: 503- 639-6369
CONTRACTOR: TRI COUNTY TEMP CONTROL PHONE #: 503 -557 -2220
Inspection Request Scheduled For: Date: 6/2/2005 Pour Time:
ti
1#1
Code # Inspection Description Confirm # Contact # Message v / A . 0 0
699 Mechanical final 008121 -01 503-557-2220 N d l TT
Corrections /Comments /Instructions:
MI ^I° L-4 0 _ L EVK 7 N v ti S 6i i( AIe_
C 7 6 ,.l s'r < e
PA-'J cam_
Qo V t4� O. P' 4:4L T— _ ,
P, n/61-- P k_O v» --'
C , t-
❑ PASS / I ! R ' L APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
v os
Inspector: Date: Phone #: (503) 718-
CITY OF T,Iu ARD .- 24 -Hour 4 _
BUILDING ! - Inspection Line: (503) 639 -4175 i MST
INSPECTION DIVISION Business Line: (503) 639 -4171
. t ; BUP
Received Date Requested / 6 f - 7 AM PM BUP l/
Location /o . �Q -(Lp,o-� ' Suite 0E Rol o 2 -3 2 ---
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR ✓/
BUILDING Tenant/ __ ∎4 1
fef .1 • , Op a p�f -00 Z'Z/
Footing Li c9 6 --. 7 S''
Foundation AC ess: ELC
Ftg Drain '7: < ELR
Crawl Drain -�� vv
Slab Inspection Notes: SIT
Post & Beam „, r
Shear Anchors ?
Ed Sheath/Shear ' L - % "'t -` -- -” r ' `
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler (( /- l (� �I
Fire Alarm t S /A �0v\� -0 . � C _ 1 lama. tom- ` L S ,3 \ `,, "„
Susp'd Ceilin g
Roof
Other:
Final .
PASS PART FAIL
PLUMBING
Post & Beam 'a„ a I��S' ' ( '�(� N tGAOe CD i y f�. �' & R, 1 ' ` 5 t .l, t3 V
Under Slab / \ I 1
Rough -In I. ,/� wt �� A k S
Water Service �1
Sanitary Sewer \ ' ` A % i lI , D D , , , ► V b 1 I
Rain Drains
Catch Basin / Manhole 1 OCO \ ( \cr 4 (Nt
Storm Drain I 1
Shower Pan ►-b� 1 p —) 5-n j S >
Other:
Anal
PAS FAIL
, Post :earn
Rough -In ft, `e-,
Gas Line
Smoke Dampers
(FiSje
PASS PART AIL /
ELECTRICAL
Service
Rough -In /
UG/Slab r f�l,U�
Low Voltage
Fire Alarm
airl El
• PART Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE 0 Please call for reinspection RE: fl Unable to inspect - no access
Fire Supply Line
ADA
Approach/Sidewalk Date / Inspector = / Ext
Other:
Final DO NOT REMOVE this inspection record from t e job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Lire: (503) • 39 -4175 MST s,
INS CTION DIVISION Business Liner (50 .39 -4171
o BUP
Received 7 Date Requested d � / /,, �P PM BUP
Location 4 Suite �% OM 0 00?3
Contact Person – Ph (: ) W — 7 7S PLM
Contractor Ph ) SWR I r �j
BUILDING Tenant/Owner i 0 i.i - a b a�'
Footing
ELC
Foundation Access: I01$LE
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: 1 �_ �� SIT
Post & Beam /,� ¢ Sr Anchors
Ext Sheath/Shear
, / 2 XJ `f e
Ext
int Sheath/Shear ti(S /Z : CS
Framing J
Insulation
Drywall Nailing A I
Firewall I h, AGE - S 1��f�LC - TCD /N
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
P T FAIL
ECHANI L
Rough -In
Gas Line
Smo e Dampers
aZI
'ASS p
Service
Rough -In
UG/Slab
Low Voltage
F� -.,;�• rm
PASS PAR FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE ❑ Please call for reinspection E: Unable to inspect - no access
Fire Supply Line 1 //
ADA D " l� Inspector ) Ext
Approach/Sidewalk P
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION 'Business Line: (503) 639 -4171
5' BUP
Received Date Requested AM PM BUP
Location / b 6 71Q_Pil),-e._, Suite 0 , u'd d a3D-
Contact Person Ph ( ) 7 6 /01 - 1g/3 V PLM
Contractor Ph ( ) SWR � (,
BUILDING Tenant/Owner � (7 - 0 0P -�'b
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall p Lr O o 14
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof ND b N k 1'? '\Y ►/ q I��� iC \ \4 D
Other: )
Final
PASS PART FAIL TL� .4,C . L A et7 t I I in'
PLUMBING V O
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS ART FAIL
CH•► AL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
rn
PASS PART
1CAL-
Service
Rough -In
UG /Slab
Low Voltage / " N -
Fire Alarm
FITY PASS PART
0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE ❑ Please call for reinspection RE: 'Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date 7 inspector) 1- A Ext
Other: art ^/�
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL / 2 ��,yj
CITY OF TIGARD 24- Hour
BUILDING Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Recei eir d _ �`� D t es �d l �` s AM PM BUP
Location / 195- Z 9 0 v � Suite 0 54-"titaa3
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
c./—
BUILDING Tenant/Owner 2 d 0 d L)- ' /
Footing 714 ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm \ d '(N1 06\ NO' , / s e ll° e bOk
Susp'd Ceiling ►/� • V �!
Pd1
Roof I
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
AN
`PaS1"& Beam
Rough -In
Gas Line
Smoke Dampers
ma
'PAS ART
CT AL
Service
Rough -In
UG/Slab
Low Voltage 11/ t- di rvo. P
Fir_., larm
41 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
'ASS PART FAIL ",
SITE 0 Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA D /C d 2 Inspector
Approach/Sidewalk ` iP
Other:
Final DO NOT REMOVE this Inspection record from the Job si .
PASS PART FAIL C 1 ,