Permit (., i.
:., • .
CITY OF TIGARD MECHANICAL PERMIT
,41 11 lk DEVELOPMENT SERVICES PERMIT #: MEC2003 -00294
I � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/5/03
PARCEL: 2S103CB -10900
SITE ADDRESS: 12165 SW QUAIL CREEK LN
SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R -4.5
BLOCK: LOT: 067 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: Install exterior AC unit. AC cannot be placed in the required setbacks.
Owner: FEES
BYRON GEYA Description Date Amount
12165 SW QUAIL CREEK LN.
TIGARD, OR 97223 [MECH] Permit Fee 6/5/03 $72.50
[TAX] 8% StateTax 6/5/03 $5.80
Phone: 503524 - 8073 Total $78.30
Contractor:
HEAT RELIEF CO
1311 NE 116TH AVE.
PORTLAND, OR 97211 REQUIRED INSPECTIONS
Phone: 503 Cooling Unt Insp
Final Inspection
Reg #: LIC 122424
This permit is issued subject to the regulations contained in the Tigard Municipal Cod 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: ., ,L Y
L •....1 I Permittee Signature: 61) '1 G� r d= e_d_ca /1„.. '
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
Jun 03 03 11:54a MARK DEFRANCISCO 503 - 261 -9814 p.1
Mechanical Permit Application ()1 1 1( f : I ' O \ 1.1
y A Date:eoeiveds'' - 3 E6 Permit , ' '' a , -6 .
1,1' -1_ City of � IECEI VEp Piojext/appl. em.: Expire dot
"
0 0' of Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date ismed: B .0 Receipt no.:
Phan (503) 639 -4171 JUN 19 3 2003
( 503) 598 -1960 Care tile no.: Payment type
Fax: (503) CITY
Land use rovai: r OF T IGARO Snaring permit no.: �p e LIICOING a
1) 1'1. ,()1 1'1:1(111
Sit 1 Si 2 family dwelling or accessory Cl CoamercialJimh trial 0 Multi-family 0 Tenant improvement
0 New cons ruction Cl Addition/alterahauceplacement 0 Other:
. . ti t I i (NI ultl! \ I ION ( ()1'11 I t ( I \ I . \ 1 1 . 1 \ 1 1 0 \ .S( Ill 1.11 lI
Job address: 12/ L. S . C11/4.k.cu I Cr-eic LA . Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: I Suite no.: value of all mer.hanical materials, equipment, labor, overhead,
Tax nap/tax lot/account no.: profit Value S
Lot: IBlodc I Subdivision: *See checklist for important application information and
Project name: jurisdiction's fee schedule for residential permit fee.
City/on 'T'c Ara1 • IZlp: 971273 I S 2 1 \\u1.1 ' [MI 1 I.1N(. II ItITI I I I : .ti( III DI IF
Description and l'on of work on MEWS= ■\!1 (O'I\II.ltl( \Ilt\I)I 'N110\1.1 QI I1'\tI:\ I •,( III DI II
(1•.S 'VC-, Fee (ea.) Total
Est. date of completion/inspection: Description a Ree.mly Res. only
Tenant improvement or change of use: >t11FAG
Is existing space heated or conditioned? O Yes 0 No Air handling Erode CFM
Is existing space insulated? 0 Yes 0 No . , , . ; o �, ; (,Q t
x11:( 1I. \ \i(.U- ( (1‘111 1(101i Borler/aunpressors
Business name: I ' , L .e4 Slate bolter permit n0 :
Address: Ai (per , f liJ.e HP Tons BTU/II
Fi n tsmoke (she ss/ehsrt smoke detectors ■ ��
City: 'err- fia,.d Stems v MI: ` 7.3-.2.0 Hest _:.:=:. � , ,: , _,,
P h o n c ; .260 I Fax: ,u, / . . s h y t f il• r^w- -.-. 1 1 1 1 1 T �
Indud
CCB no.: / 422 ,Z 9 mg d avers liner Ci Yes CI No
City /metro lie. no.: Sole? 6 wall. or Door mounted
Name (please print): Vent for ap Prone other than hone=
(O\ 11(" 1 I'I•:Ii.S(1:\
Absorption units BTUIH
Name: c. rk - (r c IS( • Odgers HP 111/11
Address: !3l l Nt: bi` •.,, exhaust - . --
air Par-I 4 , state+ " ZIP: zz
l7d Appliance "
Phone503 : -007 Fax I- 911/y E-mail: Dryer exhaust . ..
O 11 \ Liz Hoods, Type I/ Ilhes hitobentannat
Name: hood fire suppression system
am
N e: . I, � 1" 1 y 'ka UR 0� Exhaust fan single does (bath fans)
Mailing
6 S L.� Gtcv1 I c Exhaust system from r, or AC . - �
City: e C r AA State:Cg- ZIP: e31123
Phone: '1y- '; 473 Felt: E-mail: LPO N0 OD ,--
Name: �; ' Addresse
City: I State: ZIP: losot -- . err
Plume: Fax: E -mail: ,' - pellet stove
Applicant's signature _. fe , } • Date: b 3/ 9 $ ,
Name (. ', ): irk Se. Pre..%c 54 0 ■ -
Not Judadiorions .ccept aaSs ea*. phase old, y.irdi ohm ebr more idasosolbO. Permit fee _....... ... -_ $
0 via 0 Masterand Nod= This pan* applies ilon Minimum fee_ S
cue tare tan.eer: / / expireS if a pe i nit is Wert obtained Plan review (at °.6) $
Expires within 180 days alter it has been
Slate surcharge (S °/.) — S
Norm arearehdds as smwll OS credit ear accepted as complete. s �— ......... TOTAL __— S
Cardholder signature A.weoa
4404617 (64701C0M)
Jun 03 . . 03 11:54a MARK DEFRAMCISCO 503 -261 -9814 p.2
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/ IADCO SUPPLY & Cooling Systems..
Sore 1
N/W Distributors Heating and Cooling Products
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KENT SPOKANE
7915 SOUTH 184th St. 730 E, FIRST AVENUE
CITY OF TIGARD 24 -Hour •
BUILDING` Inspection Line: (503) 639 -4175
•
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested - 2 't AM PM ' BUP
Location / %7 fi Suite MEC 3 a `'
Contact Person J' 1atit Ph ( ) lin -667 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Ftg Drain Access: ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler / F---
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
Smoke Dampers
M4 'ART FAIL
ELECTRICAL
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 einspec ion RE: Unable to inspect — no access
Fire Supply Line /
ADA
Approach/Sidewalk Date " D Insp or .L �� — � Ext
Other:
Final DO NOT REMOVE this inspection reco from the Job site.
PASS PART FAIL