Permit r
CITY TIGARD MECHANICAL PERMIT
�,IA DEVELOPMENT SERVICES PERMIT #: MEC2002-00297
I " 13125 SW Hall Blvd., Tigard, OR 97223 (5 639 -4171 DATE ISSUED: 7/11/02
PARCEL: 2S103CB -08500
SITE ADDRESS: 12401 SW QUAIL CREEK LN
SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R -4.5
BLOCK: LOT: 034 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:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Install exterior NC unit. Cannot be placed within the required setbacks.
Owner: FEES
TERESA STEBBINS Type By Date Amount Receipt
12401 SW QUAIL CREEK LANE PRMT CTR 7/11/02 $72.50 2720020000
TIGARD, OR 97223 5PCT CTR 7/11/02 $5.80 2720020000
Phone: 503-524-2662 Total $78.30
Contractor:
SPECIALTY HEATING & COOLING
9528 SW TIGARD ST
TIGARD, OR 97223 REQUIRED INSPECTIONS
Mechanical Insp
Phone: 620 -5643 Cooling Unt Insp
Reg #: LIC 66578 Final Inspection
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 -0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503)246 -9189.
?
Issue By: 6 P ermittee Signature: O-) orjQ/2 0,4
Call (503) 639 -4175 by 7 :00 P.M. for inspections needed the next business day
Jul 08 02 12:42p Specialty Heating 503 598 0718 p.2
•
Mechanical Permit Application 11.1.1.1111111.11.1111111.
AIM
9 t City Of Tigard �'- Date received:? /O - 2 Pemait no.:�� �O,�U` d 19
�!,t. Alt i —
, °-/
City ofligord Address: 13125 SW Hall Blvd, Tigard, OR 97223 Projccvappi.no.: Expire date:
Phone: (503) 639 - 4171 Date issued: g Rc iw.:
Fax: (503) 598 -1960 -
Cie file Payment type:
Land use approval: Building permit no.:
TYPE OF PERMIT
ifif
1 & 2 family dwelling or accessory 0 ComnterciaUindustria!
0 New construction ,'Addition/atlteration /replacement 0 Other family ❑ Tenant improv.:mettt
JOB SITE INFORMATION
MIEN
Job address: /,3 SO COMMERCIAL VALUATION SCHEID
Bldg. a doe Ql.�ai/ Cve.ee doe Indicate equipment quantities in boxes below. Indic-at! the dollar
I Suite no.: • value of all mechanical materials, equipment, labor, c verhead-
Tax map/tax loVaccount no.: profit. Value $
Lot: jBlock: I tiuhdivision: 'See checklist for important application information ;rid
Project name: fa6
r i�c s '
jurisdiction's fee schedule for residential permit fee.
City /county: • i A d/ ,' All ZIP: g 7 d. 0-..3 I a ZFAtiiILY DWELLING PERIIZIT r•F,F Sc :, ou UL>v
D Sf ao � a L work on premises; , AND COMMERICAJANDUSTIZIr
Q il... / ' i7- EQUIPMENT . �CHL� MULE
Est. date of completion/inspection: ( ' Feet a.) Total
Desmipdoa Qty. Res. c my Res. only
Tenant improvement or change of u HVAI::
Is existing space heated or conditioned ?Axes CI No Air handling unit CF1, t
Is existing space insulated? = Yes 0 No Air satj o n ioniny (site plan required) J of hiECHANICAL CONTRACTOR Bo s t {vAC cystcm - ,
Business Ram / -L ice; ¢� State boiler permit no.:
Address: / S . I . Q7 S T HP Tons BTU/H
A iry: 1 irc,fstuuitc dampers/nuc( s moke detectors .
State: O ,e ZIP: 9 7 Z a' . 3 Heat pump (site plan required)
Phone ),3(eA06eq. Fax.:59� - 7/ -mail: nstall/replaca BTU /H
CCB no.: s 7 Including ductwork/vent liner Q Yrs 0 Nu
City /Metro lie, no.: / - in stallreplac&relocate heaters - su spended, .
Name (please print): s rN14, wall, or floor mounted
• I i l^t- et -S Vent for appliance other than furnace
CONTACT PERSON Refrigeration:
Absorption units ETU/H
Name: 4.. i Lee /y h 4 e A. Chillers HP r
Address: 7.5. 8' .Sc -c� /. Si Compressors HP ! . .
City: Sts e: G ZIP; q Z ' a---q A pp I janc vent
Phone s exhaust and ventilation:
;3 � Appliance
' 3 Go?O -5W •' Fax:5 0718' E -mail: Dryer exhaust
OWNER Hoods, Type U Il/res. kitehen/harmar
Name �.�j { . S f� hood fire suppression system
/ALS Exhaust fan with single duct (bath fans)
Mailing address: ,(� yp/ w A' a i re2K L Exhaust system apart ° troni heating or AC
City: G State: O ZIP: a 749..„2.-g Fuel piping and d ion (up to 4 outlets)
Phone: 52 y= �(�(, Fax: ype: LPG NG Oil
E-mail: -mail: Fuel piping each additional over a oudcts
_ EN G LN EER Process piping (schematic required)
Name: Number of outlets •
Address: Other listed appliance or equipment: '
City:
Decorative fireplace
State: ZTP Insert type
Phone: Fax: E -mail: WOodttoveJpelletstove -'
Applicant's sign ure: .le Date: -77r492- O
Name (print): . t'E N , rfl�tlt I
, N jurisdictions sown credit dit cods, plisse can jurisdiction for infomution Permit fee $ '7 ��
ctvsa 0 MasterCard Notice: This permit appiicatioai
cmlit c termer, 1 � � Minimum fee $
/L K/ expires if a permit is not obtained Plan review w (at %) $
Sher I ratline (,j Exp �. within 180 days after it has been
���r� a�r�t VI °� s accepted as complete State surcharge (8 %) $ S
� anl6oWer sigoanerd - TOTAL $ � _� Q
Arooam ,
440.4d 17 woorcOM)
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Jul 08 02 12:42p Specialtu Heating 503 598 0718 p.3
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SITE PLAN
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STREET
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Specialty Heating & Cooling, Inc
9528 SW Tigard Street
. Tigard, OR 97223
Phone 503.620.5643 Fax 503.598.0718
Hillsboro Phone 503.640.3607 Fax 503.681.0793
CITY OF TIG' RD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVI §ION Business Line: (503) 639 -4171 MST
�// BUP
Received Date Rested !/(3 AM PM BUP
!]]
Location ,/ ,rp" Suite MEC ° a 9 7
l D` 7 � � � -�c ����1� Si o� ""
Contact Person Ph ( ) 6 D --56, 4 /3 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: � _ // SIT
Post & Beam
Shear Anchors 4 e- v it
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
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
• FAIL
• •s : ; -am
T
Roug In
Gas Line
Smoke Dampers
.i►
`FART 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 El Please call for reinspection RE: El Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date / ) - Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL