Permit A , CITY OF TIGARD MECHANICAL PERMIT
4 DEVELOPMENT SERVICES PERMIT #: MEC2003 -00324
Ail' DATE ISSUED: 6/16/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2 S 104 B D -047 00
SITE ADDRESS: 13752 SW ROSY CT
SUBDIVISION: ROSE MEADOWS ZONING: R -7
BLOCK: LOT: 006 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: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
> 10000 cfm: GAS OUTLETS:
Remarks: Install exterior AC unit. AC cannot be placed in the required setbacks.
Owner: FEES
JOHN TAYLOR Description Date Amount
13752 D [MECH] Permit Fee , 6/16/03 $72.50
TIGARD, OR OR 9 97 224
7
[TAX] 8% StateTax 6/16/03 $5.80
Phone: 503 - 521 - 1901 Total $78.30
Contractor:
SPECIALTY HEATING & COOLING
1601 SE RIVER RD
HILLSBORO, OR 97123 REQUIRED INSPECTIONS
Phone: 503 - 640 - 3607 Cooling Unt Insp
Final Inspection
Reg #: LIC 66578 •
•
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 -00
Issued By 4e,7& Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
yr' lr Mechanical Permit Application
E 1 / t D REG Date receivcd6 - /6' - d3 Permit no.: m�a��j - t6 1/
0 '. . City of Tigalyd 1 v Project/appl.no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard OR 2z� ism issued: , By: la I Receiptno.:
Phone: (503) 639 -4111 JU i L 003
Fax: (503) 598 -1960 10 CITY OF • TIGARD Case Mena.: Payment type:
Land use approval: !:3lJILtror nivISION Building permit nu.:
I I T'VPE OF PERMIT
1 & 2 fart ily dwelling or accessory Cl Commercial/industrial Cl Multi - family CI Tenant improvement
Cl New cons auction El Addition/alterationireplacement Cl Other.
JOB SITE INFORM VIION CONImERC1AL VALUATION SCHEDULE
Job address: 13 52_ 1,J ' ��. - -- OF Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no : Suite no.: l
value of all mechanical materials, equipment, labor, overhead.
profit. Value $ ... ..— •
Tax, map /tax lot/account no.: application information and
Lot: a — I Block: I Subdivision: See checklist for important app
Project name.: ' jurisdictions fee schedule for residential permit fee.
< • a✓ ZIP: • L I & 2FAMILY DWELLING PERMIT FEE SCHEDULE
Desctiption r nd loco on of work on premises: AND t: Uri11ERIC:& LIINUUSTRIAL EQUIPMENT SCIIEDU1.E ,
escdon Fee(ea.) Total
Est. date of c ompletion/inspection to
Tenant improvement or change of use: • Air handling unit CFM '
Is existing space heated or conditioned? Cl Yes Cl No Air conditioning (site plan requ
Is exi sting space insulated? Cl Yes Cl No Alteration of exisnng HV AC system
Bol /compressors
NiFCtt ;ti\iIC,�L GUNTRI\CTOR State boiler permitrm.:
Business nal ae: - tsiL77 ofkreni, 0 eGos 9 /a 4 HP � . Tons BTU/ H
Address: 4 O/ 5 if?! tie I¢ RI 4-D Irirc/smoke dampets/duct smoke detectors
City: los d State:01 ZIP: 97/79....4 �P pump ( • tuner plan required)
Phone- , - i0 Fax: Z;^ - D7�3 E-mail: Including ductwork/vent liner I] Yes Cl No
CCB no.: _$_ • - Instal place/relocateheaters suspended
wall, or floor mounted
N (p lc 1 C print): Vent fora • • hart= other than furnace ■ -
- Name (plea :e printJ: ern ' a /1441162-1-5 s • abotx
CONTACT PERSON Absorption BTU/H
Chillers HP ��•
Name: 'i N •S //y/y Co ....lessors HP M �
Address: , std( Se . U6g ' R•121?-.D . , veronmen exhaust : ,., ventvat on: Ill
City: 447r.,5 , -ro State Zia': f14. Ap.liaacevent .
F ax• / o ?q3 E -mail: ■u, exhaust I �
Phone: (� r4' 36 � �' y, .. , Type U Ores. Idtchen/harmat
OWNER y,
fire suppression system
�^ ._ Exhaust fan with single duct (bath fans)
Name: I !mil Z'a • oust stem , t from heating or AC
Mailing ad dress: - , el p p .: .• , , but on up to . ou eta
State: ZIP: Type: LPG NG Oil
City: State:
Fue pie, eaE e c h ad . �( 'tional over 4 outlets
Phone: Li D I Fax: )'eoee splpntgs '
ENGINEER Number of outlets
Name: • titer It " appliance or egtupment:
Add pecunttivefirepinoo
nett type ---
City: _� State: ZIP: Woodstove/ stove
Phone: 1? I E -mail: • Other. �
Applicant's signature: JrS+� Date: ( a,) i ., en i �
Name (pt .nt.): - /,,_ @7f , m/y 4,- Permit fee $ _ i0
Not all jwisdi tiaal accePt CRdit catd"easa cull j' 0o tar may ird aoo
urma. Notice: This permit application minimum fee $ - -
CI Visa t 1 MasterCard expires if a permit is not obtained Plan review (at , %) $
Credit card et area w ith i n 180 days e r It has been State surcharge (89b) .... $ �� ,
•
accepted as comp TOTAL $ T_ - -
Nmu : of cac�old r as shown an cr�dtt card $ 440 (610n(COM)
Amount
z' el .
SILO BSS EOS 2uz4eaH RaietoadS dS.0:2T ED 2T ut1C
J `
SITE PLAN
PL
EL 1;
\ e
O r
AL
PL
! 3 7 S 7 2 ' - 7' 7; 4 '
STREET
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
C'd 8TL0 86S COS ZuT2eaH R 1ezoadS dSir:21 CO 21 uric
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Received Date Requested / -3 AM PM BUP
Location / 3 75 & (• = Suite MEC 3 _ d T
Contact Person . � A _ ^ h ( ) G 3 -v 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation (, ELC
Access: rr `
/� /
Crawl ELR
Cr Drain � J C
Slab Inspection 1 •/ es: SIT
Post & Beam
Shear Anchors
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
19a-..-2.*."-.? -
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
may;:
PASS PART FAIL
E RICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE 0 Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date Inspector Ext
Other:
Final D • NOT REMOVE this inspection record from the Job site.
PASS PART FAIL