Permit A 16 CITY OF TIGARD MECHANICAL PERMIT
�f�s DEVELOPMENT SERVICES PERMIT #: MEC2003 -00210
A!' 13125 13125 SW Hall Blvd., Tigard, O 9 7223 (503) 6394171 DATE ISSUED: 4/24/03
PARCEL: 25111 CA -13800
SITE ADDRESS: 09725 SW SATTLER ST
SUBDIVISION: DARMEL ZONING: R -3.5
BLOCK: LOT: 011 JURISDICTION: TIG
CLASS OF WORK: ALT 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: DOMES. INCIN:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: < =10000 cfm:
GAS OUTLETS: 1
> 10000 cfm:
Remarks: Replace oil furnace to gas.
Owner: FEES
ASHTON Description Date Amount
9725 SW SATTLER [MECH] Permit Fee 4/24/03 $72.50
TIGARD, OR 97224 [TAX] 8% StateTax 4/24/03 $5.80
Phone: 503 684 - 3904 Total $78.30
Contractor:
GAROKEN ENERGY COMPANY
3565 SW 182ND AVE
BEAVERTON, OR 97006 REQUIRED INSPECTIONS
Phone: 503 - 848 - 3838 Heating Unt Insp
Final Inspection
Reg #: LI.0 43124
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: 4 ` i 1 . _ L % Permittee Signature: ap Alf , i _ ` _
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
04/24/200Y 08:;1x7 5033569002 GAROKEN PAGE 02
03:21. 01 w•ED 12:5,2 FAx. 503 598 1980
CITY OF TICARD
Z 00
Mechanical Permit 1
A -r Date received: ' �+a �� �t City of Tigard RECEIVED Expi e ate: o City of T,ger4
Address: 13125 SW Hall Blvd, Tiger I. OR 97223 P ro�cc ✓appl.no.: Expire date:
Phone: (503) 639 -4171 4 Date issued; 8y:�ii 1 R ercipt no .
Fax: (503) 596 -1960 APR 2 4 2003 Case file no.: 1;.:
Payment type;
Land use approval: — CITY OF TIGARD Building permit no.:
B ILD1NG DIVISION ' - ,-
nil: OF PERj%II1'
/1 si 2 family dwelling or accessory 0 COmmo rciai,industrial t] Multi•famil
t] New construction Additic n/alteration/replaccment 0 Other: y 0 Tenant improvement i
(:[)MM1•_K( :IAL VALUATION St1Ji.:II11LE
Job addres 1 iat, sta {
m Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: Suite no.: value of all mechanical materials, equipment. labor, overhead.
i Tax map /lax lot/account no.: profit. Value $
•
i Lot: Block: Subdivision: 'See checklist for important application informal on and
Project name: MEIe jurisdiction's fee schedule for residential permit fee.
City /county: _ _ ZIP:
a- AMINII 1 & 2 FAMILY DWIU.LING PERMIT EFL !SCHEDULE
Description in d I of wort: on premises; /IND CUMMliltlCALIINDl1SI'ItIAL LQUII'A1ITiTSCIIEUU!-E
Q) _ -I >,c tie
Est. dace of completion/inspection: Tee (ea.) Total ,
O Descri•dou t Res. only Res, only.
Tenant i mprovement or change of use: T `
Is existing space heated or conditioned? Q Ye; ANo Airhandling unit CFM
IS existing space insulated? 0 Yes NO • Air conditioning (site plan required)
Alteration of existing HVAC system
IV1L(1IANI( :A 1. CON 'IRA('l()J Boilerlcompresaors I
Business name: • e,
4 , t - a - State boiler permit no.: !
Address3C ( 5 SW Marl ,iP HP Tons HTUt'H
Fire/smoke dam • erdduct smoke detectors I
City: , k - - _ ....• • State: 2.IP :q 0.., • cat • ump sttep an require• J •
, ' ; ., Phon•IM Fax: , 0D. E -mail: note Vrcplacefurnace/burner ✓ BTU /H / •
C
•
CII no.; Incl ductwork /vent liner Ye s O No
Instal Vreptaco/relocateheaters- suspended, 7
C /me l
tr o i c. no.: )15.5_____________ wall, or floor mounted
Name (please print): lo p 1 a a SO 1 Vent for appliance other thanTurnacc i
[ON!'A('!' PERSON Refrigeration:
Absorption units BTL/H
Name: A �hOL f 1 _
Chillers HP i
Address: C � C � Compressors H P
City: CtA'Y"'L En ronmental exhaust and ventilation: -
1 State: + i :[P: Appliance vent •
Phone: Fax: E -mail: Dryer exhaust
Hoods, Type I/ IVres. klichen/hatrnar
A hood fire suppression system
Name: Exhaust fan with single duct (bath fans))
, Mailing address: kahauataystemapartfromheatingorAC
City: .. - tsel pip and distribution (up to 4 outlets) - i
r > ri State: ::IP: Type: LPG _ NG Oil
Phone: Ai, ��l�Ill Fax: Email: Fuel pip i4 each additional over ! outlets a
ENGINEER Process piping (schematic required)
Name; Number of outlets
Address: Other listed appliance or equipment:
• Decorativefireplace
. City: State: ;;[P: insert - type
Phone: Fax; I E - mail. Woodslove/pelletstove
I Applicant's signatu e: Date: t o then:
the
: Name (print): '
' Nae at jun tycoons weep credit cards, please call junidieiioe for more torwmetion.` Permit fee $ _
�': D MsstetCard Notice: This permit application Minimum fee S
i CreC„ car: number — _L
•
t _L expires if a permit Is not obtained Plan review (at 4'o) $ ^-
:tires within 180 days tiller it has been State surcharge (8%) .... $ __
!\ i-7,0 or Cardholder as shown on cndi, crd s
a4�ot0 accepted as complete. TOTAL
Cet signature Air i —
■
ae,od6I tti'titl••COM':
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION - '' Business Line: (503) 639 - 4171
BUP
Received G� Date Reques d . AM PM BUP
Location S Suite MEC 3 a I d
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR 2
BUILDING Tenant/0 ELC 3
Footing - (o gq 3 f D 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
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 PA FAIL
"AN
Po g
Rough -In
Smo e Dampers
PART FAIL
10 ' IC •
• ervrce
UG/Slab
Low Voltage
Fire Alarm
PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE LI Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA (�
Approach/Sidewalk Date 1 O Inspector T -4 ) ..1- N Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL