Permit . .
9 i1
C ITY OF TIGARD MECHANICAL PERMIT
i1 DEVELOPMENT SERVICES PERMIT #: MEC2003 -00141
DATE ISSUED: 3/26/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S134BC-00401
SITE ADDRESS: 12442 S W SCHOLLS FERRY RD * * **
SUBDIVISION: ZONING: C -N
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: 1
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 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:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
> GAS OUTLETS:
10000 cfm:
Remarks: Venting for boiler replacement (state boiler permit # *03- 21393).
Owner: FEES
SISTERS OF PROVIDENCE IN OR Description Date Amount
BY STEVE FOSTER [MECH] Permit Fee 3/26/03 $72.50
PORTLAND, , O R 97213
PO BOX 13993 [TAX] 8% StateTax 3/26/03 $5.80
OR
Phone: Total $78.30
Contractor:
GEORGE MORLAN PLUMBING
2222 NW RALEIGH
PORTLAND, OR 97210 REQUIRED INSPECTIONS
Phone: 503 - 274 - 4222 Mechanical Insp
Final Inspection
Reg #: LIC 2734
•
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: ■ Permittee Signature: c i /'G✓e }
all (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
•
MAR -24 -2003 16:51 GEO MORLAN ACCOUNTING 503 265 0540 P.02
Tel 'd 11011 t ' •
Mechanical Per ' . l p /J �j ` /�
A. .
Date nrdved: .. 5 1tiJ t t .:ti a 2oo3 4 0141
,, 1 0 City of Tigard u 9 1003 Projecti'appl. no.: &spire date:
C i t y Bad
Address: 13125 SW H a l l d. Tigatddu � Date issued: By. iptao.:
phone: (503) 639.4171 / oawi d f BARD ,•.-- -
Fax: (503) 59t; - 1960 But��I�IL�DDI G DIVISION PaymGatly e:
Land use approval: auitdt � "0" ramie no.:
TYPE: OF PERRIIT
U 1 & 2 family dwelling or accessory • ' Commmgclal/industcial O Multi - family CI Tenant improvement
U New construction Additi ratlalteration/tteplacement CI Other
JOB SITE INFORMATION COMMERCIAL t'ALIJATION SCIIEOULE
lob addn:ss: _ .. •IMM i tCI ,� .. Indicate equipment quantities in boxes below. Indicate the dollar
Oldg. no.: Suite no.: value wall mechanic ate ' cquj •nt, abor. overhead.
'fax map/tax lot/n000unt no.: profit, Value W. a/0%5 6 a OD .14.)
Lot: Block: Subdivision: `See checklist for important application information and „be / i Z
Project name: • • ,- J MII - 44 c -• jurisdiction's fbe schedule for residential permit fee. 4.Lii /
City/county: I a rc�l l ZJi': • 7 • *NM AM ILY- I '. tin, PERM! l' ILL • , I I
De scription and 1 fwo on premises: *�`• AND COA1MrliICAIJINDUS U 1_
liti.QUIPMCNT$CI LEDUC
P t 1 1 e Y _ QC' t?. raid - t • Fee(es.) Total
list. date of completion/inspec 0n: Demirtioa Qty. Res. only Res. only
•
Tenant imprevcmcnt or change of use: JIVAC:
Is existing space heated or conditioned? U Ye: U No Aireandiln •unit CFM
tl space insulated? CI Yes CI No • Aire/xi/limning sleep an /mired/ =MINIMUM= is existing A term • n desisting HVACs stem MI MIN=
MECHANICAL (:ONTItACrOI2i • leroomorcasOrs r03
r State boiler permit no.. ,
Business name: 11at GV 1i 1 10 1 - 111 11/( 7 HP Tons�7b TU /H
2
Address: Z /CAL.' Lgf t* - irr1smo• c• mpers/duct smokcdetectors
Ci Po a Staw:Q2Z111:2 7 .2. / 0 `eat pump site p an required)
Phone: ;,7 y 2.22 Fax; 21 O5Yed E ->+�1: lnstallireplace furnace/burner !ITU/
CCD no.: y a. .3 e4 - 41/9 D Including ductwork /vent liner O Ycs O No
Install/replaodrelocate heaters - suspended,
City /metro tic. no.: (`t (p ( i - ..4S wall, or Boot mounted
Name (please print): - -- — !_. = za r . e ant or a• p1antother aDFurnace =JIM
(ONTACI' PERSON - *igen
Absorption units STU/ 1
Name: Chillers up
Address: Environmental HP •
Envlronmental Wiens* and ventilation;
City: State: ZP: Appliance vent
Phone: Fax: E - mail: Dryer exhaust J m
Ol%'NF1U Hoods, Type I res. •tche urns! ■ ��
hood fire suppression sysncm
Name: p • a . 5 * - ' C .t_. S . Exhaust fan with single duct (bath fans) 1111=11111111111 Mailing address: (d ' . • . . . � - gust stern • from scat . , et 11111111111111111111111111111 11111111111111111111111111111 t • il
City: . • < � r r+%z��ta p .irr . 1011 up 10 4 ou cts
Type LPG NG Oil
Phone: Fax: Email: Fuel -1. ing oath additional over 4 outlets
ENCANEEtt ,.• ,,r`, , I COMIC regurred)
• Number of outlets il.
Nacre: . - t . — _ i ; . rip c or eyu potent:
F 111
Address: bocorativcfueplfce
City: State: ZIP: nscrt - r MEM
- Ewve =
Phone: Fax: • MI
Applicant's signature: , , i'�i i : i fl Date: p r„ - • r
Name • 'nt): ►.� /l :Illril1_a. - n ��
Nei in jurlrdl efe0lt oafs, Ogee eau pcisdireoo roma inf. omu4m No This Permit fee $ . ..•r. /a • 5
cud Mown oa 0 M"raCard expires if & per tt+ not hulloed • ; Minimum' fee......
Cheat and somber. . • within 160 days a
fter 41
• 1 b +it Plan =thaw ((at _ 9 $
. $ 5', 80
Plum d aesrelder us trolls accepted as oomplei. *: mi �'�') ...• S
s TOTAL .................. s le, 30
cwelk.reer. _ •
404617 (603C014)
TOTAL P.02 2C /V
CITY OF TIGARD 24 -Hour
•
BUILDING Inspection LPe: 003) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Reque ed AM PM BUP r
Location / a (4 q - - 0 PL Suite 0.3 - 00 1 ' `T 1
Contact Person Ph ( ) a b I Lig l PLM
Contractor Ph ( SWR
BUILDING Tenant/Owner 0 (A 'A-UL ELC
Footing
ELC
Foundation
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection s: SIT
Post & Beam
Shear Anchors ✓ 4
Ext Sheath/Shear
Int Sheath/Shear _ ( 4 - -%7
Framing
Insulation
Drywall Nailing
4
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
PA `RT F
iiiiii�i ► -J� .
Pos : ea 'I"
Rough-In Line �V
Gas Line
Smo e Dampers
r� PART FAIL
RICAL
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 reinspection RE: El Unable to inspect — no access
Fire Supply Line
ADA Si Approach/Sidewalk Date V b ✓ Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL