Permit CITY TIGARD MECHANICAL PERMIT
I �
DEVELOPMENT SERVICES PERMIT #: MEC2004 -00158
�� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/1/04
PARCEL: 25111 DD -04700
SITE ADDRESS: 15805 SW STRATFORD LP
SUBDIVISION: STRATFORD ZONING: R -4.5
BLOCK: LOT: 011 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: 1
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
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: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: •
Remarks: Replace furnace with like kind, provide venting for gas water heater installed under minor label.
Owner: FEES
KRUPP, RANDALL GENE AND Description Date Amount
NANCY ANN [MECH] Permit Fee 4/1/04 $72.50
15805 TIGARD, OR R 9 9722 4 SW STRATFORD LP [TAX] 8% State Surchar� 4/1/04 $5.80
GA722
Phone: Total $78.30
Contractor:
SPECIALTY HEATING & COOLING
1601 SE RIVER RD
HILLSBORO, OR 97123 REQUIRED INSPECTIONS
Phone: 503 Mechanical Insp
Heating 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 - • I. ' u ma obtain copies of these rules or direct questions to OUNC by calling
(503)24: -6699.
—
Issued :y: Permittee Signature. _ � � l ��
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
Meci mica' Permit Application FOR OFFICE USE ONLY
•�' HEULIVED d
Receive
Planning Approval Building
City of Tigard Date/B : A • Permit No.:
1312 SW liall Blvd. MAR .. Cii114 Plan Review Other
Tigard, Or( gon 97223 Date/; ; Permit No.:
Phonc:: 50: - 639 -4171 Fa3175i0 $-0961)10 Post - Review Land Usc
i�r,, "`ir;r 1,.:::111( lk � Date/B : Case No.:
Internet: www,ci.tigard.c8 DING DIVISIO■ , " (:enact lial ® See Page 2 for
24 -hour In: ection Request: 5 3- 639 -4175 '' ' "�
P 4 Nam/Method: Su lementat talarmatiott.
I/
:• _.<, •.: •;':TyPrO ;WOR ": tili °: . iCOMMERC L IE'E ".'SCHEDULE :USE•.
- . . CLECiCCIST::: :'
Q NCW ci Instruction ❑ Demolition Mechanical permit fees' arc based On'thc total value of the work
11 Additii rn/alteration/replacement fl Other: performed. Indicate the value (rounded to the nearest dollar) of all
`; ' ' i:.:;; 6 . '? AT,,
'•1✓GORV§O GOrieii kti QN i " ;' " ?" mechanical materials, equipment, labor, overhead and profit.
1 & 2 -. gamily dwelling ❑ Commercial/Industrial Value: $- See Page 2 for Fee Schedule
Accessory Building Multi- Family ..;;' un�r g ' /sVSTEIVIV] EE "S(;t�,k i••;
:DiaS ..' ,:
Desert . tion • F ea: Total
❑ M:astet Builder C Other: 40- • • • .Heating/Cooling,
6 • ". 1 r(IB:SI: n iFORMA"FION ZOC&` ON: ' t:> ;. i • - add - air conditioning*'" I 14.0
Job s:.te address: ( Sal S C,.. -) s 0 ere Lam- as heat pump_ -.- . 14.00
Suite #: I Bldg. /Apt. #: Duct work 14.00
Pro set Nc me: Ilydronic hot water system 14.00
Cross sv'ei:t/Directions to job site:
- Residential boiler
(for radiator or hydronic system) 14.00
Unit heaters (fuel, not electric)
(in wall, in -duct, suspended, etc.) 14.00
Fluc/vcnt (for any of abo 10.00
Subd:yisic n: I Lot #: Repair units 12.15
• • - •• ...... O01'or:Fue1 Ap lien ea
Tax rnap /I arcel #: Water heater 1 10 -00
s .' :i: a '. ,s t .r.. Gas fireplace . , , s I s ;; CIS.tRTP7lO1V,i0F.ORKS::i:::.:a : ^:: r s .....: ' s re ace 10.00
Flue vent (water heater /gas fireplace) 1 10.00
1k ,� • - Log lighter (g) 10.00 _ -
Wood/Pellet stove 10.00
•
Wood fireplace/insen 10.00
Chimney/liner /flue/vent _ 10.00
+�!OP4,, i owl∎ BR.,: : :. �D � pR . , ::: : ;•:,: Other:
< 3'R s ,. `:•I'. -3? 1!I�iT;zP:�':r..�. ; -..:. , 10.00
Enviir'dmebtal.Exhaatit sr Ventilation ..
Range hood /other kitchen equipment 10.00
Address: SC-ix-L-
Ci /Stitt , /Zi Clothes dryer exhaust 1 0.00
P" Single duct exhaust
Phone: ( i,o- okV Fax: (bathrooms, toilet compartments,
QAlrx'fe KITIP: �.. ... , "i ®t4NTAY3.T?PERNOW:' Ft•::' utility rooms) 6.80
Name: Attic/crawl space fans 10.00
Address: Other: 10
-- .. ' • ..... .::. ...::Rust :Pining
City /Star(: /Zip: " "($5.40 for first 4, $1.00 each additional)
Phone: I Fax: Furnace, etc. - •*
1✓- nlitil: Gas heat pump •"
Wall/suspended/unit heater "'"
CO10RACI'OR?, x Water heater •
Busilaess blame: S e'- cJi. ( 1 c.- - 1 4"-t Fireplace ••
Add1'ess _ _ J la .1_)L .SL-: 1Z- -- _ � 4 , Range *a
BBQ *41 Ci y /Sfaic:/Zi • : 1-11` t is ,. r . 0 - Clothes d rye r (gas)
••
Phon ee c-(o - ( D c, } Fax: tek 1 - o - i 3 Other: •s
CCB Lie. #: tD (p C ?'g Total:
Autho:izcd l Permit Fees"
Signature: ��-it 4— `• Date : 0Y Mech anical Subtotal: $
Minimum Permit Fee $72.50 $ -i- 7,. ''''))
1' 4a- v I C-e— Plan Review Fcc (25% of Pcrmit Fcc) , $
(Please print name) State Surcharge (8% of Permit Fee) $ -.
TOTAL, PERMIT FEE $ U..
Notice: This permit application expires if a permit is not obtained within 'Fee methodology set by Tri- County Building Industry Service Board.
180 days afte • it has been accepted as complete. "Site plan required for exterior A/C units.
i:\Dsts \Permit Forms\MeCPermitADD.doc 01/03
2 'd SILO BSS EOS 2 Lt,.eaH Ro1etoadS d91 :20 i7O OE ieW
24 -Hour
CITY OF TIGARD
BUILDING Inspection Line: (503) 635-4175
INSPECTION DIVISION Business Line: (503) 639 -4171
/ BUP
Received �: 7 l Date Requested 13 --- e%z AM PM BUP /
Location fa 5 - � � Suite , l s P
Contact Person Ph ( VD ���,�III
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear )
Framing
Insulation
Drywall Nailing f — —�'� %, nr cr A «. . Ay - C (p
Firewall �,1
Fire Sprinkler - ' rj�,�ts /4- t- <.`: 17,416e-- 7*
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 AIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke D. pers
• "RT 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 reinspection RE: 0 Unable to inspect — no access
Fire Supply Line
ADA
Approach /Sidewalk Date 13 d ¢ Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL