Permit •
CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2003 -00605
!cIII 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/16/03
PARCEL: 1 S133DC -14600
SITE ADDRESS: 13281 SW TAMERA LN
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK ZONING: R -12
BLOCK: LOT: 001 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: 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 gas furnace.
Owner: FEES
LARRY PORTER Description Date Amount
13281 SW TAMERA LN
TIGARD, OR 97223 [MECH] Permit Fee 10/16/03 $72.50
[TAX] 8% StateTax 10/16/03 $5.80
Phone: 503 - 524 - 3263 Total $78.30
Contractor:
GAROKEN ENERGY COMPANY
3565 SW 182ND AVE
BEAVERTON, OR 97006 REQUIRED INSPECTIONS
Phone: 503 Mechanical Insp
Final Inspection
Reg #: LIC 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 -00
Issued By: t ✓ ± r / Permittee Signature: el / PLi C/7 - 770 /
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
9i 1 09:35 5033569002 GAROKEN RECEIVE 01
U3: 21 01 ttED 12758 , 8 FAX 503 598 1980 CITY
Y OF TIGARD OCT 15 nt13
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SIO
A,
CITY OF TIG N
Mechanical Per >t k
►.. --.. City of Tigard Daterecc[ved d /S/03 Permit no, ly �Dj�O TJ
Rigi Cr o T, and Address 13125 S W H Blvd, Ti 1, l R q� , Pr to issued: ppl. no,; Expire date:
f g : I, 0.11 Jo�
teisu �i �`� --
Phone: (503) 639 -4171 As �� � Receipt n❑ ;
Fax: (503) 598 - 1960
CITY OF TIGARD Case file no 2•• P4ymerrrtyRe:
Land use approval: BUILDING DIVISION Building permit no,: 77
OT 'E 1' EKMI
g TYI
accessory '
� y dwelling or acces p
/� I � 2 famil d Co Commi;rcial/industrial O Multi- family O Tenant improvement •
0 New construction ".5 replacement ❑ Other:
dditic Nalte
1'1 F: , INFUR111'AtNrlUN
L't1MM KC;IAI. 1rAI 11A I ION S[ lh;I)11! F:
.1011 SI'
r Job address: 4. `-
� .
iCl /L, indicate equipment quantities in boxes below. Indicate the dollar
I Bldg. no Suite no.: value of all mechanical materials, equipment, labor, overhead,
Tau map/tax lot/account no.: profit. Value $
Lot: Block: Subdivision: °Sec checklist for important application information and
Project name: I ,
a residential '
All • jurisdictions fee schedule for reside permit fee.
p
City /county: t , , . I ZIP: • ^ �-� • IS. 21AiVMILY '1)1VLI:LING JI'11_h'Nll1 L S('1iLDIJI;l
Descnpnon and )(D •f work on premises; ,A1\Ilf ( Oi► 1 iNF , R A LIINI)IISIIUAL'LQ.Ull'N'LNISCI ouLE
Est. date of completion/inspection:
4 t i - ( ... y Total
•
l / Pee ea-
IC) - t I Desert rdon NI Res. only Res, only •
Tenant improvement or change of use: ' t
Is existing space heated or conditioned? 0 Ye; 12(No Air handling unit C .
( Air conditioning (site plan required) 11.11
ML(1IANI(AL j 1
II
•
Is existing space insulated? 0 Yes �A1 TU got Cr er compressors
4'U "! lit
Business name: Li Qt'O en EnPrG State boilerpermRno.;
J -- • HP Tons BTUfil
Address: a L. _
MEM "ir amo c .ambers/duct smo e reteciors al
- „iatEMILIE 2.IP: 00 Mill " eat lump site ,...iii
Phon. , '.$ -3$g8 Fax: 0 .- 00, E ns►e lrcp a xJburner . = 1/a ffill
�
CCB no.: q ' . including ductwor vent liner CI Ye:. No
nsts 'rep ac re ocate eaters - suspende•,
City /me.tro li, no.: 01 S S wall, or floor mounted III . gent 'or a• • ancc of Cr an 'mace
"
Name (please print):
►o.... 30 ►:.
• • ''''-' �, . (ONI'ACl' a ger:toat ill Absorption units BTI:/F•
— Chillers HP
Address: - r„,;-..-1.0-- Cortt•ressora ^- HP Miiii
Ctt : v ronmenta e aust an. vent tat on; ■ —
y State: : P: Appliance vent
, Phone: E- mail: ..ri,
,., : , UN'Nl_Ii . . , - •00.s. ype Tres. tc en/haamat
hood fire suppression system
Name; a Y r p ∎-fie. Exhaust Pan with single duct (bath fans)
Mailing address: <," Q •i aust s stem a•an om eatin or • IIIII
City: , , State: G' ;;IP: ue P P g en sir rut on up to • out cis III
I Phone: $ - Fax: . Ty• : LPG NG Oil
- ue •i•ingtee a.. inane over• outets -
r - .: ENGINii:14' E E - m'. .µ - ' ", 7 recess p p rig sc emattcrequrcc• r
N. Number of outlets
Address: - 6therliste apeorequipment:
Decorative frreplacc
City: State: : ',IP: Insert -jpe
F Phone; Fax: 13-mail; Woodatovelpclletstove
Other.
( Applicant's signal :� - cam .v. Date: /
Name (print): b r1 S d3 Other:
rN., iP polite •.n• accept credit cards, please call jui m
ror mole Inr uedoa:‘ Permit fee $ _
0 Visa 0 terCud Notice: Thls permit application Minimum fee $ 7,2 , SO
t. rtdll cud number: , �_ _ expires if a permit is not obtained Plan review (at %) $ - M
Oxpvet within 180 days after it has been State surcharge (8i' $ S, t
Name ar cacao!. r r . croa:r cars s accepted as complete, TOTAL 5 i
• 3
adno der si grt"tur" Arror4 4404617 t2190 /CCtt,
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 - 4171 MST
BUP
Received Date Requested) 0- I•5 AM PM BUP
Location ) ?1 I C w tr\ Fj Suite MEC c3— (2 h 1 fr 6
Contact Person Ph (7:3) % ' 3 ?)0 D 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
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 (1
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
HAN
�'�os Beam
Rough -In
Gas Line
Smoke Dampers
iif1P
PART FAIL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Fina �� Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
''Ti4SS) PART FAIL
SITE - El Please call for reinspection RE: n Unable to inspect – no access
Fire Supply Line
ADA
Approach /Sidewalk Date / — c5- , Inspector % / Ext
Other:
Final DO NOT REMOVE this inspection record from the j b site.
PASS PART FAIL