Permit CITY TIGARD MECHANICAL PERMIT
411, � DEVELOPMENT SERVICES PERMIT #: MEC2004 -00445
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/7/2004
PARCEL: 2S110BC -06000
SITE ADDRESS: 12350 SW THORNWOOD DR
SUBDIVISION: THORNWOOD ZONING: R -7
BLOCK: LOT: 031 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
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: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1
> 10000 cfm: GAS OUTLETS:
Remarks: Install exterior A/C, do not place within the required setbacks
Owner: FEES
ARTHUR BUIZON Description Date Amount
12350 SW THORNWOOD DR [MECH] Permit Fee 7/7/2004 $72.50
TIGARD, OR 97224 [TAX] 8% State Surcharl 7/7/2004 $5.80
Phone: 503 - 570 - 8077 Total $78.30
Contractor:
SUN GLOW INC
2428 SE 105TH AVE
PORTLAND, OR 97216 REQUIRED INSPECTIONS
Phone: 253 - 7789 Final Inspection
Reg #: LIC 48131
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: l /J Permittee Signature: - — .
Call (503 639 -4175 by 7:00 P.M. for inspections needed the next • u iness day
07/06/2004 10 :18 ' 5032537693 SUN GLOW INC PAGE 02
05'12'2004 09:43 FAX 5035981960 CITY OF TIGARD C1001-
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Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard C IV ED D Permit Noa 7 d71 0 0 �
13125 SW Bail 111114, Tigard, 0 a h
l G V Mau Rea I
Phone: 503.639,4171 Fax: 50 `.5` . • 1 ,,P mit
ne tenon Line: 50 3.639.4175 . y7r.'J J Bale other Per
ep JUL 6 100 1. • 1 a .. l eA Dat e ied/meth : Lure: S See Tag.. l rat
Internet: www.
i.d rd.nr.us y}� ' t Nodfietl/Meth Supple infer/me
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❑ New coastnaetion �Ik diVi7SC1' 'to t replacement 1vletherllcal perxit. xe based en the value of the work •
performed. Mem the value (founded to the ocarrst dollar) of all
❑ Defvolition ❑ / Other: J mechanical materials, a uiome tt, labor, overhead. and profit,
f 1 ', 1 : i', ∎ 1r ,T 1' ,.r )1 a ' . �}I'�!t l `�- 17
1 5;: l i I T ��' .�!- ` Ell,1 ,ZM C� 1 Value: S
�I 11 , . ?l _ , - , �'. ) ' � � �, • - r+ � Iseai� �'rul�'�,'s�'dir�'ti�tf ` �w p .� ? I >, . + w • t ,� w : ,� ,.�.raK,�.r,� - ,•, t
Comntercla11indus 3 4 ��0'3 ; , d1 F 1, S ►? b :FEES`
n; 1- and 2- family [� trial 0 Accessory building
• Multi-family ❑ Master btaildt f ❑ Other For special information use ciueckrist.
Description Qt Ea- I Total
: �� 1� . 1 µ I + �� � iI y FIf � 7t� it �: 1 1 1.4L I I.�[' �•�± �''_ -'.r.r �... Zry } I,,g���1
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Ga LW , .. ; ' fi r ..,.. v -.��s � x ffa.�.�a ate, �.r I
Job site address: /1 �5 J : I A � ,r 1 Air condidan;ng or heat pump VII
I (tcquiree the plan thawing placement) E 1 1 ►'
City/StateIZJP: ` • . , is - 0 Furnace 100.000 STIJ (ducts/venr) 14.00 ! ' L SuiulbldgJapt tip,: Project name:
Furnace 100 0 00± (guar, / vr cae ,, ) 17,90 ,
Oat heat pump 14.00 ..,. -. ..,
Cross street/directions to Job site: - Duct work ` 14.00
- 1Zydronic hot water system 14.00
__ Residential boiler (radiator or
bydrortic) 14.00
• 'Unlit heaters (ftlet -type, not electric), '
its In - duet, suspended, etc: 10.00
Subdivision: l tot no.:,� - hfuNvcnt for an of about Other
r: 10,0a
Tax map/parcel no,: Other (net appliances .
:I ] "cf + _;, 'I : r r i';•�;: -+r,c = •� ., .- ...„ �Fd T. fi r., ; ;_; , �i,w `�' Wate
" I f tl0atcr 10,00
r fi. i .. t- u1_ , }�uni :I �i +w�� ���!irtl : y�, Q. �tt 0 11 ��'•05,i�. - '.1.La '�5�.. 1 .1 �4 i 'i.tr�.Ifg
Gas fireplace 10,00
II 4, 11 (.. a 4 INIMIE11111111111111 Flue vent #br water heater or gas
fireplace 10.00
Log lighter (gas) 10,00
Wood/pellet stuave 10.00
Wood fireplace/insert 10.00
-
1 ' : :•S. - ;u i i r i:C•I�r ,-! h': -.� . .• 5 11, 4 M c Chimze ii1ner/i'i,e / vent 10,(10
r ^ = .t•!- =v �� "'F r 7 . � ..I �t`II. �'� ' - ,I 'ti'�'tiT'1 � r'� -fr ,�
rv� , 7i 11�I i i,•, it 1, h,,fr - ^�C ti ;: L',_ ;: b i 1J,. ri I ,ear ,,:t:It4 t •J t {
. �Lil:x:rl ILI '.4. ,J.7 � 1 i'•h,t l e u. - - :::fil �iI �...d � F.,l..,, ,ti � ' . ' '_ ,11.,: .� .., rl '.. Other- 7 0.00
Name: 2 g i '' -IJt/4iO - Environmental =hand and ventilation
Address= , j,l� Range hood /other kitchen
�Z ems)
;. equipment 10.00
City/State/ZlP; � 6 21 Clothes dryer exhaust 10.00 , --
n f Sitlelo.doct oxhausr, (bathrooms.
Phone: ( ^i7 1 • • 1 , Fntii ( ) toilet comperttnenis, utility rooms) 6.80
'? - 77:,•' F 771 .:7r, ' rfy "'i � l i 'iIP:l
:A.i i1 11,: -a,7 ;Iri��i "7 ' ` � "G
% I'? I ,i,h'i21. !,I 4 F 1 11aaJ . lu 1' H '� t�, '� l L � s .5. ' 2 :^ l fy r
. l { C�� J_;
);IIt •, I .0 Attic /eraw]s farts I O.OD
i L.1t1 �e 1 �' ra 3�� l I -AIL:- ,4 • , 2n r; y, fi _ �u ._ 1
Other. ' 10.00
Business [lame: ' I `' ` _ Gs LFuel piping
Contact name: t Y 1 -Y Pf I • IP f $.5.46 for Orst tour: $1.00 far etch ndditional ,
Lt e j G i f t umacc etc,
Address: -[ t - -
Oas hen,tpurny
City/5ratoZIF: • -.4'j II of/ 2-110 7 /� • Wa11 /suspetldad+unit Beater T _ Y � - _
Phan: (615 26b-1 12'')E' t -, 23" - 1 tom" . Water heater � �
13 -mail: Fireplace
r l 1 , 7 . 'iii i FY 1 - r-r r 1 Yt � ll ��.
�� i
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yl : I ; "ill a Barbecue
Busintss name: I
Clothes dryer (Ras) : __. e
Other: I
Address: ,i.T.: `a•-':t•a' ' -'� `
Ciry/Stab /W: Subtotal l4 -,c4-
aorta: ( ) :Fax
Minimum permit tee (572,50) 1
. flan review (251/4 of retrnit fee) ���
CCB lie.: Sate surcharge (8% of permit fete 17
.,5 r �St )
1,k TOTAL PERMIT FEE 1 Z �L3_p
Authorized sign: r - L5 4 C -. 's 1i T his pert e t application expir if a permtt Is not obtained wien In 1 PO [lays after It bat been accepted as complete.
Printname: � E4 rm., J/. I p Date: , • Fecnt1 lr olisay •County Suildtng /news by ZeT'(ce 6o¢m
0.1 5uilding\4ermitsWEBC•PemdUppdoc Pit!] --- „a.aenr(ItravcOMIWEB) •
07/06/2004 10:18 ' 5032537693 SUN GLOW INC PAGE 03
03/2/2004 16:98 FRr L Vvt/uuk
•
DISE LI T1ON ADDRESS! i oa .
PRQPEitrY t 4 i -
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. CITY OF TIGARD 24 -Hour �► c *
BUILDING Inspection. Line:. (503) 639 -4175
INSPECTION bIVISION Business Line: . (503) 639 -4171 MST
��// BUP
Received %ate Date Requ sted 7 ( AM PM BUP •
Location /0358 cJk) �i�L4 �N -I ' . , JY Suite aC
Contact Person_. Ph ( ) PLM
Contractor Ph ( ) = SWR
BUILDING Tenant/Owner ELC . N► l/V
Footing 7o to 71 ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: • f7lG SIT
Post & Beam e/LI.D?�
Shear Anchors GN ae�
Ext Sheath/Shear
Int Sheath/Shear .
Framing
Insulation CAA/1/•(L - eB35 •
Drywall Nailing
Fi rewal l
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 PART FAIL
MECHANICAL
Post & Beam - .
Rough -In
Gas Line
Smoke Dampers_
•
ma
PAS PART 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 f Please call for reinspection RE: ' ❑ Unable to inspect - no access .
Fire Supply Line
ADA
Approach/Sidewalk Date 7 Inspector - Ext
Other:
Final • DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL =