Permit CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2001 -00142
-- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/2/01
PARCEL: 1S134DC-02800
SITE ADDRESS: 11310 SW TIGARD ST
SUBDIVISION: CHERRY HILL ACRE TRACTS ZONING: R -4.5
BLOCK: LOT: 010 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: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1
> 10000 cfm: GAS OUTLETS: 1
Remarks: Installation of gas fireplace insert and gas piping.
Owner: FEES
WEAVER, KATHRYN Type By Date Amount Receipt
11310 SW TIGARD ST PRMT CTR 5/2/01 $72.50 2720010000
PORTLAND, OR 97223 5PCT CTR 5/2/01 $5.80 2720010000
Total $78.30
Phone: 503 - 684 -0692
Contractor:
FIRST CALL HEATING & COOLING
1650 NE LOMBARD
PORTLAND, OR 97211 -4798 REQUIRED INSPECTIONS
Gas Line lnsp
Phone: 231 -3311 Final Inspection
Reg #: LIC 102030
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 -0080. You may obtain copies of these rules or direct questions to OUNC by
calling (503)246 -9189.
Issue By: Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
, 1
Mechanical Permit Application
•
, Datereceavod: .5/2/0/ Pc nrit no.://' 0. 0/
u- ' . City of Tigard • Pmjeet/appl. Expire dater.
a „d Address: 13125 SW Hall Blvd. Tigard, OR 97223
Phone: (503) 639-4171 Date issued: Br Roce no.:
Pax: (503) 598-1960 'r Case file no.: Payment type:
Land use approval: Building permit no.:
T'•PL OF PERMIT
• 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi family 0 Tenant improvement
• New construction 0 A Addition/alteration /replacernent 0 Other.
JOB St II IN'1 OR11ATION (OMl1ERC'IAL VALUATION SCIILDI;IT.
. Job address: .3 0 T 4, Q-- 5 Indicate equipment quantities in boxes below. Indicate the dollar
B . ; no.: Sui no.: value of all mechanical materials, equipment, labor, overhead,
Tax lot/accotmt no.: profit Value $ •
Lot: Block: Subdivision: *See cheddist for important application information and
- Pro cct name: jurisdiction's fee schedule for residential • y 't fee.
«� ZIP: - 2 - 27 1 IN: 21.\. I I IN DWELLING PERMIT TLE SCI I LOUIE
] elscrIptIon and l •• :on of work onpremises: ■.. I AN'i CO1111ERlCALIINUISI l. AI, I:QU1I',1lENTSCHEDL7_E
- , et( e., / '7 5ei a ,0 - '2 Fee(ea.) Total
E s t . date of corn .1 : • , . •• • • , i ' Description Qty. Res. only Rea, only
Tenant improvement or change of use: _ • Is existing space heated or conditioned? O Yes 0 NO pir co011 (cite .lan , , erred i
Is existing space insulated? 0 Yes 0 No Irir1' 'IITR -7fi:.. _ • 'T e _
Ail:C'I IAN l(.'AL CONTRACTOR : •tt �oompressors I .
Business name: F/r e� / -e -LI E , ,, State boiler permit ao.:
Address: J6 5"0 2) G a -•�/TT� R'rT RT:i -r B
'p 7 State: .0 a ZIP: z 2,' / Heat . ., . (e toy an req r•'. Mil•
Phone: 2u?- _ Fax: 6-9 E-mail: Install/replacetlan tner : i ' ■ —�
Including duetwark /vent liner 0 Yes 0 No
MB no.: /o Zo o ►rep orate - - _suspended. ■ �-
City/metro lie- no.: ' / c5a wall. or floor mounted
Name (please print): )- c' ' - 5 X9-2 'eat ;,ra • I ante o - ,.. , � ��
CONTAC PERSON Absospttontlaite BTU/H ■ � -
Name: gullets _ HP — � —
Address: , ,. ewers HP NM
a , Ii ni .
a State: UP.
Phone: Fax E -mail: u : ��
_....___..,.__z__ ..._.. . - .__ .—P _ _ ___._ -- ._.._ -- - _,.,.,.. _._ hoodliro e su p pressloneystem
Name: fa--Li n- ( -"' a '-- Exhaust tan with sins ' duet . tub fans) M �
Mailing address: / Q N- v G ya xi : . systemspsrt ■ .mhea . ; orA Mil •
Cil .7 ac State: c ;A ZIP: 97 a Z- vpiping r i n up In 4 outlets
/
LPG NG Oil � �Mr
Phone: � GI o b i _ E-mail: Fuel , _ , .. • .1li on - ova • ou • 1.111
1'NC1 \ELK „ . _ : em1 re9ar =�=
Number of outlets
Name: 17- 11117. “.,, El Address: Decorativefireplaco
City: State: ZIP: i _ — AEA IFFQM.
Phone: Fax: E w.4.'77777i:.1 stove ME
.yes: = ��
A. , licaars signature: Date: Other r
Name . ' , t): MI -
I Nad ll o+�1. ca. pleaseeenf au far m a. Petmitfee $ �l� 5�
O VIea O MasterCard No Ib perm application Minimum fee S
expires if a permit is not obtained plan review (at %) $
cwt cad 0 vmb n within 180 days after it hes been
State auteharge, (8%) .... $
Name o r murders as them: ea cretin card s accepted as complete. TOTAL $
Ctsdaoldcr avulses Amvms ^ � 440.461/ (611:0007.1)
7 nn Rh n.7RATT TO .c 1 T'l , a I OOPne ,731.7 rr • on 131313-y ,nn ,nT
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 63 1 MST
BUP
Date Requested S � 3 AM PM BLD
Location // 3/ d 5L T77 IV 5' Suite MEC cJ / / 4 1
Contact Person Ph ■ 7 7 Z 5 y PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing e -
Insulation
Drywall Nailing AtO C ,..r c '7 T - i =s = 1'Z Rs,. T i S – 1.k
Firewall
Fire Sprinkler x=140 . 417 7 8 a4- . — rats' c n1c1 – c77 v n.' i C'4
Fire Alarm
. Susp'd Ceiling .st 5 A PPLL a,.4c. C-onrt�
Roof
Misc: � /'SILL �ti �!.���L l�t /� Infsygi,j
Final 1S a
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL •
s, CHANIC ►J
t & Beam
Rough In
MiiIrnow
• . - Dampers
.ASS PART
CTRICAL
Service _
Rough In
UG /Slab
Low Voltage
. Fire Alarm .
Final
PASS .PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect -•no access
ADA
Approach /Sidewalk
• Other Date S' 3 d/ Inspector Ext
Final
PASS PART FAIL DO. NOT REMOVE this inspection record from the job site.
•
z7
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 3 � / AM PM BLD
•
Location //3 /U .7 r,✓- /7y4vcL S' Suite MEC 2u / D /'/Z_ Contact Person Ph 2 t/7 - 2,0 5 ? - / PLM
Contractor Ph SWR
BUILDING Tenant/Owner • ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING,
Post & Beam
Under Slab
} ` Top Out -
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
•
CH •
Post & Beam
Rough In
- - Gas Line • • -
Dampers
eke
PASS PART FAIL
ELECTRICAL : - -
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm .
Final
PASS PART _FAIL
SITE
•
' Backfill /Grading •
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date S 4- 0/ Inspector LA Ext
Final
PASS PART FAIL ' DO NOT REMOVE this inspection record from the job site..-
,