Permit • a CITY OF TIGARD MECHANICAL PERMIT
, ?rn, DEVELOPMENT SERVICES PERMIT #: MEC2001 -00173
`' I II 1 3125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 05/22/2001
PARCEL: 2S103DA -01100
SITE ADDRESS: 13075 SW WATKINS AVE
SUBDIVISION: DERRY DELL ZONING: R -3.5
BLOCK: LOT: 011 JURISDICTION: TIG
CLASS OF WORK: FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SFA UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 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: 0
> GAS OUTLETS:
10000 cfm:
Remarks: Installation of a /c.
Owner: FEES
COLE, TERRI J Type By Date Amount Receipt
13075 SW WATKINS AVE PRMT CTR 05/22/20( $72.50 2720010000
TIGARD, OR 97223 5PCT CTR 05/22/20( $5.80 2720010000
Total $78.30
Phone:
Contractor:
FIRST CALL HEATING & COOLING
1650 NE LOMBARD
PORTLAND, OR 97211 -4798 REQUIRED INSPECTIONS
Mechanical Insp
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 -9
\
Issue By: /� ,f �� . �� ' Permittee Signature: 67 dj��.G ( _'a�/i1/)�t�
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
'RECEIVED
q
• M ray( Rr 1 - ?-00
Mechanical Permit ApplicabiOflM
•Datereceived: .7y /7 i Permitno.-M F, )/ .04/ -73
City of Tigard
- ' °'1 i Project/upping.: F�cpiredate:
, d Address: 13125 SW Hall Blvd, Tigard, OR 97223
Date sued; By: Receipt no.:
Phone: (503) 639 -4171
Pax: (503) 598.1960 Case file no.: Payment type:
Land use approval: Building permit no.:
IN l'E OF FERMI I
y 8c 2 family dwelling or accessory U Commercial/industrial O Multi family O Tenant improvement
ew construction Addit on/alleration/replacement U Other.
JOB SIlLI'!O12R1 COl1 \11:11('1:11, V S(
. Job address: D '? ,(' . r 11 S ' o 2 - Indicate equipment quantities in boxes below. Indicate the dollar
B • no.: Suite no.: value of all mechanical materials, equipment, labor, overhead,
Tax m ...: lot/accotmt no.: profit Value $ •
Lot: Block Subdivision: *See checklist for important application information and
P cct name: jurisdiction's fee schedule for residential . ermit fee.
Ci /county: ZIP: rf 1 ,r; 21 Amu il' DWELLING PERMIT FEE SCll111111,
Description •) : :on ofworkon premises: _ / ,i5.__ e AND C0s1\IERICAL /I \UlSI Ili .al.i:(ii II'i%IE \TSCIIEDLII
Fee(ea.) Toed
Est date of con . letionflns . - Lion: Desaiption Qty. Res. only Res. only
Tenant improvement or change of use:
IlEiMIM Is existing space heated or conditioned? I] Yes CI NO — ^- eked) Z
Is existing space insulated? O Yes O No t rrrr, on o -. :. ' ' T - system ME
\1 F( l.• r\I(:AL (O,1' IIt:1CTOlt : ' - compressor's , .
State boiler permit ao.:
Business name: / i ri .t �2 // 4 - r ,--2, G rpD/i HP 'Eons ' BTU/H
Address: / .-SD ,JC ev u priwy„ . =e' T �r1.11ra1M S ME
,� /e / C State:®' ZIP:2 -71- / Heat . (a to an req , r^. - ��
• : - .Lace fum yutnet i ■ ��
Phone: — � �t � r Including ductwork /vent Mier O Yes n No
CCB no.: /OZ v 0 ms , 'rep ac orate ., - suspended.
City/metro llc no.: 4-fog C) wall. or floor mounted ■ �_-_
Name (please print): (ti D 4 S EA-1C S 'ant .. r a y. l nice o a . , a _
IACI PERSON T
CON io n
units Absorptioo� BTU/H
Name: Chillers HP OM
Address: easors . HP N ��
, . , rirr, , ■ �-
a . State: ZIP:
y .
Phone: Fax E -mail: M ��
,
s
•
... aZIDat ■ _�
hood fire suppression system
Name: re. ,r, ` a Exhaust fan with single duct • nth fans) M _
Mailing address: / o ?5' 54.0 fucw- f - l-r ' 7 s /'-- • t . sYstern V . on ben '; orA M ��
Cii : / - e .--et Scats ),2 ZIP: 4 2_ 2 - 3 ire - a � , „ , NO to a Oil � �-
Phonc ; Q- 'J, Fax: E -mail: . . .ir:on• over ou - I=
L \GINEER t I• =NM MI=IM
Number of outlets 111.
Name: i -:, : ;rr' jjp,„ . . _ r., ,,ept1 II Address: Dccorativefireplare
City: State: ZIP: ■l lz AMIN
`:- mr =7 stove ME •
Phone: Fax: E-mail: • y et _ �—
A..Hearin signature: i � 1M �� . D • - ARM Other; - -
Name . - .0: / , ./ 5 S M ��
, Nat all knee:1eusos words credit card', please coil lode Medics for m
make isteaaoa.N Permit fee $ 72 . S (..)
O Vlaa O MasterCard Notice: This permit application minimum fee $
Credit sae numbest _ expires if a permit is not obtained plan review (at , %) $
Within 180 days after it has been State surcharge. (8%) .... $ 5, $ �
ame ra moidri m suowcuus accepted as complete. TOTAL $ i , C�
S
Cerabolder slmlatme Amman 440 (6100/COM)
7nnMDI TIJRATT TO A•ITn Ia7r6onene VVJ PC •an inn. /nn /AT
DRAWINGS / DETAILS
C1 ---7
boo
i
1 307' Ostroci /WE
POLAROID / DIGITAL POLAROID / DIGITAL
COMMENTS
Z.vi f'
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639-4171
BUP
Date Requested (0. . c/ AM v PM BLD
Location i, o 7 r S-.) tva / , A j Suite MEC 26411
Contact Person Ph 2 ?7 1-G s'y PLM
Contractor - Ph SWR
BUILDING Tenant/Owner ELC
•
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: l I
Slab (( C� SIT
Post & Beam
Ext Sheath /Shear •
Int Sheath /Shear
Framing C,' L 1,u i ^.t. v fe- �a5cL /(J 333 / 4 ,
Insulation
Drywall Nailing / its STY+ -cL`<L ( Co." 7 - 17r 4. c -ro,2 Q' �,�s�
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
ECHIIC
Post & Beam -
Rough In
Gas Line - •
Smoke Dampers
Fina
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 - °/ Inspector E
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site. -