Permit • it
C ITY OF TIGARD MECHANICAL PERMIT
AT � & DEVELOPMENT SERVICES PERMIT #: MEC2004 -00642
V 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/27/2004
PARCEL: 2S103CC -13900
SITE ADDRESS: 12077 SW WHISTLER'S LP
SUBDIVISION: WHISTLER'S WALK NO. 2 ZONING: R -4.5
BLOCK: LOT: 086 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:
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 OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Installation of new A/C unit.
Owner: FEES
ANDERSON, JOHN Description Date Amount
12077 SW WHISTLERS LOOP [MECH] Permit Fee 9/27/200 $72.50
TIGARD, OR 97223 [TAX] 8% State Surchart 9/27/200/ $5.80
Phone: 503 - 590 - 5865 Total $78.30
Contractor:
PERFORMANCE MECHANICAL
1915 SW 25TH ST
GRESHAM, OR 97080 REQUIRED INSPECTIONS
Phone: 503 - 762 -2474 Cooling Unt Insp
Final Inspection
Reg #: LIC 147003
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: Permittee Signature: EA, cNI
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
09/20/2004 14:59 FAX 5035981960 CITY OF TIG.ARD a 001
' Me haai a1 Permit AP IVE FOR OFFICE USE O LY
City of Tigard _ ' r // ,(
Permit No..' __ _ 7 - - I V
13125 SW }Lill Blvd., Tigard, OR 97223 2 U l Plan Review
503.659.4171 Fax: 503.598 -1960 SEP e: I q , . * � Y OterParmlt:
La pectian Line: 503.639.4175 4 I l Page 2 for
Internet: www.ei.tigartioc.ue Notifcd/Merhod ) i (, Supplemental Inform anon
CITY OF TIGARD
!!qy( ii�}•• (� ^^ _ 1 1 _f a il! T - � i t . 1 1 � ,M t• t� ,.,,
it41.1 ' . . - w-- t1.. lZt _-I ka 6 1 : la _r I .w_urlli: . .l " ti ' ...!F - ' 1Jee l:7 ..4. ';•'i" J I- N...- 1�; ••.. ._ -
4 ��1,�C1.' KL1ST
T7� New construction V Addirion/aheraticn /r�epla:ement Meehaacal pemu[ fees' arc based on the value of [he work
❑ Demolition Other performed- Indicate the value (rounded to the nearest dollar) of all
,nechiiea1 Materials. equipment, labor, overhead, and profit.
r �t,, �T 'i." -r, t t s�ti•• a ;, ,. r IOW Value:S
'►T"_ an_, , c.-_ ' t' _ , ..".. , ,,----•- : ' - .` ^'� , -, -, ' ' ' i'' i ■ e'. EIK•Z51 " �•''' Irir., ere^ '''' Si •Ir I
Y1- an nz
d 2- faly dwlelling ❑ Commercial/industrial ❑ Accessory building lt_bA' ' s+ l sir r
El Multi El Master builder 0 Other. For spacial information we theeklirl, �
Description 1 Qty- r Ea Total
i ; ^ r 1' - 1 1_ ; -� 14 - TT r `ng
"t Y •..' 9'' l t o ► r :1: i : Hea " cooling
-n :., .. .. ��t:.,. r� :, '' r! -.` ,tu � • - •,.n,�_ i''.... , w,,ar � . �. ! ...L .
Job site address: 1 a S w LuI /� Air conditioning or her: pump ! l d
\ s- Lev s ' OQ IrJ (requires site plan showingplacemen0 1 14 00 I '
City/State/zIP: ' 1 , - a a 3 J (requires Furnace 100,000 BTU (duets/mu) 14.00
Suite/bldg./apt no.: Project name: Furnace 100,000+ BTU (dueWvents) . 17.90
Gas heat pump 14.0C
•
Cross stteeUdirecticals to job site: Duet work ( 14.00 A
}ivdronic bat water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel-type not electric),
at'1,, induct, suspended, etc. 10.00 ,
Subdivision I Lot no.: Subdivision: for any of above 10.00
Other, 10,00
Tax map /partied no-: Other fuel appliances
r ya, it ,.4 a I ,S. I . r --F.1 , , E rr 7 u .F• , ,,i ; r eS -: - r 1 i c .- � . '' �` tn:flj'� ,I Water heater ' 1 000 -
... .,...,;.z.6; _'_._ ..� ,_ ... . ' .._ :� - i , ..t G`.L — � 1 ._M�!uvns., t tins fireplace , 1000
. 1 / 4 4 / / I ' " I Flue vent for water heater Or gas 1
fueplace 10.00
Log lighrr (gas) 10.00
-
I Wood/pellet stove 10 .
Wood fireplace/insert 10.00
- � e / a -I !f,',;.'''.. I+ _ T '�q3 -Chi rmcy /linta/flue/vent - 10 CO
I, I :irj, 1 dt.-, i 1 , ? '1� I '. f: Li l it r, J {�. •,- �J,'
s , v..-r__ u _ : i z . ] : . _..., , u l l . L. . �.. -0,__ — — - -'r Other - - 10.00 -
Name. 0:I 4 . - i — _ -- - - E n v i r o n m e n t a l exhaust and ventilation
Range hood/other kitchen
Address: 1,? 017 Still LUh SI - S equipment 10 00
city/State/ZIP: T/ cvtat I 0/t 9 7.4 a 3 Clothes dryer exhaust 10.a0 .
Single -duct exhaust (bathrooms, i
Phone: (5 ''),) 5 Lg - 53 ,5, Fax: ( ) toilet compartments. utility rooms) I 6.80
oT T , n , ': ' f , ' ;'f_ ' }. 1 i i r ;;
-�": �rF j . it ? :1. ijC � : . f1 • t APhc /craWprace fans 10•CO
4Fr_ • . . .. ,_i_L I =.. I = ..,...;:L 1. ; r - . ._ : .— . u. �: •-tr.1.:1}w;: A,' I
Businessnem= r'er (Urmance erlechaA�ra' Other: 10.00
. Fuel piping
Contact name: / y/Ql all VLi, -..j // / _ S5•40 for (Irstfour; $1.00 for each additional
Address: 1 9/5 SCA/ 0S�' �' Furnace, ere. _
_ - - Gas beat pump
--- City/State/ZIP: . (3l' PS /'76/Y17, U /C r 7 7aEro Wall/suspended /unit heater
~Pbnne: (5 7 6) -a ti 74/ Fax:: (SO3 (o(07 Aga 3 Water
E-mail: Range
, ± 9 '.uj . "�' i R ''�1 ! —T L 1" r t tom, r� q:-......, i . fl I t� j:11 Air
LL � . 1 . f.`;<'�L_ � :.P. :,I , r I I j i n - ! � 4 • , ; , IF f -I , ., - . Bath e
Business name:
�. Clothes dryer (gas) '
/n� /`
Other
/
ther
Ad�esl St / �/� i1 tGy.-;-,71-.7--%' i � , a - 0 c cfai. i4' ..
City/State/ZIP Subtotal
I M:nimutn permit tee ($72.50) '1a. S()
Pone: ( ) Fax: ( - ) Plan review (25% of ptrrnt fee) _
CCB BC.: ) 9-7003 ... _ State surcharge (8% of permit fee) 5, Rej 1
n •- TOTAL PERMIT FEE 1 8-, 30
Authorized signature' ---(://2 ,/ - • This permit applioticn moires it a permit ill WI Obt5ut Wi1Me ISO
. O V i days after it Vas been accepted as complete.
Print name: 220 (�^� V�� (/v1 Date: cf —() y • Fee methodology set by Tti.County Building Industry Service Board ,
I muildat∎renstltCEC -)er JIApp,dec 12103 1144617T ( ■ IRi/CONIWID)
FrB- 9 - 1`59901: VP FF.'GM:1er'r H Revco.,sse r. 1413 -923 -2487 TO:Per fcrmar,�.e ale: ho e�c = 'ti
y t4 r
d4 f �� %LL -,0?
2 3
j tbhti V n a frs vv.
t 1011 5.6) 4J I,. 46r, 1 c_
440
CITY OF TIGAR D 24 -Hour
BUILDING - - .\‘"- Inspection Line: (503) 639 -4175 MST
INSPECTION D1VISIPN Business Line: (503) 639 -4171
J BUP
Received Date Requested / ` ° AM PM BUP
Location 0- 7 7 1-e.�,e/ Suite
Contact Person P O� (/ ��- _ T - ) 0 /' �-' �-�� PLM
Contractor h ( ) SWR
BUILDING Tenant/Owner (///21244-411 J ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes:= SIT
Post & Beam _
Shear Anchors _
Ext Sheath/Shear
Int Sheath/Shear _ -
Framing - -
V
Insulation V 1 ' 'V\ �,�/I ` �i 1 -1 V 74 78 3
Drywall Nailing •
Firewall
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 T FAIL
C ANI L — -
eam ( Rough -In
Gas Line
-• • ke Dampers
ater
PASS PART FAIL
ITECTRICAL
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: ❑ Unable to inspect — no access
Fire Supply Line
ADA •
Approach/Sidewalk Date //, 2- —04— Inspector 9 Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
•