Permit •
CITY TIGARD MECHANICAL PERMIT
I DEVELOPMENT SERVICES PERMIT #: MEC2004 -00225
' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/29/04
PARCEL: 2S110BA -05700
SITE ADDRESS: 11885 SW WILDWOOD ST
SUBDIVISION: SHADOW HILLS ZONING: R -2
BLOCK: LOT: 008 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:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: 1 <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Replace furnace and A/C -
Owner: FEES
THRASHER, DARREL L + MARY J Description Date Amount
11885 SW WILDWOOD ST
TIGARD, OR 97223 [MECH] Permit Fee 4/29/04 $72.50
[TAX] 8% State Surchart 4/29/04 $5.80
Phone: 503 - 519 - 8597 Total $78.30
Contractor:
TRI COUNTY TEMP CONTROL
13150 S. CLACKAMAS RIVER DR •
OREGON CITY, OR 97045 REQUIRED INSPECTIONS
Phone: 503 Mechanical Insp
Misc. Inspection
Reg #: LIC 72623 Final Inspection •
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: / Permittee Signature: -
Call (5 3) 639 -4175 by 7:00 P.M. for inspections needed the next u iness day
Apr 27 04 12 :26a
TriCount Temp Cntrol 5035570919 p.1
. __
•
.1 - Mechanical PermitApplicatron 1111111111111MM..
-
.� Cit of ligaed 1 0 ��� - ,\ � C e �`"ed` P 2.
City/ oflgurd Address: 13125 SW Hall Blvd, Tigard, OR 97;t264
�l��pt no.: Expire dam /
Phone: (503) 639 -4171 , / 1 - Dam ; saved ; B
Fax: (503) 598 -1960 ∎` %—,---------: 'Fit °0
Y U f. X31) case 6le ao :
Land use approval: CIS I \ /l Sld'� Payment h
uvoc, 9ut7dtag permit no.:
1114. (IF I'! \111
1 8c 2 family dwelling or accessory • Commercialfindustrial 0 Multi- family 0 Tenant improvement
New construction Addition/alteration/replacement p
ANIL
Other.
.IOIt ,I FE INFoUS1.t!ION ((1\l\I[IUJ U. V 11.E WON IO\ y(IIED1 1.E
lob address l •26 J"�1'J 6'L I 6 �
fo b a re ` !f Indicate equipment quantities in boxes below. Indicate the dollar
Suite no.: value of all mechanical materials, equipment, labor, ov ahead.
Tax map /tax lot/account no.: profit. Value S
Lot: Block: I Subdivision: 'See checklist important application
Project name: t f i cdoa information and
jurisdiction's fee schedule for residential permit fee.
City/county: r
A_ ZIP: • 722/1 I & ? F \%111.1 D %E1.1.1 \(: I'CR111 F Flit: St 111:1N J.E.
Description and , scion of work on premises: .4i]fI . r %NI) (o'r11F1t1C u. /1 .FMu. I:Q1 IPNW\ CSI III• :I)t'l.E
Est. date of completion/inspection: I Fee(a) Total
Dercription
Tenant improvement or change of use: 1IVAC: �. Res am>.IRa. only
Is existing space heated or conditioned? ] Y� 0 No
Air d unit CFM
I
_ I I
Is existing space insulated? 0 Yes 0 Na Air conditionum (site plan required) snng HVA(. system I )
AII:cII. \IC U. CO\ FR:1C 1011 Boller/compressors
compressors 1 l
Business name: Tri County Temp Control State boiler permit n°" I
Address: 13150 S. Clackamas Ryv er Dr. HP Tons e tor
City: f - Firesmoke dampersiduct smoke detectors
Ore I 1 �
Oregon Ci tv I State :OR ZIP: 9 7(l 4 5 Heat pump lane plan required) I I
Phone: 557-2220 Fax: 557091 HE - mail: Install/reptace !imam 13T ill I r
CCB no.: 72623 Including ductwork/vent liner Yes 0 No
City /metro lit. no.: 1 126 o mounted
Instalreplaceate heaters - suspended. I I
wall, or floor mounted
Name ( please print): ' t a .0711 s Vent for appliance other than &mace
I
)\ 1 • \l'1 PERSON
- Absorption units _ BTU /H
Name. Chillers }1P
Address: Same As Above Compressors HP
City: l State: I ZIP: Environmental exhaust and ventilation:
Phone: 557 -2220 Fax5570919 E -mail: 0p 0 r exe re x event I
haust
O11 \E11 Hoods. Type I1 I1 /res. lutchcruhazmat I
Name: Darr ei ThrGd� � r - hood fire suppression y Exhaust fan with h si single le duct duct (bath fans)
Mailing address: all) ((4,9 . `J 0 ' Exhaust system apart from heating or AC
City: I State: I ZIP: Fuel piping and distribution (up to 4 outlets)
Phone: 5( 1c I Fax: Type: LPG NG Oil
I E-mail: Fuel alpine each additional over 4 outlets
F \(:1 \ E E 1t
Fromm piping (schematic required) J
Name: Number of outlets
Address: - Other listed appliance or equipment:
City: Decorative fireplace
t y : I State: I ZIP: Insert
Phone: I type I
a
i I
x: I E Woodstoverpellet stove
Applicant's sigaaturti a. j l Date: f Other.
Name (print): rti �I�Q; 7 Other.
-[.�LI.L
Noa all l�d.coo°s acacia coatis cards, phase call jaradiema ear MOM mramaaoe_ Permit fee .._.___....___. S rZ. 57) ❑ rum D MaactCare Notice: This perm application Mi fee ,.,_ .__ ._ S
cad's card number. / / expires if a permit is not obtained Plan review (at %) S r
Epun - within 180 days after it has been ...).
Noma Of araholder as s own oa credo C7rd accepted as complete. Starr: surcharge (8 %) , $
S TOTAL__.___.___..__. S l
Catttholder stptsnre Amos
+40-1617 06. 4)
- n. ..
CITY OF TIOARD 24 -Hour - •L
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received it 52 Date Requested 6 </ AM PM BUP
Location . _ _ / /. / .. s I #� ./I uite ME I Z
Contact Person .P 0. Ph (') -s 7- 2 2 ZQ PLM
Contractor [ I2 Teauf Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam _
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear / e.� t/'/LL fiui"./GA , ��laSD
Insulation -
Drywall Nailing �C�i : ��i y �.1 �, r ∎i° /t
Firewall
Fire Sprinkler � �='� " o`� G z i „� 2 — , � r J1lc _
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 / Manh le
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANIC
Post & Beam
Rough -In
Gas Line
.. , . I _ pens
Final
PART FAIL
ICAL
•
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 5 — /' Inspector EA
• Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL