Permit C ITY OF TIGARD MECHANICAL PERMIT
PERMIT #: MEC2001 -00418
DEVELOPMENT SERVICES DATE ISSUED: 11/20/01
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S 110BA -06800
SITE ADDRESS: 12036 SW WILDWOOD ST
SUBDIVISION: SHADOW HILLS NO.2 ZONING: R -2
BLOCK: LOT: 051 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: 2 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: 2 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1
> 10000 cfm: GAS OUTLETS:
Remarks: Install of (2) gas furnaces and (2) A/C. NC can not be placed in the required setbacks. 1 Decorative fireplace.
Owner: FEES
KEN DAWSON Type By Date Amount Receipt
12036 SW WILDWOOD PRMT CTR 11/20/01 $72.50 2720010000
TIGARD, OR 97224 5PCT CTR 11/20/01 $5.80 2720010000
Total $78.30 .
Phone: 503 - 624 -2013
Contractor:
SPECIALTY HEATING & COOLING
9528 SW TIGARD ST
TIGARD, OR 97223 REQUIRED INSPECTIONS
Heating Unt Insp
Phone: 620 -5643 Cooling Unt Insp
Reg #: LIC 66578 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 -0010 through OAR 952 - 001 -0080.
You may obtain opies of these rules or direct questions to OUNC by calling (503)246 -9189.
Issue By: . L u /i '. ! _ Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
Nov 19 01 04:30p Specialty Heating 503 598 0718 p.1
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I
Mechanical Permit Application
9 11 ate received: / 1/0/0 1 Permit no.: j / —(l) '
u`.-�1 City �f Tigard RECEIVE ! � '
•ro Expire date:
Ciryoftigard Address: gar
13125 SW Hall Blvd, Tigard, OR 97223 Date issued: BM Receipt rto.:
Phone: (503) 6394171 NOV 1 9 .2001
Fax: (503) 598 -1960 r± w rstT Case file no.: Payment type:
Land use approval: CITY OF TIG Building permit no.: '
TYPE OF PERM h` IT I
l & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family 0 Tenant impro' . .:ment
0 New construction CKAddition /altecation/replacement 0 Other: _
JOB SITE INFORMATION COMMERCIAL VALUATION SCHE IJ
.lob address: J, 436 5a.) A)/ »w& ►' Indicate equipment quantities in boxes below. Indic:;.e the dollar
Bldg. no.: I Suite no.: • value of all mechanical materials, equipment, labor, overhead,
Tax map /tax lot/account no.: profit. Value $ .
Lot: ]Block: I Subdivision: *See checklist for important application informatior and
Project name: 4jjS jurisdiction's fee schedule for residential permit fee
City/county:7794Ad /gJ45#j I ZIP: q f c.{ 1 & 2 FAMILY DWELLING PERMIT FEE S I IEDULE
De ription and location of work on i,,.4 jj premises:1, a ti i AND COMMERICAL/INDUSTRIAL EQU1P i SCHEDULE
at-to a L a Fet t:ea.) Total
s t. date of completion/inspection: A ahl� ( rj� Description Qty. Re : only Res. only
Tenant improvement or change of use: EIVAC:
•
Is existing space heated or conditioned? 0 Yes 0 No Air handling unit CFM
Air conditioning (site plan required) a`6 -
• Is existing space insulated? D Yes 0 No Alteration of existing HVAC system •
-
MECHANICAL CONTRACTOR: oiler /compressors
Business named S y cl (� .i • / y)� hG State boile permit no.:
Address:
‘76.-e -- j 7 .' s + r' HP Tons BTU /H
P ue/smoke dampers/duct smoke detectors
City: T a7 0 I State: 0 _I ZIP: q 7 v.3 Heat pump (site plan required)
Phone,,3 Fax59� o7/ E -mail: ' Install/replace furnace/bumer BTWH
CCB no.: c,4....5 7 Including ductwork/vent liner l '''es 0 No
Install/replace/relocate heaters — suspended,
City/metro lic. no.: //z, 96, wall, or floor mounted
Name (please print): ' $ rfyl4- h?A-t -4 ii . Vent for a . liance other than furnace
CONTACT PERSON �8� • on: •-
�' " Absorption units BTU/H
Name: K,. - /.t (,.t iv ►'�, 7 Q Chillers HP
Address: 9 w
. $- S' '7�/ 4 4 s' Commteessors HP
Environmental exhaust and ventilation:
City: - , - - - , - - y I Sta : G. I ZIP: Q lot , Appliance vent
Phone 3 G,,,/o -54 . ' Fax: 55 8" E -mail: Dryer exhaust
OWNER Hoods, Type I/ lures. kitchen/hazmat
hood fire suppression system
Name: ' .g-yt_— Q,y,1 S 0'7+.i Exhaust fan with single duct (bath fans)
Mailing address: /.2 6,36 .SGt,1 Exhaust system apart from heating or AC
Fuel piping and distribution (up to 4 outlets)
City: d Statein ZIP: 9 73.--Li Type: LPG NC Oil
Phone: ,9, - ?/ .' Fax: E -mail: Fuel i tng each additional over 4 Outlets
recess p p g schematic required)
Name: Number of outlets
Address: Otherlisted appliance or equipment: e
Decorativefreplace I ID
City: I State: I ZIP: Insert — type
Phone: ax E -mail: Woodstovelpelletstove
Applicant's sign- re: f / J• Y
Date: / I4 ' er -
Name (print): tk • ee H ,.$ - w1/'Jo- n
N
)
Jurisdictions information. zept credit cards, please call jurisdiction for mar information. Permit fee $ _ . / .5
Notice: This permit application
Visa 0 Minimum fee $ _
Credit card nu MasterCar Mas expires if a permit is not obtained Plan review (at %) $ _ • _ •
Sheri / ...Met i s Expires within 180 days after it has been W
(' State surcharge (8 %) .... $ _
_t i Neale o shu a on t card accepted as complete.
/ r , f ,¢ ( $ TOTAL $ _ .
older signature Amount
Nov 19 01 04:30p Specialty Heating 503 598 0718 p.2
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CITY.OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspect L 639 -4175 Business Line: 639 -4171 MST
BUP
•
Date Requested - — 4 1 AM PM BLD
Location I off- C) / Jj2 bor-ed St - Suite MEC 2 0( o o c f
Contact Person Ph (o 7,0 .S7, -L3 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 QA est.5 i? I: "r"7= - — = 3 o S , ra m.
Insulation
Drywall Nailing f T 14.1 C — , 2i �
Firewall
Fire Sprinkler - 0.4-L L_, iti,v/1 - L G / .A.ec
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
MECHANICAL
Post & Beam
Rough n
Gas Li -
moke Dampers
Final
•
'ISM- ART 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 / �. — ' � — o l Inspe E
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY,OF BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested /� � / Z — 1_3 AM PM /' BLD d
Location , -C 3 � i.fL ti)- / Suite ,„.-C MEC 2't/ d o W
Contact Person KA) O Ph G 2 .4 A 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 ��--11
Framing *; AM e,.rE Av i L A 5 dcCc.nic� °ice ,
Insulation
Drywall Nailing J �cl�s.�c w�,�,v /�►l�ic�bL�
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
HANIC
Post & beam
Rough In
Gas Line
Smoke Dampers
4-A ASS PART AIL
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 /2--/..3 o/ Inspector 124 Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from job site.
CI,TY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
LV Date Requested • 47 —/ y AM PM BLD
Location / )-O Suite .S MEC —Od ( K) D 4i
Contact Person A7-) ---&1Leeel , Ph //, 2 -6 ,s 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 A /XI 4, S
Insulation
Drywall Nailing • 'al. Noe• L mi _ - Li.• -c /ZS o
Firewall
Fire Sprinkler C/'2ax ( —f ' V --- r- X11 4K..
Fire Alarm �^1
Susp'd Ceiling ) JA�.SUZ,A doL S / a2 Ae Gr�.rz.c i •
Roof
Misc: 13D
Final
PASS PART FAIL
PLUMBING
Post & Beam
_ Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
�anal3
C-
—PAS
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 Date /& Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CkTY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested ( AM PM BLD
Location �- D 3� ,, Suite MEC c/, �/ d
Contact Person Ph - (( 3 PLM
Contractor f4- SWR
BUILDING Tenant/Owner / ,--6- ry\a .6g.. 'L f' 14 7 7 ELC
Retaining Wall ELR
Footing Access: v �Q -- FPS
Foundation
Ftg Drain SGN
Crawl Drain Inspection Notes: 1 n _
Slab �—�/L SIT
Post & Beam
Ext Sheath/Shear CC C— C.Q .Q�
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
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
I cAtiTh PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
S PART FAIL
' 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 I ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach/Sidewalk Date 7 � U\ Inspector l c � Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.