Permit l
,
1,, tia /�
CITY TIGARD MECHANICAL PERMIT
4'I' DEVELOPMENT SERVICES PERMIT #: MEC2003-00252
rI 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/16/03
PARCEL: 2S114BA -08900
SITE ADDRESS: 16550 SW WOODCREST AVE
SUBDIVISION: COPPER CREEK STAGE 2 ZONING: R -4.5
BLOCK: LOT: 029 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:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Gas furnace replacement.
Owner: FEES
ELEANOR SUMAN Description Date Amount
16550 SW WOODCREST AVE
TIGARD, OR 97224 [MECH] Permit Fee 5/16/03 $72.50
[TAX] 8% StateTax 5/16/03 $5.80
Phone: 503639 - 7669 Total $78.30
Contractor:
SPECIALTY HEATING & COOLING
1601 SE RIVER RD
HILLSBORO, OR 97123 REQUIRED INSPECTIONS
Phone: 503 Heating Unt Insp
Final Inspection
Reg #: LIC 66578
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 -669,
j �
Issued By: k ilit ��� Permittee Signature: O e
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
May 1,,i 03 02 :28p� Specialty Heating 503 598 0718 p.
'° . iPa .
y .
Mechanical Permit 4 I I in
7 41. :,../. 'j.• City of ligard IN' Date received:6 I 5 a j Permit no.: f - C7 )3 t 7_
Ciryogard
Address: 13125 SW Hall Blvd, Ti Ol 91003 Date i sued: no.: Expire date;
Phone: (503) 639-4171 Date ssued: By: 861 Reccipi no.:
Fax: (503) 598 -1960 CITY OF TIGARD Case tile no.: Payment type;
Land use a royal: BUI LDING DIVISION
Pp Building permit no.:
TYPE OF PERMIT I ;I
X & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 Tenant improt ement
0 New construction 'if 0 Other, _
JOB SITE INFORMATION CO:MMERC1AL VALUATION SCIIE �_
. Job address: /4V Si) Oddc4..4.1' Indicate
equipment
Bldg. uv.: Suite no.: value of all mecanical materials, e quip ent, labor, werhead,
Tax map/tax lot/account no.: profit. Value $ -
Lot: Block: Subdivision:
. � vision: _ *See checklist for important applicatiou informaiiOn and
Project name: lin 4.41.". jurisdiction's fee schedule for residential permit fee.
.— - City/cotmty�TyalZ R — ' Z1P . _ _ .
oJf/'; - I & 2 FAMiLa' WELLING PERMIT FEE S0 IEIDULL
D
e ription and location of work on premise t: '�.9 - !1 -c i 4.1‘.11) C0IIAIERiC /INDUSTRIAL I QUII'A�) N "I CI LlDI1L r �`
Est. dace of completion/inspection: 5 c ,2...p p Peel ea.) Total
Tenant improvement or change of uses Description Qty. Rte: try Res• °nly
Is existing space heated or conditionedWYes 0 No Air handling unit CFM
/
Is existing space insulated ?JYes ❑ No Air conditioning (site plan required)
of existin VAC s ystem
Bo er /compressors
Business name: 77 )(If"' ce eea1/ N G State boiler permit no.;
Address: p/ SE ,_g/ i/e t j 1
BP Tons BTUIli
City / i� St Fir e/ smokedampers/ductsmokedetectors
ater ZIP: 4 7 / &.y Heat pump (site plan required)
Phone: . x9-..3o7 Fax: 6$7-e)743 E -mail: • stall/lcplace furnace/burner _ BTLI /1[` --
CCB no.: 57t� • Including ductwork/vent liner 0 Yes 0 No
City/metro lie. no.: /6Q4' - - Instawreplact elocate suspended, -
m • • �,4.� wall, or Qoormounted
Name (please print): Or
� 1S' went for appliance other than furnace
CONTACT ERSON Refrigeration: — � —
Absorption units BTU/I-1
Name: K#t. { /Y &kj/Y!Y -P/ Chillers HP
Address: AO( Se RPeK ' 140/ D — Compressors HP -
City: yy /l �/ b I Stare ZIP: 97/2 Appliance n even ax ltut�st and ventilation:
1.L Appliance vent
�{ 3G07 Fax: / -O')Q� E -mail: Dryer exhaust
.—
Phone:
OWNER Hoods, Type 1/TYres- kitchen/hazmat
Name: hood fire suppression system
'' See / - y Exhaust fan with single duct (bath fans)
Mailing address: / 0 Ste,/ u/ac'c�4 47 Exhaust system a
'''7.2 5S _ Ys from heating or AC -
a_ ao State: zP: q 7.,.=4 totter PiPI11 1111 u (up to 4 outlets)
Phone: , .3 Y- • 6,' q Fax: E -mail: � ' e: LFG NC Oil
ueI pi 'mg eac a dditional over 4 outlets
ENGINEER ' , cess p ping (schematic required)
Names Number of outlets
Address: O er app eel or etr
Cit State: , Insert Decorative fireplace
lnsetytnc —
Phone: F,ax E - mail; • Woo ove]pcllet stove '
Applicant's signature: 4.- , ' Dates S
41■4 Oth
Name (print): , ;,�,, gel' „gob Ner-
N ,eu « �o¢isdictieroa acoep4 tedit please salt judsdlalon f« mae mro>mauoe` Per fee $
Cl visa El MmtctCatd Notice: This permit application Minimum fee $
t rail cord somt / / — expires if a permit is not obtained plan review (as. %) $
Ewires within 180 days after it has been
Name of cardholder as shown on math card - accepted as complete, State surcharge (8%) .. -. $
$ TOTAL $ ,)
molder signature Amadei
44044 17 (tytpM)
11/16/2004
Case Activity Listing 2:32:13PM
■ ••0 0 2.-■
TIDEMARK Case #: MEC2003-00252
COMPUTER SYSTEMS, INC
° Assigned Done Updatd
Hold To „ By — „ -
ACti;JY: Deseriptinol‘, Date 1 7-,
MECA007 Application received BB 5/16/2003
5/16/2003 None DONE
BB
MECA725 Heating Unt Insp TLP 5/22/2003
5/22/2003 None PASS
TLP
MECA008 Create Permit BB 5/16/2003
5/16/2003 None DONE
BB
MECA799 Final Inspection TLP 5/22/2003
5/22/2003 None PASS
TLP
MECA060 (F) Issue permit BB 5/16/2003
5/16/2003 None DONE
BB
MECA800 Case Finaled TLP 5/22/2003
5/22/2003 None PASS
TLP
Page 1 of 1 CaseActwity..rpt
CITY OF TIGARD 24 -Hour •
BUILDING ,;‘ Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
<, BUP
Received Date Requested ` —ate AM PM BUP
Location / (s ,� 5 ) w 11 Suite MEC 3 a v°S.0\
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain 'fi ✓q &Jo t - C le-Or<�y.� e ELR
Crawl Drain _,__ - -( /_'
Slab Inspection Notes . SIT
Post & Beam
Shear Anchors (hid
Ext Sheath/Shear f',/ �" r � `��`� W d )
Int Sheath/Shear
Framing 4,, c-'-- t u— 2a /,d ✓. ,71..), le)
Insulation
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
FAIL
r NH -
Rough -In
Gas Line
- • = Dampers
Ate∎
PART FAIL
RICAL
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 C7 3 Inspector 77 Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL