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5300 SW ALQERBOOK CIRCLE
CITY OF TIGARD► MECHANICAL PERMIT
PERMIT#: MEC2003-00333
DEVELOPMENT SERVICES
DATE ISSUED: 6i'9/03
13125 SW Hall Blvd.,Tlgord, OR 97223 (503) 639-4171 PARCEL: 2S111DC-00800
SITE ADDRESS: 15800 SW ALDERBROCIK ('IR
SUBDIVISION: SUMMI=RFIELD NO.8 ZONING: R-7
BLO-K: LOT: 455 JURISDICTION: TIG
—CLASS OF WORK. ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE:: SF UNIT HEATERS- VENT FANS:
OCCUPANCY GRP: R3 VENTS WIO APPL: VE,.r SYSTEMS:
STORIES: BOILERS/COMPRESSORS _ HOODS:
_ FUEL TYPES 0 - 3 HP:� 1 DOMES. INCIN:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REFAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: .1 _AIR HANDLING IINIT_S OTHER UNITS:
FURN >=100K 131 U: <= 10000 cfm: — GAS OUTLETS:
> 10000 cfm:
Remarks: Replace gas fun :icc and install AC.
Owner: r -------- FEES — ---------
— — — 1 ---- ----_._..--
GINTZ, FRANK Description Date Amount
15800 SW ALDERBROOK CIR (MECH] Pennit Fee 6/19/03 $72.50
TIGARU, OR 97224ITAX] 8%State7'ax 6/19103 $5 't0
Total $78.30
Phone: 503-144-4615 '--
Contractor:
COLUMBIA HEATING + COOLING INC
P.O. BOX 230397
TIGARD, OR 97223 REQUIRED INSPECTIONS _
Heating Unt Insp
Phone: 503-624-2704 Ccoling Unt Insp
Rsz#: LIC 76359 Final Inspection
Tnls permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all other applicable laws. All work will be dome in acoxirdance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules ador ted in the Oregol` Utility Notification Center. Those rules are set forth in(JAR 952-001-00
Issued By: �c Ferrnl:tee Signature: 2:><' � _ -
Call (503)6394175 by 7:00 P.M for inspections needed the next business day
Mechanical'Permit Application
Date rweived: 7-!-,,
1 V2
City f Tigard
--
Project/appl.nr,.: :CltyojTigard Addreils: 13125 SW Hall Blvd,Tigard,OP 97223 Phone: (503) 639-4171 Date issued: Receipt no_:
Fax: (50'1) 598-1960 Case file no.: Payment type
Land use approval: -— Building permit no.:
U I &2 family dwelling or accessory U CommerciaUindustrial U Multi-family U Tenant impro-vement
U New constructirn W�Rddition/aheration/re place metit U Other: __—_wf�
Job address: Hf "thL <" WS Indicate equipment quantities in b^xes below. Indicate the dollar
Bld.nno.: Suite no.:� value of all mechanical material,., quipment,labor,over+ead,
Tax map/tax IoUaccount no.: profit. Value$
Lot: Block: St odivision: *See checklist for important application information and
Project name: - jurisdiction's fee schedule for residential permit f+c
City/county: q���/ ZIP: _ t
Description,yid loca to ofwork on premises:Q,�f�� _
Fee(ea.) M
t.date completion/inspection: DeeCHLAon Qt . Res.otil l
Tenpwt improvement or change of use:
Is existing space heated or conditioned?U Yes U No _Air handling unit CFM
Is existing space insulated?U Yes O No Air
con nionmg(site plan require ) —
Alteration er/ existing A system
cr edcompressors
Busin sss name:� —,�-�./._ �l� State boiler permit no.:
�nQa HP --Tons BTU/11
Address: D D 60X _" __ ire smo e dampers/duct s"ee-ic tectors
city- 910 _ State:—�IP:9�/ �Icat pump,arta p nn require )
Phone: FF a _ E-mail: nsta rep ace urnac urne / � =
—��--Z7s��-- - — - Including ductwork/vent liner U Yes o
CCB ntG 3 Zv* nsta rep ac re ocete eaters-suspemleT
City/meett ro tic.no.: wall,or floor mounted
Name!please print, r'G r- A/6 4e-A , Vent fora ance o er t tan furnace - —- -
e gen on:
n Absorption units_ BTU/1-1
Name:_+ r8� ��` t/ Q� b��� Chillers HP _
Address: 33 y`r Compressors H'
Unyllrommental exhaust and vent a1 on:
City: _ St:a r 'IP: Appliencev,nt
_ —�—
Phcroe - -- C-C 1 :+cEmail: Dryerex 'at st
Hoods, ypd111res.kitcherithazinat
/ hood fire supprt ssion system
Name: lJ91v x. C .1 W'>rtL Exhaust fan•."rth single duct(bath;ens)
Mailingaddress: '. ,x austT�ste�m a4aart-i'rom Heat nn or AC
� �` Fuel piping g anti dist ut on up to 4 out els)
City: )� Statc: ZIP: f72414f. Ty LPG NO Oil
Phone;4 U 4 9CLI Email: Fuel piping each additional over 4 out els
rocesspiping(schematic require ) _
Name: Number of outlets -
----- - ter app ance or equ pment:
Address: _ Decorative fireplace
City:-- -- --^- Statc: ZIP: — -- nser, t e
Phone: Fax: Email: WooUsO
tov pe etstove—`
Applicant's signnture��i2m I Date t ar—
t es:_ _
Name(print): -- _ --- - --
--- _
Not all)urisektiau arcep creat cant.pleau cdl jurird+-um for nw,e Inronn.uon. Notice:•Ibis permit application Permit fee .. .... . . ......$
U Visa U Mu!rrCard expires if a permit is not obtained Minimum fee ..............$
Credit care number_ -_L_ L- within 190 days atter it has been Plan review(a. •,_ %) $
Eepiree complete. State surchari�(8%) ....$
----IT,arc�E�ol�Ter u s�o.va on credit cad accepted a
i TOTAL ......................$
l —�-�"Cvdholdrr el�nUure Anmot 4014617(&WICOM,
HEATING $ COOLING, INC.
8900 S.W. BURNFL&M P.OAD, SUITE E 1 10
TIGARD, OR 97223
(503) 624-2704
FAX (503) 598-0270
1
I
JOB ADDRESS:_% 5;ta '54")
SITE PLAN FOR AC OU"fDOOR UNIT LOCATION
i
I;;ITY OF TIGARD 24-Hour
BUILDING Line: (503; 639-4175
MST
INSPECTION DIVISION Business Line: (503) 639-4171 ___—_-
BUP —_--
Received —_ _—�Date Requested.— AM__--_—PM _ BUP —
LocationA �`' �E � ��ySuiteMEG
_
�� f
Contact Person — �_ �r _ Ph(��1-) f"� `� P.-M �.-
Contractor- ----- Ph'--) — SWR —
BUILDING Tenant/Owner _ —_ — __ _ _ ELC
Footing
ELG
Foundation
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Nutes: J�i SIT
Post&Beam
Shear Anchors -- -- —�—
Lxt Sheath/Shear
Int Sheath/Shear
Framing -----
Insulation
Drywall Nailing ---- -- -- --I— (�_
Firewall I t ' �.
Fire Sprinkler ' —
Fire Alarm
Susp'd Ceiling — ---
Root
Other.
Final
PASS PART FAIL
----------
PLUMBING
dost 8 Bea— ----
Under Slab ----
Rough-In
Water Service - --- - - - --- - - -— -
Sanitary Sewer
Rain Drains -- -- -- - - - — ----
Catch Basin;Manhole
Storm Drain - - ----- -- - ---_
Shower Pan
Other: -
Final
''PART FAIL --- - ----- --- - -
WC�HANIC
Post&Bram
Rough-In - -- --- ----
Gas Line
Am6ko Dampers —
r —
Qn
P2SSS PART FAIL
- - -- -
- --------- "�� T _
E E�TRICAL
Service --�
Rough-In
JG/Slab ---- ---- —� _--- —
Low\Alage
Fire Alarm
Final �- 1 Reinspection fee of$-_ required before next inspection. Pay at Ciy Hall, 13125 SW Hall Blvd.
PASS PART FAIL _
'iITE - '------- Please call for reinspection RE: Unable to inspect- no access
Fire Supply Line
ADA
/ a alk �__ - pctor Ext- _
Approach..Vid Date Inse
Other:
Final - DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIT.