11805 SW CARMEN STREET Co
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11805 SW Carmen Street
�� �� TIGARD
����® MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2002-00445
VANO DATEISSUED: 10/10102
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S103BD-02100
SITE ADDRESS: 11805 SW CARMEN Sl" ZONING: R-4.5
SUBDIVISION: CARMEN PARK
BL OCK: LOT: U 10 JURISDICTION: TIG
CLASS OF WORK: ALT e FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS WIO APPL: VENT SYSTEMS:
STORIES: _dOILERSICOMPRESSO_RSi HOODS:
FUEL TYPES 0 - 3 HP: 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: CLO DRYERS:
FUPN < 100K BTU: 1 _ AIR HANDLING UNITS OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
,,Zc,narks: Replace gas furnace and add AC.
Owner:
TRINA COPFLAND
Description Date Amount
11805 SW CARMEN [MEC111 Permit Fee 10/10/02 $72.50
TIGARD, OR 97223 1M1.'('lII Permit Fee 10/10/02 $0.00
1-rAN1 81"o StateTax 10/10/02 $5.80
TAS R StateTax 10/10/02 $0.00
Phone: 503-590-4538 1 1
Total $78.30
Contractor: — --
SPLCIALTY HEATING & COOLING
9526 SW TIGARD ST
TIGARD, OR 97223 REQUIRED INSPECTIONS _
Mechanical Insp
Phone: 620-5643 Heating Unt Insp
Reg #: 66578 Cooling Unt Insp
Final Inspection
This permit is issued subject to the regulations contained in the Tigaro "Municipal Code, Stateof
Ore.
Specialty Codes and all other applicable laws All work will be done in accuidance with approved
plans. This permit will (•xpire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires yat- to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR
A
952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling
(503)246-6699 j .
Issued By: r Permittee Signature: � ) . r
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Call (503) 639-4175 by 1:00 P.M. for Inspections needed the next business day
Oct 07 112 06: 41F1a Specialty HeatinC 503 596 0710 p. 2
Mechanical.-Permit App icatift
-�^ Date rr- caved. �� IU �(!Y Pertnit no.:(YI E'—) .r11:
U(,1 ' of� ll�iliO1 '� Project/appl,no.: Expircdate,.
City of Tigard Address; 13125 SW HallAr4 , � 0M — —
Phone: (503) 639-4171 l Date issued; rty W, Reecipt r.o.:
Fax: (503) 598-1960 11 l�)�) ��r�ii Case riileno,: Paymenttypc;
Land use approval: Building pcnnitno,:
7 1 &2 family dwelling or accessory U Commercial/induatrial CI Multi-funny 0 Tenant itnpra,L" "17"1
Ncw construction Addition/altetation/rLplacernent ❑Odter. -
JOB " ' " t
Irth address ('� �Jr �e,`w CA/I W11 •fr ��-__ Indicate equipment quau►GLres in boxes below. lndreat, the dollar
Bldg.no.: (suite nr, value of all mechanical materials,equipment,labor,o crhead,
Tax ma tax lot/account no.: profit.Value$
Loc: Hltx k: 5ubdivislun: _ •See checklist for Important application Information i nd
ptUJCCtlletrteL_ . ��/_ _ jurisdiction's fee.schedule t r re,id!•ntial pini o r,
City/county � Cy r;/ _ ZIP: t r r _
Description and location of woon premWill
l;st.dale of completion/ spection; re7q4 11t�eM'tenant impruvement or change of us
Is existing spare heated or conditioned'? Yes U No 1r handling unit CFTvt
Is existing space insulated?jd Yes ❑ u r conditioning(site plan R u ) Y
-Alle-ationofeAsdnal4VAC.gYgtent
o at/cora rmssom
$jsIaeas cant (✓^ - a,HqWn State boiler permit nn,:
Addmss: 6 �(V / �1� f lip dunpTons BTU/H
CI _ asnio cc auuctssmo ctec ot•s
t:?/)4f statc.Q ZIP:q 7 3 Hem,pump(site plan iequire")
Phone• &Aq;s / Fax:69 -0F-mail: - nate rep ace turns—c�liumer __-
CCI"no_: 1,41-5 7 e ---- Including ductwork/vent liner U Yes 0 No
7�'! --- nsta repac reocateT,Cater--suspended.
City/Metro lit,no.:,lb C i¢._ _ - wall,or floor mounted
Narue (case ptint r.n,t, ��ej5 entfor a to—T ncc Dater than mace
A crstl9kc
sill, IN,
- - Chillers
BTU/l4
Name: i,i �tn- /Y �44/n- 7 e pit Chillers HP ----
Addn.� -_ .S'a` � SS_- -7-1 S 9 remors _ Hp -
ciry, -i „ Sqe.-Op � omiii0a ex-luta+✓anfiicnt abonr ——
4?�"�"� Appliancevent
Phone` e .ii tnnll: Dryar'Ze rausi ----- -- --
ff
e. a TI/rnrrns. tc c�Nlisvnat — -
.r.1.� htiodfire suppression system
Nance: Q�fyt YJ,('f Exhaustfan with single duct(bath fans)
Mai iutg address: .�k� irf e f --- aust s stemCpartt fivrn healing or KC--
-
City: _-lStattrJ/ ZIP- '• �J��:t�.S• tse.p^p . rndOLMOVO-ro up to outlets) .
LPG NG Oil
Phone:15,y,O-•, 5.3 Cart: vet. in"eat A Oqt over 4—ORTers
VirticeRs ngtichctnaticrequi )
N`ainr r' NumbaoCautlets a
dl. ss -- — - ;• i 'ea•1 sC�tedippl ancrnr equipment!
menti i
iDeooiAflyefircplace a _
Phone ' Fax Ii-tttt�il -- W v uetstoro- ___. -
Appllcant's si nature:
Natrc(print): {r Of CCK✓MN P/ -. ---__— - -- - -
Na all juris4ktiom ttxept cndil coda,pinue r;q)Itr(tdictkan Mr more roman 12ioa Nntigs:'11tis pertrtlt npplicadon Permit fee.....................S
7visa dMastcaGrtl Minimum fee................$I _-� --_—
expites If pertuit Ll itut ubutined
��.�L..--. Plan review(at __.. 96) E ----_ —
Exptree within 180 days after It hm been State ,,urcharge(8%) ....$
Name of caldAolder u n 011 er 1 r -- accepted as complete,
_
$ TOTAL .......................S
�— Crdlwatda ti�tatun. ---- Amuwn--_
Oct 07 02 06: 48a Specialty Heating 503 598 0718 p. 3
SITE PLAN
Pr.
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PL PL
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--__ PL
STREET
Specialty Heating & Cooling, Inc
9528 SVS' "figa.rd Street s
Tigard, OR. 97223
Phone 503.620.5643 Fax 503 .598.0718
Hillsboro Phone 503.640.3607 Fax 503 .681 .0793
�1
CITU' OF TIGARE) 24-Hour
BUILDING Inspection Line: (503) 639-4175
INSPECTION DIVISION Business Line: (503) 539-4171 MST _ -------
BUP
Received - Date Re uested —AM-_- PM BUP _ -
Location _ _ Suite MEC —ad 4.S
Contact Person _ cc..� �pp� Ph( ) •�-O-S PLM -_
Contractor —-. _. Ph( ) _ — s W B
BUILDING Tenant/Owner - ELC
Footing ELS'
Foundation Access:
Ftg Drain ELR
Crawl Drain
Stab Inspection Notes: _ SIT
Post&Beam
Shear Anchors
Ext Sheath/Sl-aar
Int Sheath/Shear
Framing _--
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm c/
Susp'd Ceiling _y — --
Roof
Other: _ --
Final
PASS PART FAIL
PL UMBiNG
Post& Beam -
Under Slab
Rough-In
Water Service
Sanitary Sewer
Hain Drains
Catch Basin/Manhole
Storm Drain
Shower Pan
Other: -- -
Final
PASS PART _ FAIL
-- ---
MECHANICAL
Post&Beam
Rough-In
Gas Line
Smoke Dampers
PAR'. FAIL - - .. - -- --- --
_ECTRICAL.
Service ------- � - - _ ---
Rough-In _
UG/Slab -
Low Voltage
Fire Alarm
Final Reins ection fee of$-- required before next Ins
PASS PART FAIL p Q inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE --__ L Please call for reinspection RE:__ _ Unable to Inspect-no access
Fire Supply Lins
ADA I
Approach/Sidewalk pate F Inspector _ _Ext —
Other: L-
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL