13103 SW CHIMNEY RIDGE STREET 1
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13103 SW Chimmey Ridge St
CI N OF TI GA R D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2002-00129
13125 SW Hall Blv6 . Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/3/02
PARCEL: 2S 104AB-08000
SITE ADDRESS: 13103 SWCHIMNEY NEY RIDGE ST
SUBDIVISION: MORNING HILL NO.4 ZONING: R-4.5
BLOCK: LOT: 109 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 DA.olPERS?: 30 -50 I-VI:
GAS PRESSURE: 50 + HP: CLO DRYERS:OD
S:
FURN < 100K BTU: AIR HANDLING UNITS C
OTHER UNITS: 1
FURN >=100K BTU: <= 10000 cfm: G,05 OUTLETS:
> 10000 cfm:
Remarks: Installation of exterior A/C unit. Do not install witNn the required set back
Owner: :EES
SHARILYN SALINAS Type By Date Amount Roc- �•
13103 SW CHIMNEY RIUGF ST RMT CTR 4/3/0:! (Z72.50 2720020000
TIGARD, OR 97223 5PCT CTR 4/3/02 $5.90 272002000C
Phone:503-521-8800
Total $78.30
Contractor:
GAR OKEN ENERGY COMPANY
3565 SW 182ND AVE
BEAVE RTON, OR 97006 REQUIRED INSPECTIONS
Final Inspection
Phone:848-3838
Reg #:LIC 43124
PLM 34-113pb
This permit is issued subject to the regulations co;ltained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance witli approved
plans. This permit will expire if work is iwf started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to tollow rules adopted in the Oregon
Utility Notification Cenler. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503)246-9189.
Issue By: c i - '' L.16. _ Permittee Signature:
Call 503 639-4175 b 7:90 P.M. for Inspections
( 1 y needed the next434ness day
03/30/2002 17:25 5033569002 GAROKEN PAGE 01
0J•21 1n1 WED 12:58 FAX 503 588 1980 CITY OF TICARD X100.1
Mechanical PerndtApplication
IDatereacelved:
City of Tigard Pro)ecVappl.no.. Expire date.
CiryoJTIROM Addre.+ 13125 SW Hall Blvd,Tigar1.OR 97223 Dote issued: By Receipt no
—�
Phone: (503) 639.4171
Fax, (503) 598-1960 Case file no: t, Pttyment rype.
Land use approval. _ Building pertnitno.:
pWI 8 2 family dwelling or accessory O Corti m,-reial/Industr'ial U Multi-fainily 11'lenant i npruvement
O New construction ditir tt/alteratiorVmplacement O Other: _
i lob address ELLr Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. nn.: _ Su a nu., value of all mechanical materials,equipm,mt,labor,overltead.
Tax maphax lot/account no.: profit.Value$
I Lot Block- Subdivision: _ 'See checklist for imponant application Information and
Pro ect name:_f - purigdirtion's fee schedule for residential pe-mit frc
City/county. 4,LA IZIP: "13a3 _
Dr:c flog on re ises, N
1 lFee(ea.i Tota;
I Est. date of completion/inspection -(�'Z Uacrlpdoa t Ra.oaJ Ree•nrn,
f enant improvement or change of use; AlrhanAlln uni Civet
Is existing space heated or conditioned?13 Yet O No r conditioning1me�an u ra )
Is cziiung space insulated?O Yes O No teras ono sy10 1
o er compressor
Business name, �,,^ _Deer rclU Suteboiterpermhro.
�1' .� � HP Tans BTU/H �
Addrtss �(es 5W ain, I� - i it smo a im usldtictsrno RTe d"eie"cion
Citi _ State: _ iIP_ 0 eat pump stop aniar'uue
I'hon 3 9tt -3838 f ax:�S jo:rj�a Email: - fists rep aceumm. urner
'--`--
Including duetwerk/vent liner 0 Yes U No
nrep locrte suspended,ste»CC9 no.
f:itv!metrolie no.: n�55 _ will,or floorr�junled
None (please print): '"s iCA) en or■ anuor er�Tt tin Furnace
e tea on;
Absorptionuruts HTC'/H
None. _ �D r� �o4� �- Chillers_ HI,
c, \ _
Compressors
Address. HP �'
ronmeata e+c iaustam van Ja on:
rttY �ult �__�L'State: i:CPt� Appliance vent
Phone. Fax: I H-mail: Urya.exhaust,
Hoods,Type res tc erJhazwa
hood fire suppression system
Name eav w ,n Exhaust fen with single duct(bath tans)
Mariing address. 3� ,, ,� < rusts trtut ema m eat n or
--1 �-�'-- e p ping rdistribution up to oat ets
r C.;t) _ State:b �t "l�ha�_ Tyke: t.P0 No Oil
Phone _ g Fax' F•mail: Fuelr n each additionji ovrrou"��
Process p p ngsc etr.shc•egn re
Name.
Number of outlets
_ _ _ ter lifted app xnee or eyu Amen
Address. _ Dcwrativenreplace
i City_ - State: ;IP: Insert-t
Phony Fax: t3 ail. tov eat uve
Applicant's Slgnatu er.
ti Date: tt e'a tTn-""�
Nance ( nnt).
M
....n...:.�t..,nw.v��n enwi rard.cast<ut lanfd�eum r"_. ..-•.-, Permit fee.. $ .�....— _—
Notice This permit application Minimum fee S
e%plres Ira permit Is not obtained Plan review(at r r,) $
within 180 days after it has been State rurehar., (8%) ... S
accepted as complete.
TOTAL ....... ....... ...S -
6474617(&MCC V
03/30/2002 17:25 5033569002 GAROKEN PAGE 02
44---
flit" UA,ROKEN ENER13Y CD . INC .
sir,Cg , 979
_3' 55 SW IO2ND Amt • a14 ltgTUN. OR 97007 +' TEL (503) B48•31j3B • RAX (503) 366-90133 • Ct:B# 43124
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CITY OF 'TIGA,RD .24-Hour
BUILDING Inspection Line: (503) 639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST
BUP -__--
Received Date Requested- t AM - PM .- BUP
Location / U t S�✓ Coil.d�t --__Suite-- - MECIF
Contact Person ----- -- Ph U U PLM
Contractor -_ SWR
BUILDING Ten int/Owner -_- _ ELC
Footing - -
Foundation ELC
Ftg Drain Access: _
Craal Drain .� ELR
Slab Inspection Notes: SIT
Post&Beam -
Shear Anchors --
Ext Sheath/Shear
Int Sheech/Shear -
Framin4l _
Insulation
Drywall Nailing _
Firewall -- - -
Fire Sprinkler
Fire Alarm `
Susp'd Ceiling -- ---
Roof
Other.
Final —-- /
PASS PART FAIL -- V�� ----
PLUMBINC
Post& Beam
Under Flab _____.__ _ —
Rough-in
Water Service
Sanitary Sewer -- / —
Rain Drains
C 91ch Basin/Manhole / Y
Sto.-n Drain
Shower Pan
:ether: 4L
— ---- --- --- -
Final
PASS PART FAIL — — --- ---- -----------
Post A Beam -- -- -----
Rough-In _—
Gas Line -- —
Smoke Dampers ------ _
AS PAR'S FAIL
Service
Rough-In ----- -- _ ------
Rough-In
UG/S!ab - -- - --
Low Voltage _—
Fire Alarm - -
Final u Reinspection fee of$—i _required before next inspection. Pay at City Hall, 10125 3W Hall Blvd
PASS PART FAIL.
SITE 0 Please call for reinspgction RE: — — Ej Unable to Inspect-r.a access
Rie Supply Line
ADA
4pproach/Sidewalk nate _- Inspector
Other:---- _Final DO NOT REMOVE this Inspection record fror" the job site.
PASS PART FAIL