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13193 SW CHELSEA LP
CITYO F T I G A R D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2001-00425
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 01
PARCEL: 22102S102DB-04360
SITE ADDRESS: 13193 SW CHELSEA LP
SUBDIVISION: CHELSEA HILL ZONING: R-12
bL.00K: LOT: 020 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOI--RS
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O A?PL: VENT SYSTEMS:
STORIL S: _ BO_ILERS/COw1PRESSORSHOODS:
FUEL TYP►=.S 0 - 3 HP: DOMES. INCIN:
I PG _ 3 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 VIP: WOODSTOVES:
GAS PRESSURE: 50 + HP. CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS_ OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm:
GAS OUTLETS: 1
> 10000 cfm:
Remarks: Installa�ion of gas imer' in fireplace and gas line.
wner: FEES
PALMER, THOMAS C AND Type By Date Amount Receipt
KIMBERLY J PRMT CTR 11/29/01 $72.50 272001000C
13193 SW CHELSEA LOOP SPCT CTR 11/29/01 $5.8r 2720010000
TIGARD, OR 97223 --
Total $78.30
Phone:
Contractor:
GP + W SYSTEMS, INC
732 MARBLE RD
WASHOUGAL, WA 98671 REQUIRED INSPECTIONS
Gas Line Insp
Phone:360-835-3516 Mechanical Insp
Rey #:LIC 108176 Final Inspection
This permit is issued subject to the regulations contained in the Tigard Munic?pal Code, St2te of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approwad
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more thar, 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Ceoter. Those rules -ire 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
(tin,i)9ac;-Q1R4 _
Issue By: _ I{2 / tt rpt Cf_r t Gc Permittee Signature: ; C < !
Cai' (503) 639-4175 by 7:00 P.M. fo. inspection ; needed the next business day
J.1/28i01 MON 15:49 FAX 3oU9af5716 Kent & Lvnne Ketterlm, l
,^ Mechanical Permit Application
,_,.
bate received:f n .� j PeratiI no.
City Of Tigard ( / Pm)ect/appl.no.: Expirc date;
CiryofTisard Address: 13125 SW Hall Blvd,Tip, QR-97223 bate issued: B : kccci tno.:
Phone: (503) 639-11?1 _.• Y p
Fax: (503) 598-1960 Case rde no.: Payment type:
Land use approval: __ Building permit no: r.
J 1 &2 family dwelling or accessmy ❑Commerciathridustnal G Nfulti-family U Tenant improvement
J New construction O Addition/alteladon/replacement I I(Ili r., _ _-__
s t � ■ rSCHEDULE
Job address' 1319 �.s .�U.� C Ho 1 r.o 1., indicate equipment yuantitics in boxes below.Indicate the dollar
Bldg no.: suite no.: value of all mechanical materials,equipment,labor,overhead,
Tax snap/tax lot/account no.: — -- profit Value S .
lot: $lock: Subdivision: *See checklist for important application information and
Ptolect mune: iction's fee scherlul(. for residential ccmit fcc.
City/county._"' ffi' _LIP: ;�1 XM - t t
Description and 1 ton of work on p�En:iscs:�� _
s e tN 1
Bs datco[completion/inspection: _� 7j,,6,d
Oty. Aes.only Rea.onlyTenant improrcment or change of use:
Is existing space heated or conditioned?❑Yes U No Airhandling unit ---CFM—
Air
Is existings,err.insulated?❑ 'fes ❑No Air conditioning(site elan r aired
1 Alteration of existing HVAC system
1, CONTRACTOR oder/compressors -
Busineas name: r P y- t,�,� ��g ra , U►y State boiler perrttit nu.:
�— Hp Tons BTU/H
Address: '732-_tq,i,♦4LIrelsino c amper. uetsmo smoke detectors
City: orf` Slat -Z1P 9Rp_�_ eat pump(site plan rcqu
"stat replace furna-ce7lFu—met-__
Phone' _AfjC$- including ductwork/vent liner O Ycs 13 No
CCB no.; to i�(,d _ Instal rep ac to ocate heaters-suspended, -
City/metro 1Lc.nc_- Ma_**t - 3"5 wall,or floor mounted
Name(please pill I, Vent for appliance other than turnacc
efnger atinnt
AbsorpnonunitsW_ BTU/11
Nance: -(��h y�y�_ (:hullers __---- HP
Co
Address: 4.cvr�-
Compressors .Y HP
hWlronmenfa exhattvi and Wen 1lkoot
_City: (- Isla ZIP: Ali linneevent
Yh,n e r Fax: B mail' cr cithatwi.
Hoods, res. m e ainlat
hood firesuppmssion system _
Name: q Exhaust tan with single duct(bath fans) _
Malting address: Exhaust system apart rant eatinaorAC
— Scatc: ZlP A733� Piping dtstti o ucu
city. -72 krdL„
_
Phone: I,c� E-mail• l'ype: LF'G NG Uil $. 0
ucl Opina each dill"" o er out cu
x n)cmpiping(schematic required)
Name• Number of outlets
JA
Address: of ■pp cc or psent: -
_ � — Decorative firepla�;e
City: -- Ststte _-�- "sett-
Phone: E_i�; stove/pe lctstove _ _
Met:
Applicant's signet a ate Z61 cn
Name(ptinq: -
Not all)urtrdicaons crept cttdt cash,r due call jurisdiction fm 1nrdrmati Pelrnit fee....... ............g
nVisa Ma tercnr I Plice:Thi,permit application Minimum fec................$ 72• �-
c <a r pires If petmit is not obtained Plan review(at %) $
t , thin l8U days after it has been
d.L--- State surcharge(9%) ....S - Se 040
-v or db ana`an cmdol Qua 36cepted as complete
s 13_ TOTAL ..................... $ _746• t�
3 _
---_. rant .d 1.i uynnhnr Arnnw
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP
Date requested L AM_ _PM BLD
Location_ - t� j 7' �.1Q. f Suite MEC
Contact Person __ Ph — PLM
Contractor _ Ph =-4,L - S! �' 14.•SWR
BUILDINC Tenant/ nerd(.i4 ,r%"; • L ELC
,Y—
Retaining Wall ? .1 C, ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: SIGN
Slab 1��l�CL>, SIT
Post&Beam �, 4
Ext Sheath/Shear
Int Sheatn/Shear
Framing —
Insulation l
Drywall Nailing _1. ��OCCAS. —_—
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& Bearn —— ------ ------------- --. --._. ------ —
Rough In
109�-
moke Dampers
PASS PAn' FAIL
ftECTRICAL
Service
Rough In — ---- ----- -- ---• ---
UGlSlab
Low Voltage
Fire Alarm
Final
PASS PART FAILSITE
Fackfill/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 ( J Please call for reinspection RF: [ J Unable to inspect-no access
ADA
Approach/Sidewalk \
Other nates�� Inspector W _ Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection reconl from the job site.