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CITYOF TIGARD MECHANICAL PERMIT
DEVELOPMENT JIERVICES PERMIT #: MEC2003-00464
13125 SW Hall Blvd.; '7igard, OR 9'7223 (503) 639-4171 DATE ISSUED: 8S5/U�
PARCEL: 2S104613-05100
SITE ADDRESS- 13997 SW CHEHALEM CT
SUBGiVISION: CASTLE HILL ZONING: R-25
BLOCK: LOT: 016 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANC f GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: --BOILERS/COMPRESSORS_ HOODS:
_
FUEL. TYPES _ 0 - 3 HP: DONIES. INCIN:
3 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
REPAIR UNITS
FIRE DAMPERS?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: COD DRYERS:
FURN < 100K RTU: _ AIR HANDLING UNITS CLO DR`NITS:
FURN >=100K BTU: <= 10000 cfm �- 0T1itU UNITS: 1
> X0000 cfm:
SAS OUTLETS:
Remarks: In,tull exterior A/C unit. Do not place within the required sONX,,,
Owner: FEES +--v-
L!NDA GRAYBURN D:;scriptton Date Amount
13997 SW CHEHALEM CT "'-
TIGARD, OR 97223 Permit Fee 8/6/03 $72.50
I'I AX' 8",,51ate'I'ax 8/6/03 $5.80
Phone: 503-571-6352 .__,____Total — $78.30
Contractor:
SKY HEATING +AIR CONDITIONING
1637 SE NEHALEM
PORTLAND, OR 97202 REQUIRED INSPECTIONS
Fina; Inspection
Phone: _'35-91)!i3
Reg#: LIC 50244
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all cher applicable laws. All work -.vill be done in accordance with approved plans. This permit will expire if work is
riot started within 180 days of issuance, or if work is suspended fc- 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 952-001-00
Issued By: Permittee Signature:
Call (503 639-4175 by 7:00 P.M. for inspections needed the next 64iness day
Rug 05 03 10: 50a P. 1
i
Mechanical Permit .Applicatinn Received Mxh,n,eai
_' — paw: I PamitNo.tlu'����.T'�i►
Planning Approval Building
City of Tigard Permit No!
13125 9W Hall Blvd. Plan Review Othrr
•hgud,Qmgon 97223 Dmterl y: - Permit No.
?hone: 503.639.4171 Fax: 503-5981960 PoaaRevieo Land We
Date18 , One No.. -
IOtattl0l; wwa,Gt.tigard Or.t19 Contact —`---- )arse.: Se•Poae 2 for
24-hour Inspection Request: 503-639-4175 NamdMethad Su mental Information
p '-1 I I r ,1�--- t ZC-::G•� �' '�l 14tS I'� I t•l.: VVl7�1Aa,1�W./�' L��I•sand[/WU
L New eonsmcnon Demolition Meetanical permt fees*ere based on the total vahlp of die work
Addition/altcrationh'; laG:treent ()cher: Perlortwd ledieale the value(rounded to the naaett uoUar)Of all
i- m,ehanical malcrials,cclutprncnt,labor,ove'r5ead argil pmtit.
G`h'PL'NG��_iI1�k0aN8�RtUt�'Cic711•I.. 1, ,
I 6c 2-Farmly dwellitlg ConT=CiaVlndustrial v alae. S __ See Page 2 fos Fee Schedule
A-ces Building Multi-Famil —
y - DeialAtloo -Qy�ea(w Tutrt
AI6tRii,-r Bu-lldet Othf r. -mostioutceoLO _ -
_�, Furnace-add-on air cvndi§cniu 14.00
Job site address: JAy _ 1t.V Qji:J Yl _ t7ae hetu um 14.00
Suite 0. Bld ./A t.#: Duct work
Project Name: - Hydronic hot watet myrtom 14.00
— Residentkll boller
Cross sh-ect/Duections la job site: for radiator or bydronic a tern) 14.00
Uail huters(fuel,not electric)
in will,inu.duct,: coded,etc 1400
. -
Flue/vent for any of above 10.00
_� Reaair units - 12.15
Sub livisim: _ tat�_ - Other Fnd w )anew —
Tax nra i arccl t1: Wat«hula 10.00 --
1 1 ,'. D_ N�F WORK 77, Gaa bre lace — - 10 00
Flue vent(wow IxaterJ t fireplace) 10.00
Lost lighter ss 10.00
Wood/Pellet stove 10.00
Wood lir tacerinsert 10.00 1
Chtmnc /line(/fluOvent _ __1000
p7 � rT: t 'LT 1rA71fT " Othet; 1000
Vr1C: U l U 1(.1 Q� Uri,) tvAroatrmial Etkarlt a ventilalie"
Range hood/othcr kitchen equipffwAt 10.00
Addross: I?L, Ut 1 .d �t Zen taothea dryer t�eh.�et --- 1 o 00 -
ci /st$t�z - l - --
--- . Single duct exhaust
Phone: J� Fax:- (bathrooms,toilet mrnpartrlents,
U.IC741L`1t,( y_ 011f-- utile rotxns 6.80
�,�f►7 ���', /ire Anicicrawl space flaw 10.00 _
3mC:_:b�•- lfs1_'`t i r- --- -- Other: --- MOO - -
Address: -- _ - 'FurlPirtion .• _ ,
ci %State/Zip: ••tss.a fat)seat a f.00 ewes Redid a�1
_— - Fax: Fumace,etc
Phone' _ _ "—•- —
Gas heat putrm
E-mail: walt/ty nded/untthater
' 'I1�E0'• —4.!'T water beater
Business Nam: Fiteplatx
_._. Ran a '•
Address! „ ----
Ci /St8tC/Zl M" .1i'lCn q -_-._-- Clothesdryer(ps -- _ _-•- _••
P6onet Fax:
r Other:
:�- - --
CCB Lic. #: it+ehrointP�milFees� ;_ -
Authonted Subtotal: f
Signal to _ 4 __ Dare ---- Mi_n:.otun ermlt Fee 572.50 5
n
`u�� ( Plan Review Fce 25%of PmWl Fee S -
---�- -� -- -- ar�
(Please"t narn ) State Surc -q%aCit_cmureel 1 S ( _
WTAL PERMIT ELK I S _
Notice: Thi.pert glpNtytloo eaplres!fit pcimit ii Ilnt eht2med rvttbin 'Pee methoodaiaRy wt by Trl-County Bnildialt industry service Bae"f
loo days alter It kat hten orceplar:an complete. •'Site plan required rut eautior A/C aalti.
i tthts\Permlt For eiWecrermi App doe Ullfl)
Rug 05 OJ 10: 50a 2
HOME LAYOUT/SI'T'E PLAN
TI
STREET
J
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (593)639-4175
IN:PECTION DIVISION Business Line: (503)639-4171 MST
BLIP
Received — _ Date R este AM —_PM BUP A
loca ion __ ��� � Suite_ MEC
Contact Person 1211/t' Ph( ) PLM �—
Contractor--_ _ _ ^�LA, _ _ Pt –63 ;----SWR
BUILDING _ Tenant/Owner ____ _ — ELC
Footing y ELC
Foundation Access:
Fig Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam - __-
Shear Anchors - -
Ext Sheath/Shear
Int Sheath/Shear ---
Framing --- ---- -- ---
Insulation
Drywall Nailing ---- ---- --- -
Firewall
Fire Sprinkler ------— --- -
Fire Alarm
Susp'd Ceiling -- - -- - -_- ---
Roof
Other. ------- ---- --- — /-� - ----- ---- -
Final
PASS FART FAIL _--_--.--
PLUMBING
Post& Beam
Under Slab -- - - - -- -- -- _ - -
Rough-In
Water Service - -- ---- - -- -
Sanitary Sewer
Rain Drains -- - --- - - -- - - -
Catch Basin/Manhole
Storm Drain - --- ------ ----- -
Shower Pan
Other: - --
Final ---
PAS FAIL
CHANICA'
PosT�l-
t -aE -� -' '--
Rough-In --
Gas Line 1
Smoke Dampers -- -- -- --- - --
inal '
P SS APART FAIL --------- - -___._
ELECTRICAL--
Survice
Rough-in _.- --------- _� -.--- -
UG/Slab
Low Village --_------ - ---- -
Fire Alarm
Final n Reinspec'.ion fee of s ._required before next Inspection. Pay at Cit/Hall, 13125 SW Hall Blvd.
PASS PARI" FAIL
SITE - [] Please call for reinspection RE: Usable to inspect no access
Fire Supply Line -_
ADA r' ^7.
Approach/Sidewalk Date
---�� Ins .-----
Other
Final DO NOT REMOVE this Inspection record cm th�lb site.
PASS PART FAIL