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InitiallyGood l tl � • v. 4 • y i I r Q 125'tO SW BROOKSIDE AVENUE CITY ©F TI GA R D MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2000-00495 13125 SW Hall E;vd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/19/00 SITE ADDRESS: 17.570 SW 13ROOKSIDE AVE PARCEL: 2S 102BC-00113 SUBDIVISION: WALNUT ACRES ZONING: R-4.5 BLOCK_ LOT: 012 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: v� EVAP COOLERS: ��- TYPE OF (ISE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS: STORIES: —BOILERS/COMPRESSORS HOODS: FUEL_TYPES 0 - 3 FIP: DOMES. INCIN: 3 - 15 HP: COMP.41L. INCIN: MAX INPUT: BTU 15 - 30 HP: FIRE DAMPERS?: 30 -50 HP: RE-PAIR UNITS: GAS PRESSURE: 50 + Ftp: WOODSTOVES: FURN < 100K BTU: 1 AIR__H_ANDLING UNITS CLO DRYERS: � FURN 100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfrn. GAS OUTLFTS: Remarks: Replace Furnace Owner: FEES__ ,JASON DOHERTY Type By Date Amount Receipt 12570 SW BROOKS IDE AVE PRMT CTR 12/19/00 $72.50 2720000000 TIGARD, OR 97223 5PCT CTR 12/19/00 $5.80 272000000C Phone: Total $78.30 — — Contractor: THE HEATING SPECIALIST 9300 NE HALSEY PORTLAND, OR 97220 REQUIRED INSPECTIONS Mechanical Insp Phone:257-7000 Final Inspection Reg #:LIC 000566 PI.M 26-494PB This perinit 15 issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done n accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 YOU may obtain copies of these rules or direct questions to OUNC by calling (503)246-9189. Issue By: 1 �� _ _ Permit!pe Signature:. Call (50fc39-4175 by 7:00 P.M. ;cr inspections needed the next business day 12/14/00 THU 10:47 FAX 503 598 1960 CITY OF TICARD 1002 Mechanical Permit -Application `V��' Date received: Permit no.. City of Tigarduti ren„f li �.d R Address: 13125 SW Hull Blvd,TV,OR 97#1�, Projeci/appl.no.: Etxpiredate: Plione: (503)639.4171 �^ �N1 Date issued: By Receipt no.: Fax; (503)598-1960 �4CCs O�a�\0°� Case the no: pay ° mrrt type t I use apY:•rival: \ _ Building permit no.: 5i 1 &2 family dwell Iag or accessory U Conan ercial/industrial a Multi-rami) J New construction O Additi m/altenition/replacement p per.- y Q Tenant improvement Job address: (� •1 0l tnko ��' Indicate eyuipmcnt quantities in twxes Furlow. Indicate the dollar Bldg.nu.: Suite . value of all mechanical materials,equipment,labor,overhead, Tax mapitax lot/account no.: profit.Value$ Lot: -mBlock: Subdivision: _ *See checklist for important application information and Project ole jurisd Iction`s fee schedcle for residential permit fee. City/county:-Ft cud _ I ZIP: Ll —7 Z a Description and location of wank ou premises:_ Pit.date of completion/inspection: F�(eal 7aaf Res oel Res.only Tenant improvement or change of use: DrAAi on Is existing space heated or conditioned?U Yes J No Air handling unit _— cw• Is ex,atidg space insulated?U Yes J No Air con tuoning(site lanrequirr ) - Iteration o exi—stin"�j�V�'ystem -- u a compressors - 77&it me: "t t 1„4 e'_a(� �; State boiler Iyer-nit no.. ' A w HI' Tons BTWH 9'�nc� N 4 f 4 rA� rtt I amo r im rr uct stnoViTeta tors L�—^+1�t D Statex i:IP: (7�.,Lc, cat um eueplan tit — -- 25'J. Fax:,asl 79az E-mail: lista rep ace ureac timer CCB no.; ` G, & 'ncludin ductwork/vent liner Ll Yes 3 No 1 14ov I ya0 City/metro Ile,no.: t 3 y lists rep ac re ccatt enters-arspen r _ wall,or floor mounted Nance('?lease print): .J rxr 0 n ent ora tance of er an urnaa -- -- Re gem Absorption units RTU/11 Dame: f�, ('hitters Hp Address: Compressors _ lip City: State: 2;(p � r M-ema rxlau -_-real ai oa: Appliance vent Phone: Fax: B-u.ail: ryerex aunt — -- S. ype fps. lit en azmat Namebood fire suppression system 60x1 �) 4 Tt q _ futtanst fan with single duct(bath tans) Mailing address: 1 S'7 V sw 3(Ce)Ie s t :iaust stem n art mm ea n or C - City: 1-%e a {d State:�> 3P: 9`1:.L3 Ue 11"Pm6 a on up to out eta Phone: 7Li $19 Fax: H-mail: Type —_LPG--LNG — NC oil tie t tut sac a woiu ova out els Name: Number of outlets emat c rryuired) Address: r ■ or eqr WW- Ihcorativcfii Ince City: State: i IP: Insert-type —- ..-- Phone: fi : •_q & U"Usiovelpellet stove Applicant's signature r: -- ±*�- -�1.. .r. Q;t(c: �� i N--soy: Name(print): Not act imudicnmu 1-V craia card.pteme cart Jurisdiction for more ie oinso n. Permit fee..................... r)visa U AbsterCard Notice:This permit application Minimum fee......... expires if a pennit is not obtained "'$ —� ('{edit card number Plan f+eVl!!W(at %) --- ENO eL within 180 days after it has been Stale Surcharge(S%)....$ j 4 y ti lime Aur Iden u l6o+rn on cult ccs--- accepted as complete. s ' ...S8 3J ran hoi.ider„grial.s — Amstar 4401617 tarAXWO1'1 CITY OF TIGARD BUILDING INSPECTION DIVISION 24 Hour Inspection Line: 639-4175 Business Line: 639-4171 MST l BLIP _ Date Requested l `�V AM PM E4161 BLD Location �Z) �d (.✓ 5i'Yic oe.51` p W'--y" Suite MEC C:nntact Person -- P;i &)-�-7a0t) PLM ` Contractor ?h SWR BUILDING Tenant/Owner ELC _ Retaining Wall ELR _ Footing Access: ' Foundation ro ( //� �J' � = FPS Ftg Drain —"--� Crawl Drain Inspection Notes: SGN Slab Posi&Beam --- -- ---- SIT _- Ext Sneath/Shear Int Sheath/Shea -----�- Framing Insulation —�� Drywall Nailing Firewall --- Fire Sprinkler Fire Alarm -- -- Susp'd Ceiling Roof Misc. --_------- Final PASS 1-ART FAIL - PLUMBING Post&Beam --- Under --Under Slab Top Out - - - — - Water Service Sanitary Sewer - -- ---- -- ------- - Rain Drains Final - - _ ----- - ----- PASS ART FAIL E G H A No LICq AA , — -- - Post&Beam - - --- - Rough In ---- Gas Line -- - Dampers — ASS PART FAIL ICAL �j7rviceough In UG/Slab Low Voltage �- Fire Alarm -- -- ------ ----- ------ - Final PASS PART FAIL_ SITE- Backfill/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 [ ]Please call for reiospertion RE: [ ]Unablb;o Inspect-no access ADA Approach/Sidewalk Other Date _ � y I Inspector__` Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.