13332 SW BENCHVIEW TERRACE I
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13332 SW BENCHVIEW TERR _
CITYO F TIGARD MECHANICAL PERMIT
LA DEVELOPMENT SERVICES PERMIT#: MEC2003-00579
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9/25/03
PARCEL: 2S104DC-00200
SITE ADDRESS: 13332 SW BENCHVIEW TERR
SUBDIVISION: BENCHVIEW ESTATES ZONING: R-4.5
BLOCK: LOT: 002 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: _ BOILERS/COMPRESSORS HOODS-
_FUEL T_Y_PES 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:
FURN < 100K BTU: AIR HANDLING UNITS
---- — OTHER UNITS: 1
FURN >=100K BTU: <= 10000 cfrn: GAS OUTLETS: 1
> 10000 cfm:
Remarks: Install natmal gas fireplace insert.
Owner: _ _ TEES
CAUSLEY, GARY Description Date Amount
13332 SW BENCHVIEW TERRACE
TIGARD, OR 97223 IMfi('fl) Permit I ee 9/25/03 $72.50
I AXJ ,S°s .State l ax 9/25/03 $5.80
Phone: 303-521-')I I1► Total $78.30
Contractor:
LUDEMAN'S FIREPLACE & PATIO
12675 SW BEAVERDAM RD
BEAVERTON, OR 97005-2129 REQUIRED INSPECTIONS
Phone: 503-046-6409 Mechanical lnso
Final Inspe0on
Reg#: LIC 51469
This permit is 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 in 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 tr., follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR
952-001-ni n0. You may obtain copies of these rules or direct questions to OUNC by calling
(503)46-6699
Issued By: L&!:d. Y�6z, Permittee Signature: -�
Call (503) 6394175 by 7:90 P M. for Inspections needed the next business day
of :001 14. 13 F..� ;036547.97 Cit.- of Tigard X1002
Mechanical Permit Application
,a Dattraxived r� • i Pe!—t no.:ink
City Of Tigard A k Prolectlappl.no.: Expirtdate:
City ofTi6ard Address: 13125 5W Hal:Blvd.Tigard,OR 07223
Phone: (503) 619-4171 Date issued: By: Rccciptno.:
Fax: (503) 408-1%0 Case file no.: Payment type-
Land
ype:is nd ase approval; _ Builciingperrrut no.:
. 1
13c furuly elwc:llitte of acccasory ❑Cornmetcia�ndtuuial J Multi-fauuly U Tenant impruvrmrnt
0 New cons"won �ditiontalteruLowreplacemenc �Other--
.
ther
1
Job address: /_3 33 oZ G/ Cn c t/itet,., 7C'/,ye Indicate equipment quantities in boxes below.indicate the doUar
Bldg.no.: Suite no.: value of all mcc ianical materials.equipmcnt.labor.ovcthcad
Tax man/tax lot/account no.: profit-Value S
Loc: Block: Subdivision 'See checklist for important application infonnation and
Protea name q,s le V jurisdiction's fee schedule for residential penrit fee.
City county. / rI ZIP. 7.2 .a 3 al
Description and location of work on premises: i 7CFM—
Air
'Y) Fee(t�) ToW
Fst.date of completionfinspmuon: /O- 3 —03 . Reatmh Res.oalTenant lmprovemem or change of use:Is a ti"spaceheated or eondiucined?O Yes O No condltlotun (sitetan )
Is existing space insulated' O Yes 7 No Alteration of existing AC sysieem
1 1 of et/ecaprtscors
Business Warne: C p �. State boiler permit no.:
�— HP Tons BTU/H
Addsms. W __--eiralam Rd Feellmoke d2saiwWouct smokc tags
City acyl ICE 744aSLaw:Q ZIP: Ip 7dCLT eat pump(site plan required)
PE-mail: Lftsuivrepiace fianaceiburw
CCB no.: -asP3 Including ducrwork/vew Liner 0 Yes O No
lnstal rr:ptactare orate eaters-�—fended,
Citrlmetro Gc,na: -� ---- wall.or floor mounted _
Name(pi case print): 4 vent ter nuance other an furn.tee
Retri��•atles: +' �
Absorption units BTU/14
Name: 14 Chillers..`-- HP
Address: C0mptcasors HP
ewe exhozo to
• m
Gh State: Appliancevent
Phone: Fax: E-maiL Dryer exhaust
ype U I Urci-
hood fun supprssusn system
Nath: �4/t r e.V Eahanst fan inth tingle duct(bath fans)
Mailint;addtess: / v enC A v_- .J Ferw au_stsystem ran_ mor
(`-- piplae trod m(tin to 4 outlets 1
City_ / • State Z; 4 7.P Type: I.PG NC W
f'Itonr o7/ // Fax: E-mail: Fuel piping ex havct 1 oudccs
tvcw//tpt^�sc emancrequired)
Vie: Number of oud tt
- - ea a� or trp�tst,att.
Addle Decoraurefueolace
C' 1Y�:e: Z1P: nsert-
. one. I Fax: —(--mail; oodsto w et stove _ —
Applicant's signature: Date: 9_.z3-Q
Name
Name rousef®.rcey�a3l ah otos epi jrtdeam!o.Maedamai: Permit rat -___ ____..S
gYea O ud Nonce:This peanit appliewen Minimum No................3 7i72��t7
Gtd'n csa�� expires if a permit is not obtained Plan review(it
wt, ,190 days aver it has been
arCMINAAWr w raA aax{xed K enmplete State suuehugt'(11%)....S
r s TOTAL............--......S 7d'e3 t7
atoslr ttlaoraoa�n
( 1
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (501)639-4175
INSPECTION DIVISION t�� Business Line: (503)639-4171 MST
7 BUP --
Received — Dat I equested�l _ AM — PM BUP
Locatior. � Z ��X� �► : 21J ��J"''�uite ME h3-- 2
Contact Person Ph(�c1_) S�3' 13 2-a PLM
Contractor"____ Ph(_—) SWR _
BUILDING Tenanl/Owner ._ _ _— _ ELC
Footing
Foundation ELC
Ftg Drain Access: -
Crawl Drain ELR �—
Slab Inspection Notes: SIT
Post& Beam --
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear ---
Framing —
Insulation
DN *o f3' �� ��G _
Drywall Nailing �—
Firewall Y�!
Fire Sprinkler
Fire Alarm
Susp'd Ceiling -- - _
Roof
Other:
Final
PASS PART FAIL —
PLUMBING
Post& Beam --
Under Slab _
Rough-In ---
Water Service
Sanitary Sewer
Rain Drains _
Catch Basin/Manhole
Storm Drain -----------_
Shower Pan
Other: — —--
Final - --- ----- --
P R FAIL
Post& Beam — -- --
Rough-In
Gas Line
Smo4 Damper;l#'9
SS PART FAIL
ELECTRICAL.
Service --
Rough-In
UG/Slab —
Low Voltage
Fire Alarm —--
Final Reins
PASS PART FAIL pection fee of 8 --required before next Inspection. Pay at Cfty He:., '3125 SW Hall Blvd.
SITE ❑ Please call for reinspection RE:_ _ U Unable to nspect-no access
Fire Supply Line
ADA
Approach/Sidewalk /� In or
Other: _
Final IL
PASS PART FAIL DO NOT REMOVE this Insspeetlon record from the 16/bleft.