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13355 SW Brittany Drive
CITY GA RD —,---MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2002-00558
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/11/02
SITE ADDRESS: 13355 SW BRITTANY DR PARCEL: 1S133DC-05400
SUBDIVISION: BRITTANY SQUARE NO. 1 ZONING: R-12
BLOCK: LOT: 012 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 _ FLOODS:
FUEL TYPES 0`3 HP: — DOMES. INCIN:
LPC, 3 - 15 HP: CO.JIML. INCIN:
MAX INPUT: BTU 15 -30 HP:
FIRE DAMPERS?: 30 - 50 HP: REPAIR UNITS:
GAF PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTUJ _ AIR HANDLING UN_ ITSCLO DRYERS:
FURN >=100K BTU: —<= 1J000 Cf m: OTHER UNITS•
> 10000 cfm: GAS OUTLETS: 1
Remarks: installation of gas insert and gas line.
Owner: --- --
___ _ FEES _
GILLETT, REBECCA J Description Date Amount
13355 SW BRITTANY DR _
TIGARD. OR 97223 IMECHJ I'enuit Fec 12/11/02 $72.50
I"IAXJ8%statc,rax 12/11/02 $5.80
Phone: Total $78.30
Contractor:
SHAMBURG HEATING LLC
23975 SW BOONES FERRY RD
TUALATIN, OR 97062 REQUIRED INSPECTIONS _
Phone: 503-692-5563 Gas Line Insp
Mechanical Insp
Reg #: LIC 126881 Final Inspr.clion
This permit Is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other apr:,licable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Noti ication Center. Those rules are set forth in OAR 952-001-0010 through OAR
952-001-0100. You may obtain copies of these rules or direct questions to OUNIC by calling
(503)246-6699,_
Issued By: X' �, f ?• Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next busine
Mechanical P-mi nit AppUcation
City of Tigard
Jatercceived: /�_�
Tigard,OR 97223
Address: 13125 SW Hall Blvd.Ti ( t Pcoject/appl.no.: Expiredate:
crry rlrtga►rt s
Phone: (503) 639-4:71 DEC �� 2�.1�L ( Date issued: By ' �; Receipt
Fax: (503)598-1960 C1, v 0 Cott the no.: Payment type:
Land use approval: GATY OF TIGARD Building permit no.:
C9'f Xc'l family dwelling or accessory lJ Commercial/industrial U Multi-family U Tenant improvement
U New construction U 'Adition/alteration/re..placeinent U Other.
1
Job .no.:address: Indicate equipment quantities in boxes belo
w. the dollar
Bldg.no. Suite no.. value of ail mechanical materials,equipmeerhead,
Tax rnaphitx lot/nceount no.: '-- - profit.Value$
Lot: Black: Subdivision:_! *See checklist for important application ind
Project name: �-4 jurisdiction's fee schedule for residential p
City/county: //Z/ - ZIP:
Desai lion and F'owation of work ori premises:_!llQ,7`6 s,n� ! t�Esl.date of completionlinspection: f' - Z .) 'I�otal__ ly Ra.only
Tenant improvement or change of wi: t —
Is existing space heated or conditioned?U Yes O No AI ndling unit _ CFM
(s existing space insulated?C)Yes U No Air conditioning sites anrequ rc
Alterationo ex st n s stem
MMMMUMUMMM BCer compressors
Business name: 7 r - Stite boiler permit no.:
Address: X y HP Tons HTU/H
City: i smo a amper uct amo a etectors
r_ UP: L ! eatum (s to an ---
� p tequ tf c�lt-)•`—
none:&/Z 3 1 Fax:�yj,,�r .trail: _ nstatlliepTace urnac um,-r —"BTU/ —
CCB no.: -X' / ---- Including ductwork/vent liner O Yes O No
City/incuo lic,no._S' ��cT" nam ep ac re locate
_ wall,or floor mounted
Name(please print): �, 7754., T-
em ap once o er an ace ---
e urn
�► Absorption unix,_ BTUM
Name: �� rr Chillers HP
Address: a � �� Gum roresors_ I{p
City: _ State: ZIP: nvirostrseat ex .vast a T tl:
Phone: Zf+ "`y/ Fax: y/.4�r tttail: Appliance vent —
etexhaust
°° s,Ty-p-c-MUres.kitc a ar tnnt --
Name: hood fire suppression system
�r�- Exhaust fan with single duct(batli fans)
Mailing address: SS_ &4' hxnaust system upon rom eat n or AC
City: _ State: f?�711P.
J p ping amd d1shibufl9"-(U-p-t-0T-0U-d-ejjT
Phone: y i d Fax E-mail: - Ty LPG i NO __ Oil 1 J. yG c7
Mill ue n taC a t On8 over 4 out ets
rracim piping(sc sematic requ rc. )
Name: Number of outlets
Address: -- - �Iet •pP oeega paaenr:
f)ecorativefineplace
City: Stale: ilP: nsert-tyLV --
Phone: E--Mail: Dov pe u stove '` --
Applicant's slgnalure: . �• -�Date: t �'tet•:
Marne(print
Not sit indadkt1oM rccpt ttatYl taatls,pleue call)arlatNr.Uun Ibr t rc fnhtrrrtatkxr. Permit fee......... U
Notice:this . .......$
O Mso O MasterCard permit application ,Minimum fee................$
Crrdh card number_ expires if a permit is not obtained plan review(at 9b S _
within 180 days after it has been ) --- —
�„"� accepted as complete. Slate surcharge(9%) ....$ S,.films,
- ---"Cardh r s tote - ---
$ Amount _ TOTAL .......................$
44e4617(60WOM)
1 .d SS89- I69--E05;
�zo�S Q6E :SO ZD GO �3aU
CITY OF TIGAIn D 24-Hour
BUILDING, Inspection Line: (503)639-4175
WSPECTION DIVISION Business Line: (503)639-4171 MST —
BL,-
Received __._-- _ Date Requested _ /�___ AM_ _-PM BuP — —
Location —_.� _._--
ti -f suite MEC
Contact Person — _ Ph( �_—)�/ � _ PLM
r
Contractor_— — 1�1.G Ph( _ ) �g� SWR -- -
BUILDING _ Tenant/Owner _ ELC --
Footing
Foundation '-" ELC --__--- ---_-_--
Access
Ftg Drain E'_R
Crawl Drain
Slab Inspection Notes: p r SIT
Post& Beam T
Shear Anchors
Ext Sheath/Shear - -
Int Sheath/Shear
Framing , �t 1� acs , -t-6S i_ - Z9 6. -
Insulation
I;.,rwall Nailing IS- 144 --
Firewall
Fire Sprinkler ---------__._._--------- -_- _---
Fire Alarm
Susp'd Ceiiing - — - - ----
Roof
Other: ----------- --- - -
Final --- -- ---
PASS PART FAIL - ---------- - -- -v
PLUMBING
Post& Beam
'---..___- -- ---------------------
Under Slab ----- - -- - _-.-- ---------
Rough-In
Water Service ---- -- _ -- -— -- -- -- ---
Sanitary Sewer
Rain Drains __-_-
Catch Basin/Manhole
Storm Drain -- -- ----------- - - ---- - -- _--_
Shower Pan
Other: - - - ----...---- --
Final
PASS__WT FAIL
_ C _ L -------- .._.__ .. -- --- - -----— -----------
Post& Ream -- --
Roush-In - -----------_.
Gas Fine — ------- _�_..-----.__.
Srno 9 Dampers ---- - ----- - - - __ ---
nal
PART FAIL - --
ELECTRICAL FAIL_
ELECTRICAL
Service
Rough-In
UG/Slab - -------- -------_- -------___--
Low Voltage
Fire Alarm
Final [] Reinspection fee of$-__-___ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS_ PART FAIL
SITE — - �- Please call for reinspection RE -_----__ , Unable to inspect-no access
Fire Supply Line
ADA
Approach/5:,'ewalh �--� _ ---- Inspoto►_. -- Ext
Other: _
Final - -` OO NOT REMOVE this inspection record from the job site.
_PASS PART FAIL]