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15980 SW BRENTWOOD COURT i 'r r 1 . 6, � 1t ,fyy. 1.. 1 r. 1 1^ b , r4 00 1 '. / 0 SW BRE"'WOOD CTn , \ Q MECHANICAL PERMIT CITY OF TIGARb - -- - DEVELOPMENT SERVICES PERMIT #: MEC2003 00641 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATF ISSUED• 11/3/03 PARCEL: 2S1 11 CD-04700 SITE ADDRESS: 15980 SW BRENTWOOD CT SUBDIVISION: SLIMMERFIELD NO.9 ZONING: R-7 BLOCK: LOT: 50(', JURISDICTION: TIG CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: 11(PE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: _ BOILERS/COMPRESSORS HOODS: FUEL TYPES_ 0 3 HP: 1 DOMES. INCIN: i 1,( 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS'?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLQ DRYERS: FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS: FURN -100K BTU: <= 10000 cfm: > 10000 Orn: GAS OUTLETS: Remarks: Replace gas rur.iace. 1 li 19 03,add a,c. Owner: FEES _ DELORES MULGREEN Description Date Amount 15980 SW BRENTWOOD CT �\1I�('II I Fel nut FCC 11/3/03 $72.50 TIGARD, OR 9722.4 I I I N°,,5ialr tiurcharti 1113/03 $5.80 Phone: 503-624-3601) __ Total $78.30 Contractor: COLUMBIA HEATING + COOLING INC P.O. BOX 230397 8900 SW BURNHAM #E1110 REQUIRED INSPECTIONS TIGARD, OR 97223 --- nsp Phone: 503-624-2704 Heating I Final Inspection Reg #: I IC 76359 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 he done in accordance with approved pial;-. This permit will expire if work i:7 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 lore set forth in OAR 952-001-0010 through OAR 952-001-01Yo�u' obtain copies of these rules or direct ruestions to OUNC by calling (503)>46, 696 9. Issued B,•: _ Permittee Signature: Call (503T-639-4175 by 7:00 P.M. for inspections needed the next business day G Mech,anl�al Permit Application FOR'OFFICE JISK ONLY. - Received Mechanical Dale/B': / ?/D Permit No.: City of Tivard Planning Approval Building 13125 SW Hall Blvd, Date/B : Permit No. Plan Review Other Tigard,Oregon 97223 Date/By: Permit No. Phone: 503-639-4171 Fax: 503-598-1960 Post-Review land Use Internet: www.ci.tigard.or.us Dew By: Case No.: Contact Juris. See Page 1 for 24-hour Inspection Request: 503-639-4175 Name/Method: Supplemental Inforrivtion, TYPE OF WORK COMMERCIAL FEE*SCHEDULE-USE C[iECKLIST New construction Demolition Mechanical permit fees*are based on the total value of the work L2KAddition/alteration/t-epiacement I LJ Other: performed. Indicate the value(rounded to the nearest dollar)of all CATEGORY OF CONSTRUCTION I mechanical materials,equipment,labor,overhead and profit. I & 2-Family dwelling Commercial/industrial value: S See Page 2 for Fee Schedule Accesso Buildin Multi-Famil RESIDENTIAL E UIPMENT/SYSTEMS FEE*SCFIEDULE Master Builder Other: —Description Qh Fee ea. Total JOB SITE INFORMATION and LOCATION Hearin Coolio furnace-add-on air conditioning•• 14.00 Job site address: Sw bel Gas heat um 14.00 Suite#: I Bldg./A--t.#: Duct work 14.00 Project Name: H dronic hot water system 14.00 Cross street/Directions to job sil Residential boiler for radiator or hydronic systems _ _14.00 Unit heaters(fuel,not electric) in wall,in-duct.suspended,etc.) 14.00 _ Flue/vent for any of above__ 10.00 Subdivision: Lot#; Re air units 12.15 Tax map/parcel #: — Other Fuel A liances Water heater 10.00 DESCRIPTION OF WORK Gas fireplace 1000 — �Id�2/l1LL- Flue vent(water heater/ iilla,e) 10.00 Log lighter as 10.00 Wood/Pellet stove _ 2 10.00 _ --- ------ - Wood fireplace/insert 10.00 Chimncy/llnet!flue/vent _ 10.00 __ PROPERTY OWNER TENANT Other: __ 10.00 _ Name: _ tc S 1�� v - _ Environmental Exhaust&Ventilation Address: �� Range hood/other kitchen equipment 1000 / oQ Clothes dryer exhaustCity/State/Zip: 10.00 Phone: —j Fax: -- Single duct exhaust (bathrooms,toilet compartments, APPLICANT CON TACT PERSON utility rooms) 6.80 Name: Zf}.HAttic/crawls ace fans WOO Address: -------—— Other - 10.00 Fuel Piping City/StateiZip: — •• S5A0 for fust 4,SI-00 each additional Phone:g; � ? Fax: a Furnace,etc — •• E-mail: Gas heat um •• CONTRACTOR Wall/suspended/unit heater •• Water heater •• Business Name: (�/uw1� � ► Fire lace - •• Address__P6 8 ox a 0 3 4 ry Range City/State/Zip. --rLle.B - ©Q to - «� �� Clothes dryer I as) Phone: a jT,V. J Fax: 01 S9P o�Z Other: — •. CCB LIC. _` - Total. Authorized _ Mechanical Permit Fees* Signature Date://3 4_> Subtotal. S Minimum Permit Fee S72,50 S Plan Review Fee(25%of Permit Fee) S (Please print name) State Surcharge 8%of Permit Fee) 5 TOTAL PERMIT FEE S Notice: This permit application expires If a permit is not obtained Nithin •Fee methodology set by Tri-County Building Industry Service 4oa•.i. Igo days after It has been accepted as complete. "Site plan reqs red for exterior A/C units. i DstsTernut FornuVvlecPermitApp doc 01103 1 &6ZV 7&9W HEATING & COOLING, INC. 8900 S.W. BURNHAM ROAD, SUITE E 110 TIGARD, OR 97223 (503) 624-2704 FANO (503) 598-0270 l r �cX7/tQyv JOB ADDRESS:_ SITE PLAN FOR AC OUTDOOR UNIT LOCATION CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Rusiness Line: (503) 639-4171 MST BUP Received -1211:5Ez' Date RequestedZ f ��3 AMPM—_ SUP _ Location /:s l� '© /..27 20�v1 (ten TZ�d Chuite MEC sz�_ Contact Person _ _ Ph( _' U �C Z ��—�7G� PLM Contractor C-6-C.1,vubtu. t:4_ - Ph SWR BUILDING TenanUOwner ELC Footing Foundation ELC Access: Fig Drain ELF! Crawl Drain Slab Inspection Notes: SIT Post$ Beam Shear Anchors - � ---- —dl— Ext Sheath/Shear Int Sheath/Shear Framing 1-4c.W 4414,�4 .. Insulation Drywall Nailing ------ -- Firewall Fire Sprinkler ----- — Fire Alarm Susp'd Ceiling — -- ---------- — Roof Other: �— Final PASS PART FAIL --- --- ---- - —' PLUMBING Post 8 Beam — -- -- —�-- — - Under Slab Rough-In Water Service ---------- — -- Sanitary Sewer Rain Drains -------- Catch -Catch Basin/Manhole Storm Drain -- - -- - Shower Pan Other:_ -- - ---- - - - - F,,iel —_.—�— 'JASS PART FAIL �+ — MECHANICAL Post 8 Beam ----------- Rough-In - Gas Line Smoke-Dampers L tELlt"ICAL I PART FAIL Service -- - -— - - Rough-In UG/Blah _ --- --_ — -- Low Voltage Fire Alarm Final Reinspection fee of$_—._.._ required before next Ins PASS PART FAIL �� p --- G Inspection. Pay at City Heil, 13125 SW Hall Blvd. SITE ❑ Pease call for reinspection RE:— -- Ej Unable to inspect--no access Fire Supply Line ADA Approach/Sidewalk Date ' ?_ -lU �' Inspector ___ ' Ext_ Other: ----- Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL