8965 SW EDGEWOOD STREET I
8965 SW Eugei food Street
CITYO TIGARD _ MECHANICAL PERMIT
DEVELOPMENT SERWCLS PERMIT#: NiES2002-00521
13125 SW Hail Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/19/02
PARCEL: 2S 102DC-0050.1
SITE ADDRESS: 0696`.3 SW EUGEWOOD : T
SUBDIVISION: FDGEWOOD ZONING: R-4.5
BLOCK: LOT: 01? JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOI'LERSICOMPRESSORS HOODS:
_ FUEL TYPES 0 3�HP: COMES. INCIN:
LPG 3 - 15 HP: 'COMML. !NCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 IIP:
:AS PRESSURE: 50 + HP: WOODSTOVES:
DRYERS:
FURN -r 100K SfU: 1 _ AIR HANDLING UNITS CLO [DRYERS:
FURN >=11001< BTU: v ;= 10000 cfm•J� � OTHER UNITS:
>
GAS OUTLETS:
10000 cfm:
Remarks: Replace gas furnace with like kind
OwnVr: � FEES � v
WILSON, JOHN G +JODY K + Description Date �Amount
GOTTER, SAMUEL A JR �MECI1) Permit Fee 11/19/01 $72.50
1_''95 SW PACIFIC HW`,' I%11:CH) Permit Fee 11/19/02 $0.00
TIGARD, OR 97223
I AX) R StateTax 11/19/02 $5.80
Phone: ITAX) 9",o Stat,Tax 11/19/02 $0.00
Contractor: _ _ _ _ Total !678.30
COLUMBIA HEA-1 ING + COOLING INC
P.O. BOX 230397
TIGARD, OR 97223 REQUIRED INSPECTIONS
Phone: 024-2704 Heating Unt Insp
Final Inspection
Reg #: 763517
This permit Is Issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00
I
Issudd By: Permittee Signature: �_ r
Call (503; 639-4175 by 7:00 P.M. for inspections needed the next business day !
MechanicalPerm it Application
• Date received: /9 ei Permit no,:�f� e
City of. Tigard Pro}ecdeppl.no.: Expir ate
ir;oJ'l ignrd Addreh: 13125 SW Hall Blvd,Tigard,OR 97.223
Phone: (503) 639.4171 Date issued; B Receipt no
Fax: (503) 598.1960 Case file no,: I Payment type:
Land use approval: _ nit no.:
1
O 1 &2 fancily dwelling or accessory O Commercial/industrial O Multi-family O Tenant improvement
O New construction Addition/alteration/replac--mcnt O Other:
Job address: e, r C S Indicate equipment quantities in boxes below Indicate the dollar
Bid&. no.' Suite no.: value of all mechanical materials,equipment,labor,overhead,
Tax map/tax Iotlaccount ro.: profit. Value$
Loc Block: Subdivision: 'See checklist for important application information and
Project name: jurisdiction's fee schedule for residential permit fee
City/county: �A 1y' ZIP: S ; M i
Descnptn o and location of wwrrk on premises:._ P git lRFF1 r I
--n —1 ��Y� �1 Fee(m. Iulal
Est date of completion/Inspection: urtiui ai,n QI . Res.onl) Res.utdN
Tenant Improvement or change of use: AC;
TM
Is existing space heated or conditioned?O Yes O No 4Air handling unit — U-M
Air conditioning(site an required)
Is existing space insul ted?O Yes Q No Alteration of existing HVAC system—
hIlECIIIANkAll.
1 Boller compressors
Busincti_ u,nn L. _[.u!`J,4 �j4/L�.�►0�f,y T.��_ Siete boiler pennu no
rr — HP
Address. (�oyi J,a Fire/smokedampers/duct smuke detectors —
City: _z'L State: L1P: c)r�/a�L/— Heat pump site p an re uire ) `-
Phone: q- 7 7 Fax - E-mail: nstaaNeplace fvrnoce urner I / -
CCB no. '2`, 3 OX Including ductwork/vent liner O Yes O No
-- -------- - nsta repac re ocate eaters-suspended,
City/metro lie. no wall,or floor mounted
Name(please print): '� o / o�SGJS enc orapplianceother than furnace
e gerat on; i
Absorption units_____ BTU/11
Nance: ��M QA /t, N Chillers HP — —+---
Address:
Compressors HP —�
- a ronmenta tstc r
ex an vent al on:
City: State: Z(P: Appliance vent
Phone: Fax: E-mail: et exhaust
1 oo s,Type UTUres. itc lett/ azinat
hood fire suppression system
Nance: ^/ W , /S cr7 Exhaust fan with single duct(bath fans)
Midling addrer�. fj ciL -) 4c x austs stems art from heatingor AT
-- ue Piping nndistribution up to out ets)
City: ` $tat :Q.(J ZIP: Ty_l e: _ LPG ._ NG Oil
Phone: i Fax E-mail: Fuel each additional over outlets --�--
Nclelroeesspiping(scematicrequire )
Name: Number of outlets
Other app anll—ce or etl punment:
Andre.s Decorative fireplace
C t; _ _ State; ZIP: nsert-tv a
Phone u F'ax: E-mail: oo stay et stove
Applicant's signature: ter.
pp L �A4 [Date: �: Z. c_. ter;
Name (print)'
`^Noi ail turis6ctiow accept crtdli c".please tail jurisdicuon for mrxc loformauon. Permit fee........ ............$
U Visa O IdasterCerd Notice:This permit application Minimum fee................$
expires if a permit is not obtained —_- -
Crtdd cud number �_. J __L— Plan reVltW(at _, 9'0) $
�apira within 180 days after it has been State surcharge(8%) ....$
Name of cadholYef as sewn on ere t e 3 accepted as complete. TOTAL
IC wlatitnatum Amount 440-4617(&WCUM
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 'd ' Mwe
�-_
M' f -
INSPECTION DIVISION Business Line: (503) 639-4171
BLIP - ---
Roceived -- —Date Requested U a Il -__ AM _PM _ _ BUP
Loca6on ___-_ . �� _� �P _Suite MEC �= a_�
�� PLM —
Contact Person _____ —_��.z� � _ Ph( __-) �-� ----
Contractor _ —.__ — Ph(— ) SWR
BUILDING Tenant/Owner __ _ _. ELC —
Footing -------- ELC --- - —
Foundation Access:
Ftg Drain ELF! _--
Crawl Dain — SIT
Slab Inspection Notes: - -- -
Post&Beam ----
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing - -- - --- —
Insulation -
Drywall Nailing — — -
Firewall ` ----------- --
Fire Sprinkler
Fire Alarn
Susp'd Ceiling - —
Roof v --._�-------
Other:
Final —
PASS PART_ FAIL
PLUFAF)ING
Pc::&Beam
Under Slab ---' -
Rough-In
Water Service - {
Sanitary Sewer _
Rain Dr=inq
Catch Basin/kianhoic
Storm Drain --
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAi_ --
Post&Beam
Rough-In - - - -- -- —
Gas Line
ampers
Ff r AR .�
PT__FAIL
E CTRICAL __- —_— -----
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 0 Please call for reinsp9ction RE:—____— __ Unable to Inspect-no access
Fire Supply I..!ne
ADA Ext
Approach/Sidewalk QAta ��- O =- Itnttpet or
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL