11306 SW IRONWOOD LOOP ,Y
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11306 SW IRONWOOD LP
CITYOF T I C A R D MECHANICAL PERMIT
SERVICES #: MEC2003-00700
DEVELOPMENT SERVICES DATE ISSUED: 12/9/03
13125 SW Hall Blvd.,Tigard. OR 97223 (503) 639-4171 PARCEL: 1S134AB-00400
SITE ADDRESS: 11306 SW IRONWOOD LP
SUBDIVISION: ENGLEWOOD ZONING: R-4.5
BLOCK: LOT: 003 JURISDICTION: TIG
CLASS OF WORK: Al- i FLOOR FURN: F_VAP COOLERS:
TYPE 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: uOMES. INCIN:
LPG _ 3 - 15 HP: COMNIL. 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 cfm: GAS OUTLETS: 1
> 10000 ctm:
Remarks: Retjlace e1ee, range kith gas range, 1n1ung an(l uuilet
Owner: FEES _
SAWATZKI, !-INDA Description Date Amount
11306 SW IRONWOOD LP. �tl c'lll I'cnni! I e 12/9/03 $72.50
TIGARD, OR 97223 IAN I ` State 12/9/03 $5.80
I Total $78.30
Phone: 503-598-3358 -"—
Contractor: _
G P &W SYSTEMS INC
732 MARBLE RD
WASHOUGAL, WA 98671-9601 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 360-835-351(1 Mechanical Insp
Reg #: LIC 108176 Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municip el Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordence with approved
plans 1-his permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTE!111 !ON: Oregon law requires you to follow rt_tIE!: adopted in the Oregon
Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR
952-001-0100 You may ohtnin copies of these rules or direct questions to OUNC by calling
(503)246-669
Issued By: / Permittee Signature: , �� L !�I7_�__
Call (503) 639-4175 by 7:00 P.M. for inspections needed the ;next business day
i
12/08/03 MON 08:28 FAX 3608355716 Kent & L3'nne Kettering [ 1001
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1 '
A Mechanical Peanut Application
Diteroceived:j;i,- Pcrmhn'o.1( b •� CD
City of Tigard Pt'oje:t1.,)pl.no.; Expire date:
City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 9722.1 — -
Phone: (503) 639-4171 Date is tucd: $y: Receipt na.:
Fax: (503) 598-1960 Case til„no.: Paymet t t pc
Land use approval. _ - Building'perMitno.:
Q l &2 family dwelling or accesscry 1.3 LummcrOaUindusuial U Multi-family Q Tenalttt'imoi?ovement
O New construction I Additica/plteration/replacemcnt U Other-
Lot,: J191-t 1 OMMEACIAL VALUATION SU111,bULE
Job address: +� Indieale equipment uantities in boxes below Indicate.die dollar
I��Q �G'�! 1CQl�a�__� � 4
Bldg,no.: ISuite no.: _ tlaluc of Ali mechanical marenals,egtiipment,10W.overhaul,
Tax snap/tax lot/acco.lnt no.: profit.Value S __ •• .
Lot; _ piock: 'Subdivision: _ *Scc checklist for important application information and
Project u:r»c, jurisdiction's fer schedule for residential permit fee.
City/county: �_ ZIP: rz _— 1
Descripdon and location of work on premises:fate am
t
ill � - - Pastae.) T'utat
Est.date f wmpletio napection: /�./�!i /d 7 - 1 Dewripuon __ (zty. rcex aniy Res.anty
Tenant improvement or change -if est:
Is cxisung space heated or conditioned?Q Yes U No Air handling unit _ CFM
Atr conditioning(site plan required)
Is existing space insulated?G3 Yes 0 No . A rcrattonof of HVAC Kystem
Holler/compressors ^— - -
Business name: l G State boiler permit as;
HP __Tone 6TU/ii
Address: �O�r� ire/smoked mpers/ uctea mokcdctectors
Ci U 4(r State(jt1/} ZIP. Heat pu— r� rap(sin plan required)
nstalvicplact furnac wncr_HHT /-ii
Including ductwork/vent liner U Yes d No
CCB 10,' 1 f5 g' 7 6e _ InsrelUtep ac•_retocateheucrs-suspended,
City/metrolic.no,: 'Y45__ �4 wall,orfloor mounted
Nathe!(pltase,p int : v Vent(nr aPp trance other aTi—tTi nfurnace —
1NTACIr PERSON Hcrrigctatlaflt
Abs.xptionunits
1�arae: , LyAJAJ1 3�,0-$3 aS"fib Chillers`_--_- uP
Address ,) V�
Compressors HP
A Mtentat exhaust and Yent atian:
City: State; �IP_ A�ppliancevent
Phone: --- Tax. Email. ry-I5 erexhause --
uods, ypc Il/res.kitchen&,,,;at — -
/ huoil Circ suppression system
Name. �ClAda. _ fes _- _ Exhaust fan with single duct(bath fans)
Mtdling address: f jQ �aJ1 Aust systema art from hearing orr Al_
�� dA - Iptpu.p.a rdnbtrtto to out ccs)
Ciry Starr Z1P_ �T,74,Z3 LPG '_ NG
--- -- - -- Type:
Ph rne: •• Fax: TFZZ. uel i ing each addition .4 ullcis -
POLIO 011�� Process piping(schematic required)
Number of outiels _
Name: l /w _ - .---- - then Rated apPupi t�Ylphrcnl: '�
Address, iJ i/j,� Decotativefircplace
City State: ZIP, tnsen-type
-- - --- 't1Yoo s3 woe%�lci stove
Phone: -- - 13-mail: p°-
Applicant's sign -rte Uatc�/ dt ets -
No ell luri4dicllonr kept credit cudr,plenae roll jurisdl don for marc infumation. Permit tee....................f
Notice:i f a permit not obtainion
v Vies O MastcrCrrd Minimum ice....._........S
expires if a pejmil is not nbtainad
cntlucardnatnhr .,_[__ Plan review(at
rxvtrea within 180 days ager It has been —
Maine� d i a�. own on c u c.ro accepted as complete.
State surcharge(8%)....S
S. TOTAL .,..,......_ .,.....,,
440.4617 Worw0m)
CITY OF TICARD 24-Hc a
BUILDING InspE;..ton IWne: (503)639-4175
MST
INSPECTION DIVISION Busine !_Line: (503)639-4171
Received ._ Date Requested—��_��— AM—�PM _ BUP _
Location -�D G' d Suite MEC =
Contact Person Ph( ) 20-.>�Sl� PLM --
Contractor___ _ —. Ph(—) SWR ._
BUILDING Tenant/Owner _— -- -- CLC — —
Footing — ELC _ —
Foundation Access:
Ftg Drain �,� ELR
Crawl Drain
Slob Inspection No SII
Post&Beam
Shear Anchors _
Ext Sheath/Shear ----
Int Sheath/Shear
Framing - ----- — __-- — -- -. J.---- --
Insulation
Drywall Nailing ----- _.__-- ------ -- - - --- --
Firewall
Fire Sprinkler — ---- - -� - --- —
Fire Alarm
Susp'd Ceiling ---- --- "v---" —�
Roof —
Other: -- ----------- — --- -
Final
PASS _PART FAIL
PLUMBING -
Post&Beem 1 / ""--
Under Slab
Rough-In - -�
Water Se-vice — --
Sanitary Sower �
Rain Drains
Catch Basin/Manhole
Storm Drain -------'—
Shower Pan
Other: —
Final
P
At
--^—
ECHANICA _ — —
osFXeam
Rough-in --
Gas Line
Smoke Dr,mpers ------
tom,S )PART FAIL -- -- - �_ -- —
CTRICAL
Service
Rough-In --------- — - -- —_-- -
UG/Slab
Low Voltage --
Fire Alarm
Final Reinspection fee of$_ _-required before next inspection. Pay at City';all, 13125 SW Hall Blvd.
PASS PART FAIL
SITE F] Please call for reinspection RE:_ __ _— Unable to inspect-no acceb::
Fire Supply Line
ADA i Date ` ` _ inspector —.—
Approach/Sidewalk
Other
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIN