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11333 SW IRONWCUD LP
1 ■r i OF T I /1 D _
_ __ MECHANICAL PERMIT
V
DEVELOPMENT SERVICES DATE !ARCED: 1PE?MIT#: M/8/03 00591
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
PARCEL: 151345134AB-01600
SITE ADDRESS. 11333 SW IRONWOOD LP
SUBDIVISION- ENGLEWOOD ZONING: R-4.5
BLOC',,',: LOT: 073 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: —
TYPE OF USE: SF UNIT HEE.TERS: VENT FANS:
OCCUPANCY GF'P: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS _ HOODS:
FUEL TYPES 0 3 HP: DOMES. INCIN:
LPG 3 - 15 HP: COWL. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP
CTAS PRESSUkE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS CS:
FURN �=100K B ru: <= 10000 cfm: OTHER UNITS:
> GAS OUTLETS:
10000 cfm:
Remarks: Replace lurnace.
Owner _ —_— -- _ FEES --_^_—
HAL.L, LYNN H CND VIVIENNE E Description Date Amount
11333 SW IRON HOOD o — -- — --
TIGARD, (DR 91'223 1MLc III Permit Fee 10/8/03 $72.50
1 I'AXI 8 St.ite'I'ax 10/6/03 $580
Phone: _ TnLal $78.30 Contractor.
AAA HEATING & COOLING
2915 NE MARTIN LUTHER KING BLV
PORTLAND, OR 97212 REQUIRED INSPECTIONS
Phone: 284-2173 Heating Unt Insp
Final Inspection
Reg #: LIC 222
This permit IS issued subject to the regWations contained in the Tigard Municipal Code, State of Ore.
,pacialty 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 issu.ince, 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 nudes are set forth in OAR 952--001-no,,o through OAR
052-001-0100. You may obtain conies of these rules or direct questions to OUNC by calling
(513)246-6699.
Issued By: )�� �;, � _— Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
Mechanical Permit .Application MMEEM
Received Mechanical
.�
a T 111gDate/B : O 3 1'ermit No
City of and Planning p oval Building
"✓ g Date/By: Permit No.
13125 SW Hall Blvd. Plan Review ---- — Other ---
Tigard,Oregon 97223 DatdHy: _T _ Permit No.
Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Lend Use
Date/By: _ Case No.: _
Internet: www.ci.tigard.or.us Contact luris.: See Page 2 for
24-hour Inspection Request: 503-639-4175 Name/Method: __ 27_ Su Iemental Information.
TYPE OF WORK_ _ _ COMMERCL C FF.E*SCHEDULE-USE CRECKLIST
IR �New construction —_— I ( Demolition Mechanical permit fees*at.,based on the total value w"he work
Addition/aiteration/re lacement Other: performed. Indicate the value(rounded to the n,-!..est dollar)of all
- -- --- mechvtical materials,equipment,labc,r,m•._,nead and profit.
CATEGORY OF CONSTRUCTION
1 &2-Family dwellingCommcrcial/lnu�,;tTial value: S See Page 2 for Fee Schedule
Accessory Buildin Multi_-Famil ` RESIDENTIAL E UtPMENT/SYSTEMS FEE*SCHEDULE
Master Builder Other: _ Description Qty Fee(ea.) Total
Heatln Coolln
JOB SITE INFORMATION and LOCATION — Furnace-add-on air conditionin •• 14.00
Job site address: a\,0 Wtxx L-V Gas heat pump 14.00
Suite#: Bld ./A t.#: Duct work _ 14.00
Project Name: ��1 l _ H ronic hot water system 14.00
1 Residential boiler
Cross street/Directions to job site: for radiator or hvdronic system) 14.00
�� ��� ^ 7- Unit heaters(fuel,not electric)
` (in wall,in-duct,su�nderi,etc. 14.00
Flue/vent(for any of above F 10.00 1 C,C)
Subdivision: Lot#. Re it units 12.15
Other Fuel Apt illances
Tax map/parcel #: Water heater 10.00
DESCRIPTION OF WORK Gas fireplace _ 10.00
V\Ci't k kk (l( 1 t,-A( V\6-C� Flue vent(water heater/ s fireplace) 10.00
�.��� Log lighter(gas) 10.00
- Wood/Pellet stove 10.00
Wood frreplaceiinsert 10.00
Chimney/liner/flue/vent 10.00
PROPERTY OWNER TENANT Other: 10.00 _
Name: -L1 ,L\ \f\V\et.A(\ 4 LL (t Environmental Exhaust 4i Ventilation
Range hood/other kitchen equipment 10.00
Address: ?>� j �'k'� L Clothes dryer exhaust 1000
Cit /State/Zi v-1 r'-" L - ('1-1'2-7-3 - --
Singleduct exhaust
Phone:C7A1� k_ L Fax: (bathrooms,toilet compartments,
APPLICANT I Ll CONTACT PERSON stili roomsZ _ 680
Nanie: Atlic/crawl space fans _ 10.00
Audress: Other: 10.00
Fuel Piping
-City/State/Zip: **($5.40 for first 4 S1.00 each au Utioaal
Furnace,etc. +
Phone: _ Fax: Gas heat pump .+ _
E-mail: _ Wall/suspended/unit heater
CONTRACTOR Water heater �— •+
Business Name: fl"" Fireplace +•
Address: Z("l1r \(\E tAu Range _ ••
BB ..
Cit /State/Zi (A-(xA Clothes dryer as �_ ••
Phone: DiV LA Fax: other: T — ••_ - ---
CCB Lic. #: ZZ Z_ ____ _Total: I _
Mechanical Permit Fees' _
Authorized r Subtotal: S_7.y
Signature: ��C'U� Date: �u v -— ---- Minimum Permit Fee$72.50 S --12 F>L>
,AV J Plan Review Fee 25%of Permit Fee $
(Please print name) State Surcharge(8%of Permit Fee) S c—
_ TOTAL.PERMIT FEE
Notice: This permit application expires If a permit is not obtained within •Fce methodology set by Tri-County Building Industry Service Board.
180 days after it has been accepted as complete. "She plan required for ext-:for A!C units.
iADsts\Pcrmil rortns\MecPetmitApp.doc 01101
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST
SUP
Hcceived 1�Date Requ sted AM PM_ _ ____ BUP — _—__—
Location — Z /Lf�(Ci7/?J7/L �Suite_— -- �M
Contact Person _ Ph( 6 _ 7 �– 2- t .7 J PLM _
(:,ontractor -- _ AA (_ ) SWR
BUILDING Tenant/6 ner — _ ELC _—
Fo0tin6ELC
Foundation Access: —
Ftq Drain ELN _
Crawl Drain _-
slab Inspection Notes: SIT
Post&Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear -
Framing
Insulation
Drywall Nailing - --- --- -- - --
Firewall
Fire Sprinkler --- - - - -
Fire Alarm
Susp'd Ceiling - — - - - --- ---
Roof
Other: --- —-- —
Finel
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
PASS PART PAIL ----_----- - - - — —
MCC_HA NIC_AL
Post&Beam ---
Rough-In --- -- - --- _ ------
Gas Line
Smoke-pampers -------
Final
---Final
PIt 5 ART FAIL - _ _- ---- - ---- ------_�__..__
I SAL
Service --------- ------------------------------------ ------------.�.--
Rough-In
UG/Slab
Low Voltage _ -.---------__---
Flre Alarm --- - -------- -----------...__ _.
Final F] Reinspection fee of$-_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE j Please call for re'nspecti RE: ___- _________— Unable to inspect-no access
Fire Supply Line
-7
ADA Date�`' ' - --- In�p�ctor7��4
Bxt-
Approach/Sidewalk
Other:
Final DO NOT REMOVE this Inslpsction iacord fr /Mthe
Jo site.
PASS PART FAIL