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12235 SW JAMES STREET _�
CITYOF TICARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2003-00095
13125 SW Ball Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/11/03
PARCEL: 2S 103CB-00700
SITE ADDRESS: 122.35 StN,JAMES ST
SUEDIVISION ZONING: R-4.5
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: F3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
FUEL TYPES0 3 HP: DOMES. INCIN:
OIL 3 15 HP: COMML. INCIN-
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + F:P: CLO DRYERS:
FURN < 100K BTU: 1 _ AIR HANDLING UNITS __ OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Remarks: Install Oil liunarr itli 1 Outlel.
Owner: FEES_ _
TIBBETS, KATHLEEN M * Description Date Amount
GEORGE I_ --
12235 SW JAMES ST IMECIII I'cnOit I r-_ 3/11/03 $72.50
TIGARD, OR 97223 I I,\\I H State*f„x 3111/03 $5.80
Phone:
Total $78.30
Contr�.ctor:
SUNSET FUEL CO
PO BO,,42287
2944 SE POWELL BLVD REQUIRED INSPECTIONS
PORTLAND, OR 97242 - -- — -� -
Phone: 503.234-0611 Gas Line insp
Heating Unt Insp
Rrg #: LIC 2374 Duct Inspection
Final Inspection
This permit is IssU ad subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codec 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 :r) follow rules adopted in the Oregon
Utility '4otification Center Those rules are set forth in OAR 952-001-0010 through OAR
952-C 01-0100. You may obtain copies of these rules or direct questions to OLINC by calling
(503)246-6699.
Issued By: _/r_;_/ d. ,r 1_ Permittee Signature: -�,1) r' r i ' '� �,_ L
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
Mechanical Permit Application
Date received:- ? tE
;d,,t,
1
of Tf opared i k.�r:. t +� F--t.a`� ErProij—'appl,no,:CiryofTigard Address; 13125 SW Hall Blvd,Tigard,OR 0"7223 Date Issued: iPhone: (503) 639 4171 ptno.,
Fax: (503) 598-1960 Case file na: Payment type
band use approval: Building permit no.:
&2 family dwelling or accessory ❑L'ommercial/industrial U Multifamily 0 Tenant improvement
U New construction 19Addition/altcratiorUmplacement U Other.
511
Job address: v ')Qll� _ _ Indicate equipment quantities in tw cs bele::.in�irate►he:dollar
-Bldg.no.: Suite n..: - value of all mechanicnl materials,equiplaent,labor,overhead,
Tax map/tax lot/account no.: profit, Value S
Lot: - _ Block. Subdivision: 'See checklist for important application information an(!
Pro ect name a (yn - jurisdiction's fee schedule for residential permit fee.
City/county: _ I ZIP' jA. )'2,2.
Des nption and Irl tion of work on premises: lYltgitA 11 �IiLviiialmEllskIffilkli
FcA"ear.) Totol
Est,date of completion/inspection: Iltssrri ioe Qty. Res,unly Res.only
Tcnant improvement or change of usc: 7hndlingg
nit UM
Is existing space heated or conditioned. 0 Yes 0 No - ---- ---- -
Air conditioning(site plan requir )
Is existing space insulatrll?❑Yes ❑Nit -�- --- --- -
Alteratono exlsting�iCCsyslem
BoilTmpressors -
Business name: $(,tn � State boiler permit no,:
_ _-' --- -- ---- _ _ HP _Tons 14TU/H
Addrr-s! U N .5 � _ - -- -
_ �9__ W G 1 1 ( 1 Y 4 Fir gran0.m,crs/duct smoke_detectors
City fpr _ State:�j(L zIP: q Z -Ileattpump(sitepanre uitr r -
�. "( 4Z_
Phone: 2.S(4.( I 1 Fax 4 �y39 E-mail: Tnsrall�cc ac urner /H O�
3 �- ------ Including ductwork/vent liner _ es 13 No
CC tw,: _ _ _ nstalUrep ac re ocat-r�crs-suspon�Ted,
City/metro lic.no.: 21462 v wall,or floor mounted
Name(please print): enc for a ranee other t puri furnace - -- -- -
e ea•a o:Absorption units HTIVIi
Name: Chillcra-_ _ HP -
Address. M - -- - - — Com ressots__ —� lip ---
tal •.,.vim ex usf and re.!t flow
City, Stale: ZIP: Appliance vent
-- _- - -
ono: Fax:
E-Mail: �rv.re .mist
Hoods,Tyrre Til7res tcicrSa7mnt
hood fire suppr-scion system
IVaftIC: Exhaust fan with wangle duct(beth fans)
with- --
Mailing address: 7exhaust s stern apart' ri�orn iieating
mpvaq
City: - - State: _ ?IP: Tue p Wait an-I t.vt ul oNGrt t Uil r_Io
Phone: �12 3 ax: E-mail; ua •i in escFadditionalover ou
Mefts pipng(schenlauc reQuire )
Narne: Number of outlets
_U
- ---- terW e o�e
app raneqw meets
Address: P
___ Uecorativefir lace
City: _ _ _- _ State: Z.IP; Insert-t`pe
Phone: Fax; E. l; oodstovelpel let stove
Applicant's signature: a Dare: Other, -
Nn�e (print? L11- =�--- - - -- - 4 --
N,xall lurlvllctlons w«nl cm li toed,,please call jurl„_'•tion for morn information. Permit fee................. _S _—
CI VIaQ U MnatriCard Nntice:this permit application Minimum fee......... ...$
expiry if a permit is not obtained
�'mr111catdnumt+rr —_— _.--�__-- —_�� - Plan feVICW(a( 9(0) $
e.pr<e, Within IAO days after it has been State surcharge(896)__$
epi`-`ire of car�aTr�u a wo on c t c accepted as rnmplete.
- S
— Cyd adder alsnature — itmouni 17(6ayc"M)
Te/tcj 3Jtid dr, Hhheyd:8tiey 8000609 IT:VT C90Z/9e/C0
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4"75
INSPEC'rION DIVISION Business Line: (503)639-4171 MST __—
BUP ------------
ReceivecJ _ -- _-_-� Date Requested 3 D AM ---- - PM --_--- -- BUP
i_ocation ------1 -- - -- 13
— - - Suite- - MEC
Contact Person '�' _ Ph( ) .3 y-D4 1_1 PLM
Contractor Ph --
-- ------ - ) - ---_�--_ SWR —s-- ----
BUILDING Tenant/Owner - — _— __— -__ ELC
Footing ----- - - ELC ----- - ---
Foundation Access:
Ftg Drain ELR
Crawl Drain - - -
Slab Inspection Notes- SIT
Post&Beam - ----- -----
- -- - —
Shear Anchors --- - - -
Ext Sheath/Shear
Int Sheath/Shear - - -- -
Lf
Framing
--- -
Insulation
Drywall Nailing -- --- --
Fi rewal I
Fire Sprinkler - - - --- -- -- - -
Fire Alarm
Susp'd Ceiling -- -- ---- - ---
Roof
Other: -
Final
PASS PART FAIL-
PLUMBING
AIL
G:
PLUMBIN - -
Post&Beam -
Under Slab
------- ----- -----
Rough-In
Water Service -
Sanitary Sewer
Rain Drains - - - ---- -
Catch Basin/Manhole
Storm Drain -- -- - — ---—
Shower Pan
Other: -- —_ --
Final ---- --
_ PASS PART FAIL - —
MECHANICAL
-
Post& Beam
Rough-In --- - ---
Gas Line
Smoke Dampers - --
OA PART_FAIL - ----
ELEGTRICAL —
Service - -
Rough-In
UG/Slab - ---
Low Voltage _
Fire Alarm
Final [ 1 Reinspection fee of$ requ red before next inspection. Pny at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
Please call for reinspection RE:-- a.__. n Unable to Inspect-no access
Fire Supply LineADA
Approach/Sidewalk Date -�" ,�- linspectos -1! - Ext
Othcr
Fina DO NOT REMOVE this Inspection record from the Job site.
PA:S PART FAIL