15955 SW OAK MEADOW LANE-1 III Moi UaW 190 MS SS6S T
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15955 SW OAK MEADOW LN
CITY OF T I GA R® MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2002-00603
13125 SW Hall Blvd.,Tigard, OR 97223 (303) 639-4171 DATE ISSUED: 12/26/02
PARCEL: 2S111 DC-12800
SITE ADDRESS: 15955 SW OAK MFADOW LN
SUBDIVISION: SUMMERFIELD N0.11 ZONING: R-7
BLOCK: LOT:624 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: Sl- UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
_ FUEL TYPES 0 - 3 HP: DOMES. INCIN:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15-30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30-50 HP: WOODSTCVES:
GAS PRESSURE: 50+ HP, CLO DRYERS:
TURN < 100K BTU: AIR HANDLING UNITS OTHEP..UNITS: 2
FURN >=100K BTU: <=10000 cfm: GAS OUTLETS: 1
? 10000 cfm:
Remarks: Installation of gas piping to range and (2)return air.
G:,ner: — ..- �. FEE_S
LARRY JUNDT Description Date Amount
3404 SW BORLAND Rn -
TUALATIN, OR 97062 [MECH] Permit Fee 12/26/02 $72.50
t'mj 8%StateTax 12/26/02 $580
Phone: 503-83C-3338 Total ST8.30
Contractor:
A-TEMP HEATING+ COOLING
16000 SE 'EVELYN ST
CLACKAMAS, OR 97015 REQUIRED INSPECTIONS
Phone: 503-650-9602 Gas Line InspMechanical Insp
Reg#: LIC 71878 Final Innpection
IL
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a This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
�
Specialty Codes and all (Aher applicable law•a. All work will be done in accordance wKii appro ted
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 952-001-0010 through OAR
952-0041-0100. You may obtain copies of these rules or direct questions to OUNC by calling
(503)246-66. i
Issued By: A4 �'rZtj"� �- Permittee Signature: /,'/v/
Call(503)639-4175 by 7:00 P.M.for inspections needed the next business day
DEC-26-2002 15:15 A TEMP HEATING 503772990 P.02i02
Mechanical'Fermit AppUcati®n
EN E L%
D.tEnw�wcd./Z�Z�i e Z'- Peetnit
City of T>t�
Pun tl .no.: � rc dato:
City of Tigard Addrr_ss: 13125 SW Hall B1,d rd OR 97223 Dote issued, By. Racal
Phone: (503) 639.4171 DEC �
Fax: (503) 599.1960 r Case file no.' ► '^�t"YPa:
CITY OF TIGAR',U,(7�G --
Land use approv9UlLQtNr-DiVJB .�--_ Buitdin`pamitno.: ,
Z fierily dwelling or ac cciaory 0 commercial/industrial ❑Multi-family ❑Tenant im"Coll ent
U New construction O AddidoNalteration/replacement 0 Athar:
luso ANN": Indicate equipment quantities in boxea below.Indicate the dollar
Bld .no. Suite no.: value of all mechanical matmialn,►.qulpmen4 labor,overhead.
profit.Value S
Tax nus tax l(W.4ct,u it no.. — '
Lot: Block: -Subdivision: checklist for importrni application information andPro
j.
Larne: jurisdiction's ix sehedule for residential powlt fee:ject
City/count . t ZIP: _ ��11 nuns
Desai tion and 1 stf of work on
0. f'ee(ei)1
Est.date of completion/lnspect R"'oi1 Rte'oiil
Tenant improvement or change of use: 71ijandlinj Is existing space heated or conditioned?0 Yes ❑No it t 4"
on s to ■n u
Is existing space Insulated?0 Yes 0 No uw, a an
cotnpr,drors
Business name: _ StAte boiler permit no. I
HP Tons BTU/H
Address: 'GFlWomokedam=dict$maketeeinrs ,
Ciry: v Stats Zl �J ea i to!'an rtau
Pho Fu E-mail- nsu rep ace imnsa�=�"I'Ul
Includins ductwork/vent lunar D Yes 0 No
GGB oo.: InstallImplacerrelocato beam-suape
City/!!Otto lic.no.: will,or floor amoted
Name( issue nt): en�nt for iappliaw.e of,er than Kin mroe
Absorption units �^_ BTUM _ I
7A�d
Chillers __ IRP
— co ors HP
to Ilii w Ms
Cit tNE: ZIP: A fiance vast i
PtalE: Fax: &retail: at
at
II/res. to Whitzmat
nn hood ftm suppression,rystem
Name: Exhaust tan with sin k udct til teas
Millin addreatr: 5 IshaustSys rum ai «
AC
tl• Ci StsI ZI . p
as 0002ponsan u to 4 oft
T Ora= LPO NO Oil
phone Pet: B-mail: sw on am ate`
Ua ae craqu
Name. Nutrbet of outlets _
.1 _ at Im applldcu or-`p�pdies
Address' Decoistivs aux
oD
City:
w Phone: F E-Mail: aslove
a: r
Applicant's alna Dace: 7;4 ?i
Name t): -P _ L _
Nee dl J.,t►dietieew r�e+du'a�tk pure cNt mUdlittim nr alone Www4w Permit fee.....................
Cl Vila o MlatarCsra Notke:This permit applieatior. Minhati n fee................,
e:xpirw if a permit Is not obtained review view(at rj S
Coal c.d nermlrr —___ __._-_- ---- L.-- within 150 drys oner It hal tom Stab ( )
Qe ,,, ce.c+--— accepted as Complete. Sesta JlrRe .� 5 e
; i UTAti ......................
aro w_Asset
44111,417 WD*C''t1 n
TOTAL P.02
CITY OF T"RC"ARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST
INSPECTION DIVISION. Business Line: (503)639-4171
p� BUP
Recaived __ Date Requested 3 -1_.4—.__AM__ PM—Y OUP — - ---
Location ---_I -s-q ----K n__ Suite 1 MEC
Contact Person __—L_'%'-�;r- � — Ph( ) —__ PLM —
Contractor_ _ Ph( ) -- SWR —
BUILDING Tenant/Qwer _,._ _.,-.� 46 4d ELC ----------
Footing — D ELC
Foundation Access: ELR
r-tg Drain -- -
Crawl Drain
Slab I -peck-iNotes: /� / _ � SIT
Post&Beam i -- Z _i —c,�-. •— — �_
Shear Anchors
Ext Sheath/Shear �� ------ - —
Int Sheath/Shear
naming
Insulation
Drywall Nailing — --' —
Firewall
Fire Sprinkler — — — -
Fire Alarm
Susp'd Ceiling
Roof
Other: _ -
Final
PASS PART FAIL
PLUMBING — -----
Post A 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
d
SmQk9 Dampers
ma
PASS PART FAI
ELECTRICAL —
J Service
m Rough-In — -
UG/Slab
W Low Voltage -------_.._ --.
Fire Alarm
Final Reinspection fee of E requirod before next inspection. NF at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITEEj Please call for reinspection RE: �— U Unable to inspect no access
Fire Supply Line
ADA Daft
Approach/Sidewalk
Other:
Final DO NOT REMOVE this inspoo lon ireeoird f oma the fob 11t161L
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST _ •
INSPECTION DIVISION. Business Line: (50.)639-4171
qq 9UP
Received __ // _Date Requested___ `3 �_L—_—AM—_. _ PM 6UP
Location S 7- W4_.& spite_ ___—_._ MEC _O
Contact Person Ph(_ ) ,30 '�..��g _ Pig o4
Contractor SV fR
BUILDING Tenant/Owner .. _ FLC
Footing _ ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: 0 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:__ ---------- -- -----.�- _.
Final
PASS PART FAIL ---- ---p—_ ___ -
PLUMBING
Post&Beam
Under Slab - -- - --
Rough-In
Water Service — - --
Sanitary Sewe!
Rain Dreins - -- ---
Catch Basin/Manhole
Storm Drain — - -
i Shower Pan
Other:
Final _
PASS PART F41L
MECHANICAL
Post&Beam
Rough-In - --
IL Smoke Dampers - — -
a
y P_V� CART FAIL — --
Service
m Rough-In
8 UG/Slab
W Low Voltage ---- -- _. _
-� Firo Alarm
Final FIReinspection fee or$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE _ Please call for reinsper!±^^!it:--__ _—_—_ Unahl(,to inspect--no access
Fire Supply Line
ADA �
Approach/Sidewalk DOW __ _ _3 _ lnq wctott
lFjd
Other:
Final - DO NOT REMOVE thls Inspection record from the job oft.
PASS PART FAIL
CITY GF TIGARD
DEVELOPMENT SERVICES
13125 SW Nall Blvd'., 719ard,OR 91223 (503)639-4111 ELECTRICAL PERMIT -
RESTRICTED ENERGY
PERMIT #: FLR97•-0131
DATE ISSUED: 05/05/97
PARCEL: 2B i l 1 DC-12800
SITE ADDRESS. . . : 15955 SW OAK MEADOW LN
SUBDIVISION. . . . :SUMMERFIELD NO. 11 ZONING:R-7
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . ..624 JURISDTCTN: TIG
Pro.j nct Description: instl burglar alarm
----------------------------------------------------------------------------------
A. RESIDENTIAL--------- B. COMMERCIAI_---------------------------•-------_.-.-_
AUDIO & STEREO. . . t AUDIO & STEREO. . : INTERCOM & GAGING. . :
BURGLAR ALARM. . . . :X BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . :
GARAGE OPENER. . . . : CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . :
HVAC. . . . . . . . . . . . . .. DATA/TELE COMM. . : NURSE CALLS. . . . . . . . i
VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE:
OTHER: : : HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . :
INSTRUMENTATION. : OTHER. . : It
TOTAL # OF SYSTEMS: 0
Owner: ---------------------------------• ----------------- FEES -----------------
D R & JOAN SKARIE type amount by date recpt
15955 SW OAK MEADOW LN PNMT $ 40. 00 TAT 05/05/97 97-294093
TIGARD OR 97224 5PCT $ 2. 00 TAT. 05/05/97 97-29409
3
Phone #:
Contractor: ------------------------------------------------------------------_---
BRINKS HOME SECURITY $ 42. 00 TOTAL
6059 SW CIRRUS DR
------- REPUIRED INSPECTIONS ---- -
RFAVERTON OR 97006 Ceiling Cover Elect' l Service
Phone #: 641-0574 Wall Cover F-lect' 1 f=itial
Req #. . : 000444
This permit is issued suoject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other Permi 13,ignaturA
applicable labs. All work will be done in accordar^e with
afproved plans. This permit will expire if work is not started ---7��
a within IN days of issuance, or if work is suspended for :
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd. �(✓f� 1 "7_
Tigard,OR 97223 PERMIT# ! L
Phone(503)639-4171 �.f
FAX(503)684-725 DATE ISSUED �� /
TDD No. (503)684-2772
CITY OF TIOARD Inspection(503)639-4175 ISSUED BY
PLEASE COMPLETE All SEIrnONS
1. LOCATION OF INSTAL
�{TTI�ON , r4. TYPE OF WORK
Ad 4CA
J ,5 �
r� 'W:tS1DENTIAL--Restricted Energy Fee. . . . . . . . . 140A!
'_Z7_Z (FOR ALL SYSTEMS)
City State Zip ChedLTrtae of_ 91 In tred:
PERMITS ARE NON-TRANSFERAFILE AND N ]IN-REFUNI)ARLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems
IS NOT STARTEG WITHIN 190 DAYS OF ISSUANCE OR If WORK IS St1SPENDE0 FOR
190 DAYS. Burglar Alarm
[� C arage Door Opener*
2. CONTRACTOR APPLICATION
❑ Heating,Ventilation and Air Conditioning System*
ContractopRINKS HOME SECURI.4e J ALARM �— ❑ Vacuum Systems'
❑ � _T____.�_.__________
Address 8059 S.W. CIRRUS DRIVE, BEAVERTON 97008 Other
Date � _ COMMERCIAL—Fee for etch sytrtem . . . . . . . . . ;t�I1 QQ
(SCE OAR 918-260-260)
Property Owner _ Tyj�o�loric Inydyed:
Contractor's Board Reg. No. _4421 _ ❑ Audio and Stereo Systems
❑ Boiler Controls
P',1one# (503) 641-0574 ❑ clock systems
❑ Data Telecommunicatic.l Installations
3. OWNER APPLICATION ❑ Fire Alarm Installation
_ ❑ HVAC
Print Owner's Name Phone No ❑ Instrumentation
❑ Intercom and Paging Systems
Address
❑ landscape Irrigation Control"
City _ State Zip ❑ Medical
This permit Is ksued under OAR 919-320-370.This applicant agrees to male,only ❑ Nurse Calls
m*k.ed energy Installations(too volt amps or less)under this permit and to do the (-] Outdoor landscape Lighting*
Following:
Protective Signaling
1. Only use electrical licensed pe sons to do installations where required.(Certain
0. residential and othar transactions are exempt from licensing.These have ❑ Ober
a
asterisks(').All others need licensing).
N2. Call for,5;sspection when all of the inv.mllations under permit are ready
fo,Inspect-on at 503-639-4175. ❑ --Number of Systems
3. Purchase separate permits for all Installations the re not ready for inspection
when the inspector Is out to inspect unaer this permit. •No Nrxnsm are"o,, .:, Llcerm"are required for all otter WMIlationA
m4. Assume responsibility for assuring that all corrections required by the inspector
are done,and
5. &%sumo responsibility for calling for a final inspection when all of the S. FEES
corrections are completed.
The person signing for this permit must he the applicant or a person a. Enter Fees $__
authorized to bind the applicant.
ti. 5%Surcharge(05 x total above) $— C7 -
Signature �— TOTAL $ 2
:Vtlian Authority i other than
ENERCAP.CHP
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639.4175 Business Line: 639-4111 MST -- ---
((II $t!P _
Date Requested " –Zq-- '71 _Aki kl,—Pm !– SU
Location �Jq�a� Cis >'Y�Q_�r✓ l1�t (�. Suite -�--- MEC
Contact Person fiat e., Ptt _ PLM
Contractor P11 SWIR _
BUILDING Tenant/Owner J fY-cA suv (D � ��R3� EF-C
Retaining Wal! ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: --
Slab
---. 31T
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMING
Post&Brum i _ "-
Under Slab
Top Out
Water Service
Sanitary Sewer --`
Rain Dn ins
Final
PASS PART Fi,:t-
ME HANICAL
Post&Beam — -
Rough In
Gar Line -- ----
Smoke Dampens
Firal
PASS PART FAIL
ffM(CTRI2!E:)
Service
Rough In
UG/Slab
Low Voltage _
KFireAlarmPART FAIL
Bpckfll/Grading - -- ----
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line f ]Please call for reinspection RE: �__ [ I Unable to Inspect-no access
ADA
Approorh/Sidewalk (q!
Other __ Date/—/_ –" Inspector G�' ►'GGA�_ _Ext R _
Final
PASF PART FAIL-_I Dai NOT REMOVE this inspection record trove the job lilte.