11690 SW TERRACE TRAILS DRIVE-2 y
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11690 SW Terrace Trail Dr
CITYOF TIGARD MECHANICALPERi%!IT
DEVELOPMENT SERVICES U.4TF ISSUkD:PFRMIT# 5/23/02 MCC?002-00217
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4 i71 PARCEL. 2S103CD-05000
SITE ADDRESS: 11690 SW TERRACE TRAILS DR
SUBDIVISION: TERRACE_TRAILS ZONING: R-4.5
BLOCK: LOT: 01 J JURISDICTION: TIG
CLASS OF WORK: ALT _ FLOOR FURN EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP- R3 VE=NTS W/O APPL- VENT SYSTEMS: 1
STORIES: BOiLERS(COMPR_ESSORS HOODS:
FUEL TYPES0 - 3 HP: DOMES. INCIN:
[,PG _ — 3 - 15 HP: COMML. INCIN:
MAX INPU1 : BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS:
FURN >=100K BTU: <= 10000 Cf tri: GAS OUTLETS:
> 10000 cfm:
Remarks: Alteration of existing HVAC system and replace gas furnace.
Owner: _ FEES _
KAUFFMAN,JEWEL D Type By Date Amount Receipt
11690 SW TERRACE TRAILS DR PRMT CTR 5/23/02 $72.50 2720020000
TIGARD, OR 97223 5PCT CTR 5/2.3/02 $5.80 272002000C
Total $78.30
Phone: ----
Contractor:
BELL HEATING
15550 SE PIAZZA AVE
CLACKAMAS, OR 97015 REQUIRED INSPECTIONS
Gas Line Insp
Phone:503-656-1184 Mechanical Insp
Reg #:LIC 447 Final Inspection
PLM 3-286PB
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire: if work is not started within 180 days of issuance, or if work is suspended
for more than 130 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR
952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling
rrmwas-ol na
Isn By: �� Permitteo Signature: ITN ef-�AA ✓6.97.41
Call (503) 9-4175 by 7:00 P.M. 9o;- inspections needed the next business day
e�■r
11 20-2001 15:30 FAX 5035981960 CIT( OF TIG:1kll ZOU2
Mechanical Permit Application
I/VtzCitDatereceived;S Z 7 Pcrm,t no.lffg �O ?/
AMWJM City of Tigard oj��,pp,.,,y,; Expire date:
CiryofTigard Address: 1"3125 SW hall Blvd,Tigard,OR 97223
Phone: (503) 639-4171 �(s Date issued: lay,�,r,! Receipt no.!
Fax: (503) 598-1960 'Case file no.: Payrnen,rypc:
Land use approval; ,�_ _ Building permit no.:
;u(1 &2 family dwelling or aeccssory �Comnitrciallindustrial D Multi-family U Tenant improvement
CJ New construction U Addition/elterauon/replacement J Orher.
lob address: t i GliO c 1,)ik Indicate equipment quantities in boxes below. Indicate the doll u
Bid&.no.: Suite no.: value of all mechanical matenals,equipment,labor.overhead, I
T inn / lot/account no.: profit.Value$ _ I
i
Lot: Block: I Subdivision: *Sce checklist for important appiication information and
Protect name: _y� r'\L y�L l�� Jurisdiction's fee schedule for t�: idcntial permit fee.
City/county: +►►-��tklQli— Zg' t�� 311111211=11 1 1t
Description or+d Incaum,of work or matt es: i t 10 W lKIL111e 16t
Est.date of completion/inspection: l_n �. De-.smption
Qtr. Iter,uuh Nes,uatl
Tenant improvement or change of use: t
Is existing space heated or conditioned?J Yes :3 No hand:in ug nit _ CFM
Air condlt,ontn (site plan required I
Is existing space insulated?Z1 Yes ❑No terauon o exysung HVAC system
011cdcomprensors
Business name: . State boiler permit no
�,s`� HP Tuns BTUM
Address: � � - 7 I- LZ, � /� t Ire/smoke amperslductRmokedeteccors
Ci State: ZIP: G r eat ump(site plan required)
Phone:�(q ll�e,�l Fax: E-mail, install/replace urnace/burner__ TL/ L.t0
—�" �� l51 - Including ductwork/vent liner ]Yes❑No
CCB no.�i1 _
City/metro/metro tic nn.: Ins lrcplace/relocateheaters-suspen e ,
y _ _ _ wall,or floor mounted d
Name(pleayc ,not): Vent or appliance o er than furnace
R geratlon:
Ahsor`ionunits_ $TU/H
Name; `_�s�� i�Elti � L� �l ��C� Chillers — --- SIF --t
Address: C, Ca
oro ressnrs Hp
irwonmenf ex ust mod Ven tion.
State: ZIP: pliancevent
Phone. FT- — Email: U erexhaust —
s,'i ype Mr—
Hoocs, tcben/harmat
hood fire auppression system
\ams; i Exhaust fan with single duct(butte fans)
�Alailing aJdress: ,\ �p( i, - Exhaust system apart Tram hcati iW or A,
��► `taz� State: ZTP: 17 Uel r u and dtatt utior,(u to outle I
tty. 7`-pe:
Z=011112
s LPO. _ NO Cil
Phone: Fax: E-mail: fuel yp�cacbtv±!�cnal aver a um cts
OCesspip fl(echemsttcrequ.rr-d
i Name; Nurhber of outlets
Address
er ste app( ee or equipment: _ �—"
Decorative fireplace
Ctty: tate. Insert-type
Ph�c F E-mail: i aodstove/Pc letstnvc —
Applicant's ature: I'L .r— Date:
siE '' Other:
rwt as iunsrbcaon,accept rant r.unL,pteme cau lunediction for more wermation. Permit fee... ............._ .g ('
7 Visn 0 MasterCard Notice:This pcmtit application Minimum toe................$
expires if a permit a not obtained plan review (at ^ r) S
cfedir emi cumber _ _ rs
within 1R0 days atter it has been State surcharge(8%)....S b
dame of cuMoldo a,shown on cnrhy Bard accepted as v mplete.
radhaldrr slenottue Mnouat
r
S TOTAL .......................$ �•
l
CITY OF TIGA►RD jt Inspection Line: (503) 639-4175 �
/ MST
INSPECTION BUILDING TIONDIVISION Business Line: (503)639-4171 ` `` BUP -
RacPived Date Requested — AM PM - BLIP -�
S
Location uite r MEC
Contact Berson _ - Ph( ) �3 PLM _
psi—fir
Contractor - - - Ph(�) �D��_'j 1 O SWR -— — _ --
__ _—_-_ _ -
BUILDIN� Tenant/Owner ELC
�j�`�`T�""� ---- _ -- __-._---"---
Footing ELC
Foundation Access: ELR _-.-.----------
F'tg Drain
Crawl Drain - SIT _
Slab nspection Notes:
Post&'Beam ( P
- # -_
I Shear Anchors �� U
Ext Sheath/Shear -�—
Int Eheath/Shear -
Framing - -- -�—
Insulation �. ----
-rywall Nailing
Firewall
Fire Sprinkler -- (� i ✓�
Fire Alarm
Susp'd Ceiling I - -
noof -
Other:
Fin6l --
PASS_ PART FAIL
PLUMBING - - _
Post&Beam _ t -
Under Slab
Hough-In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin/Manhole -
Storm Drain
Shower Pan
Other:_ -_—
Final
PASS_PART FAIL
MECHANIC -
Post&Bea l/
Rough-In 4-
Gas Line
Smoke Damp.
Finan ` �
P_AS PART -VA(L
_ -
1! TRICAL
Service 1
Rough-In ----- ---- . _
UG/Slab
Low Voltage --
Fire Alarm
Final I-� Reinspection lee of$- - required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL n Unable to Inspect-no access
SITE - I Please call for reinspection RE. ---- LJ
Fire Supply Line
\� 7
ADA Date Inspeder
App
roach/Sidewalk 111JA
Other:
Final DO NOT REMOVE this InspectloO record from the Job site.
PASS PART FAIL