15381 SW THURSTON LANE 15381 SW THURSTON LANE
MECHANICAL PERMIT
CITY O F T I G /� R
DEVELOPMENT SERVICES PERMIT#: MEC2003-00474
13125 SW Hall Blvd., Tigard. OR 97223 (503) 639-4171 DATE- ISSUED: 8/7/03
PARCEL: 2S112CA-05400
SITE ADDRESS: 15381 SW THURSTON LN
SUBDIVISION: ASHFORD OAKS ZONING: R-7
BLOCK: LOT: 008 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL.. VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS-
FUEL TYPE`i_ _ 0 3 HP: �^ DOMES. INCIN-
3 15 HP: COMML. INCIN:
MAX INPUT: BTI; 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 W-1
WOODSTOVES:
GAS PRESSURE: 50 + VIP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 1
FURN >=100K BTU: <= 10C30 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Lista// cxlcriur A/C'unit. I)u not place milnn the required sethacks.
Owner: --- v—FEES ----------- ----
MARCOT, BRUCE G AND Description Date _ Amount
SAKAI,CARRIF. S 'I I I Permit Fee 8/7/03 $72 ,)U
15381 SW THuRSTON LANE S"'O state'T'ax 8/7/03 $5.80
TIGARD, OR 97224
Total $78.30
Phone:
Contractor:
ALL TEMP PROFESSIONAL
8230 SE 72ND ST
PORTLAND,OR 7,7206 REQUIRED INSPECTIONS —
Phone: 501-654-III I Finol Inspection
Reg#: LIC 58513
This permit is issued subjcct to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all oti Tier 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 to follow rules aaopted in the Oregon Utility Notification Center. Those rules a e set forth in OAR 952-001-00
Permittee Signature: '
Issued By: I _Call (503(503 639-4175 by 7:00 P.M. for inspections needed the next Wness day
AUG-07-2003 TKU 09;06 Ah` P- 002/004
Mechanical Permit Application tteoeived Mecham
Asle/H 0 r PermltNo,>Y aoa3_o_Vy7V
City of Ti lard Planning Approval Building
3 B Dole/By: pat,nit No.;
13125 SW Hall Blvd. pion Review Other
Tigard,Oregon 97223 Dce/ri ; "It _
Phone: 503-639-4171 rax: 503-599-1960 Pnit-Review [rad Use
Internet: www.ci.ti ard.orma t'atc/By _ Case Nu.,
g t:ontaet June.• oo ago 2 for
24-hour Inspection Request: 503-639-4175 Narne/Metlmd: Su lementst In(or
I IM
NeW cunWructica I El Demolition Mechanical permit fees"are based on the total value of the work
Additioii/alteration/re lacemelit I M Other' perforated, Indicate the value(rounded to the nearest dullar)of all
mechanical materials,equipment,labor,overhead and profit
1 &2-Family dwelling Conunereial/lradusti ial aloe i_ _ Sec Pago 2 for Fee schedule
Acceeso Building Multi-Family _ � E ;
Master Builder a Other: lloscri Hon Ttee ea. Total
RiAtinidwWooling
1,WX FORMATION,add LOCATION
Furnace•add-on air conditioning** 14.00 ,
Job site address; N Gil heat pump 14.00
S.,Iite#: Bld ./A t* Duct work_ _ 14.00
Fro'ect Name: Hydronio hot water.,atom 14.00
Cross a eet/Directio too ' Residential boiler
V � \�L � for'adistorbeaters f hydropic 6 rte)t 14.00
C �•:y Unit hostess(fuel,not electric)
in wall In-duct,suspended,etc. 14.00
Flue/vent for an of above 10.00 _
Subdivision: Lot#: Repair units ]2. 5 _ .�
�—� 0thbr.Vopt_A Ir oei
Tax ma / aroel#: Water heater 10.00
P: ! ~' " GAN fireplace 10.00 _
1 r Flue vent water heater/gas fir lace 10.00
LOA lighter as 10.00
Wood/Pellet stove 10.00
Wood fireplace/insert 10.00
Chimne /liner/fluelvcnt 10.00
0 er: 10,00
1
Address; o Range hood/other kitchen equipment 10,00
city/state/zip: —� Clothes dryer exhaust 10.00
Single duct exhaust
Phone: _u FRX: (bathrooms,toilet compartments,
utilityrooms) _ 6.80 ,–
Name; Attic/crawl space fans 10.90
AClrl1'e99: - Other: 1(l.(lU
1 ' T--r„- F�Idll to
Cit /state/zl C "• 5 r first 4 SI uaah eddltlan� _
]?hone: PtiX: Furnace etc, •«
t3se heat punter '
E-mail; Wall%sus ended/anit h►.eter ++
iPl MI' 4r i i��tt?Uii,.t _ y i„ r rl'�r, d Water heater "
Business Name _•�� '`�1 Flre lace Rang _ •+ _
Address: 1-�7L NO
1913 ____ •: ___
cit /State/Zi M
Clothes dryer(gar)
More: I Fax. en - -- e•
CCB Lie. #: Total: --t-
Authn:
lzedfin ' 40fpe
Subtotal; Si azure: ��-- Date: Minimum mit Fee 57:+.50 S
eSt1Nt:1 y� Plan Review Fee(2_ mtit Fee $
(Please print name) _ .tate urchar o 8%of permit Fee S __
-- TOIrAL PERM T FEB
Noticet This permit application spires 1(a permit Is not obtained within 'i+temetuonology tet by Tri-County Building Industry Service Hoard,
Igo days after it Ilan hren accepted a complete. •1111tt,plan,rqulred for arterior A/C unite.
1:\Detsvem1t Fonns\WcPrrmit.App.doa 0/03
AUG-07-2003 THU 09:07 AM P, 003/004
r
i
CITY OF TIGARD 24-Hom
BUILDING Inspection Line: (503) 630-4175
INSPECTION DIVISION Business Line: (503) 639-11171 MST
BUP
Received . _ -Date Requested_ AM _�___-__ PM BU--P��
I.ocation -- 1 �—`3-� _- - — ti- --.Suite— _ �V!'I�/
Contact Person _ _ � e ,Ph(.. —) 6,S—_q —f I l I PLM
Contractor__ _ _—_ Ph (—__) — SWR
BUILDING_ Tenant/Owner a 1 �'Q 1�-�- ELC
Footing
Fig n Access: i ELC
F _
Fvv) ELR
Crawl Drain >�ti(r �`(�
Slab Inspection Note:i: — -- — SIT
Post&Beam -_ - -
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing _
Insulation
Drywall Nailing - - ---- - - -
Firewall v
Fire Sprinkler -- -- - -
Fire Alarm
Susp'd Ceiling —— ----- - ' —
Roof
Other: — ----
Final ---------
PASS PART FAIL "-
PLUMBING
Post& Beam -Under Slab
Slab
Rough-lo
Water Service ---
Sanitary Sewer
Rain Drains -- — - _
Catch Basin/Manhole
Storm Drain
Shower Pan
Other: ---- - - _
Final -- ---_--_--
PASS PART FAIL
MECHANICAL
Post& Beam —
Hough-In - -.
Gaa Line
Smoke Darnpers �..
_ RT FAIL ---_--- --- _
Service..--_ -- --_ _
Rough-In
UG/Slab
Low V � --- - - - - - ----- --
Low Voltage
Fire Alarm
F 0 Reinspection fee of$ __-required before next inspection. Pay at City Hall, 13125 SW Hall Blvd,
Sb PART FAIL
SITE Please call r reins erIlion RE: F] Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Darts D inspector -
Other:
Final DO NQr (REMOVE this Inspection record frorin the job Alto.
PASS PART FAIL