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10365 SW DEL MONTE DRIVE jl Ll as •n IC) 0 0 tD 10365 SW Del Monte !hive CITY OF Tf CHARD MECHANICAL PERMIT PERMIT#: MEC2003-0012.5 DEVELOPMENT SERVICES DATE ISSUED: 3119103 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 619.4171 PARCEL: 2S111CB-01304 SITE ADDRESS: 10365 SW DEL MONTE UR ZONING: R 3.5 SUBDIVISION: DEL MONTE SUBDIVISION O.2016 JURISDICTION: TIG BLOCK: _ OR FURN: EVAP COOLERS: FLOOR CLASS OF WORK: ALT UNIT OR FURS: VENT FANS: 'TYPE OF IISE: SF VENT SYSTEMS: OCCUPANCY GRP: R3 VENTS W/O APPL: HOODS: STORIES: BOIL ERSICOMPRESSORS __ DOMES. INCINv _ FUEL TYPES 0 - 3 HP: --- COM 3 - 15 HP: "riI_ ;NCIN: IPG BT MAX INPUT: U '15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLU DRYERS: FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS: 1 FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 ctm: Remarks: install furnace,gas line, 3 outlet And log set. FEES Owner: Amount ffAV1 ption Date DERIL )ER, JANET E $72.50 10365 SW DEL MONTE DRIVE j permit i ee 3119103 $5 g0 TIGARG, OR 97223 80%State fax 3119103 Total $78.30 Phone: Contractor: SHAMBURG HEATING LLC 23975 SW BOONES FERRY RD REQUIRED INSPECTIONS _. TUALATIN, OR 97062 Gas Line Insp Phone: 503-692-5563 Mechanical Insp 126881 Cooling Unt Insp Reg #: LIC Final Inspection This permit is issued subject to the d Municipal Code, State of Ore. d in the Specialty Codes and all other applicable laws.ws. All work will be done rin accordance with approved cl plans. This permit will expire if work is nOre9t on law within requi es you to follow rules adopted in the Oregon for more than 180 days. ATTENTION through AR Utility Notification Center• Those rules are set obtain s of these rth in OAR 952 rules u es or direct questions nOto OUNC by calling 95:Z-001-0100. You may o copies (503)246-6699 ' ' . L, Pormitt.ee Signature: . Issued By: ��. ��Q' Call (503) 639-4175 by 7:00 P.M. for in nEredt:d the next business day I Mar 17 0"1 1 ,': 4;'R ;r.fit,t. 503-691 -6655 Mechanical Permit Application Lr:,.rrccived: _ �j Permit no. City of Tigard -� �\ /["_, 1� Projccdappl.no.: Fxplrcdale: City ofTigard Address: 13125 SW Hall Blvd,Tigart V* tcJ [ Phone: (503) C39-4171 Date issued: BY.. Receipt no.: Fax: (503) 598.1960 Cr Re file no.: Payment type: Land use approval: Building permit no,: BEENEENE1 ILIA EK&2 family dwelling or accessory U Crnninercird/industrial U Multi-family L)Tenant improvement Q New con, .uction i_-t A.Irlitinn/alteratiun/replacernent U Other: 1 lob address: ` (- D/l C _ indicate equilimcot quantities in boxes bt.iow.Indicate the dollar Bldg. no.: Suito no.: _ value of all mechanical materials,equipment,labor,overhead, Tax tnap/tux lot/account nll.: — profit. Value$ Lot: Block: Subdivision:` _ *See checklist for important application information an,l Project name: jurisdiction's fee schedule for residential pen .it Rr. Ciryl,munly: De-scription and'focalion of work on premises: { r ► t `L� r+��Slac�i7tlP ,� 'fir ii ��i 4/11 'Total _CKt.Barr of complrlion/ulspeclion: V ae/c Deviription (p Rev.utdv I Res.only Tenant improvement or change of use: C: Is existing space heated or conditioned'?U Yes ❑No Air handling unit _ CIT1 Air conditioning siteplan required) is exlstinb space insulated?C]Yes D No A terauon of existing V L system s o crcompressors - Business name: Stare boiler permit no.: rlir Tons BTU/1 I Addn ss: • ,7 -Fir smo a aer uctsmo a detectors - City: State: /L ZIP: 'f m cat um (site pan re u re , -- Phone: v9Z-��jr 3 Fax: _ E-mail: n a rep ace urnac urner�y� CCB no.: p� - Including ducvent liner Cd'Yes O No _ tworTcInsta rep acr/reovale eaters-suspen c , City/metro tic.no.: S G� wall,or floor mounted Name(please riot): �' p y� s r — on ora-i ancc of er an fnrnacr - gest ^C C l Absorplionunits___ ___ BTU/H Nome: w(O Hp Address: - Cunrm reasorsi_ -- lip - 421.Z �[-S_� --- • rortmenta exhaust-arid ventilation: City: State ZIC: Applianccvcnt Phone: a / I Fax:(py/-(fy54L-mail: Iiryerczhau8t �--- - 11cx s. 'ype rcs. tt: -en/Kin 7.n I a t Name Iwo(]fire suppression system _ /L /�� lr� � _ l:xha::st fan with single duct(bath fans) Mailing address: /� gust s stem a art roto eat n or AC: state—eh ZIP: -.7 ZZ ue pp '� on(up t 4 outlets) - Type: LPG _h% NO _Oil 3 .>•YO /G. lc Phone: T fax Ii-mail: Fuel piping each additional over 4 ou els - ccess piping(sc ematcrequ ) Name: Numtter of outlets - - - - �[ ITier-Betel app ance or equ pment:— - - Address: Decorativetire lace City_ _- State: ZIP: _� � -Ins`ert—ty _ 6 Phone: LL-mall: tv pe etstcvc OthApplicant's signature Date: '- er; 12=1Lr= er Name (prin(): eo !1_lJ ---- - - _ NrN dl iudrdiottm nocep,cmill cards,please call turisdicWm m for ore infor.nalion. Permit fee.....................$ _..NO..20 g,Vwa- U MasterCanl Notice:This permit application Minimum fee................$ 7.ii, -To expires ifa permit is not obtained - —�— creml cardnumMr:�_. _�—___ __. L- Plan review(at __ 96) 1; .e res accewithpt d a days after i►has been State surcharge......... (896) ....$ _- Nome of eordhotder u shown on c 'l carte----- accept--d as complete. �. T_ s TOTAL .......................E Cardhd r sixaatare Amami - 44e-4617(6btV[0M) CITY OF TIGARD 1A . BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST _ BUP Received —�d� Z Date Requested �� M _ _ PM -____- BLIP Location �� s� .__��GU �� J�'Suite_ — MEC Contact Person —__ - __—_-�_ Ph( �) �'�Z � PLM Contractor _ -_—_- _ -w—_ Ph( __ ) SWR BUILDING Tenant/Owncr ELC Footing ELC Foundation Access: Ftg Drain ELF! Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors - -- - -- - Ext Sheath/Shear Int Sheath/Shear Framing -- Insulation Drywall Nailing 7 - Firewall i Fire Sprinkler -- - - Fire Alarm Susp'd Ceiling - - Roof Other: ----- -- Final _PASS PART FAIL -� PLUMBING Post S Beam Under Slab — Rough-in Water Service Sanitary Sewer Rain Drains — Catch Basin/Manhole Storm Drain Shower Pan n.� ��---' -_ „� `�---�� Other._�.-___ �21�/..}�2.L U-�___-•-_ T' Final PASS RT FAIL 41rN XCAL ?— — -- -- ----- Post& Beam Rough-In Gas Line Sm a Damper:; ---- -- --. _. mal) ---- ---- ._------------------- SASS PART FAIL — -------— --- -- - - --- ELECTRICAL _ Service - -- ------- ---- ---- Rough-In UG/Slab ------ -. ..------- - Low Voltage Fire Alarm — Final u Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PARI FAIL _SITE Please call for reinspection RE: __ - -_ ____--__ -_.__ L] Unable to inspect-no access Fire Supply Line -� ADA Approach/Sidewalk Date ` - Inspector - f _' -..___- -__ Ext -.-- Other: Final DO NOT REMOVE this inspectio,i record from the job site. ^•^� on RT FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST BUP _ Received Date Requested� 3 -'Z AM - PM -_ BUP _ Location . -J� ,� �+ ((L0 _Suite__ MEC Contact Person �e — ph ) 6 ,� -�S�,S -3 PLM Contractor -- --- Ph( ) -- -- S W R BUILDING Tenant/Owner --. ELC Footing - --- Foundation At:ceSS: ELC Fig Drain Crawl Drain ELN Slab Inspection Notes: �A L ' &CQ s1T Past 8 Beam -- Shear Anchors Ext Sheath/Shear V'u` lam" -+�..�� Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler -1-- Fire Alarm — _ -- Susp'd Ceding Roof -- ---. --_- Other: --_ -_ Final -- - PASS PART FAIL PLUMBING Post&Beam - -- ---- Under Slab Rough-In Water Service Sanitary Sewer - Rain Drain. Catch Basin/Manhole Storm Drain -._. ower Pan Other: - Final �-----�-- PASS PART__FAIL MECHANICAL ----------- — Post& Beam - - — Rough-In r� - �inoke Dam Final �\ PASS PART FAIL ELECTRI - Service Rough-In UG/Slab Low Voltage Fire Alarm - - - - ------ Final peiric PASS PART FAIL pectlon fee of$_. required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. 817E [] Please cell for reinspection RE: _ _ Una 16 inspect-no access Fire Supply Line -- ADA Approach/Sidewalk Date _ Inspector l� ___Ext_ Other:_ __ - Final DO NOT NEfMIOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-I1our BUILDING Inspection Line: (503) 631-4175 MST -- - INSPECTION DIVISION Business Line: (503)638-4171 BLIP Received - Received _ Date Requested_ _ u AM L.___�PM _-- BLIP ------- Location -- 1�3r�5 )2__b__ 1—Suite _-- MEC Contact Person -_ Ph(— ) �:" Q / PLM ----._---._---- Contractor— Ph(-CPU-) d�!—_3 gL SWR BUILDING Tenant,'Owner ELC Footing ELC Foundation Access: Ftg Drain ELF! Crawl Drain - Slab Inspection Notes- SIT Post&Beam _ Shear Anchors - Ext Sheath/Shear Int Sheath/Shear Framing - - - -- -- Insulation Drywall Nailing Firewall Fire Sprinkler ---- Fire Alarm Susp'd Ceiling - - -- ---- - Roof Other. Final PASS PART FAIL PLUMBING _--- -_-- ----- - Post&Beam Under Slab ------- - - ------ - Rough-In Water Service ---- - ------ - - Sanitary Sewer Rain Drains - ----- - - �—- - Catch Basin/Manhole Storm Drain ---- _ - - Shower Pan Other: -- Final _ PASS PART FAIL — MECHANICAL — Post&Beam Rough-In — -- - - Ga3 Line Smoke Dampers PART FAIL - -�- TRICAL Service Rough-In - UG/Slab Low Voltage ---- Fire Alarm Final Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL_ SITE Piease call for reinspection RE: -- Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date _^ !i�-O Inspector A - -_ —EAt Other: ----- ----- Final DO NOT REMOVE this inspectior, record from the job site, PASS PART FAIL