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11260 SW 83"' Avenue
CITYY OF TIGARD _ MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2002-00302
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/17/02
PARCEL: 1 S136CB-06200
SITE ADDRESS: 11260 SW 83RD AVE
SUBDIVISION: STEVE + HUGHIE'S PLACE ZONING: R-4.5
BLOCK: LOT: 034 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O AFNL: VENT SYSTEMS:
STORIES: BOILERSICOMPRESSORS HOODS:
_ FUEL TYPES 0 - 3 HP: DOMES. INCIN:
LPG 3 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HD. REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 AP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS_ OTHER UNITS: 1
FURN >=100K. BTU: <= 10000 cfm: GAS OUTLET S;
> 10000 cfm:
Remarks: Install gas furnace&A/C unit
Owner: FEES —
HEIN,JAMES L JANICE L Type By Date Amount Receipt
11260 SW 83RD AVE PRMT CTR 7/17/02 $72.50 2720020000
TIGARD, OR 97223 5PCT CTR 7/17/02 $5.80 2720020000
Phone: Total $78.30
Contractor:
SPECIALTY HEATING & COOLING
9528 SW TIGARD ST
TIGARD, OR 97223 REQUIRED INSPECTIONS
Mechanical Insp
Phone:620-5643 Cooling Unt Insp
Reg#:LIC 66518 Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Corie, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work Is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules a.iopted in the Oregon
Utility Notification Center. Those rules are set forth In OAR 952-001-0010 throug i OAR
952-001-0080. You may obtain copies of tl iese rules or d,rect questions to OUNG, by calling
r11;M19AR-01�a /
Issue By: (9 (.._. Permittee Signature: �✓t /
Call (503) 639-4175 by 7:00 P.M for inspections needed the nex b siness day
Ju 1 11 OZ 07: 1 5a Spec t a 1 cy heat.m nc; 503 598 0718 p. 2
Mechanical Permit Application
`.�atcrcccived: Permit no. kC'Lcmp -[�C+ 'tri
I(y U rll�s'li'(� Project/appl,no,; Expiredate:
citynfTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223
Phone: (503) 639-4171 Date issued: Ry, Receipt n•I.:
Fax: (503)598-1960 Case file no,: Payment type:
Land use approval: Building permit no.: "
}1 "1 &2 family dwelling or accessory Cl Commercial/industrial CI Matti-t°amity Q Tcna,t improve,neat
0 New construction 4 iditi�n/altermti In/tel,la�en�rn� tJ Ot}ier:
Job address: 6 0 .SW _; / ,�, r. ' iudu:are equipment quantities to loxes below,indicate the dollar
131d •no.: Suite no.: value of all mechanical materials,equipment,labor,of erhead,
Tax ma /tax lottaccount no.: profit.Value$
Lot; Block: Subdivision: _ *See checklist for important application information aid
jurisdiction's fre schedule for residenticl permrt fee.
City/county: a .v ZII': 5- a--3 win ,
17e cdption and location of wock on premises t
jidd,6el AreLL --
Fee(e t.) TuW
Fast.date of compledotl/inspection: Res.o d Res.onlY
Tenant improvement or change of use: Tan
Is existing space heated or conditioned'?O Yes QNo unit CFM
Is existing space Insulated?0 Yes ❑No Airconditioni-nj site glanrequired)
Alteration of existing HVAC ayoe,n
CONTRACTOR 0 ler compressors
Business nam ( yy �� fi `} State bolter permit no.:
Address.. cS AJ Q� �+/' - — HP Tons ,_BTU/H
_ Fit sumo a anmpus/ uctamo e c eclomims-
Ci � I state;C)41 ZIP:47 701�3 to plan require ) `
Phone (1 u# Fat%6 b7 F-mailinstal Mplacertumacebume
CGB no., $ a, Includin duetwork/vent Ilnerl3 Yes t7 No 1
-- nst�ae re o�cateheaters-suspen
City/metro lic.no.: wall,or floor mounted
Name(pleasednt): r tom'{F��r5 cnt for a iance o er an tumacc--
Absorption units BTU/H
Name.:' �/Y t ;yl nQ� Chillers HP
_Addtess: ���. g' S �-�- - — Co 'ressors Hp
Cityc' f S � 7�IP rommen--•-tsT ex�a-uii ana acv ilu�lon: -"
0 -- A i fiance vent
orc aux' sTi t�`
Woods, ypt U 111ap,911tchenaamat
,,,t,, , .• hood flee suppression system
Name: �[%/� - - Exhaustfan with single duct(bath fans)
Mailing address:Cl -- --�► V esus[systema art from hcadn6 or KC-1-
17,
tY , State ! 7.W. y` ..:C -mit' g and dktr o nut cls
- — - Type: LPCi HG Oil
Phone_ p,►r 7• Fax: L mail: . ti.., Fuelnqa, ac tionTaveru'ilc'ts—.
tau frchetneticr
[Vu"thberoCoutlets
Addtcssapp�irfce or eqinto pment::
_.— -- • � a QCT latae ,
f ityc � _ �Staua: z[F..
Phonr..._ _ ax: -- E-ttmaml. stov`pe s vc - -
A,ilicnnt's ul natyre: &~ pare
Noinc(print): C N<45Eg/& P� -
_
Not as lYtltdicnuos amp ontim urn.pleas.:cap)wtxUctlen for tears fafetosMtoa Permit fee.....................$
UVbn U Ma terCatd Notice:This permit application Minimum fee . ..........$ _
. expitca if a permit Is noobtained
ct.du card camber.- -_- _ L- t Platt review(at ^ %) $
— within 180 days seller it has been Sim su a(896
- -Aanr of 6iM.I `u_ a oo cte�i cQ accepted as complete. ) ...$ --
TOTAL $
1 •.i6narm w•mNwi..+. ___.__._
- — - 440.4%17(M0=M)
Jul 15 02 07: 15a Specialty Heating 503 598 0718 p, 3
SITE PLAN
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PL
STREET
Specialty Heating & Cooling, Inc
9528 SW Tigard Strcet
Tigard, OR 97223
Phone 503.621 .5643 Fax 503.598.0718
Hillsboro Phone 503.640.3607 Fax 503.681 .079:1
CITY OF TIGARD 24-11iour
BUILDING Inspection Line: (503, :;9-4175
INSPECTION DIV!SI'IN Business Line: (503)639-4171 MST
BUIP
Received --------_______--_ Date Requested_-_._ �. AM__—_._ PM __ BUP
Location e--- MEG -
C ntact Person Ph( _.) ___ _ PLM
G)ntractor Ph( _) _ _ SWR
BUILDING Tenant/Owner — -
� CLC
Footing— /)
ELC - -- - -
Foundation Access:
Ftg Drain ELR
Crawl Drain _
Slab Inspection Notes: - SIT
Post&Beam
Shear Anchors .�
IExt 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 - —
ShowerPan
O
Other: '--- -- -�- -
Final
PASS FAIL - �— T---- —�' --
g?CHANI19,W — ------..-------
W
Rough-In _--
Gas Line
re DampersT FAILIC -
e n
h-Inf� —
UG/Slab
Low Voltage _— —__�—
Fire Alarm
Fina Reinspection fee of required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd.
ASS) PART FAIL
_$_ ______ Please call for reinspection RE:______. ___ — ❑ Unable to inspect-no access
Fire Supply Line _) /
ADA
Oata 3 -�-
Approach/Sidewalk
roach/Sidewalk / / / .-� Inepee-tor - _— Ext
Other: --
Final (� DO NOT REMOVE this Inspection record from tho job aft.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MS7 — - "
Received // l bate Requestedes ` Z _ BLIP
BLIP
Location — 11�l0 Q 0 J� -Suite--,- -------- MEC
Contact Person — -_ a ha Ph( -) .�-�..-�� PLM -
Contractor Ph
_ - ----- ( -----) — --_. SWR --
BUILDING_ TenanVOWner __— _ ELC
Footing ELC
Foundation ---- —
Acccss:
Ftg Drain � � ELF! - _-
Crawl Drain -
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing - - -- - --- -- -
Firewall
Fire Sprinkler --- -_ �-
Fire Alarm
Susp'd Ceiling
Roof
Other. -
Final
PASS I-ART FAIL
PLUMBING
Post&Beam
Under Slab
Rough-In
Water Service _
Sanitary Sewer
Rain Drains ---
Catch Basin/Manhole —
Storm Drain - — - - ---_ — -- -
Shower Pan i
Other: -
Final
PASS PART FAIL
MECHANICAL_ ,
Post& Beam I �-
Rough In
Gas Line
Smoke Dampers
(EijnP
PASS PART _FAIL _—
ELECTRICAL
Service
Rough-In _---
UG/S ab
Low Voltage
Fire Alarm _ --
Final El Rein on fee of$__.____--required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: _ r`��� C_� Ui able to inspect-no access
Fire Supply Line 7
AA 9
Approach/Sidewalk Date__ I ` / _ Inspector
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL