14645 SW 87TH AVENUE-1 4
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14645 SW 87"' Avenue
^\ CITY OF TIGARD
MECHANICAL PERMIT
' PERMIT#: MEC2002-00457
DEVELOPMENT SERVICES
13125 SW Hall Bwd., Tigard, OR 87223 (503) 639-4171 DATEISSUED: EC202PARCEL: 2S1 1 1AD-01400
SITE ADDRESS: 14645 SW 87TH AVE
SUBDIVISION: PINEBROOK TERRACE ZONING: R-4.5
BLOCK: LOT: 011 jURISDIC-SON: TIG
CLASS OF WORK: ALT FLOOR FURN:� EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APnL: VENT SYSTEMS:
STORIES: _BOILERSICOMPRESSORS _ HOODS:
FUEL TYPES 0 3 HP: DOMES. INCIN:
LPG 3 15 HP: COMML. INCIN:
MAX 'APUT: BTU 1,i - 30 HP: REPAIR UNITS:
FIRE: DAMPERS'?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITSOTHER UNITS:
FURN >=i00K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Replace gas furnace.
Owner: _ — _ FEES
PENDER, GEORGE T Descripticii Date Amount
SHARON LEE I MIJ I I I Permit Fee 10/16/02 $72.50
14645 SW 87TH AVE ME(]I I Permit Fee 10/16/02 $0.00
TIGARD, OR 97223 TAX 8'!/o Stater ix 10/16/02 $5.80
Phone: [TAX]9 `tateTax 10/16/02 $0.00
Contractor: Total $78.30
COLUMBIA HEATING+ COOLING INC
P.O. BOX 230397
TIGARD, OR 97223 — REQUIRED INSPECTIONS
Heating Unt Insp
Phone: t124-2704 Final Inspection
Reg#: 76359
This permit is issuttd subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Godes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION: Oregon law
requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00
Issued By: / �_ � " _ ( �: Permittee Signature) "'�jr7-tr l �► �(
Call (503) 639-4175 by 7:00 P M. for inspections needed the next business day `�
Mechaw-Ml Permit Application
_ Date received: t, Permit no.: J& --0
•f 5 7
City uf. Tigard Projecdappl.no.: Expire date:
n Tigard Addregs: 13125 SW Hall Blvd,Tigard,OR 97223
City f 8 Phone: (503) 639-4171 Date issued: By: ?,d Receipt no.:
Fax: (503) 598-1960 (� Case fisc no,: Payment type:
Land use approy.al: Building permit no.
1
71obad
71am�ilylling or accessory O Commercial/industrial � Mulu • . , I. U Tenant improvement
AddItion/al teratio n/replacemelit U Other
1 r
ss: /y�e, _ _ -` G indicate eq tips cnt qutuun;cs u. huNc, bel lndirutc thr doli:u
TBldg. nu.: Suite no.: - value of all mechanical materials,equipment,labor,overhead,
ax map/tax lot/account no,: profit.Value$
Lot: Block Subdivision: •See checklist for important application information and
Project name: jurisdiction's fee schedule for residential permit fec
City/cou'tty: lP:
Descnp;ion and lac,tion of work an remises: _^_ 1 t
Fee(ea.) Total
Est.date r;completion/inspecti — Description tat , Res.only Res.onl%
Tenant improvement or change of use:
AC:
Air ha-Aling un-t CFM
Is existing space heated or condi.ioned?U Yes 0 No it.on itioninj(site plan required)
Is existing space insulated?U 1 es O No terati-on of existing HVAC system
KME==t, Boiler/compressors
Business name: _" �" State boiler permit no.
�SC�!?� JtarL��Jlt _ HP Tons__B'rU/H
Address: C_. I I Fire/smokedampers/duct moke detectors
City: Tl G 4 1112do Statc: ZIP: 9o71A.11 R eat pump(site pan require )
Phone: •�� Fttx 11 1 E-mail: nst0 replace furna,e/burner;JyA.., Cli
CCB no.: 13 +� 9 Including ductwork/vent liner U Yes U No
_ n-tal rep ace reloca�ie;iters-suspended,
City/metro tic. nu: _l 7 wall,or flour muunted
Name(please pi i nt+ Mr e A p f. ! o 1,J"44. Went-for a>>lance of t-Fer thtun urnace
tefr geratlou:
t Absorption units BTUIH
Names
Address: Cum ressors.^_---_------- HP
_ _r_._ nv runmenta exhaust an ventilation:
city, State: . ZIP_ Appliance vent --
Phon•- O I ;r� s 0 1-n ail Dryer exhaust
tlj TN Hoods,Type111res(ikite iF eiVTiazrnat
hood fire suppression system
c::LGA Fxhaust fan with single duct(bath fans)
Moiling address: / (. !' A gust system a Qart rom heatingor AC
----a- — L-- ~ w� ;uel piping an sl ul on up to 4 uut ets
City:
Stale 7_1P: ��
Cil 'I y pc. LPG NG Oil
Phuner $'- Fax: E-:nail: �hucl piping,each ad it onal over 4 outlets
111104 �M�WW Process piping(sc ematic required)
Number of outlets
Name:
Other listed appliance or equ pmen(:
Address: _ Decorative fireplace
City: State. ZIP: Insert-ty a
Phone: I E-mail: uo stuvcJ ,etstovc _� _Other.
Applicant's signature • �, L('z�C�:..c. Date: /e- v ' Other:
Name (print):
Na all)uttdictiuttx a"rpi clean cudx,piczm call)wirdicoun fur mute inftxrt ion Permit fee..... ..............
O Visa L1 MasterCard Notice:This permit application Minimum fee................$
�-
expires if a permit is not obtained Plan review(at ,_ %) $ -
Credit cardnumrrr .—,-_ _—. -- - ---Ex thin ISO days rifler it has been
Expires wiSante surcharge(896) ..,.$
�r cudhui t u shown on crc�i�cva— accepted as complete.
S TOTAL .......................$ _
Oudhokier signature -Amount alriaAi' WVUOM
CITY OF TIGARR 24-Hoilr
BUILDING Inspectil,-n Line: (503) 639-4175
INSPECTION DIVISION Business Line: (503) 639-4171 MST -
BLIP
Received _ Date Requested` -_ _ AM - . PM BLIP
Location SuiMEC
te Oo
Contact Person _ Ph( ) 0�! PL.M
Contractor_ _ _ Ph(_ ) -_ _ SWR
BUILDING Tenant/Owner �_
ELCFooting
Foundation Access: ELC
Ftg Drain —
Crawl Drain ELF _
Slab Inspection Notes: -- SIT
'
Post&Beam - -
Shear Anuhors - - -
- -
Ext SI-nalh!Shear
Int Sheath/Shetar -
Framing --
Insulation
Drywall Nailing
Firewall -
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof -- -
Other:
Final
PASS PART FAIL --
RL.UMBING
Post& Beam - — �—
i 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 _
Gas Lino -._.
Smoke Dampers
_ PART FAIL -_-------- __ _
ECTRICAL — —
Service
Rough-In e
UG!Slab
Low Voltage
Fire Alarm --
Final
PASS PART FAIL C�l Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW Hail Blvd.
Please call for reinspection RE.—s [--] Unable to inspect-no access
Fire Supply Line -
ADA
Approach/Sidewalk Date Inspector __
Other: ----
Ext
Final _-� - DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL