15975 SW 87TH AVENUE-1 co
1597: SW 87"' Ave
CITY O F TIGARD
MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2001-00221
13125 SW Hall Blvd., Tigard, OR 97:23 (503) 639-4171 DATE ISSUED: 06/2.0/2001
F ARC EL: 2;'111 DD-09500
SITE ADDRESS: 15975 SW 81TH AVE
SUBDIVISION: CHESSMAN DOWNS ZONING: I-L
BLOCK: LOT: 021 JURISCi:,i i0N: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAN COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GR": R3 VENTS W/O APDL: VENT SYSTEMS:
STORIES: _ BOILERS/COMPRESSORS _ HOODS:
FUEL TYPES 0 3 IW- 1 DOMES. INCIN:
3 '15 HP: COMML. INCIN:
MAX INPUT: RTU 15 -30 HP. REPAIR UNITS:
FIRE DAMPERS?: 30 -50 HY: WOODSTOVES:
GAS PRESSURE. 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING IINITS OTHER UNITS:
FURN >=100K BTU: <= 10000 cfri,: GAS OUT,_ETS:
> 10000 rfm:
Remarks: Replace furnace and install exterior A/C unit. Cannot be placed within required sE.tback.
Owner: _ FEES__
SIRAK, KENNETH A + JOLYNN M Type By Date Amount Receipt
15975 SW 87TH AVE PRMT CTR 06/20/20( $72.50 272001000C
TIGARD, OR 97224 5PCT CTR 06/20/20( $5.80 272001000C
Phone: Total t-8.30
Contractor:
SKY HEATING + AIR CONDITIONING
,1637 SE NEHALEM
PORTLAND, OR 97202 REQUIRED INSPECTIONS
Mechanical Insp
Phone:235-9083 Final Inspection
Rog #:LIC 00050244
This permit is issued s.Ibject to the regulations contained in ".Q Tigard Municipal Code, State of Ot
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, )r if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the C'regon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through JAR 952-001-0080.
You may obtain cppies of these rules or direct questions to OUNC by calling (503)245-9189.
Issue By ' :��.�.lr�r � ,, _ Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
tto.
03 11RD 08:25 FAX 503 598 191j0 CITY OF TIGARD V0002
-T
Mechanical Permit.%pplication
Date received; f /, Permit no.:fig
City of Vaard Rf.,f Project/appl no: Bxpiredate:
Ciry of Tigard Address: 13125 SW F-11 Blvd,Tigar 1,OR 97223 gy.
Date issued: � Recei Pt[IQ.;
Phone: (503) 639-4171 '��
Fax: (503)19g-1960 'Ur� Case file no., Payrrenttype:
)F`.' ,EN3 guiluir,gpertnitno:
Land ttse approval: ,, ,,; t
;New
2 family dwelling'jr accessory . U Con m.•rcial/industrial U Multi-family O Tetlant improvement
cunsuuctioa n/altenstio:i/repla,zt ,nt7 Other:Indicate equipment quantities in.boxes below Indicate the dollar
ress: �,v _
Bldg.na: y Saito no.: value of all mechanical materials,equipment,labor,overheau,
Tax cru► trot lot'account n.: _ profit. Valuc$
Block. Subdivision: *Sec checklU for important application information turd
Lac
Lot: name: jurisdic:ion's P!e schedule fbr residential permit fee.
Projed
City/county' ZIP: ZzAr MM
'I tt
Descr .sort and la scion o� ork re 'ses: EIKE
El
Eec(t�.) 'Total
--•-- I�;�� Res.oNv Res.oaly
Nt.dale of completi0n/ir.spection! C _._ l
Tenant improvement or change of use: Air handling unit __ CFM- _
is existing space heated or conditioned?U Yet U Ne Air con lijoning soa-DTn required]— t Is existing apace insulated?U Yes U No A ter?uon of eatat g HV system.
eoi e"Zompressors
State builcr pennil no
Business name: ' )VAC HP _ —Tens -BTU/H
i SHtraita s:no e itme
crs druucctsrino
a etectors
Address: ' n _ an(tate wi
City: es urn+
- tail: rep sTt
Phone: ax:2 -;Nr) H
_ ..
IncHding ductwor',lvedt liner 0 Yes No
CCBno.: 0 replac reoeatertcd:ers-9uspen ,
City/metrolic.no.; 1-(,9J evall,orflo.tr mounted
,} ant ora .fenceut er un urnace
I \Name(pleww print'- I f lC L ' ' tt�a on:
Absnrptionunits^ BTU/H -
Chillus _ HP
Com reseors _ 'Ventilation:
_ HP
Address: .see ronmetu _ex aunt nn Ven ■I on:
State: ::1P: Appliance vent — ____--
Phone: Fax. Enail: erex aunt
oo s'IryreU res. tc to ts:mat
hood ii:esuppression system —�- —--
Name "l�, `- _ Erh;tnst Inn wirh single :II te�fans)Milling uldeas: r ! 1 oust system a ort roan Y� p ppiog an tr hon )
Citp: (— State. alis:( _ 1 y LI'O .._ NG Oil
Phone: Fax: FMail Fuelh kdd 1113-pifover 4 outlets
-Irrocesspiping sc ematicrequired)
Number if owlets
tv:me: er {eaapp enceor—equip eat:
Address: Dectxativefte lace
type
ajl au moy pe els:U1'r'
Phone: Fsx ZSdtrr: _
Applit:snf's signalttre:
— �—
Name (print): ---
Permit fee.. .......... ... ...
Not W lurlabcuunr accept cmt6t c",piety coil ludedlclinn for Win!In:rnNutn Notice.11t1s permit oppltutien Minimum fee ..............$
0Views U MasterCard L_ expires it's perrttt is not obtained ply review(at _ To) $
H'iitn within I Al days eflei it hes use:► State surcharge(8%) ••.•s
-- , --- aceeple!as armpletc.
ofcudt�r—u sAuwa encrcd'i:rt TOTAL .......................S
I r a trr. --- "n!W✓ MfH611 IaatLGOM,
IIOME LAYOUT/SITE PLAN
STREET
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Lire: 639-4171 MST
--_Date Requested Ci Z y AM PM BUD
Location f J / -2 r S r.✓ e 7 BLD
Suite _ MECZ-
Contact Person _ Ph — PLM _
Contractor M- Ph _ SWR _
BUILDING Tenant/owner — ELC
Retaining Wall _
Footing ELR
Foundation Access: -
Ftg Drain PS
Crawl Dain Inspection Notes: SGN
Slab -
Post&Beam I - — SIT
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing _
Fireviall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final �i-- - —
PASS PART FAIL _
PLUMBING — - ---
Post& Beam _ —
Under Slab
Top Out �— ----
Water Service
Sanitary Sewer '--
Rain Drains
Final --
PASS AR-t' FAIL
Rough 0 —
Gas Line
Smoke Dampersk'P — —
rn
AS , PART FAIL -
EL CTRICAL — --
Service
Rough In
UG/Slab _
Low Voltage
Fire Alarm
Final --
PASS PART FAIL
SITE
Backfill/Grading
Sanitary Sewer
Storm Drain [ I Reinspection fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hill Blvd
Catch Bagin
Fire Supply Line [ ]Please call for reinspection RE:— [ J Unable to inspect-no access
ADA
Approach/Sldewalk
Other Date C c'i Insspectur_ _ f Ext
Final
PASS PART FAIL I DO NOT REMOVE this Inspection record from the ab site.