11280 SW 90TH AVENUE-1 N
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11280 SW 90t" Avenue
R MECHANICAL PERMIT
CITY OF T I `r�A 6 ® PERMIT#: MEC2002-00552
DEVELOPMENT SERV ;;ES DATE ISSUED: 12/16/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135DA-02801
SITE ADDRESS: 11280 SW 90TH AVE ZONING: R-4.5
SUBDIVISION: L07: JURISDICTION: TIG
BLOCK: _ ----------_—.--
FLOOR FURN: EVAP COOLERS:
CLASS OF WORK: ALT VENT FANS:
TYPE OF USE: SF UNIT HEATERS:
-NTS W/O ADPL: VENT SYSTEMS:
OCCUPANCY GRP: R3 'ILERSICOMPRESSORS HOODS:
STORIES: _____.. - HP: DOMES. ItJCIN:
_ _ FUEL TYPES g - 3 HP: COMML. INCIN:
LPG
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 33 - 50 HP: WOODSTOVES:
GAS PRESSURE:
50 + HP: CLU DRYERS:FURN < 100K BTU: 1 ___ OTHER UNITS:AIR HANDLING UNITS
>=100K BTU: <= 10000 cfm: GAS OUTLETS:
FURN > 10000 cfm:
Remarks: Replace gas furnace. ^— FEES _
_—
Own--- Amount
Description
MCTAGGART, BRENT 12/16/02 $72.60
PO BOX 231207 I NI l Ci I l Permit Fee $5.80
TIGARD, OR 97281 I I r1X 1 `� ~tate"I ax 12/16/02 _
Total $7A.30
Phone: 503-684-5807
Contractor:
ROBBEN + SONS HEATING
2214 SE 8TH AVE REQUIRED INSPECTIONS
PORTLAND, OR 97214 ___
Heating Unt Insp
Phone: 233-5841 Final Inspection
Reg #: I_IC 1884
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State oof0 Ore.
Specialty Odes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not starteaW irequires
el s you to follow rules adopted in the Oregon
for more than 180 days. ATTENTION: Oregon qui e
Utility Notification Center. Thosecopies forth
or dRect q�estio�s�o OUby tilling
h OAR
952-001-0100. You may obtain pies of these
(503)246-6699.
Permittee Signature:
Issued By: --
Call (503) 639-4175 by 7:00 P.M. for Inspections needed the next business day
FROM :ROBBEN&SONS FAX NO. :5032388849 Dec. 05 2002 10:08AM P1
Mechanical Permit Application
Dole received: Permit no.:)
City of Tigard R EQardE 1 ELI' I•llujecvsppl.no.: explredate
' _
:
CiryoJTJgord Address: 13125 SW HallB1vd,Ti , 700 Date Issued: - By; 4• Retc ipino.:
Phone: (503) 639-4171 DEC
C --- —
Fax: (503) 598-1960 C Case file no.: Payment Iypc:
Land use approval: CITY OF TIUA D Buildingperndlno.:
=farmnfly iling or accessory U CommerciaViudustrial 0 Multi-family U Tenant imnmvement
:I�Sl
U Addition/alterntiorVrrplacernent U Other: _
Job address: (J-1&I t _ _ lndicab!cquipmrnt quantities in boxes below. Indicate the dollar
Bid.,,.no.: Suite no,: value of all mechanical materials,equipment•labor.rrvvAiend,
Tax map/tax lovaecount no.; profit.vniur.S
Lot: Block: Subdivision: •tine checklist for Impottant application information and
Pro ect name: C, - jurisdiction's fee schedule fo.residential permit fee.
Cityloounty: 7.IP: •_I
Mst P.lon and locati n of work on premises: �.
/�Irzk. ez'-&-Kc _ t'.
Est.date of completion/inspection: � lksal R�ioa rrti. ltrs.onl Rrs.only
Tenant improvement or change of use; Air handlin unit CFM _
Is existing spncc blasted Ix conditioned?U Yes 0 Aircon IGomng jertc�nri re u�rc
Is existing space insulated?O Yes ❑No tcrat ono ex s rig1�tti
sen Rr eompreeaore
Business name:". Stoic boiler permit no.:
tSL�r — NP Tons BTU/H
•r-TT1 mo dam duct em'oTio`detectors
_City: +-t4'(4 tC\V'6_ State:bEl 23P: cat um srtep nn rc ui
nota rep ace
Phone: - - � Ra17t: �• ' r &mail' urna rurnei
CCIno.; Including due.twotk/vent liner Q Yes U No
nsta rep ae my ovate eaT� tort-sunpendi ,
Cit /metro He.no.: �j wall,or floor mounted —
Name(please ptint); t.rmance o er arri'ii'nacc -
r (ram
Absorption uni is_ MUM
Chilkem HP
• - Coln _ _ MP
Address: FxviroamentalesTiaur n v J at on:
City: ^ r h stater ZIP: n Usncxvcrd -
Plsone: rax: L mail er aust
a, ype�lUlTreir.'I'i fiche a,,rnFit
hood fire suppression tyslem _
Name: Exhaust fan with single(suet(Wadi tarns)
t - Ex Aust a stem A art horn ial n nr lel:
Mailing address: Fuel piping �-�
mo nn u�to out ots
City; State: ZiP: f� Type . __LPci No Cil
Phalle: F'ue-Tria ea�c►a ml Dna over 4 outlets
voce o p p scTemat c rcqurreO
Name: N..mlxr of outlets
Addron: _ pecorAtivcf7rc{slaro
Ci!x: Stats: ZAP bsen •type -
Phone: i1stnv rLe ctetuve
A licnnt's algnnture; er,
Name rind-"-!h6 le Vii 4-2
Nd W Iwtdlcrlar accept entire cards,Okw can iarltMNcaaa ra ream Inmar,u[len
Permit fee.....................$
Netice:Thi'+pemmil application Mf�limum fee.............
cavils Q MsaerCartl expircv ifs permit is not obtained
...,�- Plan m+nview(at ,96) $
r '
n. n. within 190 days after it lies h(4m StAte.sum-harge(R%)....$ -
_
Now Durr"ancndFt NQ •s rnmplelc TOTAL ......... .............$
4404617(MM)CIM)
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171
BUP
Received _ -�ynnte Requested 7 'AM PM BUP
Location .- Suite E �
���/� MC r
Contact Person —_ _ -__ Ph(--__..) ��_�.�'��T/ PLM
Contractor_. __ _ ___.__ _ Ph( ) __.--`__ SWR
r BUILDING Tenant/Owner _ _.-, __ ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam -..
Shear Anchors
Ext Sheath/Shear �.
Int Shoath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler -- —
Fire Alarm
Susp'd Ceiling --- -- -
Roof
Other: ---- - - ---
Final
PASS PART FAIL - -------- --_T.-- /
PLUMBING_ _
Post$ Beam -
Under Slab
Rough-In
Water Service ---- -
Sanitary Sewer
Rain Drains -----------i_---.___._-----------
Catch Basin/Manhole
Storm Drain
Shower Pan
Other:
Final -
PA FAIL --
ANICA — - -- ------
Rough-In
Gas Line ^- —
Smoke Dampers - ----- --- -
i
SS PART _FAILService
---- ---- -- --- ----- -------
RICAL -
Rough-In -------- _ -- --� —�_
UG/Slab
Low Voltage
Fire Alarm -�
Final r�t Reinspection fee of$ required before next Ins
PASS PART FAIL C.-1 p q inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE - n Please call for reinsp®coon RE: Unable to Inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date�'� .1.�✓�r1111;p�tOf r - --
Other:
Final — -_-- DO NOT REMOVE this Inspection record from the job skis.
PASS PART FAIL