14120 SW 97TH PLACE s
N
O
14120 SW 97"' PI
CITY OF TIOARD
/ _ MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2001-00460
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUPD: 12/17/01
SITE ADDRESS: 14120 SW 97TFI PL PARCEL: 2S111BA-05300
SUBDIVISION: SOLARCREST ZONING: R-4.5
BLOCK: LOT: 005 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: i EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORILS: BOILERS/COMPRESSORS HOODS:
_ FUEL TYPES 0 - 3 HP: DOMES. INCIN:
LPG 3 - 15 ,IP: COMA.1L. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS'?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: ___AIR HANDLING UNITS CLO DRYERS:
FURN —100K BTU: <= 10660-C—fm: — OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Remarks: Installation of gas fireplace insert and gas line.
Ow.n sr: — – ---
_ FEES
NICHOLSON, JAMES W+ Type By Date Amount Receipt
CATHERINE C
14120 SW 94TH PL, PRMT CTR 12/17/01 $72.50 272001000C
TIGARD, OR 97223 5PCT CTR 12/17/01 $5.80 2720010000
Phone: I Total $78.30
Cont actor:
T+ K MECHANICAL
11525 SW CANYON
BEAVERTON, OR 97005 REQUIRED INSPECTIONS _
Gas Line Insp
Phone:503-626-4652 Mechanical Insp
Reg#:LIC 121165 Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You may obtain copies of these rules or direct questions to OUNC by cell;t1g (503)246-9189.
Issue By: _ Permittee Signature:_
Call (503) 639-4175 by 7:00 P.M. for inspections needed the i1ext business day
Mechanical Pe '
Date received: )_G;1 Permit no.jJ1C,1,f( , - U
City Of T,ddrd [( Project/appl.no.: Expire date:
Cirynf'',igard Address: 13125 S�'/Hall Blvd,TipW1r �,(J? r IFXO
Phone: (503) 639-4171 Date issued; Bq Receiptno.:
Fax: (503) 598-1960 03 n 13038 Case file no.: Payment type:
Land use approval: Building permit no.:
TYPE OF PJERWITT
1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement
❑New construction U Addition/alteration/replacement U Other:JOB SITE INFORMATION COVINJERCIAk
1
Joh address: ;k; �� 1 Indicate equipment quantities in boxes below.Indicate the dollar
Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead,
Tax map/tax lot/account no.: profit.Value$
Lot: Block: Subdivision. *See checklist for important application information and
I'Miect name jurisd;,aion's fee schedule for residential permit fee.
City/county: rC
Description and loc ion of work on premises: hiltr
•n
ec(ca.) Total
.date ofcompletion/inspection: /( U Ilcuription 01 Rcx.aoly Itrr.only
Tenant improvement or change of use:
Is existing space heated or conditioned?U Yes U No Air handling unit CFM
Is
Air conditioning(urequired)
ulre )
Is existing space insulated?U Yes U No Alteration o exsting PHVAC system
1 of er compressors —
Business name: State boiler permit no,:
Address: -^ - r- HP __Tons BTI ^
L it smo c ampers uct smoke detectors
City: V Stutc v- 7_IP: ' 1 a eat pump(site :rn require ) -----
Phone: -'a X:jftX. 471li-nulil: nsta rep ace urnac urner
CCB no.: Including ductwork/vent liner U Yes U No
nsta rep ace re ocate eaters-suspen e ,
City/metro lic_na.: 1 C _--_ wall,or floor mounted
Name(please print): vy (, ent fora fianceother than furnace
e gerat on:
Absorption unitsBTU/H
�Na�inc: (t ((t VIV\ �,��t Chillers lip
Address: fl�. c ( Com ressors HP
nV ronmenta exhaust an rent at on:
City: , ll k, State: ZIP: c � 'u Applianccvcnt
Phone: J ( _1 Fax;, l:-mslil: Dryer cx laust
1 00 3, ypC res. 11C C a)maI
hood fire suppression system
Name: d.'-nExhaust fan with single duct(bath fans)
Mailing address: I �L:? .�� �j�{ j sx ausl system a un from teat ng or AL
City: - l( Clr C `itule�y 7.11': ue piping an sl ton(up to out els)
i'y LPC NO Oil
Phone: r Fax: E-mail: Fuel ep ngcac a ft ona over out_ets
Tr'ocessplpTng(schema ic—niqu�redj --'
Nance: Number of outlets
t er tl app ance or equipment:
City:Address: - --
Decorativefireplace
City: st e: 'LIP: Insert-type ,,
Phone: ax rn oo stov pe et Move
Applicant's signattr .� ji Date: �.? �) �i Other:
t tr:
Name. (print): jL) Jq h rt
Nrn all Juriwllcllcme accept credit cads,please call junsdicnn im nune infrerrsalu,n Permit fee.....................$
Uvisn U MasterCard Notice:'Phis permit application Minimum fee.............. .$
t'rrdn card mnnlxr expires if a permit is not obtained
----- _-��_ Plan review(at %) $ _.-
spirc, within Igo days alter it has been State surcharge(8%)....$
NZWJirdholder as slimmn on crc ll cad accepted as complete. -
TOTAL $ ?�, 31
Cardraider sl nature
Amnunl
4104617(W/COM)
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST
_ _
—� Date Requested-- 1 .3 / AMBLIP PM BLD
Location— J I �-}-p �� S�-i_ _ Suite
-- MEC
Contact Person Ph PLI1.4
Contractorr
_ Ph `5..5 7 / SWR
BUILDING Ter,ant/Owner _ ELC _
Retaining Wall ELR
Footing 1 ---
Fouodation �c C2sS:
FPS
Ftg Drain --
Crawl Drain Inspection Notes: SGN
Slab --�----
Post&Beam I -- - ---- SIT
Ext Sheath/Shear
Int Sheath/S-'ear
Framing
Insulation - - — - -- —
Drywall Mailing
Firewall -- --
Fire Sprinkler —
Fire Alarm
- - - --
Susp'd Ceiling
Roof - -
Misc,_
Final - ---
PASS PART FAIL -
PLUMBING —�
Post& Beam — -- ---- --- --_. __
Under Slab
Top Out -- -
Water Service
Sanitary Sewer -- -— — - --
Rain Drains
Final ----_ _--__ ------ --
PASS ART FAIL
as Line _ - __ _- _ _._.-------- --------------
as Limok
moke empers — —
AS PART FAIL —
ELECTRICAL —'-- --- ------ ---------
Service
Rough In --
UG/Slab
-
_ow Voltage -- —
rire Alarm
S=inai -----------
PASS PART FAIL _
31TE
Backfill/Grading
Sanitary Sewer
Storm Drain ( J Reinspection fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ )Please call for reinspection RE. —, [ )Unable to inspect-no access
ADA
Approach/Sidewalk
Other Date _Zt-- -9/-- LO Inspector—, Ext
Final ---
PASS PART FAIL DO ►:OT REMOVE this Inspection record from the fob site.