15570 SW 109TH AVENUE vl
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15570 SW 104TH AVENUE
CITYO F 1 I G A R MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2002-00158
13 5 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/22/02
SITE ADDRESS: 15570 SW 109TH AVS= PARCEL: 2S1 1 ODD-11300
SUBDIVISION: SUMNIERFIELD NO 13 ZON11"G: R-7
BLOCK: LOT: 083 JURISDICTION: TIC;
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS. VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O AP'.3L: VENT SYSTEMS:
STORIES: BOILERSICOMPRESSORS _ HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN-
LPG 3 - 15 HP: COMML.. INCIN:
MAX INPUT: BTU 15 • 30 HP:
FIRE DAMPERS?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + Hp: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITIF CLO DRYERS:
FURN 100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Rernarks: Replace existing gas furnace with lika kind.
Owner _ �FEES
IJURGAN, JERRY L + DARLENE (7 Type By Date Amount Receipt
155fH AVENUE PRMT CTR 4/22/02 $72.50 2720020000
TIGARD.U, ORR 97224 5PCT CTR 4/22/02 $5,80 272002000C
Phone: _ Total $78.30
Contractor:
OREGON COMFORT HEA T!NG INC
HUGHES, RON
PO BOX 355 _ REQUIRED INSPECTIONS _
EAGLE CREEK, OR 9702.2 Heating Unt Insp
Phone:650-2933 fax Final Inspection
Reg#:LIC 00042519
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of Issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notifi,abon Center. Those rtiles are set forth in OAR 952-001-0010 through OAR
952-;001-0080. You may obtain copies of these rules or direct questions to OUNC by calling
(r,n�),%tR-Q1 Ao AA
Isaui�@y: % Permittee Signature: f'
Call 103)69-4175 by 7:n0 P.M. for inspections needed the next businass day
APR.19.2002 3:13PM OREGON COMFORT NO.877 P.1i2
,A, Mecbaaical Permit Applkadon oil
Aatr+racaived: y i9 09 Permit no.:
City of Tigard
rd �> D Ptajccdnppl.no.: T3xpire dote:
Clryn/'Trgard Address: 13125 Picone: (503) b) 639-4171 SWI7td1131 0,tteisqued; Ay: Rcceiptno.:
Fax: (503) 596-1960 Al Cagefil�^e.; Phymanttype:
Latid use approval --- -------.�_-. _ _. Buildingpecmitno•
,
CJ 1 &=6%Lmilylling or accessary 0�ommercialfrndustrial q Multi-family A Tarrant impruverr zi
U Ne „ Arlditinn/alteratian/rl;ialncrme.nt W Uther:..__
lob ac,lress: (lagt Indicate.equipment quantatm.in hexes below, Indicate ilia dollar
Bldg,no.: - Suite no.: value of all mechardcal materials,Cglaipment,labor,overhead,
Tax neap/tax lot account no.; _ _ profit.Value$ .� �--
Lai.: 13104: 'J Subdivision: +See checklist for important application information and
Proiectname; Jurisdiction's fee schedule for residential permit lec.
LEK
City/county' ZIP:
rK
Des 'ption and adv,n of work on pre sea:
f _ aA aJ ibatl
est.date of completto�/in p ctio . '311-1 Ina. _ � Doa;� dao QtY+U".anl Aci,onl
Tenant improvement or change of use; Air handling snit CPM
Is Gusting spnce heated or conditioned?O(Yes CI No r can coin srt�o nn�toqunedS
Is existing space insulated?OYes O No mon n ax)sung AVAO system
0l er compressors
Business name: State boiler permit no.:
HP --Tons 13TU/1i
Addross: 'F3r,� Iqc� smo edam erP c u- 0 edelectors
pity; State: UR ZIP_ eat ump s to p an re "fred
Phone: (eS5y lax: )'-mail; nate /replat'e urnuc urnet
[ncludtnp ductwarklvent liner 5i Yea q Na �.�
CCB no,: X1514 - _ _—meta ilreplaea7ro costa eutars-suspan ac,
Citylirietro lic.no.: wall,or floor mounted
Name(please nrint):jkb ,,, vt nt or a ancc al rcr_thaw n fumnce
� �eryt a.a
Ahsarptionunits—WRILI
ATt1/ti
Name: 11 �- cfilllcta _ _ HP
Address: Cam sacro lip
Elre snetriMlia abouit and rent t am
City; _ Stale: Z1P: Applipcovent
Phone: Fax: )3"mttil: Brox gust __�
0046, pa Ila• tc ntlidnl l t
hand fim suppression system
Name: - —_ r _ Fix_huust ran with einQlo duct Q+ th fans!
Mailing address: r,_, t i��pqsj
llet system a 161 a°i ,aha nicer W4 op
� p p ttR ens t a�rttt an uP� out eta
City: Sratc: ZIP; �U ltd NO Oil
pilnue: a Fox: [i•moil: n eac.a ditivn ovor au lots
caalip p nR sc ams etegUlrr
Number of outlets
Name: _ -- -- toil tot qpp sole ar ar-T:
A,Vress; Deconrdvetir lace
city: - -- slat,' ZIP; - lnsart_ty e f
--- aodstoye pallet stove
Phone; ha Ti-mal : 'ether:
Applicant's signs Aate: / d Other: _
Nome( ti:,l1: - --
n 1 jm%ootinnt Arco%credit Cn-6 1,111 reel,1%dadlcnon ra mar!Mtfartnntlon, P�t7rtlt fps
Nyy ..,,,.,
.�d Nr,tloe:This permit application Minin;urn 1`015................
VNIA U MaslerCnrd expires if it permit la not abtained pian review(at
—4, pIR— within 100 days attar it has been
state surcharge
snr rel ru, n r u�ii i�wn on o u c accepted as complete. TOTAL
- _
etdhnldor i piitwe Arao ml 40417 t Vatllt:pM)
a
CITY OF TIOARP 24-Hour
BUILDING Inspection Line: (603) E39-4175
INSPECTION DIVISION Business Line: (503) 6:39-4171 MST --�
BUP A
Received / �_ Date Requested f _ AM PM BUP
Location _-__ L '� a l G' Wit' Suite — MEC
Contact Person f h( _) '_,5—�Z Z PLM —_
-
Contractor-- Ph(— ) —_---- F,011 t -
BU►L_DING Tenant/Owner ,—� _ - ELC
Footing
Foundation ELr ---
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT —
Post&Beam
Shear Anchors
Ext Sheath/Shear
IN Shea /Shear /� S�
Framing
� � LAS —`xjy#vs.— �!�-1� �.' --�-:"�✓�1. i� �%�-- —
Insulation
Drywall Naili•g ��� �J��'�=�
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
Othur: --- ---- -
Final -- --------
_PASS PART FAIL
MECHANICAL
Post& Beam
Rough-In
Gas Line
Smoke Dampers ----- ---- -- --
iri
SART FAIL ------------_--_ -- _ -
.LECTRICAL
Service
Rough-In - ---- --- --- ----
UG/Slab
Low Voltage - ------ — — — -- — -
Fire Alarm
Final u Reinspection fee of$ ___- required before next ins ction. Pay at City Hall, 13125�W Hall Blvd.
PASS PART FAIL
SITE u Please call f,ar reinspection RE: ___ Unable to inspect-no access
Fire Supply Line
ADA — —=d�
Approach/Sidewalk Date �S_ - Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PARS FAIL