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13895 SW 114'x' Avenue
CITY OF
TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2001-00440
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/5/01
PARCEL: 2S103DC-04000
SITE ADDRESS: 13; J5 SW 114TH AVE
SUBDIVISION: VIEWMOUNT ZONING: R-4.5
BLOCK: LOT: n / JURISDICTION,: TIG
CLASS OF WORK: ALT FLOOR FURN: _ EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERSICOMPRESSO_R_S HOODS:
_ FUEL TYPES 0 3 HP: DOMES. INCIN:
LPG 3 15 HP: COMML. INCIN:
MAX INPIJT BTU 15 - 30 HP:
FIRE DAMPERS?: 30 - 50 HP:
REPAIR UNITS:
GAS PRESSURE: 50 + HP:
WOODSTOVES:
FURN < 190K BTU. 1 _AIR HANDLING_ UNITS CLO DRYERS:
FURN >=100K BTU: r_ 10000 cfm: OTHER UNITS:
10000 cfm: GAS OUTLETS:
Remarks: Gas furnace replacement
Owner: __ — -------FEES
MCCLINTOCK,VVILLIAM ,L: + ,SEAN C Type By Date Amount Receipt
13895 114TH AVE PRMT CTR 12/5/01 $72.50 2720010000
1IGARD, ORR97223 SPOT C,rR 12/5/01 $5.80 2720010000
Phone: Total $78.30
-- —•---
Contractor:
SPECIALTY HEATING 8 COOLING
9528 SW TIGARD ST
TIGARD, OR 97223 REQUIRED INSPECTIONS
Mechanical Insp
Phone:620-5643 Heating Unt Insp
Reg M LIC 66578 f=inal Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other appiicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregcn
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You may obtain cdpies of these rules or direct questions to OUNC by calling (503)246-9189.
Issue By: Permittee Signature: __ice y`•
Call (503) 639-417E by 7:00 P M. for Inspections needed the next business day
Dec 03 01 12: 05p Specialty Heating 503 598 0718 p. l
Mechanical Permit Application
-- ■ Date received: 0 I Permit„.. -G ,x
City of Tigard !�f Gv Project/appl.no.: Expire date:
Address: 13125 SW Hall Blvd,Tigard,UR 97;?. 001 Date issued: By yL Itcceiptr:
City�f Tigard Phone: (503) 639-4171 DEC
Case file no.. I Payment type:
Fax: (503) 598-1960 CITY pg•nGAIW-
Building permit no.:
Land use approval
❑Multi-family O Tenant improv 7nent
l &2 family dwelling or accessory ❑Commercial/industrial _
d New c: tnlctiun ,0 Addition/alterlition/replacement U Other.
Indicate equipment quantities”'boxes below.Indica the dollar
Jab address: /-6
Suite no.: value of all mechanical materials,equipment,labor,,sverhead,
Bldg.no.: --- profit.Value$ -
Tax map/tax lot/account no.:
Subdivision: 'See checklist for impnrtnnt application information and
[At; Black:
� jurisdiction's fe schedule for residential permit fee.
m
Project nae: c(,,e/y-roc v-
City/county: )A%e . ZIP: 9-3
Des ription told oration of work on premises: dee(aiTRe�s-onlv l
( Ree onl
G Dmriptfon
t.dale of completion/inspection: /. �_ - — vALi
[errant improvement or change of use: Air handlin unit CPM
Is existing space heated or conditioned411tes ❑No Air itiuuing(site ponrequirre
Is existing space insulated'! Ycs U No Alteration of existing I A systemMECHANICAL CONTRACYOR _
l!oiler compressors
State hailer permit no.:
Business nam 4 v � � �1 Hp Tons BTUM
Address: v(�-r �'1 _� are/s`mokr, am er act smo a detectors
State:Q,4- ZIP:g 7�ZZ 3 eel um rite plan rc uirc ) _
City: fgG('1 nsta rep ace turn ace umer
Phone' 3lra3d5bel H'x598 0�/ r•m til' including ductwork/vent liner Ycs a No
CCB no.: I nstal Ureplac ie urate seaters-suspenduc
wall,or fluor mounted
City/metro lie.no. / -� Vent or a lance of er t an furnace
Name(please print): �rptiA 1'�in ZIS e gerrturo:
CONTAUM11SON Absuiption units _ BTUM
Chillers _ __ HP
Nttme:4LLL? ry Cum ressurs �^ NP
Address: S S / '1��T�J omenta c. ust an vent[sit nn:
City: '1 _. _ Sw I-OnaiX
y 7�-i-� A phancevent
:59gG'I/ ecex gust nods—'PyTi/res. tc a azmat
hood fire suppression system
�y ) Exhaust fan with single duct(bath fans) _
Name: // // r- roust s stem Wall troin
aun of A
Mailing address: ' 5j 5L'40 I' ue p p oq andi. at on(up to out ets
City: �4 / State QyL/_ LIP: 23 Type LPO NG Oil
Phone: 1'ax E-mail. ue- pT� -rccFi obi+liana over waters
'rocessp pIng(ss:hcmnttcrequtre )
Number of outlets
Name: OtcirappWaance or eq pment:
Address: u _ Decutauvefireplace
City: State: ZIP: nsert-
�--— oo stood c let stove
Phone: I Fax: l •mail: er.
App"Cant's signs w c: Date: � err
N,tu! ( tint): f}l M <'C Pl C/� -
Permit fee..................... _
Nutpt credit estrdi,plraax edl)udidicnun for more,nnxmai lm Notice:This permit application Minimum tee................$
rvlYsun l l Master(en1 4WE enpitr.i if a permit is not ubinined Plan review(at -
eseau ni numt>rr t ��-�� -� � within 180 days oiler it has been e s s '
trapisei State surcharge(8 Ss) ....S
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t'�- accapted ns camptete. TOM . ..S _LY).M,1'. irut>IuCrlMl
as*�itaii•
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-H,)ur Inspection Line: 639-4175 Business Line: 639-4171 iJIST -
---Date Requested % .L AM -
—Fnn BUP31 D
Location_��> `�. !�`i ��.« Suite
MEC
Contact Person , k_v�'� Ph PLM
Contractor Ph _� ALU ` S 4t3 SWR
pUILDING Tenant/Owner _ ELC
Retaining V\/all- ---
Footing ELR
Foundation Access -- -- - ----
Ftg Drain FPS
Crawl Drain Inspection Notes: SGN
Slab ----- -----
Post R Beam — - - SIT
Ext Sheath/Shear ----------_--
Int Sheath/Shear
Framing �T7�u
Insulation _
Drywall Nailing
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 —
PAS ---2AELT- FAIL
--
Post&-Beem -
Rough In - - - -
Gas Line
Smoke Dampers
$_PART FAIL
E -CTRICAL - - ---- -- --- -
Sernce —�
Rough In — -- - - ---
UG/Slab
Low Voltage -- --- __
Fire Alarm
Final --
PASS PART FAIL
SITE --
Backfill/Grading
Sanitary Sewer —
Storm Drain ( J Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ]Please call for reinspectlon RE:— _ [ J Unable to Inspect no access
ADA
Approach/Sidewalk
Other Date �- 2— rJ' Inspector
Final - _Ext
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.