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10285 SW HIGHLAND DR
CITY OF TIGARD 24-Hour
BUIL LING Inspection Lina: (503)639-4175
INSPECTION DIVISION Business Line: (503) 639-4171 MST —
BUP
Received,z'/� Date Req ues ed ACV�� _PM _�_ SUP '
Location �(Z uite_ %MEC';�
Contact Person Ph( 0 4/ PLM
Contractor Ph( ) SWR
BUILDING _ Tenant/Owner __ ELC
Footing
Foundation Across: ELC ---_-.--- .---.
Ftg Drain ELR
Crawl Drain - --
Slab Inspection Notes: SIT
Post&Beam — __-----.---- -----.___�
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation _ . _.- --------- - — •--- - ------
Drywall Nailing - -- —-- - -
Firewall
Fire Sprinkler - ------ _ ._. -- - -- - ---- --- -- ----- ---
Fire Alarm
Susp'd Ceiling -- _ ---- -- ---- --
Root
Other: _ _ -- -- -- --- ----- -- —
Final
PASS PART FAIL -
PLUMBING
Post&Beam
Under Slab
Rough-In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain --
Shower Pan
Other: _—
Final - --- -
T FAIL
MECHANIC _ ._
eam
Rough-In
Gas Line
w;RT
ers FAIL — ---
ELECTRICAL
Sei vice - —
Rough-In
UG/Slab --- --
Low Voltage
Fire Alarm
Final Reinspvction fee of$ required before next Inapectlon. Pay at City Hall, 13129 SW f laii Blvd
PASS __PART FAIL
SITE Please call for reinspection R[:_ -- I ] Unable to inspect n«a,.cnss
Fire Supply Line
ADA
Approach/Sidewalk Dale _ - ::isptctor - _ -- - -- _-. Ext
Other:
Final DO NOT REMOVE this Inspectlo. t acord from the job site.
PASS PART FAIL
CITY OF T I GARD MECHANI L PERMIT
DEVELOPMENT SERVICES PERMIT#: MF_C2004 00011
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/12/04
PARCEL: 25111 CC-13300
SITE ADDRESS: 10285 SW HIGHLAND DR
SUBDIVISION: SUMMERFIELD N(DA ZONING: R-7
BLOCK: LOT: 184 JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O ADPL: VENT SYSTEMS:
STORIES: _ BOILERS/COMPRESSORS HOODS:
_ FJEI__T`IPES _ i 0 3 HP: DOMES. INCIN:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FRF DAMPERS'?: 30 - 50 HP:
GAS PRESSURE: 50 + HP:
WOODSTOVES:
FURN < 100K BTU: 1 _ AIR HANDLING UNIT� CLO DRYERS:
FURN >=100K BTLt: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Remarks: Replace furnace with like kind. 1/13/04. I'urnacc i,-placement is actually a conversion from electric togas. Adding
gas piping&venting to permit,
Owner: FEES
JOE DYAR Description Date Amount
10285 SW HIGHLAND DR –—
TIGARD, OR 27224 [MECH] Permit I ec 1/12/04 $72.50 1
ITAXj R"G,State SinchmL 1/12/04 $5.80
Phone: 503-968-9902 Total $78.30
Contractor:
CLIMATE CONTROL INC
16500 SW 72ND AVE
PORTLAND, OR 97224 REQUIRED IIVSPECTIONS
Phone: 503-453-4822 Gas Line Insp
Heating Unt Insp
Reg #: LIC 62196 Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicabIc laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rales adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR
952-gO4-01M - You-,may obtain copies of these rules or direct questions to OUNC by calling
(5246-6699.
Isrued By: permittee Signature: =Z=°``'_----
Call (503,x- 9-4175 by 7:00 P.A. for inspections needed the nex business day
Jaf 14 04: 53p climate control 503 968 7224 p- 1
Mechanical rnutApplication.
city Of Tigard r Date received:
''C Permit no.
Cin'of Tignrd Address; 13125 SW Hall Blvd, Ti COVED
9722 Project/appl,no.:
Phone: (503) 679-4171 Fxpire date;
Fax: (503) 598-1960 WA I az 7. bate issued: `e ,: -
�f`1` � By: Receipt no.:
---------
Land use approval; �iGAF�� Case file no.; ----_� Payinent type:
R Permit n
rtTV n� 8uildin
o.;
1;1 &2 farnily dwelling nr accessor
�t New construction �Commercial/industriai
0Addition/al(er:rti'm/replosrmri,� OMulti-fanily J t4,nantirnJrovcnrrnt
❑Uther:
Job address: -----� --- _-- - .-
Bldg, 1 �J—� ) 11�lk�\a Ind cate equip,Hent quantities in boxes below. Indicate the duller
no. 15 tie no.:
I fax map/tax jaL/account_no- valla Oi all IACChanlCfl)materials,CgUipnle.nt, labor,IndiC overhead,
Lot: Block Profit. Value$
J $( Subdivision: 'Set checklist for important application inf'onnatioll and
I
Project nam';; -----__._._.._
City_ /county;�-ty. n - jurisdiction's fee sched c for residential prnnit fee,
Uescriptiun and►lfcZ011 f work 4n peen uses:'1_
Lsl.date or completion/inspection: 1- 13.0't-�~_`�'"
Tenant impr�nv�rnent or chai7g'e of'use: 1 Cee(ea.) Total
_ pescrlpt"on _____ Rel,oN Rea,ont
Is existing spacr heated or conditioned!U Yes O No Air handling unit
Is existing space fnsula!ed7 r _CFM
J YP� ❑ Nt, Air cun�iTtio`rin (sit`p plan rciT -- -
teral on ocx sting system
Business name: Bo lerI- mPr, orR
�1� State boiler,remit n4
C)t Tong 97'11/H
y' f {4 State: Trdsnxike dampers/—m--pe—t,1;1'—,rt Rnoke electors
TF
— ._�.�_� O!L Z1P: Qi-7 eat lm`
phone:a3y,�.�,y nx:9 —- P(s to p an r'equrrc `
_CCf sur,: 1 E-mail: nsta rrp ucr unlace urner
LDI^i(D Including ductwork/vent liner
City/tueu•o lie.no,: OF-yes U No
nsta r prucGrClPca1C rCaten—RU9pCnr r
Nalne(please grinM---- "`-- -- -- waft,of floor mounted
Vcnirctrttr-a`Flaanee ut cr r an fumace
e r Qernt on:
Name:_ Absorption units BTU/14 Chillers 9
_ � HP
B
Corn ressors _ _— HP
State: snv rarmenta ex t>tUSt rlh rent a on.,
21p; -
Phonr: Fax: Ap-L'fiance vent
&mail; --.
t? er ea horst
Hoods,Type U I fr-'1-eR.kitchen/haamni`—
(name: -6t,tk M i 1�1t� , „p p hcwd firr suppression system
—�� f� = Exhaust ''an with sin le duct(bath fens)
MailinJ;address: pa$Ya - ----
CII o�,��r�- 'Sim --°rj`�'A `� 4 1xtraaat dein a art rum heatinCity:(II Irate; Fuc -
I'hone: — --'— - OfZ Zll. 7 P P.;ng an frit nr
4 out els)
110118 lfikv- 13 '1•ax. E marl• fY .: __.�LPG NG
ue .-.-!Lear t a iuQJIona out ets
N_amc. roeess Ir P ng(schematic required)
---- Number ct outicls
Address: --- ----------- Z1 er the app ence or equ preen: `�
___
tate:ter- nsert tivc fire lace
Phone: �__-_- - -�--�-1-F: nsert-typpee
Fax: E-mail: o Itow:Tp'(j
Applicant's sijgnnture: a et smve
Date; I-I�.G3 other: ----.
Name( rrnr): t en
f.'m uU jurlullcunna ucrept ere cards.please cull JurlWlcdnn rex mere Inrnnrfntion. _—~—_`-
G1 Vlsd f:fasterCultl Notice: 'psispPe"Mit fee ................ $
lredit runt nurnber Cnrfil IN leauon Minimum fee................ $
lres if 8 Permit is Hct
expobtained
__`gym't`f`3ltal3er u�--n nn credit crrd rtl,rr§ within 180 days af}et it has b, flan review(at yh) $ _ -
Accepted as colrrplete State surcharge(8%)....
�'a ro aer eT'igaowre __ - S
AMnugt TOTAL........................ $
1411-Arit7(MNYCOMI