10695 SW HIGHLAND DRIVE 6
C
10F 5 SW Highland OINIP
CITY OF TIGARD - ---
MEC:IANICAL PE^MIT
DEVELOPMENT SERVICES PERMIT#: MEC2002 00434
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/4/02
PARCEL: 2S 110DD-12100
SITE ADDREaS: 10695 SW HIGHLAND DR
SUBDIVISION: SUMMERFI[LD N0.13 ZONING: R-7
BLOCK: LOT 691 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COQ. ERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GPP• R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: _BOILERS/COMFRESSORS HOODS:
FUEL.TYPES 0 3 HP: DOMES. INCIN:
LPG � 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAiik UNITS:
FIRE DAMPER'-?. 30 -50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN >=100K BTU: Z 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Rini–sarks: Installation of gas furnace and gas piping
Owner: — _ _ —_-_� --- FEES _
MARGARET ERWIN Description Date Amount
10695 SW HIGHLAND DR -- -
TIGARD, OR 97224 1MECH] Permit Fee 10/4/02 $72.50
MECII] Permit Fee 10/4/02 $0.00
[*TAX]8%.State'rax 10/4/02 $5.80
Phe,.e: 503-620-4576 [TAX]8%)StateTax 10/4/02 $0.00
Co,itractur: Total $78.30
GAPOKEN ENERGY COMPP,NY
3505 SW 182N:-) AVE
BEAVERTON, OR 97006 REQUIRED INSPECTIONS
Phone: 848-3838 Gas Line InspMechanical Insp
Reg #: 43124 Final Inspection
This permit is issued s:tbject to the regulations contained in the Tigard Municit al Code, State of Ore.
Specialty Codes and al! other applicable laws All work will be done in accordance with approved
plans This permit will exp!re if work is not started within 180 days of issuance, or if work is suspended
for r-.torc than 180 days. ATTENPI-W Oregon law requires you to follow rules adopied in the Oregon
Utility Notification ,enter Those i ules are set forth in OAR 952-001-0010 through OAR
952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling
(503)246 6698: } -
Issued By: Z F� Permittee Signature: ��,' yzj°��-/�� 7jp-7V�
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
10,101/2602 16:06 5033569002 GAROKEN PAGE 01
03/21 ,01 Y - 12. bt9 FAX '09 5118 1880 CITY OF TIGARD Z004
l"echanical Permit.A,pplication
--' . DaterccelveA; 1'eamltno.'
City of ilgard � +�� J�� V C,., ProjecUappl.no Expire date.
Address: 13125 SW Hsll Blvd,Tigan 1,OR 97223 — —
Cir,ojTiAar�t � Dbte►u4.
udy: Ruelpino
F hone: (503) 639-4171 �.�_- --- - — — —._.-
Fax: (503) 59ft-1960 -1( case file no Z., �- -_ PYyment type
Land use approval: . _
Bulldina uerrnit no.:
7a6drrss.
y dwelling ct ut.e�+ory ❑ omwrciaUlndusb1n1 0 Muld•family O'renant improvement
ucti^n dditit n/alterstiorVmplaceMent C]Other:
D his _ Indicate equipment quanihies in boxes below. In Jicatc the dollar i
Bldg. no: . uile nu.: value of all mecliaruc d materials,equiprneot,lat:or,overhead,
Tax m
TanPitax lot/Recount no.:
profit. Value$
Lot; �Blork ,Son. - -- +Sec clivkl st for impotiant applicati' . .nformailon and
Pro eet name: M ¢ jurisdiction's fee schedule for resident/a: permit fee
CuyJcounty J"� � ZIP: ..._.
Descnpuon end h K:allun u(work on prrtnlses: _
C 4- l.�It._. _ SHEEP pr. Toil
--- * -- "------ i Uesctl oa Y Ited only Rri.odv
Cst nate of ,.,,,euoNinaprcti�ur - .l.�w�� pd -.....-_
Tenant irnl l. .Mi ent or change of use: ��-
I existing space heated or cortditioned7 Ye l 0 N► Air land
unci _CFM
r co ton ng(s tc an—required'
_
;.c nxisting space insulated? ee U No • teraicon ri exist ng _ 9y9iem
0 U'COmple99olf - –
Slate boiler permit no..
Itusiness nrme;_(J(LrQ� _ - - HP Tons_— DW/H
Address. a tc smo a unptr uctirno a etoctota -
_City. �)p �A State: i IF: 0 r) -� cat um s torenrre
'` ;j --�� ,— nch rep acs im�ic�bumer.
I Phnu fax: c" G-trail: Inr.luding duclwotrJvent liner O Yee o _
' CCD_no,: L� � t� _ - nsta Urep ac re ocste eaten-9u9pen e ,
City/nicttohe. no.' ��r�, 4i_ wall,crfloor mounted
r— —` r. ant ore ante of en urnace.
Na is(please nnt): o
* rTgera to rc
Abwrption uniu_ _. BTUM
, ri� Chillers, lip
Name: _ ��f] y�v\ vL rcasnn� - Hp —
Address. nr ronmenu a auM a-nTreot •t un:
SIYte._ T,JP: -� Alr llianct vent --- _�
Phone. Fax: H-Mau: _ bryer exhaiiti
Tiuoci,TytxMures. tc en ►a:rriat
hw fere suppression system __..._
Name: M, � � r'.xhaust fan with sin le duct(bath fens)
_ xheating
- _
Mailing address 1 busts stem a set /vin h nor
____ see pep ng and r wt 9a up to 4 outlets)
City: ` Situ . ��:IP: c j] #c _ T _ IPU NG Oil
Phone' r C' rax -1 E mail: see�,hl
it loons uvet
Nu _ —
Nflme. -- •--- ---- tet ft ■pp cc or iqu pment:
Addre Uecoorstivenrcplaca
City: - _ State: ::1P nstri-type
Phones: �.�,���, ax P_.mail
Applicant's signs Date: �Q re; -
Name (print); -
-. - -- Pcrnlit fee,..... ....$ .
n' i IudIA coarse Kars nese//cei4'•vi.ue rdl iurldietlon nor mon bd;;Zc;' Notice: Thl9 permit appl icallon
t.'ard a4 1(J hllnlr..um fee................S
gMastar
� ,'12moi ( o p caplrcs it a permit h not obtained plLn,.view(at -._- %) $ .
Crttl!i ccd non's 1� fir- within 1 so days after it he+been
State surt•hatgt (896) ,.
2k1 A
..S
aces ted as complete TOTAL ..
....................S
r r env» –' Amu�+ eW�eit ie+llQtn�t
r
CITY OF TIC ARD 24-Hour
BUILDING Ir;specti,m Line: (503)639-4175 MST _ — ---- --INSPECTION D5VISION Business Line: (503) 1 BUP
An
Date Requested >> _ A --- — PPS - - BLIP
-
Recaived — q
Location — _
ill d l Qom' __ Suite _ - - - - MEC
Contact Person _ Ph( ) -- SW —_
R
Contractor _ y Ph( )
Tenant/Owner. _ - ELC. _
BUILDING _ �--
Footing ELC
Foundation ACCESS: -- ELR _-- —
Fig Grain �—
Crawl Drain --- �- - SIT
Slab Inspection Notes:
Post&Beam
- - -
i
Shear Anchors
Ext Sheath/Shear 1 ►I — —
Int:heath/Shear
Framing
Insulation - --
Drywall Nailing ---
Firewall
Fire Sprinkler
Fire Alar
Susp'd Ceiling ------_- --- -
Other: ---- --- --
Final _ —
PASS_PART FAIL
PLUMBING — {
Post&Beam —
Under Slab
Rough-In �.
Water Service _------
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain
Shcwer Pan --
Other:
Final
PA a--•Q/ ELL FAIL —
ECHA - _--
Post&Beam _--• —
Gas Line --
S Dampers --— — — -- -.--
rcTf
PART FAILRICAL --- .— --- __--_— - --- -------
Service
Rough-in —-- — --- --
UG/Slab —
Low Voltage --
Fire Alarm
Final ❑ Reinspection fee of$— required befo-e next Inspeatlon, Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAILUnable to inspect-no accoss
SITE -- Please call for reinspection RE: ❑
Fire Supply Line
ADA Date
0 )_
_ 'Inspector 11<ltt
Approach/Sidewalk
Other: --_ --- 0 N T REMOVE this Inspection record from the Job sitz.
Final
PASS PART FAIL