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10925 SW Hignizind Drive
ITY OF TIGARD — _MECHANICAL PERMIT
(V` SERVICES
PERMIT#: MEC2002-00533
DEVELOPMENT S _RV DATE ISSUED: 11/26/02
13125 SW Haii Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S110DD-13200
SITE ADDRESS: 10125 SW HIGHLAND DR ZONING: R-7
SUBDIVISION: SUMMERFIELD NO.14 JURISDICTION: TIG
BLOCK: LOT: 7r12
FLOOR FURN: EVA
COOLERS:
CLASS OF WORK: ALT VENT FANS:
'TYPE OF USE: SF UNIT HEATERS:
VENTS WIO APPL: VENT SYSTEMS:
OCCUPANCY GRP: R3 :
STORIES: BOILERS/COMPRESSC^S— DOMES. IN HOODSDS:
FUEL TYPES _ 0 - 3 HP:
----- 3 - 1 i HP: COMMI_. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES:
I GAS PRT_SSIJRE: 50 + HP: CLO DRYERS:
FURN < 100K 3TU: 1 — AIR HANDLING UNITS ,ETHER UNITS:
FURN >=1001< BTU <= 1000 cfrn: ;,AS OUTLETS:
10000 cfm:
Remarks: lir.;tall furnace. ----_---------
'____--_-_ FEES
Owner: _— _ ---- __-
Description Date Amount —
BETSY C'HRISMAN
10925 SW HIGHLAND DR Permit Fee 11/26/02 $7?.50
TIGARD, OR 97224 [Ml ('111 Permit Fee 11/26/02 $( 00
L I x State'Tax 11/,16/02 $5.80
t ?612
Phone: $0.00
`f►?.(.ZI►-53"4 StatcTax .
Total $78.30
Cantractor: — ----
CLIMAT':CONTROL !NC
16500 FEW 72ND AVE REQUIRED INSPECTIONS
PORTLAND, OR 9722.4 �--------------
Heating Unt Insp
Phone: 453-4522 Final Inspection
Req#- ri.'196
This permit is issued subject to the r3c;ulations contained in the Tigard Municipal Code, State
of Ore. Specialty f Codes
and all other applicable laws. All worts.will be done in accordance with approved ds. ThP lIwork IS
ce, or if
rk
r more
0 days.
Oregon law
not ^,tattid within 180 days of issaninthe O�WoonlUtility Noafitlatfon Centera.nT hose rules are setfoOh•i in 952-00 1-00
requires you to follow rule;. adopted9
' Permittee Sign-,.tore:
Issued By: -
Call (50")) 639-4175 by 7.00 P.M. for inspections needed the next business day
Nov 22 02 04: 5-1p climate control 503 968 7224 p. 2
Mechanical Y ' _ ' ionBlom
�
Dule
City of Tigard ... �
Address: 13125 S.V Hall Blvd d 2)9 � 9 PrajecUappl. no.: Expire date:
Cin'of Tigard -
Phnne: (503) 639.4171 r t Date issued By: Receipt no.:
Pax: (503) 598-1960 CITY OF TIGARD Case file no.:
BUILDING DIVISION _ Payment type:
Land use approval:— Building permit no.
TYPE or mulw
1 &2 family dwehing or accessory U Commercial/industrial U Multi-family 0 Tenant improvement
J New construction u Addition/alteration/replaLonlent 13 001er: -
[.fob address• I rjLJ Z,; �yy wv,e,I (��. _ Indicate equipment ywtntmes in poxes below. Indlcal. ,he doll:lr
Bllgmno..t Suite nu.: Yalu..,of all mechanical materials,equipment,labor,overhead,
Tax ap/ax Iollarcount no.: profit.Value$
Lot: IBlock. Subdivision: *See checklist for important application inf•trmation and
Project name: Ch r i mcun80c1 '-c srbcdulr for re�Jdetitial t. unit rcc•
City/county:
Description,and roc on of work on premises: !AX. 11
Est.date of completion/inspection: Description Ren,onh l(es.tt
-.,a7sap improvement ur change of use:
Is existing space l'.eated or conditioned?I]Yes l`J Nu A,r handling unit. _ CFM
Au condltiuning(sift p—(nn required)
Is existing space.nsulnted7 D Yes ❑ Nater
atia ex at ng AT sya`lem —
MEIJI!RE 1111011011 Bollcr/c mipreasnra
Business mime_: State boil:r permit no.:
_ GliPyl �vt ��, HP Tons BTU/H
Address:�l 1n O ' l!��1 ►`u NVQ _ -- -
I ice—Tmukr e di ampers/ uct sino a detectors
City: j�-(c�4•r!L State:Q/� ZIP: �j`7 --Tfcat pump Fit fie-p ao require ) -
Phone: yr. Filr-7 8=j�� E-mail:
Inc�untnc'e t1t cr 71T1I7ffi
wJudin it ,twork/vent liner U Yes D No I I�°Cr
--- — _ _ nt:tn rep acdre ocate-heaters suspen e , "'
Cih/metro tic.a;,.: t ri iq
wall,or floor mounted _
Name(please print): �},,,, t;. �f' Vcnt For n7,lianre other thtir�umace
e r gerat nm
Absorption units BTLI/H
Name: Chiticra
__.. _ --- — IIP
Address: - `— Com iressors H1'
—_-- — - :nv ronmental a t►ust an we-fitilatiorn
CIC I• ! ZIP: Apph ince vent
— --
I'hune: Pax: I twill: Dryer e—xheusl - -
I ooda,Type V Il/res.kitrhen/hnzntal
hood the suppression system
Name. �Jr:_{'�t C�r(; yam Exhatet fan with sin le duct(bath fans)
Mailing address: 11j _(�, �� - �fiaust s yslcm aart rrnn Ii ea�in-or - --
3 y: , �,�� — SuFte:UR ZIP: 97 ? ue p p ug xntt distribution(up ut uullets)
Ty e: LPG NG Oil
Phone: -r'• E-mail ue .ipmg esr tea 3itinnTovcr�oullc►n
rocessp p ng(schematic required)
Name: Nurnber of outlets
__.�____.—. .�_.,_ ter fisted ap Inrtce or egnlpmeed
Address: Decorative fireplace
City: � Stale: 711' 7nscrt type-
7T.
c
--- _.
Phone: P'ax: — Email: —_ voT;lovcJp�Teistove
0V-r
Applicant's signature: �� Lae: -U; ter: -
Name(print)._•i m,,
Nnt ell Inritdkdov,Accept credit cads.pleuee tell Juriedlctlon for mite InG nnutlon Minimum fe :...Permit fee ......... $
.......$
a VisA C3 hlz"ft at�� ` Notice. This permit application
-- expires if a permit is not obuincd ...........
CteAU curd numtxc Plan review(at %)
Esptn, within 18U days after it has been
-- --- ' State snrrharge(11%).... $
R curdhotdet as nhuwn un ersdst Gerd accepted as complete. TOTAL .
ar r r pnnmrtt_ Amount 4411.4617(tvfXWOM)
hack. Loi w a WX,,,utJ 01co' a .
s.
r;ITY OF TIGARD 24-Hour
BUILDING Insnection Lim. (503)639-4175
MST -- --
INSPECTION DIVISION Busivess Line: 1503)639-4171
BLIP
Received ----Date'Iequested �A�M-_ PAS -_- BLIP
Location MEC "D
Contact Person _ Ph(—) Z� Z Z- PLM
Contractor Ph( —) SWR
BUILDING Tenant/ __.�o_ G _ _ _ _ ELC
Footing ELC
Foundation Access: - -- -
Ftg Drain ELR
Crawl Drain
Slab InGp&L ton Notes: SIT
Post&Beam -- ---
'bear Anchors
r ,t Sheath/Shear
it Sheath/Shear ,
Framing - _'-� 1.r,f A,_I)CIZ7 W --
Insulation
Drywall Nailing ---.-------__-____ .__-- ---_-.._.----__Firewall
FirnSprinNer
Fire Alarm
Susp d Ceiling - - -
Roof
Other:
Fin;.I ------ ---
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 -----_._
PASS PART FAIL --- - - -
MECHANICAL
Post&Beam ---- -—
Rough-In
Gas Line
Smoke Dampers _-..__.... _ _--- ------- -_----_-._- -_--
PART FAIL ---- --- ------- - - -
LECTRICAL
Service �...-
Rough-In - -- - - _
UG/Slab
Low Voltage
Fire Alarm
Final
SASS PART_ FAIL n Reinspection fee of$ _ —required before next sp-ction. Pay at City Hall, 13125 SW Hall Blvd.
$1 f E__ �+ Please coil for reinspection RE: Unable to inspect-no access
Fir.,Supply Line
A')A
ipproach/Sidewalk Do - `--U - Inspector_ -- Ext
Other:
Final DO NOT REMOVE this Inspection record from the Jot, site.
PASS PART FAIL