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\ CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENTSERVICES PERMIT#: ME^2001-00202
1,125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 06/0b/2001
PARCEL: 2S11(j.)D-10400
SITE ADDRESS: 10990 SW HIGHLAND DR
SUBDIVISION: SUMMERFIELD NO.6 ZONING: R-7
BLOCK: Lo1: 320 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN- EVAP CDOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS WIO APDL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INC!N:
GAS � 3 - 15 HFA: COMM[ . 1NCIN:
MAX .NPUT: 816 15 -30 HP: REPAIR UNITS:
FIRE DAMPERS?- 3U -50 HP:
S:
GAS PRESSURE: 50 + H11: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDL NG_ UNITS
FURN 7-100K BTU: <= 10000 cfrn T OTHER
DR ER UNITIT5:
10000 cfm: GAS OUTLETS:
Remarks: Replacement of gas furnace.
Owner: _ FEES --
CHESTER JOHNSON Type By Date `Amount Receipt
10990 SW HIGHLAND DR PRMT CTR 06/08/:0( $72 50 272001000C
TIGARD, OR 97224 5PC1 C1 R 06/08/20( $6.80 272001000C
Total $78.30
Prone: - —..---
Contractor:
GEORGE MORLAN PLUMBING
9806 SW TIGARD
TIGARD, OR 97223 REQUIRED INSPECTIONS
Mechanical Insp
Pho^i:503-624-6895 Heating Unt Insp
Reg #:LIC 2734 Final Inspection
PLM 26-60p
This perrit is issued subject to the reguletions 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
fog more than 1`'' days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You may obtain copies,,of thes"les or direct questions to OUNC by calling (503)246-9189.
Issue By: ' �J Permittee Signature: A
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
P.01
JUN-06-2001 12104 ��•
10/1:/200' 09.51 1•U 503684JLyl L1L3' Or 116Aru RECE1�►� >
.I p �UO
Mechanical Permit Application PermrtnD
ADatereceived,
�kk4k ProJeedoppl no �pircd,itc
City of Tigard
Address: 13125 SW Hall Blvd,Tigud,JR 9'/223 D,ue tszucl _ B Jtecupt no.
City uj}hard 639.4171 � �.._�..._
Phone: (503) �Dl� T5 Case rile no Payment type:
Fast: (503) 599.1960 U/p# I
AuilrJin�prt�ltno. u
Land use approval: —
ac 2 family dwcWng to accessory
J Corn mercWtuduSU111 O Mind-family O Tenant tmprovcmcnt
O Ocher
O New eon -action �Adr3aicr✓r',tcntion/replacemcnt
txi s
�^ c e Indicate eq.4pmcot quantities in boxes below. Indicate die doilu !
�Jobaddress: �.1�� -�f value of tdl mechanical materials,equip neat.labor. ovenc�yJ.
Bldp.no.: Sutte'co._______
pmnt.Valva 5 _
Tar:mapltat lot/account no.: v
SubJrviitoo: 'Sec ducUist fnImportant� portanl application inl'orination and
fiHlo�k:r: —� jurisdiction's fe s,:hedulc for rtsidcrluel pemtit fee.
Pvnjeet name:
Clry/county:T QD r!�_ �' ' 'r
r I t
Descnp and Ilion of Wolk or mines: - rcc(ce.) Total
r _ Dmcr,vtiou OTT. Rca.oily Res.MurI
U.date of completiorslitupect"' _ — AL: -- -
Tenant improvement or change of use: Air handGnt;unit
Is ex.lsti«r space heptad or eonditici L7 Yes v No Atrcoti tuontng(uta plan reGuated)
Is etisti(tg space iruulated?O Yes 0 No Ahcnuen o rstsung HvA ryrtcrn
Isotly/compressots
State boiler permit na.: I
I mess name: __ UP Tan.. BTUM
A. xst: _ Ftr�:mai cdeopuyductstaokedeteanrs
S et Hctt,+t trip(s,e pts.required)
City: 1mSt.1 --,7.. urns=rJDU tt t3TUiN
Pbonc: Fax: to E'm !. Ineludutgductworrlventbru�'4dYes ONO
CCE IMM.: 11IVreplac arc ocatebet=3-rusptroded.
I Cir,/metro lie no.: 1 Wtll,or floor mounted
Vert ora tante o a an urnaee
Name(please print): enIIaa
Absorption unit _ BTUJH
ChiUas HP
Name: Campressor~ -- HP
Address, -- vrrottmmcal t!raitasti sn4•adtuattan:
C ty Safina ZY r APDliancevrltt
Phone Fax: >rmeil: ryere nust
Hoods,Type U L11rc-s 1Lu heA/1h stat
in hood fire tuppre+-lion syr:cm
�� 6rhtutt fan with angle duct(Lith fsru)
Namc:
u ' Ibrnsust tyttua a art from cwrg or AL
f Iailw( address: / rr r r Fuel riprn`as aeon lap to 4 ouiJcts)
CYty: Sutle: ZIP type; LPG NC __ Oil
Phone: - Pv
F.-mail: Fuc r t ucu aoartwnAJ ova a Zu U-
Yroetsr ptp!at(talemuue tAuar
Number of cutlets
Name: -__-- JtLrx luted IP Itssce or egvtpment:
Address' _ flecorative."repute
Stare: 2Ip: Insert-type _
City: 'Won dstonsr(Icllc"ta�'^�
Phone F &mail: UrDrx:
Applicants signature: Vtna:
Name riva pp-•��� pp
irll ate/
_Y Prrnsic fee.....................$
fir.Mt pnldcriaaa ner�t a•tLr r ardt.ploK r-"rJUd;mua fair r ;rdrtneas Noticc:lois pe[7rsit tppl.ution Minimum fee................S
Clvua O MtsterCud 1• tu'pires if a permit it ant obtatI plan revipw(ar
rte,rid ow~., - - within 110 days alter it at een
�.o'`L- hbState surcharge
tt urr
accepted as compktc. 1,01AL .......»..............!
Mart+or earOaNtttr v rwr w cM
CwM11N�1ltarrR L�=1 uo 11 11
(�tIMYJW
TOTAL P-01
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPErTION DIVISION Business Line: (503)639-4171 L ST --- —�-
/7
c'..-6 Z i✓ U P
Feceived Date R uestcd__—______ AM -PM�� __ BUP
Location �� ��4 1rZ- Suite
Contact Persor
Ph(—) 7 -7 1 6 S� PLM
Contractor _, Ph(—) _____-__— SWR --
BUILDING Tenan ei� �� �' - 3��Z _ ELC
Footing
Foundation ELC
Ftg Drain Access. ELR
Slab Inspection Notes: / SIT _._.
Post&Beam C_e
--------------- — -
Shear Anchors -
Ext Sheath/Shear
Int Sheath/Shear
Framing -
Insulatioc.
Drywall Nailing ,
Flrewnll
Flra Sprinkler — --- — — — --
Fire Alarm
Susp'd Ceiling --- —
Roof
Other: _ �,�,�f/�_ c� - -
Final �L „��----sem i
PASS PART FAIL
PLUMBING
Post&Beam -�-
Under Slab
Rough-In
Water Service
Sanitary Sewer "
Hain Drains - G��� �. �&�,1�.
Catch Basin/Manhole �^ "
Storm Drain
Shower Pan
Other:
Final
Post 8 Beam
Rough-In ---
Ras Linn 1,)
Smoke(dampers _._--_--
Ina
qS -- - - - - --_— - -
CTRICAL
Service _ - -- - -- - - -- — - -- --- --
Rough-In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection tee of$_ _ required before next inspection Pa at Ci Hall, 13125 SW Hall Blvd.
PASS PART _ FAIL (� p� --- - 4 � P Y City
SITE -�_— Please call for reinspection RE:—_ _ Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date - - �. Iespeeor -r"'r' - --EJ't (---
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL