13430 SW HILLSHIRE DRIVE r
r
Z
`n.
�+7
v
a
i
11430 SV$ E11LI.SEIIRE DR
e
1;
i
rr
r-
r
S
v
r�
13430 SR' HILLSHIRE DR
CITYO F T I G A R D _ MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2004-00044
15125 SW Hall Blvd., Tig.i•1, OR 972DATE ISSUED: 214/043 (503) 639 4171 PARCEL: 2S104CA-06900
SITE ADDRESS: 13430 SW HILLSHIRE DR
SUBDIVISION: HILLSHIRE ZONING: R-7
BLOCK: LOT: 069 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS: 1
OCCUPANCY GRP: R3 VENTS W/O ADPL: VENT SYSTEMS:
STORIES: _ BIILERSICOMPRESSOR_S_ HOODS:
FI1EL TYPES 0 3 HP: DOMES. INCIN:
I.FG 3 15 HP: COMMI_. iNCIN:
MAX 'INPUT: BTU 15 X HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 5U HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING_ UNI1 S OTHER UNITS:
FURN >=100K BTU: — 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Itr�..ir (trnr.i r ,nnl in i, 11 atu Ian
Owner_ _ _ _ FEES _
Dea�ri tion Date � Amount
WOODEN, BRAD P
130" SW HILLSHIRE DRIVE_
1IGAi'D, OR 97223 �\Il (')!I Perm2it Prr 4/04 $72 50
�
IA\I 'i'iSo 5tatr 214/04 $5.80
I � �
Phone: 503-325 Total $78.30 6432 -
Contractor:
SKY HEATING * AIR CONDITIONING
1637 SE NEHALEM
PORTLAND, OR 97202 REGUIk.t6 !NSP17CTIONS —
Mechanical Insp
Phone: _'
Heating Unt Insp
Reg #: I_IC 50244 Final Inspection
This permit IS issued subject to the regulations 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
for more than 180 days. ATTENTION: Oregon law requires you to fol;ow rules adopted in the Oregon
Utilitv Plotification Center Those rules 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)246-6699.
Issued By: _ Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business aay
04 10: 338
p.
RECEIVED
FCB u 2 1004
Mechanical Peridit tttwtion I RecelVeld Mxtan,ra[
- !C. c.)IVISI(1hl UaWBy:'' y by l PermitNo+.11t: LUIX
City of Tigard i Planotinglemy.Approval --- Pl aortia _ ---- —
UatdBv. Pttmn No
13125 SW Hell Blvd Plan Rewew Ctthu
flgard,Oregon 97223 Chilli Pcrrmc No
Phone. 503-639-4171 Fax: 501-599-1960 Pon-Review Land Use
Dem/8 _ Cle No.. _
toteruct: www.ci.tl dor.us �— "—
,� Contet Jutit Ser Pelle 2 far
74•hotu inspection Request: 503-639-417 s I Nanrwrthod- ,— �Su nnrntd Inrormatlsn.
-—
WORK 1i>QiWJ PE>c•l5�> 1D15� IC �1
New coni uctton LUDejiolitian Mer_hantcal perrmt fees'arc ba_vci m die iota[value of the wcxk
Additiodaltaationhe laccment I LJ t?therV
performed fnd[colr ttic value(rounded to the nee rvA doUar)of�I
CA mechantcal matcnah,equipment.I+tor,cvetbead aril profit
2-Fa�dwellin� CommereiaMdusirial va►ue: s_ see t'■te 2 rot fee scheaule
-----
- ---- - -- -t, - ,vr�s ; �fi!---ul
I
�,A=850ry Building L Multi-Fattvl - =-
- - - -- ------Y I?p r1 [toil Qc,1 F!l/.ea•) Tutrl
ntnster Builder Q Other: _ ., ,. ssretin won _
TS p& ruf� [ON Furnace-add-on vir candinoni�'_ 14.00
lob site address: r'�V �1��[ tOu heel um _ 1400 ---
suite 0. -- Bldg/Apt.tfDuce work - - 14.00 - -
Pro ect Warneran,e hot wilt(erticut 14.00 _--
�. Residential bollev -
I Cross suut/Directions to job site. for radiator orb dromc-a m) 14.00
Unit heanas(fuel,not elec•rie)
in wall,induct,suspended,etc.) 14.00
—00
Flue/yearfor my of above-_ 1
Subdlvls►on- _ _--- 1 LOt Repau unto 122 15
1 S
Fad A eeea _
Tax ma / azcel#:- �Wata hicatn -TO-06-
at
000'
atm_-_ m,a Vr 1� Cas GI rc lett — to 00 ----
L l(lf i I aI T&C �U I t I �L�(l l ti 1 ._ 1 Flue vent v!stu Ircaer/Ras f1mylace) _ 1006
I
Log lighter(gas) 10 DO
-- ----- - - - -
- -- - - Wood/Pellet stove - 10.00
Wood fiT Uce/irisen 100-
crttr,:►eynrntrron�veric _ 10.00
aero tl'lr�,t 011it,- _—_ 1000
Vvl'-
r, _ �t t1V1r.8mental CrNudt a-V Tiion
Name: 1; r ,1 e -•� Range hoodJodecr kitchen dquipment 1 10.00
Address: Iti _���:�: �J. Ii1 t' IlL'�, - - -
,. clothes Wryer caliatut
single duct cxtiaust
Phone )��j•yL (� G Eex: (bathrooms,toilet come
mpartnts,
• _ qN ,� utility roorns 6.90 -
1v
— �
_ 10.00
oer 5.�Anickfawl pace fans
Address:
frid Pivot _
Clf /State!Zip ___ ASSN for Hr.t s,SLAG seek edtli4 eel
Ph
r- ----- ----- Fwaac! etc - T
Phone: Fax: - ..
-- -- - Gesheel PuEe
F mail)-_ WalVsuc rided/unithater
Water heater
i - "-
Business Name. �J - - I Fire lace ---
Addrem tBBQ
Cu /y Statc•/Zt� JC _f �- - cloches r leap) •• --
Aone L CX
CCB 1-1c a �.(------ - -- -- - -� -r -
-Authorized •. � - _-_-- Medtieinl P.errnir
F -
Si6rtsture _ Dim -IMof Subtotal: i
Minimum Permit Fee 572.50 S
� .
Plan Review Fee(2556 of Vetnit Fee) f
(please pent narrpr) Sate Surcharge l%orPcmtitF-1 S
_ TOTAL PERMIT FFEL S OL -J
Nemec. This yet tint appliuueo eeptres if u pry mit„not obtateed Mtblr • K ntetludoloop mot by TO-Cousy OoUdiak Industry service and
IN esys after U kat been screpted as complete. ••Sia plan required rw est.rror AJC aniti
t\[7rtfV'crl»ttorri, JNrrPr7m[+ppCc.- ' I .
CITY 4F TIGARU 24-Hour
BUILDING Inspection Line- (503) 639-4175
MST
114SPECTION DIVISION Business Line: (503) 639-41171 BUP
`
Received Date Reques:teq r_/� 0 q_4m . _ PM ___ BLIP _71Location __1 i�Suite—
Contact Per:on �lti ����1 Phr)�3 ) 2- 3 2–9,12 P3 PLM
Contactor_ _ _ Ph ( ) . SWR
BUILDING TenantJJwner _-__—_-.- _ ELC
Footing --- ELC
Foundation Access:
Fig Drain ELR
Crawl Drain — -
Slab Inspection Notes: SIT
Post&Beam -- -- - ------ - - - ------
Shear Anchors
Ext Sheath/Shear - - ---
Int Sheath/Shear
Framing i� r,�crfL+!'.4� I,r. v_ L A!t a --
Insulation
Drywall hailing L--.ta"scL/ -----
Firewall
Fire Sprinkler --
Fire Alarm
Susp'd Ceiling --- - -
Roof -_
Other: _ ----
Final _
PASS PART FAIL - -
PLU_M_81NG - -- ._ � ---- - -
Post i3,
Under
--
Under Slab --- -
Rough-In
Water�Iervico --- - -- - - -.. ------
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 - --- -- ---
Final
PASS PART FAIL - -- -IMtCTRIC.AL
Service
Roush-In
UG/Slab
Low Voltage - - -- -- -
Fire Alarm
Final LJ Reinspection fee of$ - required be'ore ne d inspe Aion. Pay at Clty Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE -- �� Please call for reinspection RE:_ - _--- - _--� Cj Unable to fns Ped-
no access
Fire
ADA
" r¢
Approach'Sidewalk Data S ---- --`� _- Inspector _ _�- -- --- -.__-- --_.. Ext _--__ --
Other
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL