9095 SW HILL STREET s■r
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2
9095 SW Hill Street
CITYOF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2002 00582
'13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2
1
PARCEL: 2S 5102 102DB-06300
SITE ADDRESS: 09095 SW HILI_ ST
SUBDIVISION: CHELSEA HILL NO.2 ZONING: R-4.5
BLOCK: LOT: 040 JURISDICTION: TIG
CLASS OF WORK: Al_T FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS.
OCCUPANCY GRP: R3 VENTS W/O APDL: VENT SYSTEMS:
STORIES: _BOILERS/COMPRESSORS_ _ HOODS:
FUEL TYPES _ 0 - 3 HP: J DOMES. INCIN:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP. REPAIR UNITS:
FIRE DAMPERS?: 30 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: -LO DRYERS:
FURN < 100K BTU: 1 _ AIR HANDLING UNITS OTHER UNITS:
FURN >=100K BTU. <= 10000 cfm: GAS OUTLETS:
10000 cfm:
Remarks: Replace gas furnace.
Owner: — --- _ _ -FEES -
STEWART-SMITH, DAVID & CAROL Description nate Amount__
9095 SW HILL STREET �MI.(]II Permit Fee 12/17/02. 'W2.50
T IGARD, OR 97223 11 AXI 8%State'rax 12/17102 :h5 80
Total � $78.30
Phone: 503-639-2979 -- -�
Contractor:
SPECIALTY HEATING & COOLING
1601 SE RIVER RD
HILLSBORO, OR 97123 REQUIRED INSPECTIONS,
Mechanical Insp
Phone: 503-640-3607 Final Inspection
Reg #: LIC 66578
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for wore than 180 days ATTENTION Oregon law requires you to follow rules adopted in the Oregon
Uirhty Notification Center Those rules are set forth in OAR 952-001-0010 through OAR
0b2-001-0100 You niay obtain copies of these rule,., or direct questions to OUNC by calling
(503)246-6699
Issued By: _ Permittee Signature:
Call (503) 639.4175 by 7:00 P M. for inspections needed the next business day
DEC-13-2002 07:29A FROM:HILLSBORO OFFICE 503681079' TO:5035981960 P:2/2
Mcchanicai Permit Application
De,tercccivedPermitno.:f�E',�(Jp��j
City U Tiga l�',.C, Project/appl.no.: Expire date:
City oJTigard Address: 13125 SW t3alivd,Tigard,OR 97723 Date issued: By f N I Receipt no.:
Phone: (503) 631-4171 jQQ
Fax: (503) 598-1960 �I Case file no.: Payment type•'
l) N Hutlding permit no.:
Land use approval: � _ /�GG n��•L`i k�.� +
I &2 family dwelling or acc-ssory C]Cofnnlercial/industrial U Multi-family O Tcnani improvemenV,,vj
LJ New construction t Addition/altecrtion/replacement 0 ndtcr:
VALUATIONFF5�NVMUMCI 'All
Job nddtess: n // Indicate equipment quantifies in boxes below. Inuicate'the•doilen'I
value of all mechanical materials,equipment,labor,overhead;`
Bldg.no.: Suite no.:, ,
Tax map/tax lot/acrount no,: profit.Valuo$
Lot: �' Bloc�k:�,� Sulxlivision: "See checklist for unportant application infcmiation acrd ' ,L'-
Project nstnlc: SK�l1� � --- — jurisdiction's fee schedule for residential permitifee.c. .?.::..;,EI<,1r';;t;,i
City/county: 7-Icy" 71 P Q l y 1 3
Description and location of work on premises:
'_�"7�
Isl.tSatc o ompletiol spertion:_ �� J `y� l/racziptlon _ . Re+'04,ly Rea only
Tenant ipTdV t or change of use: I ``
m
' •- Au handlinJ;unit _ _CfIM
Is existing space heated or conditioncd'fib Yes U No Ir con tuamng(site p an re ulrc ) "
Is existing space insulalcd Yes U No A Icratton n c�lsling HVJCC system r
of cr cuurpressors
State boller Itennit no.:
Business name:_S)2W_4I t'-r)1 lig —Tons BTU/H
Address ` o f f/P.R O l7 it smo a ampers/duct sm c detectors i
City: %5,,. ----• - Slate: 711':y-�J/�3 '11 pump(aite plan require '�-- —
Phone. li0 Fax:(p�/ E-mail. nsla rep acejornaccJburnet HTU/
0 K'I- . -- Including ductworkNcnt liner Yes O No
CCB nn.: _
I S7� --_-�_-- —.__- TnsiaiDreT�ocatc t:atera-surpcnded— '.,
_City/metro lic.no.:/_�9� — _ _ wall,or floor mounted
Natne.(please print}; Ol`lj7 `y.4�1 LS Vcni for ami T ane-c ot�ff�}i ler —an fnmace r
i 'i' a petal nrl l: �4 ,
Absorption units__ —
Nante:l �+ �/tOP Ptl S //YI/�/ —.- -. Chillers—_.^_ _ HP
Address. / �'Rp/j Q — Com ressnrs�—_ HF' ;.
_ rnnrnent■ ex+aud and Ventilation:
Stale ZIP: �7/Z 3 Appliance vent
Phonc:'(,.�/0�3G0� Fax:(�g/-O`IQ3 E-mail: lir crex lust
o s, ypc T1I7res. uTc cr—n/hazmat
hood fire suppression system l'
J7 f'� � _- - Exhaust fan woo tingle duct(bath fans)
Mailing address Q ,/J / / iix oust a stem ariit.Twin heairn or A ' u
ue p p np,end dW ut on up to 4 oul ets
City: l State j'LIP: 7 �•3 TYpe: -----LVG _ NO Oil .'a
I'hunc: Ip - 7 Fax: E•mail: Fuc t In cac�t tuona"overout ets r t
rortsvp p ng-(schematicrequlr )
Number of outlels
Name: �._ __.-------- --- lheij[sleappliance or equipment:
Address. _ Dccnrtlive fireplace.
City: State: LII' insert pe __ ��_
Woodslov pclTctslove •.•-
I'twne: Fax: Ei•mafl
) ter.
Uate /�7 er 't
Applicant's signnturc: .� Elly
Name (print): Qp �i!//✓/yt/" __._.__ -----___ -- ----
----� Pemtit fee.....................$
Nnl rill Jurirdlcdonr ccep credit code,pkat call Jwirliction far mole Infurm.Mlwt. �.
D Vxs C]MluletCard Notice:This penntl application Minimum fee................$
expires if a permit is not obtained Plan rr.view(at !%) $ _
Credit cardnnmttu: _.. ..._-- —_._ —.�-..-. .q -
FJrpirrc within ISO days after it has been State surcharge 8%)....$ � • - '
Nxate of cu,lLntder town on credit cud s accepted:u complete. t
TOTAL .......................$ ,
CenlMtldu nputuo Amount N4�611(r 'Ql�q;
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST - --
INSPECTION DIVISION Btjsiness Line: (503) 639-4171 BUp
` BUp
Date Requested l - AM-- --PM --
Received -- _ - 60�5
� Suite - _-- MEC - "
Location _ - _
PLM
�
Contact Person
Contractor - -- - ----
_ Ph( ) —- -- SWR
BUILDING
Tenant/Owner _ ELC _----- -
Footing
-- ELC
Foundatiot Access: ELR -
Ftg Drain
Crawl Drain ___-_-__ SIT - -
Slab Inspection Notes:
Post&Beam -
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear -
Framing - -_
Insulation -- -- -
Drywall Nailing
Firewall -
Fire Sprinkler --'
Fire Alarm
Susp'd Ceiling —
Roof
Other:
Final __ -- -----PASS-PART FAIL
_PLUMBING --
Posta&Beam --
Under Slab — `- —
Rough-In
Water Service ------ -
Sanitary Sewer ---
Rain Drains - - —
Catch Basin/Manhole -
Storm Drain -- _
Shower Pan _-_ �____ -.-- - — --------—
Other:
Final _PASSPART FAIL
MECHANICAL _ - ------ - -- --- —
Post& Beam _— - -
Rough-In —
Gas Line _
Smoke Dampers -
P PART FAIL -"-
CTRI_CAL ---
Service
Rough-In - -- -(J(-'j/Slab
Low
-- - -
Low Voltage
Fire Alarm
Final Ll Reinspection fee of$_._-- required before ner:inspection. Pay at City Hall, 13125 SW Hail Blvd.
PASS PART FAIL_ Unable to inspect• no access
SITE_ - _ — _ ❑ please call for reinspection RE: -
Fire Supply Line ^► 7 �/� ut --"
ADA Late �_ Iaapector -
Approach/Sidewalk
Other: DO NOT REMOVE this Inspection record from the Job site-
Final
PASS PART FAIL _