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9685 SW Serena Way
CITY OF TIGARD BUILDING INSPECTION DIVISION Msr
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BIP
Date Requested. AM I'M
-- BI-D,
Location 10— Suite MEC
Contact Person Ph G 1 < ( 'I- PLM
Contractor Ph SWR
BUILDING 'Tenant/Owner J-'-LA-4, e,, w1c,2- f4) ELC
Retaining Wall /-), -"(W 7 ELR
Footing Acce
Foundation FPS
Fig Drain
Crawl Drain Insp ;tion Notes'. SGN
Slab
Post& Beam SIT
Ext Shcath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post& b,-,am
Under Sleo
Top Our
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
I, t & Beam
Roi,gh In
tmoke Dampers
-
PAS
�CFART FAIL
ELE 'TRICAL
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL.
SITE
Backfill/Grading
Sanitary Sewer
Storm Drain Neinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin Please call for reinspection RE P/i
Fire Supply Line Unable to inspect-no access
ADA
Approach/Sidewalk Date
Other Inspector Ext
Final
LPASS PART FAIL DO NOT REMOVE this Inspection i ecord f rr rn the job site.
MECHANICAL PERMIT
CITY OF TIGARD
IT#: MEC2001-00353
DEVELOPMENT SERVICES DATEISSUED: 10/10/01
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S 114BA-03500
SITE ADDRESS: 09685 SW SERENA WAY
SUBDIVISION: PICKS LANDING NO.2 ZONING: R-4.5
BLOCK: LOT: 105 JURIS,)ICTION: TIG
CLASS OF WORK: ALT FLOOR FURN EVAP COOLERS:
TYPE. OF USE: SF UNIT HE=ATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEi^S:
STORIES. BOILERS/COMPRESSORS HOODS:
FUEL TYPES � 0 3 HP v` DOMES. INCIN:
LPG 3 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 31.) HP: REPAIR UNITS:
FIRE DAN 'ERS e: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR_HANDLING UNITS OTHER UNITS: 1
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Remarks: Installation of gas insert and (1)outlet.
Owner: --_—__ — � FEES
JERRY GRACE Type By Date _ Amount Receipt_
9(385 SW SERENA PRMT CTR 10/10/01 $72.50 2720010000
TIGARD, OR 97223 5PCT CTR 10/10/01 $5.80 2720010000
Total $78.30
Phone:503-684-8102 �—
Contractor:
SPECIALTY HEATING R (7001 ING
9528 SW TIGARD ST
TIGARD, OR 97223 REQUIRED INSPECTIONS
Mechanical Insp
Phone:620-5643 Final Inspection
Reg#:LIC 66578
This permit is issued subject to the regulations contained in th,,, Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR
952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling \
Issue By .��. ��� ,� c_- _I �- LJ Permittee Signature: _ c - - �� 4i�,�' L,�_[. .��
Call (503) 639-4175 by 7:00 P.M. for inshcci',uns needed the next business day
1
Oct 08 01 09: 18a Specialtj Heating 503 598 071-8 p. 1
Mechanical Permit Application
( / Datereceived: _ permitno.Af ) .&V353
" City 6f Tigard
i it t '✓ �r� ProjecVappl.no.: Expiredatc:
ress:Add13125 SW Hall Blvd,Ti ---
fTi'yand Date issued Phone: (503) 639.4171 `- By Receipt n:.:
Fax: (503) 598-1960 OCT Casa file no.: Payment type•
Land use approval' Building peruut no..
1
Cl 1 &2 family dwelling or accessory u Commercial/industrial 0 Multi-family Ql3enant improvt inenl
C1 New construction ❑Addition/alteradoiVreplacement Other: -Z21— ` 5� 9;1117 ;'.
I SUE INFORNKFION CONINIERCIAL VALUA ON t ,
Job address: 4 ryA t/`'. - Indicate equipment quanutics in boxes belux. Indical:the dollar
Bldg.no.: _ _ Suite I. _ value of all mechanical materials,equipment.labor,c verhead.
Tax map/trot lot/account no.: profit.Value$
Lot; Block: 5ubdivisiutt. 'Scc checklist for important application information lnd
Project name: jurisdiction's fee schedule for residential permit fee.
City/county: 7_IP 7 Z'L q- t
Description and location of work on premises: 'IF KI a '11 6111 W ' I I.Jo Ix j
_
Il.l'a.) Total
Last.date of completion/inspection: DmAption Qty. Res. ndy Res.onl)
Tenant improvement or change of use:
Is existing space heated at-conditioned'?r]Yes •7 Nu Air handling unit u
Aconditioning(s to plan rc u red)red)
Is existing spt►cc insulated 1 O Yes ❑No I
I Alteration of existing HVAC.qvstem
(loiter/compressors -
$usiness nam 4 L v4 n State boiler permit no
_ HP Tuns BTU
M
Address: 6U / t a,1 I/ S/ re smo er amperVductsmo a etectors
city�ial :eState-0 ZIP: 7,'of 3 -Test pupunt (site plan ",TdT!—
Phone
I-,-mail! Instal repaceturnac urncr_._
CCLi n ? Including ductwork/vent liner L]Yes Ll No
a.;
_ nstal Urep lacelrelocate heaters-suspended,
City/metru lic.no.: / _- wall,or floor mounted
Name( lease tint): 4 nrw4 p ea lialici DitchtFanfurnace
s cfrige serer oo:
Absorption units BTU/H
Name: TjJ 4Ze /y Y '14? Chillers _ -- HI'
Address: 53 $' S(.c / �� s � Com ressors HP
'rn romnenla exhatat and ventilation:
City: -n-rale-1� �Sta e:G A pliancevent _
Phone. 4 G.�O- hax:599'10rJ1E-mail: I Uryerexhaust
0o s, ype 11 Wrea. kite en/ that
hood fire suppression system
Name- J2,eY�-�����-_ Exhaust fan with
single duct(bath fans)
City: State: ZIP: IZZy tier piping an on(up to outlets)
t_ xhautsstem aartmeanrC
Mailing address: = eT : LPC ' NG Oil
Phone: Fax F •ue pi ingeachaddruon over out s
_
rocesspiping(ichernatic required)
_
Number of outlets
IName: t ec outlets lance or equ pmene
Address: _ Decorauve firee lace
City: J State: ZIP: - nsert-t pe
Phone: ax: E-mall: oo tovdpe et stove -
er:
Applicmht's sign ure: I7att_: en
Nante
Permit
;r
I iudracuum carp credit veal.,pleme All lwrWnuno to mwn mromuum Minim m
vc,a ']Mastercard, Notice:�Ihis permit application Minimum fee........ . 5
fit' expires if a permit is not obtained Pian review(at
Cmdki cont number 1 ��•11 0_05 -O ExtL.—La within 180 days after it has been
oVis:) 5
State surcharge(11%) ....S
o n t: reo non ae I caro s accepted as complete. TOTAI. .......................$
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