8440 SW LA MANCHA COURT-1 _ _c.,.._,. � .. ,. .. �a!�; �et:MifRni,�-'af�1w,��!';` lid._, •;,�� .�"tit�!%�.2,N 15;91% .: �a)1�,.,,',. v1,'
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841'J SW LA MANCHA
CITYOF TIGARD MECHANICAL PERMIT
DEVELCSPIN E'.NT SERVICES PERMIT#: MCC2.003-00311
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 6/10/03
PARCEL: 2S112BC-05900
SITE ADDRESS: 08440 SW LA MANCHA CT
SUBDIVISION: LA MANCHA ESTATES ZONING: R-4.5
BLOCK: LOT: 012 JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR r JRN EVAP COOLERS:
TYPE OF USE: SF JNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS _ HOODS.
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
FI_F 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU '05 - 30 HP:
FIRE DAMPERS r: 30 50 HP: GODSPAIR UNITS:
GAS PRESSURE: 50 #- HP: CLn DRYERS:
FURN < 100K BTU: _ AIR HA14DLING UNITS CLHI DRYERS:
FURN >=100K BTU: <= 10000 cfm: OTHER UNITS:
>
GAS OUTLETS:
10000 cfm:
Rama►ks: Install exterior AC unit. A( cannot hr I,larcll ni IIIc iryuirc(l set backs.
Owner: _ FEES
VICKI PIRKIPHER Description Date Amount
8440 SW LA MANCHA CT -- -- —`—
TIGARD. OR 97224 IMECH) l'ernut I cc 6/10/03 $72.50
TAX,8''40 5taic 1a\ 6/10103 $5.80
Phone: 503-598-0530 Y Total $78.30__4
Contractor:
SPECIALTY HEATING & COOLING
1601 SE RIVER RD
HILLSBORO, OR 97123 REQUIRED INSPECTIONS
Phone: 503-640-3607 Cooling Unt Insp
Final Inspection
Reg #: LIC 66578
This permit is issued subject to the regulations contained in the Tigard ,.iunicipal Code, State of Ore
Specialty Codes and all other applicabie laws All work will be done in accordance with approved
plans This permit will expire if work is not started within '102 days of issuance, or if work is suspended
for more than 180 drys ATTENTION Orng^n 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
952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling
(503)246-6699-
Issued By: <t f.�c7 ..(2_ �,'� ( � ' Pennittee Signature: _ L t
Call (503) 639-4175 by 7:00 P M. f(,-ir;peL,ions needed the next business day
Mechanical Permit Application
Datereccived: T'etmitno.:/i„ r
City of Tilgard Project/appl.no.: -- Futpire date: ,
City ojTtgad Addrew: 13125 SW Hall Blvd, Tigard,OR 97223 Date issued. - Hy:, Receiptno.:
Phone: (503) 639.4171 —- ---
Fax: (503)598-1960 Cure file no,_ __ Pnymenttyx
Land we approval: building permit no.- `
VII &.,(a nily dwelling or accessory CI CornmermaVindust" ❑Multi-family 0 Tenant improvement
tJ Ncw not sttuction D Addition/a rerarion/.rplataem;nt U Other:
t
Job address, L(� p S a c.t ��1C�r`'t- iii__„ Indicate equipment quantities in boxes below Indicate the dollar
Bld .no.: r Suite no.: -value of all mechanical materials,equipment,labor,ovediead,
Tax map/tai lot/account no.: profit.value a _
[.ot: Block: Subdivision: 'See checklist for important application information and
Project nam jurisdiction's fee schrdule for residential permit fee.
City/count Z1P.- 2 L� _
Descripdou and location of work on ptemism: _ t
killA
fil}te Fee(m)I TaW
Fist.date of:ompletioM�etiott: _ bescri tttion Res.only RCA.on
N A
Tenant imp iovement or change of use: Air handling unit CFM
is w istii.+space heated or conditioned?0 Yes O No Air t7,u coning(sire p nn required) A
Is er Isting space insulated?0 Yes GI No Aherat,on of existing AC system _
� oiloi com;�ressors
t, State boiler permit no.:
Business n:me:.SC ,IiL ,Q�rrj !� M_ G Hp Tons 6TU/H
Address: .�/ � RI f/E IR 4l�V E r/sttwice dampers/ ucr amo c Rectors
Cit : ;im) Stater ZIP: 9'7"_ eai pump s to p an requtrut)
Y new urnace urtrer_,_" 71171♦
I'hone: rax: [Amail Including ductwork/vcr.t liner ❑Yea D No
r
CCB no.. t gdp5?r� _ In-gWureplardre oc;to caters-guspen eel,
Ciry/metro IIc.no.. wall,or floor mounted
it.unc(p1Et se print): Otni7 � i-S ent or nppftancc o cr Ulan rtuna�o
Re oration:
emu Absorption units BTU/H
7. -
ry S/l�//y/Y� Crrt___ - ------ ApV 'rip��vG 1QKDsI� ov troemeatrt exlunat rind sent la. tintT State ZIp: Q'7/ Appliancevcntfa;;�o Fax:/'OV-07V o71'rmail: �ry�te— >.� _
acus,Typ��utes>vrTerirh�-mat
hood fire suppression system
Exhaust fan with single duct atA fans) _
lvlailing ad dross: _ FAC
uchaust systema art it v-heating or
State: ZCP: Uel p p�ttg a cit Autton up to 4 out els
City: -l�_ Type: IPG _- NO _^Oil
Phone: (o FaE: 1~-ertatlt Fu—cl� each a ditlonal over d nnt'ntc
['rocasplp eg(schematir.rrgwred) ___
Number of outlets
Nanrr _ ti tSTieirilsi tied ppi�inceort�etupmeet.
Address,. Decorative Fireplace "
state: ZIp: ngun-type
--- Woodstov pe erstovc _
Phone: i'1x. -mail: her' E( M)Al,plicant; signatureDac ( UtterName ((tn nt): et,e ail)atututun f«moil is mi at mi. Permit fee ee................SNot tdt)tatrdre oro�Pt�Nt.arde,M NoUee•"fhls mut a licati�n[�' pv Minimum fee.............0Visa C MutetCtvd ex res if a ethic is not obtained�h end Im ibar! _� tl p Plan tevirw(nt , %) S
/ wi"rc 180 days after it has beenSeim surcharge(8%).•..S
nn c -- :c�cpteu u.�complataiv.me�' d TOTAL .......................A°"'""` -
2 -d BiLD HsS E0s 9utleaH s•aTelwads ta00tan ED 01 uhr
SITE PLAN
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Specialty Heating & Cooling, Inc
9528 SW Tigard Street
Tigard, OR 97223
Phone 503.620.5643 Fax 503.598.0718
Hillsboro Fhotle 503.640.3607 Fax 503 .681 .079?
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