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Permit CITY TIGARD MECHANICAL PERMIT d I DEVELOPMENT SERVICES PERMIT #: MEC2003 -00329 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/18/03 PARCEL: 1 S136CA -00600 SITE ADDRESS: 11070 SW 78TH AVE SUBDIVISION: FAIRVALE ZONING: R -4.5 BLOCK: LOT: 006 JURISDICTION: TIG CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN: ELE 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Install exterior AC unit. Owner: FEES LARRY PRESTON Description Date Amount 11070 SW 78TH TIGARD, OR 97223 [MECH] Permit Fee 6/18/03 $72.50 [TAX] 8% StateTax 6/18/03 $5.80 • Phone: 503 670 - 8472 Total $78.30 Contractor: SPECIALTY HEATING & COOLING 1601 SE RIVER RD HILLSBORO, OR 97123 REQUIRED INSPECTIONS Phone: 503 Cooling Unt Insp 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 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 -0100 ou may obtain copies of these rules or direct questions to OUNC by calling (503)246 -669 r-- Issued By: � / / Permittee Signature: O Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day i lillt ---.N ' -": ..,-, _.... :. . . Mechanical Permit Application {; City of Tigard II E C E 1 V4' , Datc eived:� A Permit no. �J� ' j7 �, 3 �C9' Project/appl. no Expire date: C }ry ofTi; and Address: 13125 SW Hail Blvd, Tigard, OR y7223 Phone: (503) 639-4171 JUN 1 7 Dttteissa B y'� Reccipt 2003 Fax: (503) 598 -1960 Case file no.: CITY OF TIGAR Payment type: Land use approval: sac III Mt" ,,, Building permitno.: ••: r l d,�;vr 1 CV TYPE OF PERMIT & 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 Tenant improvement 0 Nev construction ❑ Additionlaltctation/replaccment 0 Other: IIIIII • JOB SITE INIORI 'IATION COMMEKLIAL VALUATION SCHEDULE. Job ad& ess: 11 () 4 C . L - - Indicate equipment quantities in boxes below. Indicate the dollar Bldg. tic .: 1 Suite Ito.: value of all mechanical materials, equipment, labor, overhead, Tax teal dtax lot/account no.: profit Value $ - Lot (Block: Subdivision: *Sze checklist for important application information and Project same: jurisdiction's fee schedule for residential permit fee. City/cot nty: - 61_ ZIP: '2 1 & 2 FAMILY DWELLING PERMIT FEE SCHEDULE Descripl ion and loc ion of work on premises: _ AND COMMERICAL/INDUSTRIAL Et71)IPMENTSCUEDUI.:. Fee(ag,) Total ' Est. date of completion/inspection: Description Qty. Res. only Res. only Tenant i nprovement or change of use: — L; ; existing space heated or conditioned? 0 Yes O No Air handling unit CFM I:. existing space insulated? 0 Yes 0 No ca tion o existing lsite plari require Alteration of existing HVAC system (MECHANICAL CO TRACTOR Boiler compressors Business name: -/41 410 e if c State boiler permit no.: Address: O/ r •RI t/� >Q i� m "``�, r HP Tons BTU/H ..rr D Fire/smo a dainpe - • uct smoke . etectors City : lWi State: ZIP: ci7/ L8 Heat pump (site plan required) Phone; .l?: 3 Fax: [�i�- e.1[E -mail: lnataliksplacefurnaccitturner 13TIHE CO3 no. 6 — Including ductwork/vent liner 0 Ycs 0 No ltnstall/replaceirelocat heaters suspended, City /met n lic. no.:/9"G• wall, or floor mounted Name (p. ease print): Of .97 A M,i1. -e,ts Vent far ranee otlte an furnace CONTACT PEI 'SON Refngeration: Absorption units_ BTU /H Name: , < ,per ,y ....TA-',w/y.-tle Chillers HP I ' Address: i t e>4 Rig ' RCP( -D Com ssors HP Environmental list and venttla on: City: 7/ '//5.eiptC. L State{W ZIP: 97/.2-3 Appliance vent Phone l�l .ice 3 ' Fax F / - 07/ E -mail: Dryer exhaust NM . _ OWNER Hoods, Type 1/ ll /res. Idtchen/hazmat hood fire suppression system Narne: 1 �, --,-- ,p v e �': t-A Exhaust fan with single duce Mailing G d ress: y 8 ( i o fns) exhaust s stem a . art froth hcatin or AC City: ate: e piping an. . - . h on up to 4 out ets Phone: is t Type LPG NO Oil L Fax: E -mail: Fuel pipinLeucl� ntklitioual over 4 outlets Process p iping (schematic required) Narn Name: Number of outlets eSS_ Ot er - . app :. ce or equipment Decorative fireplace City: State: 171P: insert- type Phone: F: : �1 E- m Woodstovejpelletstove Applicant's signnlure: j r be GTil Date: (d/ I �/ p; O tither. ther: Name (pr nt): , ,. /y e'l4 /NNQr r Nat all jurisdle b cc bons accept credit cards. please call Juisdicrine rM,,,oir inr ri,n.' Permit fee $ 0 Visa t :MasterCard Notice: This permit application Minimum fee $ a- - $b Credit card , n , .,bcr: / / expires if a permit is not obtained Plan review (at %) $ Expires within 180 days after it has been Name i9 cardholder as eho - State surcharge ' , S"U wn o„ credit caret accepted as complete- r$e (Rgb) .... $ - - $ TOTAL $ .1. A r i v Cardholder signature Amount J 4404611(6iUQ'COM) I' SILO 86S EOS ZuzzeaH 62,TetQadS eES:90 ED LT unr CITY OF TIGARD 24 -Hour -� BUILDING Inspection Line: (503) 639 -4175 . INSPECTION DIVISION Business Line: (503) 639 -4171 • MST BUP Received Date Requested — AM PM BUP Location _11.27' i L� r '�"'��� Suite. MEC. 3- ©o� Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner • ELC Footing ELC 'Foundation Ftg Drain Access: • ELR Crawl Drain Slab Inspection Notes: SIT 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 P ASS PART FAIL )4"--s PLUMBING Post & Beam Under Slab Rough -In v'' Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Apr Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Silo a Dampers dr *ASS PART FAIL • ELECTRICAL • Service Rough -In UG /Slab . Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: El Unable to inspect — no access Fire Supply Line ADA D 0 � Ins Inspect r � /l.� f� Ext Approach /Sidewalk 7 P Other: Final DO NOT REMOVE this inspection record fro the • • site. PASS PART FAIL 4__ P re SITE PLAN PL PL PL PL �1 010 s o 114042 STREET Specialty Heating & *Cooling, Inc • 9528 SW Tigard Street Tigard, OR 97223 Phone 503.620.5643 Fax 503.598.0718 Billsboro Phone 503.640.3607 Fax 503.681.0793 I'd BILO B6S 60S 2uzleaH RzieivadS eSZ :BO 60 LT unr