Permit ��`, CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2002 -00268
c- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/25/02
PARCEL: 1S136CA-02900
SITE ADDRESS: 11155 SW 79TH AVE
SUBDIVISION: FRIENDLY ACRES ZONING: R -4.5
BLOCK: LOT: 020 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:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Remarks: Install exterior NC unit. Cannot be placed within the required setbacks.
Owner: FEES
BICKLE, ROBERT JAMES SR Type By Date Amount Receipt
AND BETTE A PRMT CTR 6/25/02 $72.50 2720020000
11155 SW 79TH AVE 5PCT CTR 6/25/02 $5.80 2720020000
TIGARD, OR 97223
Total $78.30
Phone:
Contractor:
FIRST CALL HEATING & COOLING
1650 NE LOMBARD
PORTLAND, OR 97211 -4798 REQUIRED INSPECTIONS
Mechanical Insp
Phone: -3311 Cooling Unt Insp
Reg #: LIC 102030 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 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 obtai opies of these rules or direct questions to OUNC by calling (503)246 -9189.
Issue By: .j ��i ! - Permittee Signature: a /We :C { /MA,
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
r
le a
Mechanical permit Application
A •pr „. -,1 t , 1 9 1 , . D ate1CCghOd: �/ p j- T MIII A um- : �ge... 69). pa a r� ''�.� City of Alb"` I L�4 t i �� Projeot/appl.no.: date-
�, ard Address: 13125 SW Hall Blvd, Tigard, OR 97223; Phone: (303) 639 -417 1 �QO2 tno Fax: (503) 598 -1960 JUN 2 Cane file no.: nt type:
Land use approval: _ R 1 Y U gl I- ' „ ,. T Budding permit no -:
... s , rlaAin1 1I/i 3-is. •
TVPC OF PL Itn1I l
>4 & 2 family dwelling or accessory ❑ Commercial/industrial 0 Multi ❑ Tenant improvement
0 New construction ,T Addition/al . on/replacement ❑ Other -
JOB SIT L 1N1OI 1AT!ON ('O\Ik1EllCl. L VALUATION S('IILI)I;1.1:
.Job address: 55 5Le) 7 C & • / . Indicate equipment guandties in boxes below. Indicate the dollar
B . co.: Suite no.: -. -- i
value of all mechanical materials, equipment, labor, overhead,
Tax lot/acoouat no.: profit Value $ .
L Block Subdivision: *See checklist for important application information and
Pro . name: jurisdiction's fee schedule for residential • -, ...t fee.
a / . v r 1 ,,c; 21 A:\I I I.Y DWELLING PERMIT FEE SCI I1'ULI.0
D�pdon andl. +.onof work onpremises: w!//9 c% All) CO\ 1MERIC:', L/ INDL 'S1RI. AI.i: Q I - iIPM ENT SCI IMULE
Fee(,.) 'Fetal
Est. date ofcom.1 :... ■ . ..:. . - Description only
on Qty. Sec only .on
Tenant improvement or change of use Air .. • .1 .. unit • CFM • ■ • Is exlsdng space heated or conditioned? 0 Yes 0 No Airoo .t . en . , (site •laa =. aired) NM
Is exiting space insulated? 0 Yes 0 No R; irr ; s: t :tv -T Im
NII-CIl.NICAL ( :UNTR:1C :.1 " compressors
I
.
Business name: /r5 q 1/ �.'a27 n r r 11-f Statcboilerpetmiceto.:
HP Tons BTU/H
. Address: . • 6` L•
. • ,- t a-9-4A State: o� ZIP: q - 7 2-// Heat . 10 . (: to , an no m• i=
Phone:2 — ' — ( Fax: 6 .19 E InstalUreplace flan - '• tuner : 1 -' R
Including ductwork/vent Uner O Yee ❑ No
CCS no.: er d ■ ns - rrep : e ovate - suspended. ■ �-
City/metro llc- no.: ravg) wall, or floor mounted
A 6 :7 9& S Tent ••rah• tanceO er a :
Name (please L f V ne print): r�rt -rte .,
CONTACT PERSON At►sorptionvaits BTU/14
Name: Chillers HP — rte
„ „ ewes
HP
Address: State: �, �. -- t'rs
E-mail: ZIP:
, �. ' ` . �-
Phone Fax:
Type TS► .., at ■ _�
U \ \' 1 I Z h gtE suppression System •
Name- , J /c / Exhaust fan with ■ia: duct .athfans) II. — —_
Mailing address: / / 3T q v L P r p u t ■ ft ; i, cation yp to 4 out 111
Cii . T! _ d • -oL StateC7 4 SIP: 9 72 2 A . - LPG NG Oil
Phone: & mi l - auS Par E-mail : ■asr?or : . ..... • on over ou - ma
'\GTNEER regal' =�=
Number of outlets
Name: 1 _ ; rr7 up , ,. • or egmpmeptc III Address: Docorativefireplacc
City, , at- ���
F ax: State: E-mail: wy.7.; t j :1 u stove _ --
Phone: ..ec MIIMINI
A. • licanrs signature: „ 91,MII ''N . - - other; MN
Name . a): L/ 4) ■ A-Se S NM
Permit fee _ $ 1 •;.5 0
'Not all aan cm& pima nal s°ddicdou ke "": " idaffuliiim Notice: This permit applicetion Minimum fee S
O Vies l] MasterCard expires it'd permit is not obtained plan review (at , %) 5
Ct nod nnumb= / ---- + within 180 days after it hes been
accepted as complete. Stare surcharge. (896) .... $ c. 8'0 NMO of e.deomer es r6o,rn oa eta: Card s TOTAL $ L • 3 ()
cardholder 1tV+310f11 tinamt 4401617 (6000/COM)
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CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
,A'' / BUP
Received Date Requested 7/ Z AM PM BUP
Location /1/ SS 7q ` - Suite MEC ?' 0 8
Contact Person Ph ( ) 02 ' aZ o 6 y PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner // ELC
Footing (03 4 7- f O `/C ELC °• —60 300
Foundation ACCe o � r(6 ELR
Ft Drain /`�
Crawl Drain
Slab . Inspection Notes: SIT
Post & Beam '
Shear Anchors -
Ext Sheath/Shear r. " / I: -'''° --
Int Sheath/Shear
Framing
Insulation
Drywall Nailing �--
Firewall
Fire Sprinkler (
Fire Alarm
Susp'd Ceiling
Roof
Other:
C
Final
_ PASS PART FAIL
PLUMBING
Post & Beam _
Under Slab_
• Rough -In
_
_ ' ,L
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PAS FAIL
CHANICAL
Post& Beam
Rough -In
Gas Line
Sm. e Dampers
b. ART FAIL
, = R g..
31ermse._
Rough -In
UG /Slab
. Low Voltage
Fire : - rm
1 -_ 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
c - PART FAIL
S 0 Please call for reinspection RE: El Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk Date ! 2 ' - -- Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
Zallilid