Permit ., 1 _
.. CITY OF TI GARD MECHANICAL PERMIT
r DEVELOPMENT SERVICES PERMIT #: MEC2004 -00266
,. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/11/2004
PARCEL: 2S112CB -17500
SITE ADDRESS: 15180 SW 84TH AVE
SUBDIVISION: HAMPTON COURT ZONING: R -7
BLOCK: LOT: 024 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: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: AC install.
Owner: FEES
FERGUSON, KEITH Description Date Amount
15180 SW 84TH AVE. [MECH] Permit Fee 5/11/200 $72.50
TIGARD, OR 97224 [TAX] 8% State Surcharl 5/11/2001 $5.80
Phone: 503 750 - 7434 Total $78.30
Contractor:
AIR PRIDE, INC.
6120 BARCLAY ST.
WEST LINN, OR 97068 REQUIRED INSPECTIONS
Phone: 503 - 655 - 0556 Cooling Unt Insp
Final Inspection
Reg #: LIC 154359
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. You may obtain copies of these rules or direct questions to OUNC by calling
(503)246 -6699.
Issued By: siTEZZZ.,
41-1A.,(4...c,
Permittee Signature: T ...der,
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
5/1 1 /2004 08:41
5036550534
AIR PRIDE PAGE 02
Mechanical Permit Application
,
V eit '
R o7tL i B v 7 1 : / '/v eib Pe N° 1/76C-c2400 3 ' 00
1312%SW Hall Blvd., TiLairdif& ; - 1 -, I I / M n -
Plan Review
Phone: 503.639.4171 FarISPE"' : 1;140 I V C. Li ,A
04saft-,511i Da Other Permit:
te/By:
- .
Inspection Line: 503.639.4175
clia Datc Rcady/By: JUr161 El See PlIgC 2 for .
Internet: www,ci,tigarti.orus
Notified/Method: 7A Supplemea tat nem
1 I 1 200 Inform 4
f. :[ ,;:::•'.' 4:4: io . TO0**K04, RECOO6MCG,V#
0 New construction Bulmedmatelebbn/replacement Mechanical permit fees* arc based on thc value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other:
mechanical materials, equipment, labor, overhead, and profit.
Lli ''‘i.l'i'7'1;4•:'...Ci''•!:'s,l'o;'';:i''ifi':!!'!'!:VeRopitt::&S,Iiiiktii•jziN:1;i•-::,;1:;.;:8 •;:::::.io•iiiiiiii;iiiii;:v:!:::1::i: Value: $
,.i,,,, .,•,• '•:, .. ,„,,... • • '..(,!. •. • i.;• • ..;• .: . • - • '' ' ,; ;' '"""''''''':' ' ..; (44„,,ur.. ... , .....;=„4„,,i4;•, '..,Z6.41';..4k,06.;!'"G'24;a6,Virt6.4
;
(10 1- and 2-family dwellinct 0 Commercial/induStrial 0 Accessory building
For special information We checklist.
0 Multi-family 0 Master builder I=1 Other:
Description ( Qty. I E. 1 Total
::.:1;;;.:.'..' :.'4:: '..'): il catinWedoling
Air conditioning or heat pump
Job site address: is- /gip s L 7
, (r. site plan showing placement) 14.00
City/State/Z1P: - rtAitio i 0/4 9 a 2•( Furnace 100.000 BTU iduetti/vents) 14,00
Furnace 100,000+ BTU (ducts/veins) 17.90
Suite/bIdgiapt. no,: Projeut name:
Gas heat pump 14.00
Cross street/directions to job site V) 4- 1 6iLl, 741 Duct work
14.00
Hydronic hot water system 14.00
..,_c IA) a_ Si +a Residential boiler (radiator or
h iln d ir r° 11 n c i at c) ers (fuel-typc, not electric), 14.00
in-wall, in-doer, suspended, etc. . 10.00
Flue/vent for any a above 10.00
Subdivision: Lot no.:
Other; 10.00
Tax map/parcel no.:
- Other fuel appliances
--
1:iRD!!!iliig■'.:".ni!!15.!':i.;....:;...ieititiff,W.i5ii.i'0■15..,kk:;:il!!!..4:;i'?';'!:':':::!:':''''','X!!".:T!.S Water heater 10.00
_Gas fireplace 10.00
7-W4.4"V 4 flue vent for water heater or gas
firEplaCe 10,00
Log lighter (gas) 10.00
Wood/pellet stove .._ 10.00
Wood fireplaceJinscrt 10.00
10.00
.. :. „ ,,•,„,,. Chimney/liner/flue/vent
Migi.;ri;',IY:W*04.015g004::!!''Ilt::•:'.:;'••:':'';:;Tnri.;:!.#14:0•;t:!•::;':':•';'!!.'::;l.,..:c•!'5' Other :
10.00
Name: Kt 1+1.1 reti- 1 /fai•J Environmental exhaust and ventilation
Range hood/other kitchen
Address: / 5( e so e . r--7-. A ,),
equipment 10.00
CitY/Stater 71 .---+ 6 - 4 --- 12 p k s C i l i o la tl i t e c_ d s d o t athTomns. 10.00
Phonc: 15b3) 752 7 443 v Fax: ( )
_ rooms) 680
com antnet_
iiii;i ':.:: Atticicraw. farmpo
Other: 10.00
Business name: 4 io/i 1 0 g _L./11c- Fuel piping
Contact name: --gue
1:umacc, etc. $5.40 for first four; $1.00 for each additional
Address: 4 1 0 0 8ae2 c....L./V Sq _
Gas heat pump
-
City/State/ZIP: 7 Z...‘,.e.v/ / 0 A 9 7,r3i g Wall/suspended/unit heater
water heater
Phone: (S) 6, 0556 Fax; : (5 6, sis 0 5._s fi
Fireplace
E - 5"•?P' e C IA 0 0. prtcpe , ‹..De..,
Range -
m;;21;;Ii!irii•li,:iij!;8!;!!;!.[;!.:,::T,'.;:.:;.:',Wi„.:....................... ...... ........................iiiiii:4!‘::Tit'ii Barbee"
Business name: I g p. 6-
i Clothes d er (gas
ry[
.._ : b ti) -zs-v e-
Othcr;
Address: 62 i Do 63.(ze, St .!Yi,!' *iiiitawit,i*oroioro
City/State/1P: t „,. ) 0 .
, ob e . subtotal .- V-s• SD
-
Minimum permit fee (S72,50)
Phone: (54.5) 6 5-5- c:25:s- (, Fax: (5d) c, 5-s p5 y
Plan review (25% . of permit fee)
cce lie.: ( s -- s4:1__
_ State surcharge (it% of permit fee)
TOTAL PERM FT FEE i , so
Aoll . Thi% permit AppileatioeLpires if a permit 1' nut obtained within 1St) Authorized signature: _d muffiir .
days after it has been accepted as complete.
Print name: ,, - • A) Date: 6 ! • Fee melhodology sel by Tri-Ceenty &Aiding Industry Service Boned
iAguildinaPonasvvtec•PernlirApe doe 82103 44 0-4617T III /01n)M/WEB)
05111/2004 08:41 5036550534 AIR PRIDE ;.PAGE 03
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V CITY Of TIGARD 24 -Hour
BU9�DING Inspection Line* _ 03) 639 -4175
INSPEcTIOM DIVISION Business : (503) 639 -4171 MST
BUP
Received - Date Requested 7 7 AM PM = "�� BUP
Location S & iy - Suite l d ` D� -d O z
Contact Person Ph ( ) SSea ? PLM
Contractor Ph ( ) SWR 1
BUILDING Tenant/Owner ELC ` 'e-
Footing
Foundation Access: 1-b c.J
6, s5 o ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors •
Ext Sheath/Shear
Int Sheath/Shear r \ 1J L QM 1,
'/
Insulation � X r f7 f f � P o vvC� CV,
Drywall Nailing °A
Firewall 1/ / / .a i ■ Fire Sprinkler �� — I J
Fire Alarm V rPrieL
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MgibtatAL
Post& Beam
Rough -In
Gas Line
Smoke Dampers
PART FAIL
RICAL
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 e Unable to inspect — no access
Fire Supply Line
ADA 7'1 °
Approach /Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection reco from the job site.
PASS PART FAIL
. CITY OF TIGARD BUILDING INSPECTION. DIVISION MST va (O -? Z--
24- Hour - Inspection Line: 639 -4175 Business Line: 639 -4171
J BUP
Date Requested / Z -/ 0 AM PM BLD V
r
Location / S/ 5" 9 I t /¢v' Suite MEC �
Contact Person Ph Zo 7o PLM
Contractor Ph SWR •
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear V "
Framing •
Insulation
_ Drywall Nailing _
Firewall
. . Fire Sprinkler
Fire Alarm
Susp'd Ceiling .
Roof
14 PART FAIL
PtUIVIBTNG
Post & Beam ` " V V
Under Slab -
Top Out
Water Service
Sanitary Sewer
R s
Final
• SS PART FAIL
Post & Beam
Rough In
Gas Line - .. -
Smo.e Dampers '
PART FAIL
CTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm . -
Final
PASS PART FAIL
SITE '
Backfill /Grading
Sanitary Sewer
Storm Drain ' [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA ` ...
Approach/Sidewalk -60 / - —/ V Inspector ( 07 ' Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site. .
•
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST `r..v -rte e-Z Z_
24 -Hour IrLsjSection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested / -1 3 AM � PM
BLD
Location / 5 / $ (Airy ;32' / Suite MEC
Contact Person Ph P- 3 3 7 v PLM
Contractor • Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear,
lnt Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof eA/i / //D 7z' / /ty_r �� c l
Misc:
Final f�
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam -
Rough In
- Gas Line
Smoke Dampers
Final
PASS PART FAIL
Service
Rough In
. UG /Slab
Low Voltage
Fi - • larm
On
f0 PART FAIL.
Backfill /Grading .
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall,.13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: ] Unable to inspect - no access
Fire Supply Line
ADA •
Other
Approach/Sidewalk Date /� - ��-
Other es Inspector_ Ext
Final
PASS PART • FAIL. DO NOT REMOVE this inspection record from the job site.
. CITY. OF TIGARD BUILDING•INSPECTION DIVISION
MST 1.4% 'u z2
,24- Nos.ir In §pection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested /' Z / , AM 'PM BLD
Location / 5 6PC) 5 /-v s--L( `q /1.-( Suite MEC
•
Contact Person Ph 9- 3 370 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall _ _ ELR
Footing Access:
Foundation FPS
Ftg Drain. SGN
Crawl Drain • Inspection Notes: •
Slab SIT -
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall %
Fire. Sprinkler
Fire Alarm
Susp'd Ceiling. —r/ & Roof '
Misc:
Final
PASS . PART FAIL
(LUMB� .
' - Post & Beam .
Under Slab
Top Out
Water Service
Sanitary Sewer
R in Drains
Final
ASS ART FAIL
MECH NI
Post & Beam
Rough In
Gas Line
Smoke Dampers
• Final
PASS PART FAIL
- • ELECTRICAL _ . •
Service
Rough In '
UG /Slab
Low Voltage •
Fire Alarm
Final .
PASS PART . FAIL
SITE
Backfill/Grading .
Sanitary Sewer
Storm Drain • [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125.SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk Date i 1 x
U Inspector Ext
Other
Final
PASS PART _ FAIL D NO REMOVE this inspection rec rd from the job site.
', og '_CIT 'OF TIGARD BUILDING INSPECTION DIVISION
1 '24 -I1our Inspection Line: 639 -4175 Business Line: 639 -4171 CST' `� _ �����
BUP
X - 1 0 25 Date Requested 1 6 / 2 12/016 AM PM BLD
Location ) 5 /,U .R4 ' A f , Suite / "C a MEC
Contact. Pe s r - --P/r 7 - bai LAG Ph , o 9 — 3370 PLM
Contractor h--C_. �✓� ' a J �-t 1 ., Q., S Ph 5 - 0 9 l.3 SWR
qtlJILDINCi�j Tenant/Owner
ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
nsu atio
Drywall Nailing
Firewall
Fire Sprinkler .
Fire Alarm Qt v A P te_. C -��t5 � A I
Susp'd Ceiling ��SLS
Roof / `S <3.5
Misc:
'5114 PAR F IL
PLUMBING
Post & Beam
Under Slab _
Top Out
Water Service
Sanitary Sewer _
Rain Drains
Final •
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
1 Service
- Rough In
' - UG /Slab
Low Voltage •
Fire Alarm
Final •
PASS PART FAIL
SITE
Backfill /Grading
-- Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line .
ADA i kli �� Date e--k' Inspector Pik
Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection re ord from the job site.
1
•
CJSY -OF TIGARD BUILDING INSPECTION DIVISION MST �;v� _� 0 . z Z L
24 -Hour inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested /U Z- 3 AM PM BLD -
Location 15 / 5 8 y de 4 v-r Suite MEC
Contact Person Ph AO rJ -337 U PLM
Contractor Ph SWR
CBWLDI Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: •
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
aLaWifl
Insulation /
Drywall Nailing
Firewall -
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
F'e_I
4DZID PART FAIL O NSV & GV\IT' E
PLUMBING v IPLvINAT cx
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PAS PART FAIL
Post &Beam
Smoke Dampers •
Fctis PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading -
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk Date 1b 23 Inspector ` Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspectio record from the job site.
CITY-OF TIGARD BUILDING INSPECTION DIVISION. . TUV
f4 =Hoot Inspection Line: _639 -4175 Business Line: 639 -4171 MST pco�iC/-
BUP
Date Requested / ' AM BLD
Location /Sib 0 -5 '' 6'( Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access: •
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab • SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART - FAIL
PLUMBING
Post & Beam
Under Slab
Top Out -
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers •
Final
PASS _PART FAIL
q LECTRICAO
• Rough In C
UG /Slab
Low Voltage
- Fire Alarm
Fi
PART FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ - required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Date /0 - 4,0 Inspector Ext
Other
Final •
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
' CITY TIGARD BUILDING I r tCTION.DIMISION
- ,24 -Maur Inspection Line: 639 -4175 Business Line: 639-4171
MST .7 2 Z
BUP
Date Requested /b / 0 AM PM BLD
Location /,/ c!/ S 6 ✓ 9 c( � - Suite MEC
Contact Person Ph li 0 /7'/ PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam •
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Final ��i , Q) ��
PASS PART FAIL !J`� T.
Post & Beam
40, h I I- WijA I I I / � 7
Under Slab Alf
at er Service
Sanitary Sewer
Rain Drains
fi F
PART FAIL
• CHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
' ELECTRICAL
Service
1 Rough In
L UG /Slab
\1 Low Voltage • -
- Fire Alarm
Final
\PASS PART FAIL
ITE
'ckfill /Grading
\itary Sewer
m Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Basin
upply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Bch /Sidewalk /
Date 0 l 6 vU Inspector /I Q Ext
\ PART FAIL DO NOT REMOVE this inspection record from the job site.
CI=TY- OF TIGARD BUILDING INSPECTION'DI'/ISION MST U �z�
"24-Hoar In Line: 639 -4175 Business Line: 639 -4171 _
BUP
. Date Requested /0 AM v PM BLD
Location /J / ,' P Suite MEC
Contact Person Ph y -33 7V PLM
Contractor Ph SWR
BUIL Tenant/Owner ELC
etaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
eath /Se
Int Sheath hear
Framing \ � tio n D g / eET D all Nailin Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
PART FAIL
• • - ING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer A'
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL •
ELECTRICAL
Service
Rough In
UG /Slab -
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please II for reinspection RE: [ ] Unable to inspect - no access
ADA rr��--��
Approach /Sidewalk Date _ __ Ins Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.