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Permit CITY TIGARD MECHANICAL PERMIT PERMIT #: MEC2000 -00411 �,,L14 DEVELOPMENT H P Tigard, ) 639 -4171 DATE ISSUED: 10/17/00 PARCEL: 1S135DB-02604 SITE ADDRESS: 11401 SW 90TH AVE SUBDIVISION: TIGARDVILLE PARK ZONING: R -4.5 BLOCK: LOT: 003 JURISDICTION: TIG CLASS OF WORK: ALT 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: DOMES. INCIN: LPG 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: 3 Remarks: Installation of furnace and gas piping. Owner: FEES HEITZ, NANCY P AND RONALD L Type By Date Amount Receipt 11401 SW 90TH PRMT CTR 10/17/00 $72.50 2720000000 TIGARD, OR 97223 5PCT CTR 10/17/00 $5.80 2720000000 Total $78.30 Phone: Contractor: SPECIALTY HEATING + FABRICATIO 9528 SW TIGARD ST TIGARD, OR 97223 REQUIRED INSPECTIONS Mechanical Insp Phone: 620 -5643 Final Inspection Reg #: SUP 2570RET LIC 006657 ELE 34-341CR 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 obtain co._es of these rules or direct questions to OUNC by calling (503)246 -9189. Issue By: � � �� Permittee Signature: ,4 all (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day Me chanical Permit Application - . / �,, y �," i Date received: Ap / ,0-- Permit no.:, - ZD00 -o09., v i 1 ; j, r � City of Tigard Projecdappl. no.: Expire date: City ofTigard Address: 13125 SW Hall Blvd, Tigard OR 97223 Date issued: By: Receipt no.: Phone: (503) 639 -4171 Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: Building permit no.: TYPE OF PERMIT ` k 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family 0 Tenant improvement 0 New construction 411lddition /alteration/replacement 0 Other: JOB. SITE INFORMATION ' : •• - , ` COMMERCIAL VALUATION SCHEDULE -. : . Job address: 'Not yi.j 9, 4 Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: I Suite no.: value of all mechanical materials, equipment, labor, overhead, Tax map /tax lot/account no.: profit. Value $ . Lot: IBlock: I Subdivision: *See checklist for important application information and Project name: q Pl lie I T� jurisdiction's fee schedule for residential permit fee. City /county: /' an ZIP: 'j .2 - 9 - 3 _I & 2 FAMILY DWELLING PERMIT' FEE_ SCHEDULE. Description and location of work on premises: WO i ' CU AND COMMERICAL/INDUSTRIAL EQUIPMENTSCHEDULE 4c e- Fee(ea.) Total ! E t. date of completion/inspection: /1/7/ 312 Description Qty. Res. only Res. only Tenant improvement or change of use: HVAC: • Is existing space heated or conditioned? 0 Yes 0 No Air handling unit CFM • space insulated? 0 Yes 0 No Alt conditioning rati o of xi (site plan required) Is existing P Alteration of existing HVAC system • MECHANICAL CONTRACTOR : - Boiler/compressors Business names 12Q (� �� j �� ix State boiler permit no.: HP Tons BTU /H Address: G ` (SCL) 7 a l e S l Fire /smoke dampers/duct smoke detectors City: T i c - I State: d, 4 ZIP: q 7 � 3 Heat pump (site plan required) E -mail: Install/replace furnace/burner i00.C�$T U/H Phone�3 (,,A06441 Fax5 7 /g" Including ductwork /vent liner 0 Yes 0 No CCB no.: 4, 4,5 7 InstalUreplace /relocate heaters— suspended, ' City /metro lic. no.: I +`p ft wall, or floor mounted Name (please print): • , ry►1A. • 1'/f 'els Vent for appliance other than furnace CONTACT PERSON Refrigeration: - - Absorption units BTU/H Name: K Lee N / y)y4 ✓1 e F� Chillers HP Address: ?..5.9-. $' St-4.) / / e1 ei ,..c 7 Compressors HP Environmental exhaust and ventilation: City: Tis'Cvl c•P I Sta e: Cl I ZIP: cj 7,,z.3 - Appliance vent Phone6d 6ao - ' Fax: 59r-op ' E -mail: Dryer exhaust _ OWNER __ Hoods, Type U II /res. kitchen/hazmat hood fire suppression system Name: Ot'f't ej ty- Exhaust fan with single duct (bath fans) Mailing address: / iycf ,, ?6 AL !e Exhaust system apart from heating or AC City: C(✓1 C� I State�,t? ZIP: CJ 7 � 2 Fuel piping and distribu 'on (up to 4 outlets) Type: LPG V NG Oil ' Phone: s0 3 555-1 r ax: E -mail: Fuel piping each additional over 4 outlets _ .' ,- ENGINEER. -- Process piping (schematic required) Name: Number of outlets Other listed appliance or equipment: Address: Decorative fireplace City: I State: ZIP: Insert — type Phone: I Fax: ( E -mail: Woodstove/pelletstove Other: Applicant's signature: Date: Other: Name (print): . Not all jurisdictions accept credit cards, please call jurisdiction for more information. Permit fee $ 7-? • _Co 0 Visa 0 MasterCard Notice: This permit application Minimum fee $ Credit card number: / / expires if a permit is not obtained Plan review (at _ %) $ • Expires within 180 days after it has been State surcharge (8 %) .... $ S. .P Name of cardholder as shown on credit card accepted as complete. TOTAL $ 7R, 30 Cardholder signature Amount 440 -4617 (6/00 /COM) • CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested %/ - / 3 AM PM BLD Location // t.I G / s 0 /5 Suite MEC ?,mi 00 / Contact Person Ph 620 s4 Y3 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Slab Crawl Drain Inspecti n Notes: �U -,-(71( G /2 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 FAIL CHARM m Rough In Gas Line S oke Dampers ��tt1► PA, ` PART FAIL EL RICAL • 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 call for reinspection RE: [ ] Unable to inspect - no access . ADA Approach /Sidewalk Other Date // / — 1 3-017 Inspect Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site CITY-OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -417_1 BUP Date Requested /1- 3 AM PM BLD Location // (/ U / S L✓ . f U /9 ii-< Suite MEC a _U D '( / ( Contact Person Ph 2t1' S Z « 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 (; 1/ rlkS P, Pt 1.4s 1 r --r'z,5 7 D ‹)/z.. J'' Gu..1d ��s Insulation /� Drywall Nailing l ,- 'AS,) 4-Z l l 14- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling LA._ r - r o rL F% nt ti � t r c S - ci7O a Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL rs7 -14151 , Beam Rou h In Gas Smoke Dampers Final - I 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 Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date / / - 7 — dO Inspector • Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. BUP - Building Permit ELC - Electrical Permit 4 Inspection Description Date Passed By ' Inspection Description Date Passed By Footing /Setback Underground cover Foundation walls Wall cover Footing drain Ceiling cover Waterproof bsmt walls Electrical rough -in Slab Electrical service Crawl drain Electrical final Underfloor insulation Post/beam structural Shear walls /anchors ELR - Restricted Energy Permit Roof nailing J Inspection Description Date Passed By Firewall Low voltage Tilt -up panel Electrical final Masonry /Reinforcement Framing MFG - Structure set -up MEC - Mechanical Permit Insulation .4 Inspection Description Date Passed By Drywall nailing Post/beam mechanical Suspended ceiling Gas line // - 7 — o o / Engineered soils Mechanical rough -in Welding Lab Final Fire damper Concrete Lab Final Duct work Bolting Lab Final Smoke detector Fireproofing Lab Final Mechanical final //- 7- B© `� Structural observation Final inspection PLM - Plumbing Permit • Inspection Description Date Passed By BUP - Fire Protection System Permit Plumbing underslab 4 Inspection Description Date Passed By Crawl drain Sprinkler underfloor /slab Post/beam plumbing Sprinkler rough -in Plumbing top -out Sprinkler final RP /backflow preventer Fire alarm final Rain drain Storm drain Water service SIT - Site Permit Sanitary sewer 4 Inspection Description Date Passed By Culvert/catch basin Footings Pump /fill septic tank Foundation walls Plumbing final Sprinkler supply lines • Sprinkler underfloor /slab Catch basin /Manhole SWR - Sewer Permit Engineered soils I Inspection Description Date Passed By Engineering acceptance Sanitary sewer Final inspection Final inspection INSPECTION RECORD - BUP, PLM, SWR, ELC ELR MEC, SIT PERMITS CITY TIGARD MECHANICAL PERMIT I DEVELOPMENT SERVICES PERMIT #: MEC2000 -00411 DATE ISSUED: 10/17/00 " ' I ` 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S135DB-02604 SITE ADDRESS: 11401 SW 90TH AVE SUBDIVISION: TIGARDVILLE PARK ZONING: R -4.5 BLOCK: LOT: 003 JURISDICTION: TIG CLASS OF WORK: ALT 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: DOMES. INCIN: LPG 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: 1 AIR HANDLING UNITS OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 3 > 10000 cfm: Remarks: Installation of furnace and gas piping. Owner: FEES HEITZ, NANCY P AND RONALD L Type By Date Amount Receipt 11401 SW 90TH PRMT CTR 10/17/00 $72.50 2720000000 TIGARD, OR 97223 5PCT CTR 10/17/00 $5.80 2720000000 Total $78.30 Phone: Contractor: SPECIALTY HEATING + FABRICATIO 9528 SW TIGARD ST TIGARD, OR 97223 REQUIRED INSPECTIONS Mechanical Insp Phone: 620 -5643 Final Inspection Reg #: SUP 2570RET LIC 006657 ELE 34 -341 CR ( 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 11 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 cosies of these rules or direct questions to OUNC by calling (503)246 -9189. Issue By: ( , . r'v Permittee Signature: . , all (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day