Permit A. CITY OF TIGARD
MECHANICAL PERMIT
1, DEVELOPMENT SERVICES PERMIT #: MEC2003 - 00681
II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/1/03
PARCEL: 2S111 BA -03800
SITE ADDRESS: 14140 SW 98TH CT
SUBDIVISION: MCDONALD ACRES ZONING: R - 4.5
BLOCK: LOT: 013 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: 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:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1
> 10000 cfm: GAS OUTLETS: 1
Remarks: Installation of gas logs and gas piping.
Owner: FEES
LESLIE DOERR Description Date Amount
14140 SW 98TH CT
TIGARD, OR 97223 [MECH] Permit Fee 12/1/03 $72.50
[TAX] 8% State Surchaq 12/1/03 $5.80
Phone: 503- 620 -0368 Total $78.30
Contractor:
JAY'S GAS PIPING
PO BOX 393
BEAVERCREEK, OR 97004 REQUIRED INSPECTIONS
Phone: 503 Gas Line Insp
Mechanical lnsp
Reg #: LIC 119836 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
952-09-1=6100. - Yot4 may obtain copies of these rules or direct questions to OUNC by calling
(50 )246 -6699.
Iss ed By: 1. ./ Permittee Signature: _V�
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the nex business day
FROM : HOTSPOT FIREPLACE PHONE NO. : 15036269138 Nov. 30 2003 01:15PM P1
. _ "a.
,..„.., Mechanical PernutApplication
L'
� City of Tigard t:: l�
Pro clued: al/ 03 4 P at.e. FC . .5 -004, ° >
CityofTiga Address: 13125 SW Flail BIvd't !'. , jcct/appl,no.:
Phone: (503) 639 -417
/� •
972 " •ire dat
Fax: (503) 598 -1960 1. n ■ ∎ 1 etc isstrcd:
f Rece no.:
Case tile no_:
Land use approval: R Payment type:
TINA ' Building permit no,:
D
X I & 1 faintl dwellin or accessory v 1'I:' 0r j
CI
I LR1i1 "C New c onstruction Co mmercial/indust6.1 _
AcWdL/ontalterat onimplaccment 0 Other: ` •:fy Q Tcrf ant improve
JOB SITE I:vI:OR %I. HON
Job address: J , l ,' (0i VALI.•:17It)N S(7II-DU .1•:
Indicate equipment quantities in boxes below. Indicate the dollar
Bldg, no.: Suite no_: value of all mechanical materials, equipment, labor, overhead,
Tax map/tax lot/account no.: profit. Value $
Lot: [Block: !Subdivision: *See checklist for important application information and
Project name: jurisdiction's fee schedule for residential permit fee.
City/county: 1 'pa `4 , r ZIP: I I S 21 hill.\ 1)111'.I.LING P1'_R\1F1 fl•.l•; S(liEDI l.i._
best - .tio and location of work on .remises AND COM11FltlCA1.11'\l)l SERIAL ItIAL l_Qt IPM[ N 1'S('Iil'DL L1:
It rS '. . • ' Y I ‘ .0_S ..
Ell Feex.) Total
Est I ate of completion/inspection: , Desert 'lop Res o nly Res.onl
Tenant improvement or change of use: H AC:
Is existing space heated or conditioned? El Yes Q No Air handling unit CFM
Air conditioning (site plan required)
Is existing space insulated? Q Yes CI No Alteration of existing HVAC system
Al F A CONTRACTOR Boiler /compressors
Business name: a S 6 Q S 7 i VIA, HP Tons BTU /H III
Address: State boiler permit no.:
` 5 eR � P t� I ES �rnFe:r.=11 t..' �=
l� _ E . 6d - " eat pump s to plan required)
Phone: y eN �l E-mail. Including ductwork /vent liner Q Yes 0 No
CCB no.: ,. ‘.3( Install/rep a • re ocatc caters- suspended, ■
City/metro tic. no.: IIIIMIMINIIMIIIIIII wail, or floor mounted
*cut for a • • other than furnace M —�
Name (please print): I, 6 1
(ONTA('1 PLRSON •b. pen on: 1
Absorption units BTU/1-1
le Chillers HP
'_'` Com• • stars HP M��
Address: - S' l. a IA 3 • . nmental , • ant an • vent : t on:
��.� t �� ZIP ..' 6 • Appliance vent
Phone: ,, a =MEM E-mail: Dryercx mist
I.
OWNER • • • s, pe U I res. tc c azmat
hood fire suppression system
Name , r '' a e r Exhaust fan with single duct (bath fans) -�
Mailing address: MAM Exhausts stem a•' from hcatin: or • C N. -
• a , c1 �_ 1 D NG n
„ t'^" , -t OR up to 4 out it V
it 5
Phone• ,: • • ,� : Fax: E-mail: uc p p ng each additions over 4outlets
LNG process piping (schematicrequired)
Number outlets
Name: Other 1Fscrl appliance or equipment:
Address: Decorative fireplace
City: State: ZIP: Insert-type
Phone: �' / mail: �.• • • I - tove Mil
rr '� �� ,/ ) i� i- , 5
Applicant's � � -
Appli Si si ; natur• .4 -ma �, , gate: T =re
Name (print); 1 Q n „v 1 Qi t4 4 .
Nat all luriadictions accept crcdil cards, please call jurisdiction for more information Permit fee
QVisa ❑ MasterCard No This permit application Minimum oe $ - - 7a
expires if a permit is not obtained plan review (at _ %) $
Credit cad numb= Expires
apires within 180 days after it has been
State surcharge (8%) .... $
Name of cardholder as shown on credir card accepted as complete. TOTAL $ $
Cardholder sipnatrrre Amount 1 440 1617 (6100/COM)
CITY OF TIGARD 24 -Hour
BUILDING Inspecti me: (503) 639 -4175
INSPECTION DIVISION Busine • e: (503) 639 -4171 MST
BUP
� �� /
Received i //5 / ,rl / k -5 -i teaequested / Z-7/ &7 3 AM � ' PM BUP
Location / / `7` () 9 i ` C7'-- Suite Ca. 3 — O ( 21
Contact Person -(') —62 — L{tiSFl.( ) PLM
Contractor '? 4)o Nj Ph ( 5 D 3) to 23 03 Co R SWR
BUILDING Tena Ow ne .0:t ' o 13 6 e.J1.AL --' ELC
Footing
Foundation Access: ELC
Ftg Drain c 1le7 `G 't- c_A-5A 6 Fo'( .2 . Sc / ELR
Crawl Drain
Slab Inspection Notes: S L w C.6KA SIT
Post & Beam
Shear Anchors `
Ext Sheath/Shear v�
Int Sheath/Shear / 5 / , g's- ■ � Q Z. ?G, 9
Framing _ L/ 7
Insulation Z8 >Z
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough /
Water Service 4 ,(-----. . . _.
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
. 1 .---firi N PCC
Final
PASS PART FAIL
t /(// .
"C HANIC
Post & Beam
Roue I- I
talM
Smo Dampers
(4 PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE E Please call for reinspection RE: El Unable to inspect — no access
Fire Supply Line ` _ _
ADA / /�
Approach/Sidewalk Date I Z /
' � ` 5 Inspector - ` Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL