Permit A •
CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2002 -00178
4 i DATE ISSUED: 5/2/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S 103AB -04900
SITE ADDRESS: 12276 SW 114TH TERR
SUBDIVISION: WALNUT GLEN ZONING: R -4.5
BLOCK: LOT: 007 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: 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: Installation of a/c unit.
Owner: FEES
DAN YENNERI -KYONG THOMPSON Type By Date Amount Receipt
12276 SW 114TH TERRACE PRMT CTR 5/2/02 $72.50 2720020000
TIGARD, OR 97223 5PCT CTR 5/2/02 $5.80 2720020000
Phone: 503-443-1965 Total $78.30
Contractor:
OREGON HEATING + NC INC
PO BOX 397
DUNDEE, OR 97115 REQUIRED INSPECTIONS
Cooling Unt Insp
Phone: 538 -2953 Final Inspection
Reg #: LIC 125815
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 No i icatio Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR
952 -0 1 -0080. Yo may obt , copies of these rules or direct questi to OUNC by callin
( tRl -Q 1 RQ
Issue By: •_041/ / g! ' Permittee Signature:
Call (503)639 -4175 by 7:00 P.M. for inspections needed the next business day
Rpr 30 02 09:54a Oregon Heating and Air 503 - 537 -2172 p.1
03; 14/206'2 36:54 FAX 5035981960 CITY OF TICARD al5 b I0042
•
Mechanical Permit Application
A , .
Date received: � o Peimittno. :� ((cCt' 2 t�'!1
Il City of Tigard - , Ptoject/appl.no_: Ivt ttedattt: '
` o ` Receipt City agard Address: l31?S S W H sll Bl vd. Ttg OR 97223 D issued: y-
Phone: (503) 639 -4171 d u t d� � _ Paymeatlype:
Fax:(503)598 -1
Building permit no.:
Land use approval: • C tai r.:fi r -! A
1, t'1: Or l' R IIT
•• I & 2 family dwelling or accessory ❑ CamllletciaUindustrial
❑ Multi - family C) Tenant improvement
0 New construction r Addition/alteration/replacement ❑ Other:
.JOH SITE INI OR11ATlO` COM SlFRCIAI. VALt'AT1ON !('III fULE
Job address: - 2�6 - ; 4 , t/ . q..., Indicate egoipmtnt quantities in boxes below_ Indicate the dollar
Suite no.: value of all mechanical materials, equipment, labor, overhead,.
Bldg. no.: profit_ Value s
Tax ntap/tax lot/account no.:
WI IBlock: 'Subdivision: *See checklist for important application information and
— jurisdiction's fee scheduk for residential permit fee.
Project name:
City/county: ` A f ZIP: 1 15 Z I. 11ILY DNI ELLING 1'1.12MIT I I :1: SCHEDULE
Desc ''pt' and lbga. , of worlc9n premises: A!\1) LO11MLit lC.1111\l)1 STRI. LQC'IPNIEN) SCllI:1111E
Cl,CY _CA taA& C Ur C 1 O n "'V F x Fie Y� - dim, Fee(e a.) Total
lctio� a ction: Desaiptfion Qty- Res. only Res. only
65L date of camp liVAC:
Tenant lmptuvement or change of use: Air handUng unit CFM
Is existing space heated or conditioned? Cl Yes CI No Aircondioomin: (utopians a . d' . •
Is existing space insulated? Q Yes U No Alteration of existing HVAC system
ME(111N1C 1L UO\TR:%("l i tlt `' - entOQ1 at II Suite boiler permit no.:
Business name: Q ■ CCs+ PI PI - Ia ' i416111(� • HP Tons BTU/I
Address 0 .- Mil • 391 -• sm • etro •• - ductsmo�tedeteetors I
City: It - -
State a ZIP: 4 Heat . mp (site plan -- aired)
.
s Fax 3 l -� ! E-mail: ins rnplaceturn . . t
Including dui:Mort/vent liner Q Yes O No
CL:B n0.: (_._5_3) 5-_ astalVetplacetratocatet +care:- suspesaed,
amity /metro lic. no.: .4q.2,--7 wai floor mounted
Name (please print): . • n U MC/3 vent for a 1, • Bence other than furnace
< a)`1 1( '1 1'1.ltvO\ Ab units BTU/H
_HP • Chillers
Name c �, HP ,
1 )7: 1 tii slid extu mat aid vei tatiore
City: 1 State: 1 ZIP: A ,. fiance vent •
Phone: Fax Eman: Hoods, r urea. '�en/haxmet
Oil - it hood dm suppression system
Nam= i - . 1' Yen - . .4 L - - 1dtlnt►.. 1 Exhauufan with single duet n th buss)
E3tltausf • - . a • s Of AC 1111
Mar'lt'og addtest: _ _ _ 1 1 11,, �. � • - r, r 1�: w v�p ee t et ads ■
[' O 1 111t � ZIP �1� ' lyre: LPG NG W
� over outlets
Phone: • • r ' Flux: EmatL Process piplm (scaematicr+egaaed)
ENGINEER Number of outlets
Norte: Other tided appliance oregdIpmeall
Address: Decorative —.lace
State: ZIP: Ian - type
�y
City:
t?tione Fax: Sinai!: Other: ■
Applicant's signature: tsar • t DAte:. ,. c). S3 a tier:
Name (pmt): 3..47C3. 'n Oa rr\ L
kdamlbtm•
Di in J i3e im sec p. anal Gunk. Ih .e can l tar ene Peultit fee .. .. $ L • K
Notice: Tulapermit.pplieation M s emmu rte . ... 5 r 1 a . 5
016ca O a la�Caed intpitw if a permit it not obtained Plan tevIcv (at 96) $
ono lad 6.44610 1 '17.11, ` el. _ within ISO days slImit heca State surcharge OA) ...- $ 5 -s()
Mood wnaorr et somptedascomplete.
A � s TOTAL ...». $ `rK .3 C)
�
4404617 c6000o060
II
Apr 30 02 09:54a Oregon Heating and Air 503 - 537 -2172 p.2
.oa U 1L
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OREGON HEATING & AIR CONDITIONING, INC. SHEET NO. )." OF
CCB #125815 rVCA. DATE
P.O. BOX 397 GALGULA�ED BY
DUNDEE, OREGON 97115 CHECKED BY DATE —
(503) 538 -2953 Fax (503) 537 -2172 _
SCALE t•-•0 -
5 i'1 {m'A
CO u cE�,c
31 S p i t`�t4
1 L 1.4a
D PRODUCT 207
CITY OF TIGARD 24 -Hour
BUILDING - Inspection Line: (503) 639-4175
DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested q! AM PM BUP
Location / ( / / L/ � (elite MEC 77 ' / 7r?
Contact Person Tl,C/1.Qj- Ph ( ) 53 " x-1.5 3 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Ina Sheath/Shear EL EG�72Z 44L eiv n, /L �,Q��L ft Z (� g
Framing 1ti1 �
Insulation
Drywall Nailing G /264/ ••/,
Firewall
Fire Sprinkler
Fire Alarm
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
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
F ART FAIL
TRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Anal Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd.
PASS PART FAIL
SITE 0 Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Date c A�
Approach/Sidewalk ? a"z _ Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF 111F,RD 24 -Hour
BUILDI Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested AM PM BUP
Location l a a' 7 7 `- 864e' MEC Z / 7 v
Contact Person Ph ( ) 5- 3 � 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing �'✓ /CIO a�� /he<
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
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
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
� S PART FAI
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: ❑ Unable to inspect — no access
Fire Supply Line
ADA Date thil� ?�
Approach/Sidewalk Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIFRD 24 -Hour
BUILD! Inspection Line: (503) 639 - 4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
Q� BUP
Received Date Requested u AM PM BUP
Location / Z- Z 7 ( 4 0 1/ 1 � �-Q � Suite MEC .WDa � 1 713
Contact Person �J� -��� Ph ( ) 5< 3 ?-" 9 c 3 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab I nspection Notes: SIT
Post & Beam
Shear Anchors .S1. -2.-74 b Z�
Ext Sheath/Shear
Ina Sheath /Shear t /t AI LA 1 .
Framing _ /1)/ ' "tZ ; 5c4 Ls. 4A 4 , 5 l aV 4[/4iG a4ZC -
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
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
MECHANICAL
Post & Beam
Rough -In `
Gas Line ,�((/
Ske Dampers l '
SS 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 Hail Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: El Unable to inspect — no access
Fire Supply Line
ADA l �
Approach/Sidewalk Date Inspector /9 Est
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL