Permit ►- I ,;:
jj CITY OF TIGARD
MECHANICAL PERMIT
41/
�
�.,, I II DEVELOPMENT SERVICES PERMIT #: MEC2002 - 00239
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/6/02
PARCEL: 2S 104AB -06400
SITE ADDRESS: 12148 SW 131ST AVE
SUBDIVISION: MORNING HILL NO.4 ZONING: R - 4.5
BLOCK: LOT: 093 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:
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:
Remarks: Install new gas furnace(push /pull) and a/c unit.
Owner: FEES
JANE WALPOLE Type By Date Amount Receipt
12148 SW 131ST AVE PRMT CTR 6/6/02 $72.50 2720020000
TIGARD, OR 97223 5PCT CTR 6/6/02 $5.80 2720020000
Phone: 503 Total $78.30
Contractor:
FIRST CALL HEATING & COOLING
1650 NE LOMBARD
PORTLAND, OR 97211 -4798 REQUIRED INSPECTIONS
Heating Unt Insp
Phone: 231 -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 -00 -40: I. You may obtain copies of these rules or direct questions to OUNC by calling
rn2» • R -Q 1 RQ
Issue : 01_ .�� , _,, Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
i
•
Mechanical ,rermi I ... I { .cateon .
A, I1 i I � � l 11 I Datereceived: '3 o 9. Pemtitno.: H o -GOA3 7
.'.4 •1 0 ProlecNappl.no.: Expire date: •
cfryofris Address: 13125 SW Hall Blvi{, iTi6ar,d,3 u 0%91123 Date M . B Receipt no
Phone: (503) 639 -1171 ,J IJ
Pax: (503) 598- 1960 Cli It kg 1 Case file no.: Payment type:
Land use approva1Rt iiIT nalri, TOW-11RM Building permit no.:
TYPE OF 1'i:Itf11F1
& 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family 0 Tenant improvement
• New construction ■ .. lion/al on/replacement 0 Other.
JOB SilL1:N'fn11 %1:1TION COMMERCIAL VALUATION SC'IILIII.LE
. Job address: / 3 / 5 i 1i2 Indicate equipment quantities in boxes below. Indicate the dollar
B • _ no.: Suite no.: •
value of all mechanical materials, equipment, labor, overhead,
Tax ..: lot/accotmt no profit Value $ •
Lot: Block: Subdivision: *See checklist for important application information and
Pro - name: jurisdiction's fee schedule for residential . .. 't fee.
CI /county: 4 .. zip: ABOIRMIII. 1 c 2 1A\!II.I' DWELLING PERMIT FEE SCI IC.ULTI'
a > . .. ptlonand l• ;ea efw� l C on prem i ses : /'7Sr�ci /if caS A N11 ON1) 1ERIG1UlNil 'SI Ili .
CLC ' e , C Fee(ea.) TeenS
Est. date of com.1 ':.. . . - on Qty. E s•on only
ky Res. on
Tenant improvement or change of use: Ai • • 1 .: trait UM , ■ •
Is entistiag space heated Or conditioned? 0 Yes 0 No Air co . t . On .: (site • Ian - . nixed ■111 FLT
Is existing space insulated? O Yes O No • i tra°s: on o . • • ' . ". ayatern M ��
\ IE_lI:1!SICAL CON IGACTOR : , a
Business name: ,,c, ( 'W-ea IL, r . State oil no.:
- -t C
Address: <0 A) E Lo .r7 lx�. - .017,1rr 76�sr -rr7.l T . .,.. 1.11
rEVAIMPIENNIMMI State: D ZIP: Heat . •. t: to . an rel r' - — ��
Fax - 2 - 579V E - ldreplacettan� •tuner . s o MI
Including ductwork /Went liner O Yes 0 No
CCB no - ,JO �-Ot 0 rrep . - . - suspended, ■ ��
C i t y / m e t r o iic no.: • : O wall, or floor mounted
Name ( p l e a s e p r i n t ) : j_/, S , •= ' ? / Z 'eat .. r a .. l ance o - .. . , - I
CON1 . --
:�t l PERSON BTU/H Absosptionunits M
Name: c HP .111 —
Address: .., . ewers HP 1.1
•
State: z>P: te
Phone: Fax: F, -mail: •=1
•
011'\tat TyPe TSB. °•at ■ _�
hood Ore suppression system
Name: Ja ,7 e et / Exhaust fan with sin . duct • ath fans) 111 —_
E '.T .rir. t. _)- • -�' - system . • ts he au p : Of A in MN
? - , p : • oitz up to 4 outlets
at . 425=111, £ u-
State :Q , . G' Z�3 - LpG NG Oil
P h o n e : 5 Fax: E -mail: F u e l .. . . . . i n on . over ou - I•111
1 "GINEER _ mgU 11=■=1111=1=1
Number of outlets I.
Name: e•:. • '; rr* u p .... • or .- , , ,, emu III Address: Decorativefireplaoe
City State: ZIP: •II MMIB
. r r . 7 ,71 et stove =
Phone: Fax: E-mail: "e , _
A. .uses signature: _ /_. . s -y'' • - c others r ��
Name • - .t): A zi - `01- M ��
a ani +tea credi tea rdt. Saw call tadedkdoafarw.asiatomWloa Permit im fee _... $ 1 3 ^. N
Notice: This permit application minim fee $ ,
0vjsa O MasterCard expires if a permit is not obtained plan review ( %) $
ciwni end number + within 180 days after it has been
cd as comple
None Stain surc surc (896) .... $ 5 . 8' �-
Ne or a rdaosder es shown oa eaodit earn - S acce TOTAL $ •'') Cs)
Cardholder signature Ammon 440d61/ (6.00/OOM)
•
/c9F-r
i/ve ;) giv----At/E
CITY OF p TIGARD 24 -Hour
BUILDING-. . r, Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested AM PM BUP
Location / 'T X / 3 / Suite MEC g
Contact Person ��l Ph ( ) a 4/7 -? 051 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing 91/14 7 S ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post -& Beam
Shear Anchors
Ext Sheath /Shear / 0-7)
Int Sheath/Shear
Framing s,�/► �L��Lt �d ln.t. t ,�L o tlL 1.�� �c�G.� .'�J�n ACS # Zoo V6/
Insulation
Drywall Nailing r � � � chi C c rc Cu e i � z 26 7 /O 75.
Firewall 095.--SO
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
PART FAIL
TRICAL
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 ��/ �D _
Approach /Sidewalk Date Inspector r Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL