Permit m F. CITY OF TIGARD
MECHANICAL PERMIT
, DEVELOPMENT SERVICES PERMIT #: MEC2003 -00383
�� � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/9/03
PARCEL: 2S109AB -09300
SITE ADDRESS: 14226 SW 132ND TERR
SUBDIVISION: RAVEN RIDGE ZONING: R -7
BLOCK: LOT: 022 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: 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: Add A/C unit
Owner: FEES
MARK MOORE Description Date Amount
14226 SW 132ND
TIGARD, OR 97224 [MECH] Permit Fee 7/8/03 $72.50
[TAX] 8% StateTax 7/8/03 $5.80
Total $78.30
Phone:
Contractor:
SUNSET FUEL CO
PO BOX 42287
2944 SE POWELL BLVD REQUIRED INSPECTIONS
PORTLAND, OR 97242
Phone: 503-234-0611 Mechanical Insp
Final Inspection
Reg #: LIC 2374
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR
952- 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling
(503)246 - 6699. _ -
Issued By: L „ Permittee Signature: a 190 (Y/tt
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
07/03/2003 10:25 0000000 ABAB:AAAAAA AA PAGE 01103
4.
Mechanical: Permit Application
A Datereceived: 14 'e3 Permit uo.: ivl 0.1.
�, ... �� City Tigard Project/appl. no Expire date
4 .. `J I Receipt no.
Address: 13125 SW Ilal , , OR 972 Date issued: By: :
Ctryof7igard V„ ^0 03 — Phone: (503) 5 8 0 3 ' Case file no.: Payment type:
Fax: (503) 598 -1960 ,
6- , � r ,�� QN Buiidingpemtitno:;
Land use approval: -
�1 & 2 family dwelling or accessory
>$ mmercial/industrial ❑ Multi-family • 0 Tenant improvement • . .
U New construction ,Addition/alteration/replacement 0 Other
Job address: ' 9 'a a (p i'l s T4p./1.A Indicate equipment quantities in boxes below. Indicate the dollar
Suite no.: value of all mechanical materials, equipment, labor, overhead,
Bldg. no.: profit. Value $
Tax map/tax lot/account no.:
- Lo Block: Subdivision: "See checklist for important application information and
Project name: %► uA \ ti 1(Y'totJ\ - jurisdiction's fee schedule for residential permit fee.
Cit /county: " ZIP: • I Si 21:11111.\ H11I'1:1 \(IOW p Pi I 1111 M111'1)111:
Description and location of work on premises: :‘• I)(•(► 1111 1: 8l(•: 11. 11\ I) l' S' 1' ItI.\ 1. I:(1l'll'lll.N.1'S('11I:l)l•1., I.
tA - 1 k (,r Fee(en.) Total
ppa� Qty. Res. only I2es�
Est. date of completion/inspection:
MAC;
Tenant improvement or change of use: Air handling unit CFM •
Is existing space heated or conditioned? 0 Yes 0 No . ircon: honing a to Ian required) ... •b►
Is existing space insulated? 0 Yes 0 No Alteration of existing ' ` • system _
111• :('il. \NIt CON ' IRAC"1Olt .o lercompressors
State boiler permit no.:
Business name: 1 1 a • - ; ' ! HP Tons , BTU/H
Address: 1,0 :,.. ' re/smo damper • uct sine e detectors
City: ni11� , Bl ' eat pump s to ,lent • uu'ed)
,
Inst: !rep ace mac •utter T
Phone: 011 ,• l •. : e/:' `,7 42 -228 )ncludin. auciwork/ventliner 0 Yes 0 No
CCB no.: natal rep ac relocate l eaters- suepen• •,
City/metro lie. no.; wall, or floor mounted
• ant or app sore et an mace ,
Name (please print): - R — dieratlop:
(()1I. \('I' 19.114,0N Absorptionunits BTU/H ' _ V -
Chillers. ^ HP .
Name: Compressors, HP
Address ratvironmenia c fret acrd ventilation:
City: . I State: j ZIP: Appllancevent V ,
Phone: Fax: E-mail: ryorexhaust mail:
Hoods, Type 1/IT/res. kitchen/hazmat
• hood are suppression system _
Name: 04„1FK_ l xhaust fan with single duct (bath fans)
Mailing address: =n anus stem a. art .. m ca . n . or
• , , , , ,Iry i On upto V ou ets
City: state: ZIP: Type: _LPG Na Oil •
Phone: • Fax: R -mail: - ,i• in : ad` itron over ' ou a eta
I:\(,I\I.I:It 'roceasp , i , Sc elpaIcrap: -. V
Address: Number of outlets ,
Nam Daher listed appliance or equipment: - V
Decorativefireplace • "" •
State: ZIP: —� 1nseit- toe pe e —`
City: c_____
Phone: Fax: E-mail: er.
Applicant's signature: • -- Date: •'t O in _ . '
Name (print): rat.� ) 'A.0 m
• � Permit fee . � • $ r:?+:9'�J
`
at O1t amain naffs ant* camas ° ' n 0° rOf °1°1° Notice: This permit app minimum fee $ ' ' • ' �'r'
' CI r Visa O ber! erCend expires if a permit is not obtained " °' .
Credit cold . plan (at _ %) $
J" t within, 180 days after it has been
p State surcharge (8 %) .. $ �d 4. • ''�``
Mme atcadbctaer q thriven an aunt e=d S accepted as complete. TOTAL u $ ARV : • / ' ' - .
C+e�oldee tTmetoto Amount w � r4o -4617 (61013/COt!'t).
07/03/2003 10:25 0000000 ABAB:AAAAAA AA PAGE 03/03
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CITY OF TIGARD 24 -Hour
BUILDING Inspection Lire: (5q) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
c�
Received Date Requested ! AM PM BUP
Location uite
' / '7 EC uite .-0 63 S 3
Contact Person Ph (_ 2 ) 7 —70 / PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner _ a 3 — 00 4143 3
Footing �S J ` � ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation � �` LA ai
Drywall Nailing •
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab �,, r r `
Rough -In k - OA V� °.) m P �U OD 1 1 7) K/ O n
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan -
Other:
Final
PASS PART FAIL
MECHANICAL •
Post& Beam /
Rough -In ( % 1
Gas Line
SII • ke Dampers
• • , SS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
PART FAIL
Reinspection fee of $ required before next inspection. Pay a Ci Hall, 13125 SW Hall Blvd.
SITE Please call for reins section RE: - nable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk Date � Inspecto a Ext
Other:
Final DO NOT REMOVE this Inspection record from the j b site.
PASS PART FAIL ` r �� 1A