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Permit CITY TIGARD MECHANICAL PERMIT vi DEVELOPMENT SERVICES PERMIT #: MEC2002 - 00132 ��l 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/4/02 PARCEL: 2S110DC -90611 SITE ADDRESS: 15514 SW 114TH CT 61 SUBDIVISION: FOUNTAINS AT SUMMERFIELD CONDO ZONING: R -25 BLOCK: LOT: 061 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: 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: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > GAS OUTLETS: 10000 cfm: Remarks: Install gas fireplace insert Owner: FEES CANEZ, ANN Type By Date Amount Receipt 15514 SW 114TH CT #61 PRMT CTR 4/4/02 $72.50 2720020000 TIGARD, OR 97224 5PCT CTR 4/4/02 $5.80 2720020000 Total $78.30 Phone: 503 - 684 - 2501 Contractor: LUDEMAN'S FIREPLACE + PATIO 12675 SW BEAVERDAM RD BEAVERTON, OR 97005 -2129 REQUIRED INSPECTIONS Gas Line Insp Phone: 646 -6409 Mechanical lnsp Reg #: LIC 51469 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 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling t rY1l24R -Q1RQ Issue By: - � ` � 4yyt Permittee Signature: tiff 1 Call (503) 63 -4175 by 7:00 P.M. for inspections needed the next busine s day MechanicalPermitApplica�tion r1 Datereoeived: Permit rat)- aEaCJa - 0(} /3a * , '% City of Tigard `Es `7.I ProjeU/appl. no Expire date: City o gam Address: 13125 SW Hall : V. i O 3 Phone: (503) 639.417! Date issued: By: Receipt no.: Fax: (503) 598 -1960 APR - 2 2002 Case file no.: Payment type: Land use approval: rl �v G BP FRtAXD Building permit no -: - ' rr E, NI TYPE OF PE10111 0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family O Tenant improvement O New construction O Addition/alteration/replacement 0 Other .TOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE Job address: /_!5 / S/ �J / //Z'/ c2 f = Zol Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: ( State no.: value of all mechanical materials. equipment. labor. overhead, Tax map/tax lot/account no.: profit Value $ . Lot: - IBlodc (Subdivision: *See checklist for important application information and died name: ,Q r/ e Z jurisdiction's fee schedule for residential permit fee. City/county: 7 ZIP: q 7 9 / 1 & 2 FAMILY MI ELLtNG PERMIT FEE SCHEDULE Description and location of work gn premises: $ LN1) tOMMERICuaNnt511413L 1 IPM1 TESCHFD Zits z"'- • f l' h G Fee(ea.) Total Est date of complctionTmspection: - A.2. " O oZ Description Qty. Resonly Resonly Tenant improvement or change of use: SVAC Is existing space heated or conditioned? 0 Yes 0 No Air handling unit CF7)1 A conditioning exi existing plan minded) Is existing space insulated? 0 Yes 0 No system Alteration of existing HVAC system • MECHANICAL CONTRACTOR Boilet/compressors Business uam Stile boiler permit no -: HP Tons BTU/H Address'/ - ( .: - e ! `, Fire /smokedampers/duct smoke detectors �'AM�� State :0 - ZIP: - 7d� eat pump (sire plan required) Phone / dTif F . ' �/' •- ' E - mail: Instal - lace 11 - 1 1r , burnet i TU • Including ductwork/vent liner O Ycs O No CCB no.: - a.' t9-- lnsta -, a ocate eaters suspended, City /metro lie. no.: _ wall, or floor mounted Name (please print): ,, .,/ 0 °7 Vent or app anceo cr than furnace Rarlgeratiotu CONTACT PERSON Absorption units BTU/14 me: A _ ; • r . ` Chillers HP Na Address: / _ c c „., HP . eland exhaust and ventilation: City: State: ZIP: Appliancevent Phone: Fax: E -mail: I) erexhaust OWNER ' • • , ype f fres. teheriTharmat hood fire suppression system Name: IJ e..? e Z . Exhaust fan with single duct (bath fans) Mailing address: / / 4/ .>J // 7L,/ C . - (y / - • ust em apart • . •. hcatmg or • City: -- T7 C�4 p State: G2 ZIP: 9 7c2a t / Fuel piping and distribution (up to 4 outlets) / rnonc: .. "o / Fax: E-mail: Fuel LPG ti NG Oil / 5 �/O 5 (/C0 , Fuel piping each additional over 4 outlets ENGINEER 7 rocesepipmg sc ctnaticrequired) Number of outlets Add r - a , , , - , e or egtopment: De orarivefi epiace C • . I State: ( ZIP: Insert- type ? Co / /o. 60 /040 • . one: [ Fax: E -mail: Woodstove/pellet stove Other - Applicant s signature: • . Date: e/ , °lbws Name (print) ao i / arC i/ r y ■ = - ttw AU $ - - S/0 )misd�ctia� =Mg auk rid please oil jurisdiction for mo iofvo�m . Permit fee ----- ------- _- - -.,,- / OYua CI Notice: This permit application Minimum fee $ - 2 , ,50 Gain cmd �t� / / expires if a permit is not obtained Plan review (at %) $ Expires within 180 days alter it has been r State surcharge (8%) .._. $ - _ 5.6 7 U Num or ra.dbotdor co as card accepted as complete_ S TOTAL $ 7 7 30 dp>sene Ammer 4004617 (6A)0000t 4 0 • CITY OF TI ,AFT) 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 - 4171 MST Q BUP Received Date Requested U AM PM BUP Location / s S fy 1/ q - ( Suite Co I MEC e 60 /3 Contact Person C :- Ph ( ) C R, — (0 4 1-09 PLM Contractor Ph ( ) SWR 4 1 BUILDING Tenant/•I= C,C e Y 1 - 124- d_..7 ? s ©( 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 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 . =oug - n e Dampers Air _PASS PART FAIL - ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final 0 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: D Unable to inspect — no access . Fire Supply Line ADA d' — 6j Approach /Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL