Permit r,
if
CITY TIGARD MECHANICAL PERMIT
, li' DEVELOPMENT SERVICES
PERMIT #: MEC2004 -00048 DATE ISSUED: 2/5/04
` -" 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1 S134DC 10100
SITE ADDRESS: 11452 SW CORNELL PL
SUBDIVISION: TIGARD PARK ZONING: R -4.5
BLOCK: LOT: 017 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: DOMES. INCIN:
LPG 3 - 15 HP: COMML.INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Remarks: Running gas line to spa.
Owner: FEES
WHITTAKER, JEFFREY S + ANITA L Description Date Amount
11452 SW CORNELL PL
TIGARD, OR 97223 [MECH] Permit Fee 2/5/04 $72.50
[TAX] 8% State 2/5/04 $5.80
Phone: 503- 684 -1918 Total $78.30
Contractor:
GAROKEN ENERGY COMPANY •
3565 SW 182ND AVE
BEAVERTON, OR 97006 REQUIRED INSPECTIONS
Phone: 503-848-3838 Gas Line Insp
Final Inspection
Reg #: LIC 43124
•
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 -669y
Issued By: " � �, / i � Permittee Signature: 2 -7 4, 1�:-9✓7
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
02,/04/2004 09:56 503356 GAROKEN PAGE 01
RECEIVED
i0'16/2O0 3 13:5, FAX 5035081960 CITY OF TIGARD ZI 002
FEB 0 4 2004.
Mechanical Permit ApPM ` p It 01-.1.1(1; l'a: i)•1.
•••.—, Received DIVISION Received p Mechanical
• tee ;�-S -C2 Permit No.:Me--7p Oaf
City of Tigard PlaanningApproval tut . Y
13125 SW n„we
Hall Blvd, Plan Review Permit No,.
Tigard, Oregon 97223 Other
DatdD : P rrnit No.:
Those: 503- 639 -4171 Fax; 503.598-1960 Post•R,eview rand us•
Care No.:
intertset: www.ci.tigard.oc,us ''''''.:.f' i D•te/s ,
24.bour I Request: 503-639-4175 ' " - ontact {1N ; ! 4 n s. , .-...41 see Page 2 f or
Name/Method: iC $u• Ierc,enUallnformatioo.
,._. ;:' 0 i, Clr4L`FFEE� •` SCMEnu `= 'USE (:
New construction Demolition . IIaC:IS'F,•�:. -:.
Demolition Mechanical permit tees* are based on the total value of the work
ddition/alteration/replacem Other performed, Indicate the value (rounded to the.neartst dollar) of all
;: :..CATE
- :: O' V "OF; COBS' I•'R1FTG"l7p1%.;cd, ;'- �:b' mochanseal materials, equipment, tabor. overhead
I & 2 -Fami) dwellin- and profit, �� Commercial/Industrial Valu S See Page � for Fee Schedule
♦r Accesso Building IN Multi- Farnil '1st> mErsrcasQt S,ggp.g pM, ....
• Master Builder eript
• Other. Ba• 1 Qty Feft(e•;) j Total
'XOUSFILEs:IIVFORIti ¢ i1 ?ION;;n '; �t+�.;: "ll'Ia ,', •: .Heatigs/Coollog
Job site address: j � � ��� , � Furnace •add -on air conditioning•• 14.00
•- . . • J� e. _ Gas heat ump
Suite #: i Bldg. /Apt. #: — Duct wor 14,00
� e
Project Name; 14 h ;4- .1-A. le Y Hydronic hot water system • 14,00
- 1 4.00
Cross street/Directions to job site; Residential boiler
55 e.3�' �`' �t �� (for radiator or hydronic system) 14.00
Unit heaters (fuel, not electric)
(n wail, In- duct, suspended, etc,) _ 14.00
Fluelvent (for any of above) 1 0.00
Subdividiott: Lot #; Repair units - 12.15
Tax ma •/ • arcel i'#: Otti r Furl A • !'uncea
• -' ' 'UESCRIFT4011 OF: e ; ., Water heater 0.00
• I Cray fireplace 0.00
.4,6 r all Flue vent (w a ter h as ealgrl� fireplace) _ 1 0.00
• Loglighter (qel) T 1 0.00
— Wood/Pellet stove 10.00
Wood fireplace /insert 10.00
1aR'k�C... O yAiner/ 1ue/vent 10.00
PROP
I�`:... '..;�; �� N �'_iiy "Fr,ar v,� Other:
10.00
Name: - e-tf 1,,,3V i{ 12 Y Lavlryametatal Eshau4,l� Vcdtllitieu "
Rtanae hood/other kitchen equipment 10.00
Address: SQ
City /State /Zip: Clothes dryer exhaust - 10.00
Phone: ( lei Fax: _ Single duct exhaust
Phone: t.IGADL'l? >.' • • •, . (bathrooms, toilet compartments, CA�"P't! RSiQN;:. utility roomq. .00
- 10.00
Name; � Gtr, -o Kp�,, Attic/crawl :pace o
Address: 35605 , , /_, Other. 10.00 iana i
Y
Ciry/S tate/Zip: first , 1.000
Phone: Fax: •• 05.40 for first 4, $1.00 Bch AddlLtDnai))
Furnace et ••
E- a 1. oat heat pump ••
rC.O NTRA WelVsuspended/unit heater • ' ••
water heater ••
Busin Name R nK I .,) 6 I. (I _ , Fireplace .1.•
Add ress: 3 N n /Q )a, Range ••
Ci /State /Zi•: -. - ..T'. a f_ . r 1 II* C .•
Clothes er •
(Rare •.
Phone: Vi-g- - 3.g - 3?„ Fax: 3S ctOC - _ Other: a ' _ / •.
CCB Lic. 4: 4 ..a.1.4, Tow;
Authori Mechanical Parrish Et •
Signature: , ��fC Date; " 4'0 Lt ..'" Subtota : S
Minim e. •ermit Fee S72.50 S .-ya .3
��(3 v\ `n ) Q a Plan ' e (25% of Permit Fee) S
(Please print name) State Surc ge (8% of Permit Fcc 5
TOTAL PERMIT FEE S - 2g - . s o
Notice: This permit apptictition expire' if a permit is not obtained within 'Fee methodology let by Tri•County Building Industry St - 2g - C)
Board. J
180 days after it has been accepted as oumpide. ** Site plan required for exterior A/C units.
\rf...\V.,—;, Gr..+...%A.4..D- .... :.n.... . Alan•.
CITY OF TIGARD 24- Hour.
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 - 4171 MST
l BUP
Received /G % 3 ' Z D ate Requested 2 ` 11 / AM PM BUP
Location 4
, Suite c4
Contact Person /44 Ph PLM
Contractor P ( — SWR
BUILDING Tena Owner 7 c� A9? ELC
Footing
ELC
Foundation Access:
Ftg Drain f-' P4Z C ~ � ELR
Crawl Drain
Slab Inspection Notes: Z SIT
Post & Beam G� J' ✓�
Shear Anchors ((//
Ext Sheath /Shear
Int Sheath/Shear (9 3 — 9/ l 5
Framing c
Insulation
Drywall Nailing C_ j
Firewall a�, .) (u 1 \� LI` Tcb 1 s 1
Fire Sprinkler y(
Fire Alarm
Susp'd Ceiling _ a
R oof p ill- 1 4 Al 0
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
Rou h -In
(Gas Lin
S moke Dampers
SPASS ART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required bef 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 L
ADA
Approach/Sidewalk Date 2 Inspect. Ext
Other:
Final DO NOT REMOVE this inspection record from the job ite.
PASS PART FAIL