Permit CITY TIGARD MECHANICAL PERMIT
PERMIT #: MEC2004 -00836
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DEVELOPMENT H PMENg Tigard, R 9 2 ( + E S } 639 -4171 DATE ISSUED: 12/27/2004
PARCEL: 2S102CC -04100
SITE ADDRESS: 13695 SW CRESMER DR
SUBDIVISION: BEREA ZONING: R -4.5
BLOCK: LOT: 002 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:
GAS 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: 1
Remarks: Gas line for range.
Owner: FEES
CAMBRIA, CHRISTINA Description Date Amount
13695 SW CRESMER DR [MECH] Permit Fee 12/27/20( $72.50
TIGARD, OR 97223 [TAX] 8% State Surchart 12/27/20( $5.80
Phone: 503 757 - 7751 Total $78.30
Contractor:
SUBURBAN @ HOME
6014 NE 112TH AVE.
PORTLAND, OR 97220 REQUIRED INSPECTIONS
lnsp
Phone: 503 257 - 5438 Gas Line
Final Inspection
Reg #: LIC 143335
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: C' I / r,/ Permittee Signature: /177 o f I Gail / G�
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
.
'Mechanical Permit A I e lica .' 0 a - -- -- - = FOR OFFICE USE ONLY
\ :
City of Tigard Received
DateBy: , a_ .{ IDS Permit No.: Ili CC'_c200li-
13125 pW Hall Blvd., Tigard, OR !*.'• . O Q Plan Review
Phone: 503.639.4171 Fax: 503. , . ' ''a + /�rn `'', DateBy: Other Permit:
Inspection Line: 503.639.4175 C P • • Y � Date Ready/By: 0 See Page 2 for IT
Internet: www.ci.tigard.or.us (o ff \Ca - Notified/Method: Supplemental Information
-; x.c2 �f 7�,.,'.'�,..«:} • 'i: ;? c:,;= K;,c�:`+ .:eta �;K= .,. „� _
= .cc`;>x - :j�.rt' <na�- �= n�ar• ��� r.� �\�',, 9i_:s� .r`�•M 3 ' k.e . "
.,r � �, � � 4 d. Y> � p ; n r ..s� . „ ,... = � : � Mechanical ONR permit fees* ba HED o ULE = "US
s' " �` TYP.E� 8 0RK E =CHECKLIST
❑ New construction Addi on/alteration/re lacement the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
,...._..,a 411= 0'c 5r's:,: .: - ;�._,,., >.,::. ,;,j.-
.�.�, � �_. `' = =; ,CATEG.ORX= �:OF ". CO , z - °'u2z -. '_ :_
Y:
' ,,: =n.: >,.�,::r:f:: - ,�.•: ��. :�,:x•.::,...,.,, 3 - Value: $ _ _
.�RESIDEN.CIAL;E"� UIPMENT' /.SYSTEMS FEES*
R 1 - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
❑ Multi- family ❑ Master builder ❑ Other: For special information use checklist.
Description Qty. Ea. Total
.;11,,rv,,, ; : y!� -, - +.a,:vz « +�.:p;',z.:at;3ae . ^: =: ecx.:
) fib, 4 s„ JOB` SITE INFQRMATION: ANp LOGA:ION _ Heating/cooling
Job site address: \� 5 3 of = =�� Air conditioning or heat pump
L (requires site plan showing placement) 14.00
City/State /ZIP: -. 7- . (� CS-1\ ` 1 Th Furnace 100,000 BTU (ducts /vents) 14.00
Fumace 100,000+ BTU (ducts /vents) 1 7.90
Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Flue /vent for any of above 10.00
Subdivision: Lot no.:
• Other: 10.00
Tax map /parcel no.: Other fuel appliances
rv t, {..' �§ ^.'`;;.�= �w"'ai r£ ,rL-.. :<: r.rr:- m�a :; ��a:?�,;,.�.;�rr - „t..� ywT.+_: - .?.X4,; , :4€ =Y• "`es�t� °,.ja.
:!i a , '''''' i v p= DESC O) WORK _ , y : .r a Water heater 10.00
.�t'x}y(, " 'kt� >.. _Z:. ' .i , .. ...Z a,,,t..... ,4 ,, ... .x k' H4. s � 1 sn .. , ii. .- 'sztli
✓ Gas fireplace 10.00
: (75):t: \ 11Q -) �
CA .2 Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
f ; a,; ; u .::,::. -.; ,- a .:'° .r ; . Chimney /liner /flue /vent 10.00
';�Q 1 ` ":` m x ROE'ERTY; #O NERt; :a- ;' ,;: r d . � ` :: ; "' „ 4
0i-A _ ., .,,......_ ..1, T i,. --_ «:. "i.iiiio. ,.: r.: .it r: i t :s a ivi.,,.. TENANT ,';,r (''., ,,... t9 Other: 10.00
,
�'��� �'' ^��'
Name' ..) 1� ,)� Co.Al X S CL.2 Environmental exhaust and ventilation
Address: /
� CN CA r '�N �� Range hood /other kitchen
1 ` 1 equipment 10.00
City/State /ZIP\ ` 8 G\ �� o\ 3 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone r �' \' 5 \ Fax: ( ) toilet compartments, utility rooms) 6.80
�C*„'e'.'�'.�,` :.„S'n."ix'iyi- .,,:c;saes =.: ..:r,w .rt: :'ar g , �. , �y.;�?,:,. _:,, - �t�, : ,; ^, .-:. ., ._..�+= ';4'b'.•'..a,> _ - ;:-:.a;: Vi e.:; >:!.
.�..f'f :1 _,,, - K 2 I'_ A ' ,ij t. F, ., �:i. == _' ' ltOVR' .= =.;:,.,.;. 1, s c t Attic /crawlspace fans 10.00
: 1 -A-i _._...,r A- . ..L G , .NT .: "._r . s'rt w, COITTACtI PEI2SONr` z >
Other: 10.00
Business name � � • -) .1 Fuuel I m
P g
Contact name $5.40 for first four; $1.00 for each additional
Address: C \y 0e \\ .-\"r\ ,(I / �Q / Furnace, etc.
) Jt `x Gas heat pump
City/State /ZIP -4 N\c r,N� �J 'z�C) Wall/suspended/unit heater
Phone: 2l'�v��1 ` � Fax: :T 31,i�'� aD Water heater
Fireplace
E -mail: Range \ : CD
;w:1 s-' :'s%, =iv - z,„... �; .r >: nc:.xr.:. " .+ " aa ,,. ,c*- ,8:.,:;;,: ,}r.;.:,�'- '.i :;:
li- f., ti 4N K 4» ;: � ''°- CO1VTRe1CTOR i .1 . f,. g *a„ + re st -
k Barbecue
-:: -. .,. fi. - f. �,�, 3.+.,�'�, 07,�.�••�•rAm.4 ^�- .:,w...r, , crs � �
> _ } ( \`� _ Y - Clothes dryer (gas)
Business Warn �� Ji `�� J
Other:
Address: x . \� --\-r\ OKVI \�� - ; s=. a ; � .. .-. N $ ... ..... _
' " F« . 1VI ECHA 1�t IC A L P E1 VI Ti F EE S * '
City/State /Z : iNC C\ C<\171 ('-) Subtotal
Phone �v��., -'" --V Fax: 3 ? Minimum permit fee ($72.50) �Z ,�j�
Plan review (25% of permit fee)
CCB lic.: \ "----V State surcharge (8% of permit fee) 3, Zjp
TOTAL PERMIT FEE --g , 30
Authorized s - ����� This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print na i e: % l_. Dat, : -- WI Fee methodology set by Tr - County Building Industry Service Board
i'\Building \Permits \MEC- PermitApp.doc 12/03 ■ 440 -46I7T (I I /02 /COM/WEB)
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 - 4171 M S T
BUP
Received Date Requested td- °Z 9 AM PM BUP
Location / 3 Ce 95 fiA ,, nn ,,L Suite MEC o7 .0D L/ - — DD 83
Contact Person p Ph ( ) 057 7q PLM
Contractor Ph ( ) SWR
BUILDING . Tenant/Owner A ELC
Footing c S7— 17 51 ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing M
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
,Ras Lined
Smoke Dampers •
Final
ART FAIL
RIGAL
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 - El Please call for reinspection RE: 111 Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk Date / inspector Ext
Other:
Final • DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL