Loading...
Permit , C ITY OF TIGARD MECHANICAL PERMIT l DEVELOPMENT SERVICES PERMIT #: MEC2004 -00372 ` . ,f � 1 3125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/14/2004 PARCEL: 2S103CB -05200 SITE ADDRESS: 12163 SW HOLLOW LN SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R -4.5 BLOCK: LOT: 001 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: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: AC install. Owner: FEES SHELLY, JOHN Description Date Amount 12163 SW HOLLOW [MECH] Permit Fee 6/14/200 $72.50 TIGARD, OR 9797223 [TAX] 8% State Surchart 6/14/200 $5.80 Phone: 503 913 - 4461 Total $78.30 Contractor: SPECIALTY HEATING & COOLING 1601 SE RIVER RD HILLSBORO, OR 97123 REQUIRED INSPECTIONS Phone: 503 Cooling Unt Insp Final Inspection Reg #: LIC 66578 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: `° / �� Permittee Signature: _4m w �_ ! / Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day M x °inieal PE;t-Ia�.it Application- FOR OFFICE USE ONLY , - Received / Mechanical ¢� Data/B - i4 L'O Pa, iln it Nu,' �I 1 dI 7.Z City of Tigard RECEIV Planning ' pprov Building " 13 t 2S SW Hall Blvd. `� Date/Qy: _ Permit No.: Plan Review I Other Tigard, Oregon 7223 l O 20 4 DatrJB - rcr Na.: Phone: 503- 639 -4171 Fax: 5 � -98 -1960 M Post - Review I Land Use Internet: vwtv,ci.ti ard_pr.us GA R DDate/By: Case No.: 24 - hour In epectinrs Request: SCO}�� G N is '0"."--`' _.,,' Contact J ( Su Sec Pace I for BUILDiN ►Vi Name/Method; / I 5upplementallnformat t I H TYPE OF WORK . • COMERCIA,L F'EE• SC - EDU1 - USE CHECKLIST •: 1g ew c )nstruction . D Demolition Mechanical permit fees* are based on the total value of the work I I Additi )n/alteration/replacement I © Other: performed. Indicate the value (rounded to the nearest dollar) of all CATEGORY OF CONSTRUCTION mechanical materials, equipment, labor, overhead and profit. _� 1 Le/ 2-Family dwellin • m Coxriercial/Tndustrial value: $ See Page 2 for Fee Schedule i I Accts: oty Building ❑ Multi - Family RESIDENTL&L :E •UIPMENT/SYSTEMS FEE' SCHEDULE n M:astei Builder 0 Other: Doecri.tion •tv I Fee ea.) Total JOB SITE INFORMATION' und'T OC 9 TION R eatln� Coolie: • Furnace - a -on air c ionin * 14.00 Job s1 to ac dress: 12 ( 3 c(..) j t Z, f i. o L...) Gas heat sumo _ I 14.00 Suite #: Bldg. /Apt #: jA --w{ ., Duct work - .. I 14.00 Proje :t Na me: Iydronic hot•watcr system I 14,00 Cross SRef:t/Directions to job site: Residential boiler (for radiator or hydronic s stem) 14.00 Unit heaters (fuel, not electric) in wall, in -duct, sus beaded, etc.) 14.00 Flue /vent for an ' of above) 10.00 Subdivision: ' Lot #: Repair units 12.15 Tax reap /parcel #: Other Fuel Ap dances Water heater 1 10 00 1 DESCRIPTION OF WORK Gas fireplace i 10.00 Flue vent (water heater /gas firc.lace) 10,00 _ , C _ i ; : - -t c it -r . _ Lod qa lighter s) 10,00 Wood/Pellet stove I 10.00 - Wood fireplace/insert I 10,00 Chimney /liner /flue /vent _ I 10.00 lit ' ROPER TY OWNER I TIENANT • Other: I I ( }.00 Name 1 D LA,, t,Q,LL Environmen Exhaust yr Ventilation Addrf:ss: Range hoocUother kitchen equipment 10 -00 tt> �-t� Ctothae dryer exhaust 1 10.00 Ci /State, 'Zip: �^ SingIe duct exhaust Phone;: �( l{ 14 (p (bathrooms, toilet compartments, II APFLICJ LIT . . " ; _ fl • CONTACT PERSON :''.: ntility rooms) 6.30 Name: Attic: /crawl s'ace fans I 10.00 Address: _ Other; , 10.00 Cit / ..tate� el Piping *< 35.40 for first 4, 51.00 each additional Phone - -- Fax: Furnace, at plc, E - mail: Gas heat pump • CONTRACTOR s11 /sus ended/unit heater Illai RACTOR T. Water heater 11=iiiiIIME Bus Name: Sac • i e -l„ rt., j- I.zr -i- r\-c Fireplace 1 yY Address: L<' v t .C" P v"zr• e-c(, Ran •c 1 .,. Cr i /State /Zi ._4 • C7 - z . Clothes d cr gas i <. Phone: e. t t t, G L Fax: Ci - h '3 Other: _ � = Tic. ;'': (c. V' C 2 v " 0 - Total: Authorir:ed f t echani al Permit Pecs Signature: I.`.61.�: D t J Q ate: 1p O cq Subtotal: ; S 1 ---1" l.V ,�,,, `.` O l c' - � Minimum Pc t Fee 372.50 I s Plan Review Fee (25% of Permit Fcc) I S (Please print name) State Surcharge 8% of Permit Fee) I S TOTA I. PE MIT FEE i S ' riallEIMIE Notice: This pe rmit application expires if a permit is not obtained within *Fee methodology set by Tri -County Building industry Service Board. ISO days after i : has been accepted as complete. "Site plan required for exterior A/C units. is \Dsts \Pemit Ft rms \McePormitApp.doc 01/03 d ekolik' z'd 8ILO 86S COS 21.4zzeaH RZteIOadS eBZ :BD 471) OT unr At r SITE PLAN PL 2-0 f F 5' PL elec. GA a PL L1 3 S c ‘AN 1,3 ( STREET NoT'E . C�s�}n..,� '- - sr.vhAl Ca ry w e eLc F} /c- on S t d e vcved Wept-. f19 co mt.hor (mid ()No 1lo vr,e S) Specialty Heating & .Cooling, Inc. 9528 SW Tigard Street Ti Bard, OR 97223 Phone 503.620.5643 Fax 503.598.0718 Hillsboro Phone 503.640 -3607 Fax 503.681.0793 E'd BILO 86S COS ZutzeaH E3zletoadS eBZ:BQ 1,0 OT unC CITY OF TIGARD 24 -Hour BIILDJNG L Inspection Line: (5 39 -4175 INSPECTION DIVISION Business Line: 03) 639 -4171 MST BUP Received Date Requested - °Zr PM BUP Location / »- I 6 Suite MEC o2Oe Dv 3 7;-- Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/► ELC Footing is oe ELC Foundation Access: I Lt ►..tuyco'd" Ftg Drain , ,..'w1 ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath /Shear Int Sheath/Shear f • go , vv\ w , J� � -0 0 J ` �{ 3 Framing lei ['ei `I Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling '~ _ Roof , i Other: �f: Final `L/ A e/(c) PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole g Storm Drain • Shower Pan Other: Final PASS PART FAIL MECHANICA Post & Beam Rough -In Gas Line 7•/ S oke Da •ers 410 • PART FAIL • TRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE, 0 Please call for reinspection RE: El Unable to inspect — no access • Fire Supply Line ADA Approach /Sidewalk Date - 0 Inspector mew; Ext Other: Final DO NOT REMOVE this inspection record f m the job site. PASS PART FAIL