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Permit C ITY OF TIGARD MECHANICAL PERMIT A Pk1 DEVELOPMENT SERVICES PERMIT #: MEC2000 -00430 ,�� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/1/00 PARCEL: 2 S 102 B B -00813 SITE ADDRESS: 10340 SW JOHNSON ST SUBDIVISION: BROOKSIDE PARK ZONING: R -4.5 BLOCK: LOT: 007 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: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Replace gas furnace. Owner: FEES COFFMAN, DENNIS D + RIE Type By Date Amount Receipt 10340 SW JOHNSON ST PRMT CTR 11/1/00 $72.50 2720000000 TIGARD, OR 97223 5PCT CTR 11/1/00 $5.80 2720000000 Total $78.30 Phone: Contractor: B & B AIR CONDITIONING P.O. BOX 1607 LONGVIEW, WA 98632 REQUIRED INSPECTIONS Mechanical Insp Phone: 360- 423 -3010 Final Inspection Reg #: LIC 49202 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 a ugh OAR 952 - 001 -0080. You may obtain copies of these rul- . •' ect questions to OUNC by calling Issue By: • 1 , !� l ��. j / Permittee Signat : Call (503) 639 -4175 by 7:00 P.M. for inspecti • ns n ded the next business day 10/24/2000 08:35 FAX 5036847297 _ City of Tigard 4 004 ,. A, Mechanical Permit Applicati ®n , . _ Date received: Permit no.: Mir (t F.oY ' X i �r•. -, . ^ �. City of Tigard Project/appl, no Expire dote: City of Tigard Address: 13125 SW Hall Blvd, Tigard OR 97223 Date issued: By: Receipt no.: Phone: (503) 639 -4171 Fax: (503) 598 -1960 'Case file no.: Payment type: Land use approval: Building permit no.: U 1 & 2 family dwelling or accessory Cl Commercial/industrial U Multi -family ❑ Tenant improvement D New construction • Z8( Addition /alteratiou/replacement Cl Other: - ,ijOB SLIT-IS FO M. T1ON- _ __ ('OhlMFACIAL V Ai: CATION' S(11EDI ;Lf: . Job address: 1 ©3 \'4 5 YTh S !' Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: Suite no -: value of all mechanical materials, equipment, labor, overhead, Tax map /tax lot/account no.: profit. Value $ • Lot; Block: Subdivision: At ' • See checklist for important application information and . , jurisdiction's fcc schedule for residential permit fee. Naminsw ( City /county: ,, O ZIP: c1�2Z3 I s 2 F.tNUll 1)\%LLI INt:',I'CIiMIT FEL.SC11Lk)t $ • scription and lo Lion of work on . anises: AND:.CO'l\lLRI('4i I IL IINDUSTR EO,:1l'A11 'S('HEDLULE J_!: l k ' , AL S C _ 1. 1. e- . _ • Fee(ea.) Total Est. date of ' mplction/inspection: iDer i , , a Rens.only Res.only Tenant improvement or change of use: HVAC III Air handling unit CFM Is existing space heated or conditioned? D Yes D No Air conditionin; (site an required) — Is existing space insulated? D Yes ❑ No A tcratton of existing HVAC system I N91 4;111.N { Uv Flt A.( • 1 QIt _ Sta te ile re II■■ Sutc holler permit rmit no.: Business name: or (, 1r A - a `CAA HP Tons BTUIH Address: '0 1,1••,, - • 0, VW , . ,' 2M7111 , .t TfSINI1111111 Ciry:UJ SVie�l mum ZIP: �"(,•Q /..... Heat pump (site plan re•utre•) ■ -- Phone. Ii'• �j Qll/! rm Sri` • ail: nstalUreplacefurnace/bumer • a Including ductwork/vent liner 0 Yes 0 No CCB no • 2G InatalUreplace/relocate heaters - suspended, City /metro tic. no.: wall, or floor mounted Name (please print): Vent for appliance other an urnace ME - - — EU`! \( "1' T'1 RSt7N eftigetadotr. _ Absorption units BTU /H 1111 f Chiller, HP - �� 1 Compressors IHP Ell • + • • O ` O c ■ t do ai • 1 • 4;. . Environmentei exhaust au. rea , on: IIII 133/11.. i'M ZIP. 2.2_ Appliance vent Phone: e • O"?.:u • Fax: E-mail: Dryer exhaust IIII - - _ oo.. • 'ypc f f s- kit hen/hazmat � _� U�� N Lti= _ _ hood fire suppression system ■ t1 • exhaust fan with nin yle duct (bath fans) - �� Mailing address: Exhaust system apart om eating or AC NI City; State: ZIP: Fuel piping and distribution up to ' outlets) ■ -- Type: LPG NG Oil Phone: Fax E-mail: IF . - . • , - , . , . - .. , . . • out ets llIII - - - _ - - l 1(INEF.R • :. - - _-- -- . _ Process piping (schematic required) =� — Number of outlets Name: • er s , app rsnce or equipment: ill Address: Decorative fireplace Cit State: ZIP: nears -type __ all Phone: Fax: E- mail: Woodstove/pelletstove NM - Other: MI Applicant's signature: Date: Other ME Name (print): IIIII Not J nccrpt rrrdit emit. ptaue call jmiedicuon for mote Permit fee $ - 2 - '5 - 0 D Visa D MasterCard ot Thin perm app Minimum fee $ / expires if a permit is not obtained Plan review (at %) $ Credit card n umber within 180 d ays a fter it has been u"-) ,% 0 Expires State surcharge (8%) - -.- $ Name of cardholder as shown tau credit clod accepted as complete. TOTAL. $ - 1 3D Cardholder aignnn"e Amount , 44046/7 (6/00/COM) r CITY OF TIGARD BUILDING INSPECTION DIVISION „24 -I4our Inspection Line: 639 -4175 Business Line: 63 • - ./� .1 Date Requested � ► AM // '� /' M / c am /�� UP G I v BLD Location • / e F u1�� ' d Suite MEP' (91213 '' /3d Contact Person U j "`17 Ph 1 -149 '� d� -135' ,- X 1 - Contractor T-psrkC �/ 7 Ph SWR BUILDING = Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS gq 4140 Ftg Drain SGN Crawl Drain Inspection otes: Rot, 1 Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear ('o 4 � �� • Framing �� f Insulation Drywall Nailing O ! Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Final PASS PART FAIL B11■1 Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains T FAIL Post & Beam Rough s Lin Sli a e Dampers PART FAIL EL CTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date 0 / 3 6 Z ) J Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site