Permit •
C ITY OF TIGARD MECHANICAL PERMIT
L DEVELOPMENT SERVICES PERMIT #: MEC2004 -00621
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/16/2004
PARCEL: 2S 112CB -08800
SITE ADDRESS: 15118 SW KENTON DR
SUBDIVISION: ASHFORD OAKS NO. 2 ZONING: R -7
BLOCK: LOT: 102 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: 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 furnace & add A /C.
Owner: FEES
HOOVER, BJ Description Date Amount
15118 SW KENTON DR [MECH] Permit Fee 9/16/200 $72.50
TIGARD, OR 97224 [TAX] 8% State Surcharl 9/16/200 $5.80
Phone: 503 620 - 8730 Total $78.30
Contractor:
A -TEMP HEATING & COOLING
16000 SE EVELYN ST
CLACKAMAS, OR 97015 REQUIRED INSPECTIONS
Phone: 503 Heating Unt Insp
Cooling Unt Insp
Reg #: LIC 71878 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 -0100. You may obtain copies of these rules or direct questions to OUNC by calling
(503)246 -6699. —
Issued By: ,Jj� Permittee Signature: Sy,-- g,pT
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
SEF - 14 -2;04 14: 10 ; RATING 5035572990 P.02 /03
Mecha,�!ical Pertni>t )+' ' ,• • , i OFF1CL-' 1 is1•: I, , .
Cif a . , - 20 ,: n : �(, vy PermitNo;���C l � I
13123 SW.He111 Blvd., Tigard, OR 9 EP . 14 Plan Review Other Permit Phodx 5O3.tii9.4171 Fax 503.598.19 l { DatdBy: = .
tn4pe�ua1•49c s a6,639.41ys. :., .G,tTY, O : F T , C't _• l,s.' i i Date Ready/Eth d Airs: 21 See Peg i f � rmafioe "
Notified/Me a 11 pP
Ia�ner t7.ti�d.oLat D`I'V :l8l'v •
-: ��31LQ'
.e .rl ..R • t.t( ' 14'_ " I 1 ;ua)p ' :,,(,7Q= 9. : :V,liai,lL : •'! . •
.
U New.pp on ,. , , V ,, , dition/alterafion/replacement perfortned. the value (rounded m thvalue nearest dollar) )
:1?+drl•m:,, =.:,� ? ,.. _ , • :<<, , . Profit. of all
Li YCLA�: :,, t] Otber:''< '` ` mechanical materials, equipment, labor, ovcdtcad, and
DCaIOXrtlt7>>,,Y�sry : + ? j'f° �- • Value: S ' •
. `I is 'Accessory . . ....
and . 2Stmt dwellia Commercial/i ial ❑
" Fo special rmatl
l y.
$ :;; ❑ . tof o � we chsciitlsx
Masser buildez , . ❑ O th � Ea To�1
r
El Malk- fami • D c n p tion •
Heating/coolie;
�+ Air conditioning or heat pump
Job six nddrrss:: '`! °J� . t° v 1 - - •uuoa arts .inn showia: •leoereent I 14.00
ty l •‘, 9 - 7 a-<_ T . Furnace 100 000 BTU ducta/vents f 14.00 ! ,
Furnace 100 , 000+ BTU (duets/vents) 17.90
Siite/bldgiapt.'ao: :" :: _ •• .. : I Projeetmime; , U Oas heat puma 14.00 •
Cross street/directio tti job site: • Duct work 14.00 •
-.
H dronic hot water s - em 14.00 •
, ? • ; .
'';, °.:N :,; -. •
.. •. Residential bailer (radiator or
hydronic) 14A0
— - Unit heaters (fuel - type, not electric),
in - wall, in - duct, suspended, etc. 10.00
Flue/vent for an of above 10.00
Sbbdivuint: (Lot no _ Other: MN 10.00 Mil
Tax taakiatoel tai: ;:' : • .: •
.:, . '
Other feel a • 'lances
Water heater al 10.00
Cas n..lax 10.00
‘i'.!,414./37.- �.,., :. , ; : r .: ::., d for water heater or gas
' ; _ Flue ve f o ';
�
ti .lace 10.00 •
. _ _> " Lo; ti : ter • as .1111 ' 10.00
., , -- .... Wood /. (let stove 10.00
- . , Wood T .lace/insert r 10,00 NM .
.
10.00
I . ' :: : -: . c!' 10.00
Other
'. . ... : • - Environmental exhaust And ventilation
t"�' ' ' Range hood/other kitchen
Address: ':5Lt) 0,�t1a 1110 equipment
10.00
Clothes d exhaust 10.00 •
City/Sfatt�LlP : :.? ? •r -1.' (ey a ' �. �a Single -duct exhaust (bathrooms .
Fhogi 44k74;: ,,.: �'" ' S''') ✓ -� Fax: (: ) toilet compartments utility r ooms) 6.80 •
' 10;00
.I: :I : :I(; : :cr•.3;'• Attic/crawl�ttCefans .
• . . ...- .,,...
if - -'.t !` ,(/1i�'f� Other: 10.00
B nesa Aame :. 11, ' ` "!' Fuel 1 i . in:
Contactuetae
- . - _ . ' J 55.40 for first four; $1.00 for each additional - _ •
- Furnace, etc. -
Addis :. I -- Gas heat . um •
. . 1,� . t '• ' " Wawsus. ended/unit heater
P h o a e : (; ) Fax :: ( ) .
MEM
&ttoslL' . Range
Barbecue
• 7 ll alt. 14) l - Other d t as
Addr . 1 • ' 1 a ..
5t -• ' 6 � 'r . P :icC.4Ci 8- C'ei' : l_ 6 a; c;1
t ., Subtotal
City/$tatC/ [PG ■ • s I �j , ® `'`j '10 �� .. Minimum p the (S72.50)
1 ti€001,L2b7a- Fax: f `f, pp.�ci, Plan review (25% of permit fee) '
- --- - - — State surcharge (8% of Et7"� %��
CCB.Iic.,`;, � ` :�� . 1 TOTAL PERMIT FEE q 1 .311
" y ?^ . ; ,, : s e" {f� This permit application expires if a permit is not obtained within ta0 .
.. _
days Alter it has been accepted u eompaM l
,...,• Y; �iY.,, r •• -. • Foe nrcthodology set by Tti•County Building Industry Serviee `;
e a I A. I _ .Data: I
:;i i tig B ett f "C'P! ati4i i •04 :. r.. . , . "4"erLie '1T (t f/nvoOM/WUn)
SEP -14 -20,04 14:10 A TEMP HEATING 5035572990 P.03/03
•
-Temp Heating and Cooling
g
S i[e Plan
Prepared red bt G.J r
! Y �- i)�jlu. (
Customer Name: "ov -'' _ Address:j t t -
Customer Phone. 0 3- t4,2--o— 7 ?730 i
f'rc prrl limnffilriry Line
1
•
I lou c
Slrccl
TOTAL P.03
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line:' ( s 3) 639 -4175
INSPECTION DIVISION ,Business Line: 03) 639 - 4171 MST
BUP
Received Date Requested l� Z AM PM BUP
Location < ( � Suite MEC o --
Contact Person Ph ;' ) .PLM
Contractor Pn �' ( ) SWR
BUILDING Tenant/ C - 4 ELC - 4 — 0 ° �aJ�
Footing F73
Foundation ELC
Ftg Drain ACC2ss:}�� , �� °5 . ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear � �p m (��)
Framing y \4 � �/�" tl (F1) SL
Insulation Vt 1 /4/ I) ) C° C -LJ f T •. / 1,
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm ® i/4
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING°F'ti : ' - '
Post & Beam "._ ....
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains •
Catch Basin / Manhole
Storm Drain ct
Shower Pan
Other: "
Final •
PASS PART FAIL
MECHANICAL=:`" °'
Post & Beam
Rough -In
Gas Line
Smoke Dampers
PASS ART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
/ -PASS ART FAIL
„" ❑ Please call for reinspection RE: El Unable to inspect — no access
Fire Supply Line - —
— - -- —
ADA
Approach/Sidewalk Date 020' - ® Inspector
Other: ,
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL