Permit 1 CITY OF TIGARD MECHANICAL PERMIT
1 , , ,i,, DEVELOPMENT SERVICES PERMIT #: MEC2004 -00337
�II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/3/2004
PARCEL: 1 S 136AA -09500
SITE ADDRESS: 06930 SW LOCUST ST
SUBDIVISION: VENTURA ESTATES ZONING: R -4.5
BLOCK: LOT: 017 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: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Install AC Unit
Owner: FEES
ROBERT WATT Description Date Amount
6930 SW LOCUST ST [MECH] Permit Fee 6/3/2004 $72.50
TIGARD, OR 97223 [TAX] 8% State Surcharl 6/3/2004 $5.80
Phone: Total $78.30
Contractor:
TRI- COUNTY TEMP CONTROL
13150 S CLACKAMAS RIVER DR
OREGON CITY, OR 97045 REQUIRED INSPECTIONS
Phone: 503 Mechanical Insp
Final Inspection
Reg #: LIC 72623
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: a--Lf-A-
jd Permittee Signature: 4v2/9,1
[,Qa
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
Jun 01 04 01:11a TriCounty Temp Cntrol 5035570919 p.1
Mechanical PermitApplication t►1 I,t l , l: ( ►.1.1
City of Tigard
RECEIVED E I V E L.6 Date received: I Permit d a:�'`.(,( 0 i q -a 0-33
f ,
I E Ptr>jectJappL no.:it,e date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639-4171 JUN 2 `i 20 01. Date issued: By: 1 Rem-ipt n ..:
Fax (503) 598 -1960 Case menu.: Payment type•.
Land use approval: CITY OF TIGARD Budding permit ao.:
11iimIo I ` • '
I 1 Pl.: 01 I'l.It11!
JO1t l & 2 family dwelling or accessory ❑ Commercial/industrial 3 Multi - family 0 Tenant improv i.
3 New construction XAddition/alterarion/replacement 0 Other:
.10R SI lE I%FORM.tI ION COSIMER( :I %I. V %LI %I ION SCIIEI)l; LE
Job address: 621160.5A, LOC'Jafi : Indicate equipment quantities in boxes below. Indica : the dollar
Bldg. no.: I Suite no.: value of all mechanical materials, equipment, labor, o erhead,
Tax map /tax lot/account no.: profit Value S •
Lot: 'Block: I Subdivision: 'See checklist for important application information ..
Project name: jurisdiction's fee schedule for residential permit fee.
Cityicounty: fa 'zip.. C 2 ) l & : F%3111.1i D11 EI.L1r(:. PF.R'l11 FEE CIIFUI I.E
Description and'(dcation of work on premises: 1 (bit AIC: %ND ('011SlFRIC \l.!I DI X 1121 %I. FQI IP%IEN F'iCII FDI'I.E
I Fee(- )I Total
Est. date of completion/inspection: Description Qty. Res. 4 . y Res. only
Tenant improvement or change of use: HVAC:
Air handling unit CFM _
Is existing space heated or conditioned? 0 Yes 0 No 1
Air conditioning (site plan required) s 1
Is existing space insulated? 0 Yes 0 No Alteration of existing HVAC system f I l
Nit :C1 A:Mt' U. CON [R:1C I OR Boiler/compressors
CQntro1
State boiler permit no.:
Business name: Tri County Temp HP Tuns BTUt11
Address: 1 31 5 0 S . Clackamas R ' yen Dr . Fire/smoke dampers/duct smoke detectors I I
City: Orecon Ci tv I State: • C ZIP: • .. Heat pump lute plan required) I
Phone: 55 7 - 2220 1 Fax: 557091 • E -mail: nsta 'rep ace tumacv .timer t • I .
CCD no.: 7 • Including ductwork/vent liner 0 Yes 0 No
nstal rep acure ocate eaters - suspen•cr3.
City /metro lic. no.: 1 126 wall. or floor mounted I l ,
Name (please prim: • F/�� vent for appliance other than furnace I
f Refrigeration:
. INC 1 PERSON
Absorption units BTU/1-1
Name: Chillers HP I
Compressors HP I I I
Address: Same As Above Environmental exhaust and ventilation:
City: I State: I ZIP: Appliance vent
Phone: 557 -2220 1Fax5570919 -mail: Dryer exhaust
(N1 \6:R Hoods. Type V IUiose an
vhaat {
hood fire suppression n system
KO t'j T• l'\ Exhaust fan with single duct (bath fans)
Mailing address: Fuel piping ing em apart from u p o or
City: l State: I ZIP: Fuel piping and distribution on ( (up to 4 outlets)
Type: LPG NG Oil
Phone:5,' � j Fax: I E -mail: ue mina each additional over 4 outlets ■■
ENGINEER Process piping (schematic required)
Name: Number of outlets
Other listed appliance or equipment:
Decorative fueolace 1
Address: t
City: 1 Stare: ZIP: Insert -.type
Phone: Fax: E - mail: oodstoverpellet stove I
� Other. I
Applicant's signature skit s 2('Y! 4t`.7t.% L Daze: (Ci( - Other. MiJ♦M
Name (print): • - A 1, �' Permit fee ___....._...T_ S ry
Vat ail t.trndicnom atapt cyclic tom. *ate call jmndicm mom a (or mo information. NOttC:C: This permit application Minimum fee ....._......... S ' .�bp
t] Visa 7 MastttCard expires if a permit is not obtained Plan review (at °'a) S
Credit card umber
Extrom within 1&) days after it has been state snreha ge (8 %). S V • r'
m
Name of ca.aer l as sbowa on most card accepted as complete. TOTAL.._._..» S
s
—
Cu apa.
oe A ®rat . .17 t6.00lCO14)
Jun 01 04 01:12a TriCount Temp Cntrol 5035570919 p.2
SGT
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TY) Jti L CLtat $t
CITY OF TIGARD 24 -Hour
BUILDING Inspectigi _ine: (503) 639 -4175
INSPECTION DIVISION ' Business Line: (503) 639 -4171 MST
BUP
Received ..r Date Requested 7 a AM PM BUP
Location ( 93(:) -k 4 Suite M EC a?G' Y-60337
Contact Person TIU64 kk - Ph ( ) 7 96,- PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes . ,1' = SIT
Post & Beam _ . _ ° W
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing i ei--CC 41-4 G r t.i /LI Die - /14G gt Co 74-
Drywall L � ` '��
Drywall Nailing °%,„
Fi rewal I
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 (� 0 ,
Gas Line I 1
Smoke Dampers
„ = PART FAIL
ELECTRICAL
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: Unable to inspect – no access
Fire Supply Line
ADA �
Approach /Sidewalk Date � — d am`" — Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL