Permit A C1TY OF TIGARD MECHANICAL PERMIT
n DEVELOPMENT SERVICES PERMIT #: MEC2004 -00614
-. � I I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/14/2004
PARCEL: 2S 102DB -00602
SITE ADDRESS: 08915 SW O'MARA ST
SUBDIVISION: ZONING: R -12
BLOCK: LOT: 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: 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: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: < =10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Furnace installation.
Owner: FEES
ZINDA, TODD Description Date Amount
14875 SW 103RD. [MECH] Permit Fee 9/14/200 $72.50
TIGARD, OR 97224 [TAX] 8% State Surchar€ 9/14/200 $5.80
Phone: 503- 314 -6888 Total $78.30
Contractor:
SPECIALTY HEATING & COOLING
1601 SE RIVER RD
HILLSBORO, OR 97123 REQUIRED INSPECTIONS
Phone: 503 - 640 -3607 Heating 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: ��G%� -lam �-(1 j ± Permittee Signature: j L-e . c> 14740
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the nextuiness day
- ....AS VA LAS.M.M 10 UU 1
..-. .. .
• Perm
M eit i C al . -
D
FOR OFFICE USE ONLY
Cilty:,;. ri Ord
131:...i SW I fall Blvd., Tigard. OFt. 97223 Pa
Plan . entity
Phone: 503 63!..4171 Fax: 503.598.Sp 1 4 2004 -.,-.:,,:::11,
•
Insp.:cern I Me 503.619.4175
153-4121"2211F"11° ;.- ili blitelay: Ot:P:rilligke &_% 0 a.)6 V
s ate • a ■ :y:
Intoner viN rut. 1.tittardatua WY OF TIGARD t•todoceoccalooa 1p.Seelem
a
- "
• ........:• 7 'V!r?.1.,.j:;--;71.1;'.-...--13..... ..tittiRAM.! ,:,:74:'!",,.r..' ..` : alb :141SE`''Sblj1 OOILE VSEtlIECKLIST
0 New a au Itaion
0 Datoli ioi. 0 Addi 0 Other: tion/alteration/replacement
. Mechanical permit fee:* so, Dane on the ' of thc work
performed Indicate the value (rounded to the newest dollar) of ell
meth teal ateriale a ui • mutt. labor. overhead. 11110 • refit.
. . ,:.:....-7,77 !t... - .4ir CO..;',.. : ' ....... . • . • .. . v2lue: s . .
MI i • and ; - fa Tdly dwelling 0 Commercial/Industrial CI Accessory building
::::
1:::1 Multi-Erni y 0 Master builder 0 Other:
.:. 7 IT 4 . :
..-'!..
lob 3 lie add. es neat
: ....:.:.Pg9..:Eitzwrii / sYsThms•FEEst
For special i °rogation use cheekily.
Description Qty. Ea. Total .
Air conditioning or heat pump
s
le• ekes rico , Lan ,. anis . • beerenno 14.00
• -... ...... !171111NXIIIMIPMMMIIIIIMIIIIIII
City/Staot/Z P: , cin. . ' Z.,• F ice 100 000 HTO duar.I.Onb F.14 14"
....
4._..■
__....
Furnace 100,0004 BTU tauelyssuul NMI 1
Saiterbidg/.1 pi. to.:
Project name:
EM E 1201111 ...11111111 ta.OD
----- -
Crost utoet/ tire ctions Co job site:
Duct work . Roo I
H [Ironic hot water s stem l4.01) '
Residential boiler (redirtor of
-••••..••• -
onic i A.00
Unit heaters (tbel-type. not elecOic).
in-ws/1. in•duct. su • nded etc. 10. 10 .
-- -
11733MCIrrrnI 10.00
Subdivision: 1.0t no.:
- -
ether:
10.00
Tax 11'011/pliri el !uo.: •
Other fuel appliances
..f... :f.... ..::• 1 '.4..4 : ' !' I : .:-.":7.):.., ‘‘ .DOCROTIohj: 4 0:i 1 1(011k .f ' lrt Water heater 10 00
Gas lircpInce 10.00
i .A.L._,'
Flue vent for water heater or sac
fire- Isme
10.00 I
Log lighter (gas) 10.00 I
Wood/pellet stove 10.00 I
f
W.00 0 - lace/m, m 10.00
•.'-...,. g 4*..: .. 'aft k• .--1,1r.iftimut Chimney/liner/Clue/nor NM 10.00
Other: 10.00 I
Nilifle: "I aa ct 2. , s'.utte,....
t vIronme tai exhaust. and uentitation •
-
Address: 'Inge hood/other kitchen
a 11! it' 1 10.0 i
City/St tie/MP
Clothes d •r exhaust 10.00 I •
_ .
single-duct exhaust (bathrooms,
Phone: ( i c ir4 ... & gl k Fax: ( )
toilet to • aliments mai roOMS) EMI
*ChWit &.: .4;i1.1.;... ."" .. leir4Ob.::.41:4. " 10.00 I
Other: 10.00 I
attiltiotS name . 5 y A: L . . 4- _ j ... A L. F
•
7 is • ' . .-
..._ _ ...... _
uel .14n.
.
COOtact name: - -
_ ' - _ - 11111111111111 sem) Car first four; 31.00 for each additional
Address: .4 t.:' I ..Ce: t...% Furnace. etc. ll
Oas heat pump 1
City/State/2Lp: i• i 'J ....." tj..'74. . e • t.....1 w.w.pendediunitt.usr I
...___
Phone.: (S ) .1.1. /... si - . C 4-- Fox: : ( 5* ) ..,. - el - • 1 Wow heater I
P lace
E-mail:
R011 e
ar'rni Mir ....• • • ta v. - - "• - '"" - .." • -. ,n.I.,:ratalL Barbecue ;
F •
4 ...r..? - ':1$; Iv ., ittPlk '•
Busiocoi mune:
Clothes d cr :as
- -...
Other: I
Address:
, ..'' : • 7 i 1 OtiteHANieitliltRfelITT.P . ELS- . •
City/State/ZIP:
Subtotal
..••••■■■•■•■ ...1.•
Phone: ( ) ■.
Faa: ( ) Minimum .. it ree 4 WIEN=
Plan review of permit fee)
CCB lie.: t r &
State iircharge (8% Of pennit fee) . 7)
--------.. : ..
TOTAL PEANUT FEE f inill
Authoristud Agit mu :-. .ki...;A.i'L *- -- C 1.4: 4 ••■•• . nu perm opottetttoo noires ■ a permit it /108 abtaiaa . wil Ma 100
daya elm le Das bans attained as canasta.
......-.-...___...„ _
PriTit ours& f- ,. J.._ " I ' 4^ 4 . Din: Argr • Ott methodology sci by Tsi•Cuunry Building In Op Sc rviCa Board
IN)tiktmellarmInPIWS•
:.p. miltApp.dut I0)
am in f 11/02/CONOWEB)
eeet01 tr0 *1 daS
3uvaeaH Ra te 7 °ads
a - d ete,o BCS can
dst:ao trO IPT daS
2 ut4eall R '4 I e T 0 a 1:1 S
a 'al SILO BSS EDS
CITY OF TIGARD 24 -Hour
BUILDING Inspection Lin 175
INSPECTION DIVISION Business Line. 0 1 MST
ry BUP
Received Date Requested l r b AM PM BUP
Location T? ' / v [ 0-4 J Suite IE & I - Doe 4/
Contact Person T Ph ( ) / (goo Gp PLM
Contractor Ph ( ) SWR ^ 1
BUILDING Tenant/Owner ELC N Footing ELC
Foundation ELC
Access:
Ftg Drain
ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear Int Sheath/Shear v�7/ c L 2 / (C6)641"-- v
Framing T J
Insulation
Drywall Nailing �( / Firewall V _� YY (CAS) �(7 ��� C • 1Y7L/ `� d 1 — `jt i O Z.� ,(1
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
a'
Final
PA,S FAIL
Poo s?'&e�am
Rough-In "
Gas Lin
Smok= �� •ers
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 Please call for reins ection RE: ❑ Unable to inspect – no access
Fire Supply Line )
ADA D ate Inspector Ext
Approach/Sidewalk P
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL