Permit ti
•
C ITY OF TIGARD MECHANICAL PERMIT
I DEVELOPMENT SERVICES PERMIT #: MEC2004 -00733
� �� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE I 11/9/2004
5
PAARR : 1S136 04
136AD -04000
SITE ADDRESS: 11507 SW PACIFIC HWY A
SUBDIVISION: VILLA RIDGE ZONING: C -G
BLOCK: LOT: 007 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS: 1
OCCUPANCY GRP: B 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:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Mechanical TI, install vent fan in bathroom.
Project value: $500
Owner: FEES
SMITH, EDITA M Description Date Amount
833 NW 170TH DR [MECH] Permit Fee 11/9/200 $72.50
BEAVERTON, OR 97006 [TAX] 8% State Surchari 11/9/200 $5.80
Phone: Total $78.30
Contractor:
INTEGRA SERVICE CO
32433 TAFT AVE
COTTAGE GROVE, OR 97424 REQUIRED INSPECTIONS
Phone: 541 579 - 1185 Mechanical Insp
Final Inspection
Reg #: LIC 135441
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 -0 -0010 thro OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling
(50 246 -6699.
Iss ed B // ' Permittee Signature: ' / „fel`
i
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next': y
11/08/04 MON 09:38 FAX 503 554 1834 Integra Service Co O002
1 i/ U(/ 20)04 17:21 FAX 5ti358 iy6ii - CITY OF TIt.ARDi [ij00i
G..
1V!ecbianica! Permit p . w FOR OFFICE USE ONLY _ __ ____
C,ty of Tigard F L°u C i V E ` R ea o r. Y t. N�„
l3'. SW Han 131vd_, TS, OR 97223
urtuttr l/ q Qc X - //ed c 5 � — Q?7, '
Ph. me: 503.639.4171 Fax; 503.598.19 ION !! �, ''''''''''''''f' >lntelB)' Other l'��ie
Ids nation Line: 503.6 !i_4175 'O Y V 1004
f 1)ntclBy ®Sec Page 2 for
Inn. t a w,ti.e�+ldatais --.
CITY ®� TIGARD t Noidflc,/Maod '/ �. sap eatalroformatioa
R s 4'74 4T '.
[ New construction 0.,Addition1altetation/replacement Mechanical permit fees• are based on the value of the work
performed. indicate the value (rounded to the ncalcst dollar) of all
[: Demolition ❑ Other mechanical materials, equiptaent, labor. overhead. and profh.
:... ::': ' CATEGORY: •OE CONORUC;TIQN• : ' :. • .: ' „_ Vulun: $ SOD • "Le .
[ I- and 2- family dwelling `gCommerciaUlndusuial 0 Accessory building 41t$10141 / S1 TE1 'FFrES• : ` :•
C Multi- family ❑ Master builder ❑ Other For special information use d ecklist.
. Qty. Description I Ea. I Total • :: " • : ' J SITE INFODl►1ATION ; AND LOCATION . • •; :' .. • • Ffeadne/cooliog
Jul site address J Alecondiniming or heat pump
/ O • I C / r / C •" (requires site plan shoalnv placement) 14.00
C:it ylState/ZJP: %/644 q Furnace 100,000 BTU (dacarents) 14,00
Furnace 100,000+ BTU (duets/vents/ 17.90
.0 te/bldg/apt no.: Proje.•tmune: j-j 6 r - 1/..9a.j Oar heat p um p 14.00
Co street;ducedons to job site Duet work 14.00
Ii droaie hot water system ...• 14.00
lktaderttiS. boil ixecilator or
hydronic) 14.00
Unit heaters (fuel -type, not electric).
in=wall, in=uct. suspended. etc. 10.0 -
Flue/vent for any of above 10.00
Sul division: I Lot no.: Other.
Ta: map/parcel no.: Other fuel appliances • , . DESCRIPITON O1 • WORK . Water heater 10.00
Gus fireplace 10.00
/ NL 7;93 // . 4)4, el: ✓.a 7 F>c 1l - Flue vent for water heater or gas
fireplace , 10.00 ,
—ID, Log irkshter - r-- -. 10.00 .
($w P e f t r i s ► i 7- ` a e y ` 0 00 1 7/7) woodrpcnetstove 10.00
Wood fireplace/insert 10.00
-- . . • y /fl event
• . O ' • .:. T6INN
A T : . . : . : : : • :..; Ch lmne /1 iner
1000
-- - Other: i 10.00 I
Na lie: apt T ,4, 77/ Environmental exhaust and ventilation
Ad Tress: g 35 t ) ; l & 02 Range hood/other Weber' i
equipment 10,00
I Cir 1Srare/ZI1' 7j 1 ef,/Eital ) 4 it '7pe5 0' Clothes dryer exhaust 10.00
Plat ac Single4uct exhaust (bathrooms,
( ) Fax: ( ) toilet compartments. utility rooms) 6.$U
• - ' •' S. ' AP Aaidorawlspeee fans 10.00
.. � . P•'L'iCAN!I` � • s .• :: � .� • �ONrACC.. PERSON
Btu me5S name: "A/7E6 2,x) S E e v/ e r e ..... : c Other IU.00
Fuel piping
Cut anu►e: ... D / .9 v E /3 I- /� 93. W fur Om four; 51.00 for each dill oaf
Adexreas: 32 ' Furnace, etc
�'� )`►q ,� T �°4 U€ Gas heat r -utn>'
Ci /State/ZIP: Co . : G , G- WalVsuspaadad/unitheater �-
Plat n0 L5� //) 5 . s 9 - 1/ es F LC//) 9 g2. - Z 9b3 Waxer heater
E -m ail Fireplace
Range _
3'OR ' •; : Barbecue
Bits ines9 name: Cl
dryer (�)
Adrress: .. .... .
. .. • :.: . , :. MEt fANICAI: PEP0MTr iMES• • . .: •'• '
at: /Stiitc/ZI Subtotal
P: f
Piro 7e: ( ) Fax: ( )
M +n'munt permh fee (S72.50)
I CCJ t lie.: / ✓ %'% / g 5 7� Platt tzrhi: 8 "/6 (3i% o of )
fppeermIt fee ' I I State s TOTAL PERMIT FEE # I
Alit torized Si litre. ` / '`'" Tide porno* apguptlet. vxpir a tf ° nor t4r to not aMaltwd MBtAin 113
days after it has been ocaepted as complete.
FarTa
C nauic D t i J7 r �.._ Dale: / o -
? • Fcc methodology act by Tel County Building ]nde:ray Service board
J J y
CITY OF TIGARD 24 -Hour
'BUILDING Inspectidn Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
I BUP
Received Date Requested /l —/ AM PM BUP
Location / / S d Suite�. MEC 02 l-Z)() 7 33
Contact Person .l- Ph ( ) d y U - / go PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner .I?. N ELC
Footing
ELC
Foundation
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: � SIT
Post & Beam 09P2 -/YI)O � �/ ' Q 6 Shear Anchors U
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof 1I z
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 .J"' , •
Gas Line :, r
Smoke Dampers
ASS 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 • II for rei pection RE: Unable to inspect — no access
Fire Supply Line
ADA Approach/Sidewalk Date I Inspector APO. Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL