Permit CITY OF TIGARD
MECHANICAL PERMIT
PERMIT #: MEC2002 -00298
r DEVE HO B SO R 9 2 639 -4171 DATE ISSUED: 7/11/02
PARCEL: 2S111 DA -15600
SITE ADDRESS: 09012 SW PIPPEN LN
i SUBDIVISION: APPLEWOOD PARK NO. 3 ZONING: R -7
BLOCK: LOT: 149 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: Installation of exterior NC unit. Cannot be placed within the required set backs.
Owner: FEES
ARTHUR BUIZON
•
Type By Date Amount Receipt
9012 SW PIPPEN LN. PRMT CTR 7/11/02 $72.50 2720020000
TIGARD, OR 97224 5PCT CTR 7/11/02 $5.80 2720020000
Total $78.30
Phone: 503 - 624 -2798
Contractor:
SUN GLOW INC
2428 SE 105TH AVE
PORTLAND, OR 97216 REQUIRED INSPECTIONS
Mechanical Insp
Phone: 253 -7789 Cooling Unt Insp
Reg #: LIC 48131 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 -0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503)246 -9189.
Issue By: S( . Permittee Signature: ff gl'/ /
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next busines day
07/09/2002 09:14 5032537693 SUN GLOW INC PAGE 01
uaila'xuul 09:23 FAX 5038847297 City of Tigard
GJ00Y
•
Mechanical Permit Application
iiilk
Datoieeeived - �0 O L Permit ao. 0001-:(3
,•4.,,•.i`v,, City of � I �/ �.t.
Project/appl, no.: Etpirz date:
C 47 i Addtt198:13125 SW Hall !gad, OR
Phone (503) 639 - 4171 1' ' Date booed: Ily_ 7 I Receipt no.:
Fax: (503) 598 -1900 3u Case file no.: Paymenttypc
Land use approval: (•.s. L 1 __ _ J „cl Bawling permit an.:
1 & 2 family dwelling or accessory CI Commercial/industrial Q Multi - family 0 Tenant improvement
A New emertsvction - , 'tian/altmation/replacement ❑ Other:
.JOIi st I t; INI.OfMATfi.)N (:'OMMLItUTAL \: ,SCIIJ:
Job address: 9 017 s‘iJ �% p i y indicate equipment cluandlica in boxes below. Indlcatc the dollar
Bldg. no.: Bute no.: — value of all mechanical materials, cquipmaN, labor. overhead,
Tact map/tax lot/account no.: profit. value S .
Lot: II1ook �Subdivlslon: 'See checklist for important application information and
Project name: ) \ • ? , 0 — jurisdiction's fee schedule for residential permit fee.
City/county: I. , a ZIP: I c 2 rAMlL1 DWELLING' PERMIT ILL `CHF fit ri,F
Descripdmt� 1• , .n of work on premises: ' a Ize 7� AND (.UM1ItiIERIC.U1.11;�D1 S' 1 VIAL T()UIP1TEN1 S(JIEDI LC
��� Fee(er.) _ Total
Est. date of camp leton/ee on: 11 % (a • OZ Deactipfion '4 Her.only R,ea.oaly
Tenant improvement or change of use: SAG
Is existing space heeled or • nditioned?ti,yes 0 No Air handling unit am
I s e x i s t i n g space insu1a *edl `Yes D N A i r tioeing(a plea req,� d) 1 , ■
Alteration of =tat, _ xvAC: stern
:NI FCNANIC:AL M I\TitACTORI • r%comptcssors
Business llama t Stateboler permitno.:
Address' .. e 1 c' ' -a A�jG. rrorsmoke .persfotrasmo - dete �'
q State: ll A r 2 Holt . only , to • • -. -
»t : 2 53 21 I%' I Fax.2.5 *IL' , , - mail: netaiu epla,ce , : .. , ex B CU/H
OCR no.. u R ail) Inoludieg ductwork/ye:nt a= 1] Yea Cl No
aa►(melro lie, loo.: n01)T� 2" 1 tP _ wall, Or f lo • • mounted beaters -suspended,
_ wall, or floor mounted
Name lease print)): S a t &k • 1 1a• ottls, . . ( vent for applitmcc o , - than furnace
CON t A(" t' PERSON B.1iiRacatloa►
Nauos; Chillers on )3111 /H _
Hp
Addttssa: tS ('l1 X rte a A e �(t� . =� -
� ..` °m art{ tnrd +goat:
City: State: ZiP: lime vent
Phone FAX: E-maiL exhaust
Hoods, 'Iyp Wren. kitclteelhazmat 1
hood fire suppression system
Name: . 1'— l z cm _ Exhaust fan with single duct (bath fans)
Mailing address: S A ' � .. t .� �� tabula system •artfivmhwld • or AC
-
l V b a . t , & 1 " � L i Zit" . , . ng button upto .0 t -:) •
Phone: ,L ;r-.i Fur: &mail . ax: 1ha NG oil
.1. ins each addiu . , � over • -
I•N(..tr tEtt . - , sc aticreq - - •) •
Nat= Number of outlets
Addtties
Other I Iadapplinneeorequipment
•
Aecorativaiiteplace •
City: Stn$! UP: Insert -type
Phone Fax: -mall; " ooderove/peUetROvs
A
Other
. pllr ent's signature 7['w .1/Ziora m ` j a Omar.
N (lit): s.Inay...ala ,. 0 r • ■
Nag an ' ' tea aocert ereen craft, Owe nn joeialteuen for more reraeoa im. hermit fee $
0 Man P. ..., • Notice: This permit application Minimum f ........ ..... $ '''. 1 -7 , G .a -
aaau e,d e®bee " I. j i • _ - _ •1 E.. i" exPlres !fa $ nmt is not obthntd Flan review at %) $
. c , mi1 a _ — d ... . g,, . , capita with 1110 days after it bas been State surcharge (8%) .... $ S . )
sta accepted as complete.
1! n1! b -. 1..t , _S 7R.� TOTAL........ .....$ "X .
4e34.117 (60001C M)
,
07/09/2002 09:14 5032537693 SUN GLOW INC PAGE 02
Notes: A/C: ..
* Lineset Length: O /
How To Run: ..., A. .
•
Rota Hammer? Yes
i • IblIP
tom pur. . G,, Use Foundation Vent?
Disconnect. Box Present ?. Yes
q � Need Fan Center?
MIIIII .
i
Registers Base Main. Upper CFM
4X10
100
— 4X12 150
.. / 4X14 '
200
IIIIIIII MIIIOIIMMIIIIIMMIMMIIIIIZI '
� 1 il° 1---.
A t3 D
Total
Housi Site Plan: .
/ • c
alzr_ rz ...
„ ‚ I
k
90% Furnace:
Flue Direction: , Length:
info: LCondensate Di osai: Drain; • Outside:
A/C Site Plan:
•
•
Unit Placement:
Condensate Info: Condensate Plain.? MiNgl Dr;',
MST
-4 I
BUP
Received Date Requested 11 AM PM BUP d
Location q0/. o y� Al Suite q MEC � — 90
Contact Person Ph (_ ) c� - � 7 7 / PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspect ° tes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
66"..)°
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
BART FAIL
ECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PART FAIL
CTRICAL
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 repection RE: Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date Inspector � Ext
Other:
Final 7
O NOT REMOVE this inspection record from the job site.
PASS PART FAIL