Permit CITY OF TIGARD MECHANICAL PERMIT
r`
M - i , DEVELOPMENT SERVICES PERMIT #: MEC2001 -00189
! 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 06/01/2001
PARCEL: 2S 104AB -08700
SITE ADDRESS: 13436 SW SCOTTS BRIDGE DR
SUBDIVISION: MORNING HILL NO.5 ZONING: R -4.5
BLOCK: LOT: 116 JURISDICTION: • TIG
CLASS OF WORK: ALT 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: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Installation of exterior NC. Cannot be placed within required setbacks.
Owner: FEES
KINGHAN, SHARON L + Type By Date Amount Receipt
MAYFIELD, MICHAEL J PRMT CTR 06/01/20C $72.50 2720010000
13436 SW SCOTTS BRIDGE DR 5PCT CTR 06/01/20C $5.80 2720010000
TIGARD, OR 97223
Total $78.30
Phone:
Contractor:
COLUMBIA HEATING + COOLING INC
PO BOX 230397
TIGARD, OR 97223 REQUIRED INSPECTIONS
Mechanical Insp
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Phone: 624 -2704 Final Inspection
Reg #: LIC 76359
PLM 34 -175
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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 OAV52- 001 -0080.
You may obtain copies of these rules or direct questions to OUNC by ;ailing (503)246 1 : • /
Issue By: ` Permittee Signature: 1 , _
Call (503) 639 •175 by 7:00 P.M. for inspections nel next busines'01 •
JUN -01 -01 10:18 AM P.0
r Mechanical Permit Application
% A Date received: & A) Permit no � j j, _(COI $1
:'.!� J�It City of Tigard '
" __.. � g Pt'ojecUappl. no.: Expire date.:
CIryofTigard Address; 13125 SW Rail Blvd, Tigard, OR 97223 T - ~
Phone: (503) 639-4171
Date issued By : Receipt n
Fax; (503) 59R. 1960 Case Cale no.: Payment type:
Land use approval: • -- Building permit no.: —
TYPE OF P[R111[T
• I & 2 family dwelling or accessory 0 Commerclal/industrjnl 0 Multi- I'umily 0 Tenant improvement
. i New coosnuetion Addition /alteration /replacement 0 Other:
JOB SITE 1NFOR1M'IATION COMMERCIAL VALUATION S( :IIEMII L
Job address: /34_3(4 0 (,t"1 SCOfl _ ri.r{ Dr Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.; J Suite no.: value of all mechanical materials, equipment, labor, overhead
Tax map/tax lot/account no.: profit. Value $ •
• Lot: Block: I Subdivision: "See checklist for important application information and
Project name; I . -r art' ill a y3; a 1e,,{ ., jurisdiction's fee schedule for residential permit fee,
• City/county: 174 0 r d 1 zip: q /2,, . ;13 _ 1 & 2 FAMILY DWI.1.I IN(: 1►I•.IRM1 I I•ii SCIIFDUI I
Description and ht L .
ation f work on premises: 1 rr%j .. - AND('OMMI:RICAUINDUS"1' 111,11. T•.QUIPMh.NTS(:IllI)1�I�I
7'I ton �,
List, date of completion /inspection: Description Qty. Res. only Res. only
Tenant improvement or change of use; y - `.. � HYAC:
is existing space, heated or conditioned? 0 Yes Ism No Air handling unit _ CFM •
Is existing space insulated? U Yes U No Air cond emning (site plan re, utred) _ _L it,
• Alterati of existing 1-1QAsystem
• Boiler /compressors
1 State ballet permit no.:
Business Hanle; r • , j a -/,i. ( . - C T c_. HP Pons__- __BTIJIH
�: Address: "
a . rr sruo a dumpers /duct smoke detectors
—
City: r[fc ' -d Staten /'- ZIF :9'?;4,7 _ Heat cI
'77m/replace lace furnace/burner,. 311.10 `—
Phot %? / alt/ :��J[J Fax tr3 � E - mail: p
CCB no.: rjde -eY including duclworlJvcsl li nen O Yes t] No
.� iiii r�plact ietucate healers- suspended,
City /metro -_ etro tic. no.: q O I wall, or floor mounted
Name (please tint): 5 (a,;,;r ;ron114,n • Vent fur applpncc
CON•1 ACT PERSON Refrigeration:
Absorption units • BTU /H
Nenie :� t �Ci(.t�h � 1 2rvn .11,t (I d _ -. Chillers HP - - -- • - --- - -----
Corntmyyressors— IIP
Address: -pp ac „, 3 L? 3c'� TAtoli•onmentail exhaust and ventilation;
• City . 71.9.4 - State:a2 ZIP: •), 3 Appliance vent
Phone .- J‘ - .r) - ax: jl{ •, 0,;,7 70 r....-mail: rycrex aims;
• Hoods, Type rs. e nc cn/hazinat
bond fire suppression system
Name: /114( e q X511 a r , 1? 1 ci ',.e Id Exhaust fan with single duet (bath funs)
Mailing address: /,3./ ,j,,t,) r • • A Q• Dim Exhaust syystems allearI. irnm hen fi g r AC
City O ! State: Q/ 'LIP: 7 Fuel piping an d l eliiliution (up to 4 put its
• Phott3 -- -� T}}�pe: _LPG NC* ^ Oil --
5 -/ •) 17 Fax E-mail; E-mai_l; ]="uel ipin each additional over 4 outlets
[Vets; pip ng schematic required
Name: - , Number of outlets
erllsted appliance or equlimalT
Address
_... __ .. .- ^_ -. _. Decorativefirepince
• City: State: Zr?: �Tnsert -t -
: - -- , r
Phone: _„ Fax; &•mail �� stc7fci siuvc -- -
Applicant's si _ 409,:i 1 GI(tTf 4. Date: , 0'v — o ff ; -
• . Name (print): _ .1 to • ...
Permit red $ ,..7R?--_,„ • -
!.a on jurisdictions accept credit cards, plc Soli iurisdictioo for n xrie lnhnm,uinn, Notice; This permit application
Q Viso O MasterCard M inimum fee -_
l`eedit cent umber. / 1 expires it a permit is not obtained Plan review (at _ %) s _
- - Exp within 180 days after it Lax hoes State surcharge (8%) ..•. .6 _
Name ercterdhnhter as shown on credit card accepted as complete.
S TOTAL $ 7 • -3/)
` _ Cardhold slL,ie Amount 00 4611 c6 i.1 OMr
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JUN-01-01 10:19 AM P.05
•":f" •
HEATING & COOLING, INC.
P.O. Box 230397 Tigard, OR 9728i-0397
(503) 624-2704
o
i50
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• th ke y e d 1 3 /34 0 1 lc) ,775c7 ij8 e .
4 Z n
CI`tY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST
BUP
Date Requested , 1 � 7 AM PM BLD
Location /3 4 4> G S w sCv l� 1 Dy Suite MEC 2o1 — D / g q
Contact Person `h i /Lf Ph to Z L PZ 7a q PLM
Contractor Ph SWR
BUILDING Tenant/Owner iiii*A4499t ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: --
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing E 47 - ZGr4L , A4oR 4 J.446 /. L/1 3d
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
L
Post & Beam
Rough In
Gas Line
e .1 ke Dampers
•ASS PART FAIL
ELECTRICAL •
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk
Other Date � / Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.