Permit CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2001 -00357
--- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/12/01
PARCEL: 2S104AB -04000
SITE ADDRESS: 13370 SW SCOTTS BRIDGE DR
SUBDIVISION: MORNING HILL NO.3 ZONING: R -4.5
BLOCK: LOT: 073 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS: 0
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
LPG 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: 2
FURN > =100K BTU: < =10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Exterior A/C unit - do not place within the required set back. Water heater /vent and furnace
Owner: FEES
HALEY, LYLE G AND MARGARET M Type By Date Amount Receipt
13370 SW SCOTTSBRIDGE DR PRMT CTR 10/12/01 $72.50 2720010000
TIGARD, OR 97223 5PCT CTR 10/12/01 $5.80 2720010000
Total $78.30
Phone:
Contractor:
GEORGE MORLAN PLUMBING
9806 SW TIGARD
TIGARD, OR 97223 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 503 - 624 -6895 Mechanical Insp
Reg #: LIC 2734 Duct Inspection
PLM 26 -60PB 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: / Permittee Signature:
Call (503) 9-4175 by 7:00 P.M. for inspections needed the next business day
, 10/11/2000 09:51 FREOENED ..ANNING CS [y of Tigard Iif 002
OCT 10 2001 .
1 An
Meat T anak a b e ejk �W Placation
Dsre received: ID" 0`° n • oZ -0D 57
j. City of Tigard !�'� � d � Projat/sppl. no.: Expire date:
Ciry
Address: 131' S�V Hall Tllvd Tigard, OR 912'3 Dateissecd: 10- (a'' By: Receipt no.:
Phone: (503) 639 -4171 �
r,t;: (503) 593.1960 u��o# l Q (D 9 / D Ca:.r. f.l: no.: Payment type:
Land use approval: ----- _.. -.__ h naldin� • pertrut no
r:.: '1...).' . -I 1c! OP PZKMIT . . • , • . •
X 1 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 Tenant improvement
o New construction Addition /a/tcratiort/replacement 0 Other:
. .! . ..k . =' : JUBSITE.INFURMATION • -..• • • • . ... • , .• ••..COMMERCIAL. vAtItA'1'l SCHEDULE ' • •.
Job address: / 3 3 70 sli_) . tr _b I
r /Q / e Dr_ Indi:ate cq.tipmcot quantities in boxes below. Tndicare die Coaa.r ,
value of all mcchsaical m aterial, s ui anent. labor. overb:ad. '
Ellett. no.: Suite nu e4 p
Tlx neap./tax lot/account no.: pm5t. Value S
1.0t; Block: Subdivision: • S:c etc dirt far important application information and
- -- -- jurisdiction's fee schedule for residential permit fee_
I'toicei name:: ` J - r
City/county: Zr : • 1 4.` 2 FAMILY. DWELLING PERMIT FIT sciitUI'LE .' ,..
D•sc - ption anJ 1.. ice of work on premises: _ AND COMA11 :11U:AIJIN1)ikSI'RI.ALEQUIPAlEN TSCNCD1t1.E
• Eife Fee (ea.) To
Est. date of compledon/impection: De:xriptioo Qty. Res. only Ries. only
li :
Tenant improvement or change of use:
Air Iiajidl:n unit CEM
Is existing space hcatod or conditioncd? 0 Ye; 0 No - A conditioning (she plan requited) / /4-0
Is ezisting space insulated? 0 Ycs 0 No AI:erationof existing HVAC
.■,•ti�' • '' ?.,' mE_ gnAN1C. L t ;ON1TRACT,AII... Bo l boiler o
v
• u i cr permit n .i 1 —
•
Business name: . -, - , ape MP tali Tow. BTU/H
RP To __
Address: d 4 .514. / r ,S1- Find ;mokc epos/ductsmode
Cary' •
S1.3ie: a ZIP I .. Hest pump (site plan required)
Phone: Ag •� , Fax: , • /&() 1 E -mail: lnstall/repla c :urne:vourncr 5757. BTU /H
Including ducworkivent liner *Yes O No / pi --•
CCB no.: A73 lnstallireploc oeare nesters - suspended.
Ciry/metro lie. no.: • (y l wall. or floor mounted
Narne (please print): ' 5 vent for luncc our= than furnace / (q X9- ,
Absorption uniu BTU/11
Name: Chillers HP
Comore HP
AAdrecs. )E:a rirotnmental ousauut and ventilation: •
City: I Stale: 1 ZIP: , Appliance vend
Phone: Fax: E- retail: l)rycrex nust j
u1 Hoods. Ty' V Wres. t;irrhua/h aim+t �j
hood I; sup pre.a on system _____
Name: — l� _.[ , e.. J y I P E¢htust fan wim s duct (
single dbath fans)
/
Mailing a ddress• / a$ . _ oja pY I?xh ausr systav wit from he . or AC: • ,
� � k - eel pipm6 ads potion (up to 4 outlets)
( Clr,: " I / pare Suitc:Or 23.1": q7 3 y pc: LPG NG Oil - • Pbooc: J Fax: E -mail: Fuel i t ea :b additional over a o utlets
r ro c rss prpu ( se rnuuc requi
Number of ouJets
Name: Other listed appliance or cqulptncnt
Addre;s: Decorative fireplace
C ity: I Stare: 1 ZIT: insert - type
�'
Phone: F E : oodsto' pc .11ctstove
� � U -0v:
Applicant's signature :../ � /' :e: Other:
Name (print): -_ //�=10]• 1 .
r'
v a ' nd.nioot crcdlt t:arda, lase cart juri.d"-.A far more :nnortmioa Per m i.t (cc '
ry .rseye P Notice: This permit application M fee
S 7n). 5
OKst O uutetCed
— / �_ expires if a permit is not obtained Plan review (at %) S -
C. rte "" m°0 f within 180 days alte it has been
t = , rr ° � Scare surcharge (84'0) .... S .5. RQ
Nam o; raraeoaer as •ss... ea credit cow accepted u complete O �� E 7A_ 3C3 1 Cr.e*ol ia[nraota n aaaa6 (6100X0 M3
oft - t, T 'HASP -CGI- 170
%c0 d 1 itil0l
. eor e . or an um in an ea in
n 9806 SW Ti st. Tigard OR 97223
503- 624 -6030 Fcix 503- 639 -4531
Out door unit site plan
Name: j no
Address 1 (\ R. 1 - bpi
CIiyi ' v- , Zip code 94.Y 3
House
l L\
M
Front
7n•J 6b:bi i00z -S0 -100
11/10/2004
Case Activity Listing 12:52:01PM
y Liti g 12:52:O1PM
TIDEMARK Case #: MEC2001 -00357
. COMPUTER SYSTEMS, INC.
Assigned Done Updated
Activity Description Date 1 Date 2 Date 3 Hold Disp To By By Notes
MECA007 Application received 10/10/2001 None FAX 10/12/2001
JMT
MECA008 Create Permit 10/12/2001 None DONE JMT 10/12/2001
JMT
. MECA705 Gas Line Insp None 10/12/2001
JMT
MECA715 Mechanical Insp None 10/12/2001
JMT
MECA735 Duct Inspection None 10/12/2001
JMT
MECA799 Final Inspection 10/17/2001 None PASS KBS 10/17/2001
KBS
MECA060 (F) Issue permit 10/12/2001 None DONE JMT 10/12/2001
JMT
MECA800 Case Finaled 10/17/2001 None PASS KBS 10/17/2001
KBS
Page 1 of 1 CaseActivity..rpt
eITY.OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST
BUP
Date Requested / (Y / 7 AM PM BLD
Location 33 D _ �% - %� � r � �� , .1 Suite 6 ,2 cc21 Co-5 7
Contact Person H Ph 7 7) - �OS '$ PLM
Contractor Ph SWR
BUILDING Tenant/Owner 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 a +&7r
Framing � � CG %G< <C�1 -L Oi
, ��� l
Insulation
Drywall Nailing
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
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
�- 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
Fire Supply Line [ ] Please call for reinspection RE: J [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Date /4 - 1 7 —G / Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.