Permit A _ 1114
CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2004 -00375
..� 44, ( DATE ISSUED: 6/21/2004
13125 SW Hall Blv Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S125DB-07500
SITE ADDRESS: 07180 SW SHADY CT
SUBDIVISION: SHADY DELL NO.2 ZONING: R -4.5
BLOCK: LOT: 048 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:
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:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Replace furnace add AC.
Owner: FEES
SPADAFORA, MARLA Description Date Amount
7180 SW SHADY CT [MECH] Permit Fee 6/21/200 $72.50
TIGARD, OR 97223 [TAX] 8% State Surchari 6/21/200L $5.80
Phone: 503 293 - 2082 Total $78.30
Contractor:
CENTRAL VALLEY AIR
830 VALLEYWOOD DR. SE
SALEM, OR 97306 REQUIRED INSPECTIONS
Phone: 503 Heating Unt Insp
Final Inspection
Reg #: LIC 127032
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: Permittee Signature: Q i2 Cl j - x�
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
FROM :CENTRAL VALLEY AIR FAX N0. :5035899429 Jun. 12 2004 08:39AM P1
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Mechanical Perm 1 � licadon
Allh
Date received �� Permit no. Z. 7'
' ,j , City of Tig�� 1j ` Project/appl. no.: Expiredate:
Address: 13125 SW ul �ivd, Tigatk 97223 Date issued: - �_bitA� Receipt no.:
y4f�8 Phone: (503) 63 1 O
Fax: (503) 591.1960 , �� � �� \ 5 \O� Case filo no.: ' ' Yet tyre:
Land use approval: `� O O Building permit no.:
1 I 1 l'1''. OI l'1.it1111
A l & 2 family dwelling or accessory • Commercial/industrial Cl Multi - family CI Tenant improvement
Cl New construction * • • • tion/alteration/replacement O Other.
JIM .',111 1 [N1.0I01 IIIN ((1'�II\tl III (: \1 . V \l .t',1 i lO" ,•( iii Di I I
lob address: , 0 1.d ...riffif, ‘11,7111111111111 Indicate equipment quantities in boxes below. Indicate the dollar
Bld'.. no.: Suite no. value of all mechanical materials, equipment, labor, overhead,
Tax ma • ex lot/account no.:
profit. Value $ • -
Lot Block: Subdivision: "Sec checklist for important application information and
Pro ect name Jurisdiction's fee schedule for residential • ermit fee.
Ci /county: • y� ZIP: �, I N . 1 - 1 1)I I1 1 I► \\ 1.1 1'IIt111 1 III ,y( 111.1)1 1 . 1 .
Description and • •tionofworkonpremises - �
_ ...—A" \11)(()1lJli lilt "11\1)I.til14I \I.I.(11 I"II llla)t : I.l
A .,( 01,4-7 r el 014 Regan.) Total
Bel data of corn • (v * Descr{ I FR Rea.onl Res. onl
•' : 111 MI
Tenant improvement or change of use: Air handling unit CM
Is existing space heated or conditioned?. 'Yes CI No • r con. It onin: (situp an u1 •
Is existing space insulated ?. "Yes Cl No A tent ono ex st n: " • system N OM
\ I I ( l l . \ N I ( . \ 1 . ('()\ I It \( 1011 :o) ercompressors
State boiler permit no.:
Buailness Warne: HP Tons BTU /1.1
Address; .4 �. 171EM RM 1.11110V1 l '. ,: f u , o = ,t � �
'] ZIP: ' 7 - , ' eat .0 m . s to • an • • u re'
�' :} 2A -mail: mgrs "• ace urn .. • um a :, 1
Phone:. D �! * B I ncludin: ductwork/vent liner '' Yeti 3 No
C'CB no.: 02 ? 'd (' nsta p a • r ocate eaters— =Wen • .. • El Ili
Cit /metro tic. no.: wall, or floor mounted _
Name •(ease 'tint): J e nt o a • lance of CT t an ace � ��
I 4(111 \('1 1'11tS1) \
Absorption units BTU/1•t
Chillers HP g - MIN
Address: r „M. � : • ' . 1 tam . , • tl�t an . , at Orr!
State: ZIP: A. Wince vent 111011M Pbnna: Pax: E-mail: � ��
• : s y 1 I tes Z to e Banat 1►\ \ A 1 R hood Piro suppression system
Name: r' yI:51..., Exhaust fon with sin . le duct bath fans) IIII
Mt • tern a. art . • m loo n t or in
Main , . . , 'as; / ,' t, 4../ .�/t c � : • - p n8 ■ � , ; T , , ,: ,n up to ou • to II
• r State', ' LPC3 , N() Oil
Phone: ( _ ; , P a x : E -mail: W t • • n: eac • • ;it one over • out ors MINIMMIl
1' N (i I N I' I It 'recess mg se ems c requ .. ■•••==
p a
Number of outlets NM
Name: i � I rr* p , or equ pmettt:
Address: Decorative& • • lace •
State: ZIP: mil-t ' = NM �
:Ai one: MO NEM
A • licant's signature: _ _,/, �� — s ate: Ica: MI MN
s. '
"Not dl m1 dledoeu amyl mitt oo rdl, tew• esll arisen "11.•.. ra ..•ere tnrarmntl "n.` Permit fee $
J n t+ ' Notica: permit application Minimum fee $ ,c2.!•
0 Visa O card expires if a permit is not obtained Plan review (at ___ _ %) $
cYem1 card number: ar: w ithin 180 der s after i t hoer bean O
Emden within State surcharge (89h) .... $ fi �
Name of cardholder as .mown on credit card accepted as complete. TOTAL • g 6
S
` erdholc • s ane Amount 440.4617 (6p01COM)
?g 3d
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FROM : CEVTRAL (LLEY AIR FAX NO. :535B99429 Jun. 12 2004 08:39AM P3
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CITY OF TIGARD 24 -Hour
LHtDING Inspection Line 3) 639 -4175 MST
INSPECTION DIVISION Business Li . (503) 639 -4171
BUP
Received Date Requested AM PM BUP
Location 7 t R 6 Suite MEC
Contact Person '3 Ph ( ) x ' 13 oZ & () -/ ? PLM
Contractor Ph ( �� ) WR
BUILDING Tenant/Owner - 06 f 7
Footing ELC ��-
Foundation Access:
Ftg Drain um c_, 7C S er 668 ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear / � l -
Framing v
Insulation
Drywall Nailing p /'
Firewall � c e C� Z_S '(=IL/ Ce-i) r - Css))
Fire Sprinkler
Fire Alarm M
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
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In ,Q Li
Sms ok e D r 1 or
Sme Dampers
PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next in •ection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE• Unable to inspect — no access
Fire Supply Line
ADAoach/ Date 7 - 2_ Inspector L� Ext
pp Sidewalk
Other:
Final DO NOT REMOVE this Inspection rec rd from the job site.
PASS PART FAIL