Permit CITY TIGARD MECHANICAL PERMIT
014 DEVELOPMENT SERVICES PERMIT #: MEC2001 -00205
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/13/01
PARCEL: 1S134BD-06400
SITE ADDRESS: 11505 SW SPRINGWOOD DR
SUBDIVISION: ENGLEWOOD NO.2 ZONING: R -4.5
BLOCK: LOT: 152 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 A/C unit. Cannot be placed within the required setback.
Owner: FEES
CHAMBERS, TYLER V + JENNIFER J Type By Date Amount Receipt
11505 SW SPRINGWOOD DR PRMT CTR 6/13/01 $72.50 2720010000
TIGARD, OR 97223 5PCT CTR 6/13/01 $5.80 2720010000
Total $78.30
Phone:
Contractor:
GEORGE MORLAN PLUMBING
9806 SW TIGARD
TIGARD, OR 97223 REQUIRED INSPECTIONS
Mechanical Insp
Phone: 503 - 624 -6895 Final Inspection
Reg #: LIC 2734
PLM 26 -60p
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 c•pies of these r les or direct questions to OUNC by _ Permittee calling (503)246-9189.
Issue B I1 �� -i '
By: PSignature: )( ' ‹ / WA J2
`
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
JUN -12 -2001 09:21 P.01
,r -
10/11/2000 09:51 FAA bUJbdi/[y/ tarty U 41, Mechanical Permit Application
' Daie recei.ed: 0 1� �n l Permit nn rnF(± jjJ /•OO
I� h City of Tigard Project/am, 1. no.: + Expire dutc:
- City Address: 13125 SW Hall Blvd. Tigard OR 97223 patetsst:eJ: _
5 Bioi Receipt no.:
flit:(: (50 3) 9-4171 j 1C / h � / 7g
rat: ( >03) 599 S- 191;0 Cl (D Ca« Ili,. no.: -- Psytncntryme: _•�
Land use approval: Dui:d(nj.pernti:
• „ - ' 11 IPEUaI'Ll?1If . .': , , . .. • . • • ..,,:t:.
)k1 dz 2 family dwelling ar accessory 0 Commercial/industrial 0 blula•family 0 Tetunt improvement
0 New construction XAddition/nitcration/teplacemcnt 0 Other:
• • • t : JOB SITE INFORMATION • . • • • • • • • • • • • • ' COMMERCIAL. Va %LVIATIUN SCHEDULE '
lob address: • sI 0 .+ • dp AI _
Ultig. no.: Suite o� . Indicate equipment quantities in boxes below. Indicate the dollar
t value of nil mechanical materials: equipment. Labor. overhand,
_ •
Tai: map /tat; lotraccouttt nn.: pmfiit. value S ,
Lot: Block: Subdivision: 'Scc challis: for important application information and
Project Hume: p77 - « t a • jurisdic' ion's fee schedule for residential permit fee.
Ciry/county: / , oY'Q► ZIP: ■ . - I.& 21 FAMILY. DWELLING PERMIT FEE SCHEDULE
Description and to len of work on premises: 0 a! AND C�OM 1111; �IJIN1) I. iSI1t1A1r EQt ( IPAIENTSC 11 ED 111 .F
rc
ar e o.id i tz r e fee (ea.) Total
Eat. date of completion/inspection: D•:,criptoo Qty. Res. ant y rtes. only
Tenant improvement or change of use: IIVAC:
Ait ltandlitl Uflut CFM
Is existing space hcatx1 or conditioned? 0 Yes 0 No Air conditioning (site plan required) L
Is existing spree insulated? 0 Yes 0 No Alteration of existing Hvne system
� � . , : : . . . 1 .. ..•. < :. .nlecllANICAti rotirnArren • .., • . •
Doticr /comrccs:ots
Satc boiler permit no.:
Easiness name:
i • a t. r r I / I R HP _ Ton.c BTU/1 1; ,
Address: • A F n t ok c d sopctyduct smote dccec :atf
Ctry: • I 4. � i� t/ Hcs (site plan required)
Phone: • Fax: , • 060 'A E-mail: Insrnll /remae : ;urna :dDutIICf fsIUIH
�� - Including ducwort:/vent liner 0 Yes 0 No
CCB no ?•� In:ml /repine - cc ocateheaters- suspended.
City/metro lie, no.: • • w311, or floor mounted
Name (plc aseprint): hi -_ is, a • b,t_ -5 vent fors dunce owes. an urn ace __
• (ON'IAITPERSON • - • oraaaa:
Absorption uniu BTU /H
Nasac: Chivas HP
Address: Compressors HP _
Enairaamcaru1 aocnaurt and ♦cnttlatlnn: •
City. j State: I ZIP. Appliance vent
Phone: Fax: E-mail: rycrc Host
i+.•.., •.. .. •(I��N ,•: Hoods. l'ype /ret. titchen/haarut
•
• hood tire suppression sys:erm
l Name: J t '. Q/i.erS 6th Lust fin with single duct (bath fans)
Mailing addre _0 5 • • • Le , 04 . . EWbsust system a an from head or AC
���-� I ?_ ? Fuel piping asbtruoa (up to a outlets)
City: I/ CL►t�l:�r" � _rte Isipe: LPC NC Oil
Phooe: Fax: E-mail: Fuel •i , e.aEb additional over 4 outlets
e ENGIN1ER•• YroctSS (sr-hermitic
rcq 1
uir••
Name: Number of outlets _ �,
Other Listed appliance or equipment:
Address: Dccorntivc fireplace
I City: • r Su ZIP: Insert -type
I Phone: 1F. : •l E- mail: oodstove/pclletstove
Other: Applicants signature: a /„ ��t; , Oe
t: utter:
Name (print): al w is , I •
Slat atl juritdstims accept endlt earth, pink tilt juriad;o:w more e Isimn aim.
Permit fee S Q. 6 a '
O vua O Mutemovd Notice: This permit application .Minimum fee. 5
c.it, card numb= / f expires if a permit is riot obtained plan review (at' %) S
Eapirer within 1110 days aver it has been Starr surcharge (8%) .... E . iS
raa vt saraaamr as Asps,, A smut card axepted as completes TOTAL b
.1_________
t.,+uasear sieaatan: A,we•wi u9 •a6 (&OOICOr9
•
JUN-12-2001 09:22 P.02
I
s • b .
i e. 1 Heat George Yorlan PIumbng and
1 C 9806 SW TrEg, arc' st. Tiigcv CDR 97223
2111112
503-624-6030 Fax 603-639-453
Out door site plan
•
Name P . OnCt YY4rjr:') Job no. 1,D O
Address bt■ 0.,) si II) p P:i co 0 alk 0 gs
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TOTAL P.02
CITY OF TIGARD BUILDING INSPECTION DIVISION " 4
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested )— c-7 AM PM BLD
Location Lc ) 74 Suite MEC o7OO / — bOoZ OS'
Contact Person Ph PLM
Contractor f L . 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
Ina Sheath/Shear < f //r
Framing � 6�� c.TfL C'L4C. i �- � � v ,2 G,
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
Sm e Dampers
ASS ART 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: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date – 7 — Z 7 — O/ Inspector . Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.