Permit CITY TIGARD MECHANICAL PERMIT
91� DEVELOPMENT SERVICES PERMIT #: MEC2003 -00308
c�lll DATE ISSUED: 6/10/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -
PARCEL: 2S110BB -06500
SITE ADDRESS: 11999 SW TREEVIEW CT
SUBDIVISION: REDWOOD VISTA ZONING: R -4.5
BLOCK: LOT: 007 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:
ELE 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: Install exterior AC unit. AC cannot be placed in the required setbacks.
Owner: FEES
STEVE ATKINSON Description Date Amount
11999 SW TREEVIEW
TIGARD, OR 97224 [MECH] Permit Fee 6/10/03 $72.50
[TAX] 8% StateTax 6/10/03 $5.80
Phone: Total $78.30
Contractor:
FAITH HEATING & AIR COND. INC
15167 NW VANCE DRIVE
PORTLAND, OR 97229 REQUIRED INSPECTIONS
Phone: 503 Cooling Unt Insp
Final Inspection
Reg #: LIC 133911
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: 10 � J La._ > / Permittee Signature: so ff, A C
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
Jun 08 03,06:12p Jamshid..Ebrahimi 503- 617 -9499 p.2
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Mechanical Permit Application g ,
Date receivedbh47 Permit no.: f li
� <� - r .11 City of Tigard R ECE �VE
; ',: -� ty g Project/appl.no.: Expire date:
City ofTigard Address: 13125 SW Hall Blvd, Tigard OR 97223 Date issued: By:BA Receiptno.:
Phone: (503) 639 -4171 JUN 0 9 2003
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: CITY OF TIGARD Building permit no.:
3UVLDIIJ'G DIVISION
TYPE OF PERMIT
0 1 & 2 family dwelling or accessory 0 Commercial/industrial O Multi- family O Tenant improvement
0 New construction 0 Addition/alteration /replacement 0 Other.
JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE
Job address: t/ ' 99 ,'. j) 77P.e Vi .J C 1 Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: I_ Suite no.: value of all mechanical materials, equipment, labor, overhead,
Tax map /tax lot/account no.: 2 S I 1 (3 8 0 6 Co a profit. Value $
Lou (Block: ISubdivision: *See checklist for important application information and
Project name: jurisdiction's fee schedule for residential permit fee.
City /county: j, ct «' I ZIP: 9.7Z 2 1 & 2 FAMILY DWELLING PERMIT FEE SCHEDULE '
Description and j�ation of work on premises: AND COMMERICAIJINDUSTRIAL EQUIPMENTSCIIEDULE
' / oil - 4/ Fee (ea.) Total
Est. date of completion/intpection: I, 1 /0 / f ?t ' Description Q Res. only Res. only
Tenant improvement or change of use: IiVAC:
Aichandlingunit CFM
Is existing space heated or cond�i Toned? IZ es O No Air conditioning (site plan required) 1
Is existing space insulated? 'Yes 0 No Alteration of existing HVAC system
- :'MECHANICAL CONTRACTOR - Boiler /compressors
State boiler permit no.:
Business name: t ' ) i i/ Vnei i h C HP Tons BTU/H
Address: /c / >,, 9 ii / J V 4 - , r , 4 Fire/ smoke dampers/duct smoke detectors
City: p, Q1�d/, I State: 3_I ZIP: /722 o 7 Heat pump (site plan required)
Phone: h./SI Fax: I E -mail: Install/replace furnace/burner BTU /H
fS — 8 Including ductwork/vent liner O Yes 0 No
CCB no.: 13 "// 3 —IS —0S Install/ replace/relocate heaters - suspended.
City /metro lie. no.: 5 3 2 wall, or floor mounted
Name (please print): 5 i , .- Ir :4-i, ' Vent for appliance other than furnace
C
Refrigeration:
CONTACT PERSON
Absorption units BTU /H
Name: "vie , .././.e rlF /i,7 sdp Chillers HP
C Compressors HP
Address: f /q99 4% 9 . w tke V! p -� nronmental exhaust and ventilatror
City:- q cage/ I State:9a2. I ZIP: 1172 2 y Appliance vent ,
Phone: UU Fax: E -mail: Dryer exhaust
OWNER Hoods, Type 11/res. lutchen/hazmat
hood fire suppression system
Name: a 0, C4i t- c,- el ,Io t-+ Exhaust fan with single duct (bath fans)
Mailing address: Exhaust pistem apart from heating or AC
Fuel piping and distribution (up to 4 outlets)
City: [State: I ZIP: Type: LPG NG Oil
Phone: Fax: E - mail: Fuel piping each additional over 4 outlets
ENGINEER Process piping (schematic required)
Number of outlets
Name: Other listed appliance or equipment:
Address: Decorative fireplace
City: I State: I ZIP: Insert-type ,
E - mail: Woodstove/pellet stove
Phone: �� Other:
Applicant's signature: I Date: a4, 16. 3 Other: .
Name (print): c l : s . ' m e/„ - d 0 6 /a....4, -, i . •
Permit fee $
Not all jurisdictions accept credit cards. please call jurisdiction for more information. Notice: This permit application Minimum fee $
0 Visa 0 MasterCard expires if a permit is not obtained
/ / P P Plan review (at %) $
Credit card number. Expires within 180 days after it has been
State surcharge (8%) .... $
Name of cardholder as shown on credit card accepted as complete. TOTAL $
$ •
Cardholder signature Amount 410.4617 (6,00/COM)
Jun 08 03 06:13p Jamshid Ebrahimi 503- 617 -9499 p.3
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CITY OF TIGARD 24 -Hour r •
BUILDING Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested Y-2--2— AM PM B
Location ii 9 9 7 L,L �.�.�� Suite _ 308)
Contact Person Ph ( ) PLM
Contractor e A nn Ph ( ) 3 S''6 86o ' ' $ SWR tt '
BUILDING Tenant/Owner ELC 1 � '
Footing
Foundation _ ELC
v\
Ftg Drain Access: .fr'1 ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing f ` I,\ `� \ l�
Firewall H f^ A � I ' 'mil V lY � � C l > T (7
Fire Sprinkler
Fire Alarm
Susp'd Ceiling 11�— --7
Roof 1 v l� S 1 L R
Other:
Final
PASS PART FAIL k
PLUMBING Z Z ,D� u ' , / S ` —f�—* 1_1c; J b
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PA RT FAIL
L
Post & Beam
Rough -In kp
Gas Line
S , ke Dampers
17- SS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
P PART FAIL El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE Please call for reinspection RE: LI Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date a inspect �'� Ext
Other:
Final DO NOT REMOVE this Inspection record om the j site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour • - .
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
q BUP
Received Date Requested / AM PM B
Location 1 , 9 99 T�1w f .4 Suite ME 3 —dv 38
Contact Person 9aL.24 Ph ( - g6 2 PLM
Contractor Ph ( ) _ SWR
BUILDING Tenant/Owner ELC
Footing 61N MO i cd 1/9 FL ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear L /
Int Sheath/Shear
Framing
Insulation
Drywall Nailing Fire Sprinkler 4 ' \\ t 41 v". 1 C •
Firewall L Fire Alarm 1 1F \40 \A zc V (\k v•
Susp'd Ceiling
Roof Y \IP? 4
Other: I
Final
PASS PLUMBINGRT FAIL C LUAD �rA I 'lr, Lt \O 1 loo, ( - vv
Post &
UnderSlabm WO LIT) " t'1 Nw P(,6 t � � v I
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post
g h-In
Ro
Rough-In
Gas Line
Smoke Dampers
PASS PART FAIL
ELECTRICAL
Service v
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 reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date �� Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record om the J ' ' site.
PASS PART FAIL