Permit ko CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2000 -00497
rl-ll 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/19/00
PARCEL: 2S110BD -05300
SITE ADDRESS: 11979 SW VIEWCREST CT
SUBDIVISION: ASPEN RIDGE ZONING: R -4.5
BLOCK: LOT: 018 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
GAS 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1
> 10000 cfm: GAS OUTLETS: 1
Remarks: Install Gas Fireplace Insert
Owner: FEES
KAM, RICHARD LAWRENCE AND Type By Date Amount Receipt
LYNNETTE NAOMI PRMT CTR 12/19/00 $72.50 2720000000
11979 SW VIEWCREST CT 5PCT CTR 12/19/00 $5.80 2720000000
TIGARD, OR 97223
Total $78.30
Phone:
Contractor:
LUDEMAN'S FIREPLACE + PATIO
12675 SW BEAVERDAM RD
BEAVERTON, OR 97005 -2129 REQUIRED INSPECTIONS
Gas Line lnsp
Phone: 646 -6409 Mechanical Insp
Reg #: LIC 51469 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: ` pyN Permittee Signature,:
Call 5 639-4175 by 7:00 P.M. for inspections needed the next business da
( ) Y p day
, A Mechanical Permit Application
CE.W ED Date received: Permit no:: il_ ._.,..fib .!
L.... f ! City of Tigar Project/appl. no.: Expire date:
CityoJTigard Address: 13125 SW Hall Blvd, Tigard, O 972.23 Date issued: By: Receipt no.:
Phone: (503) 639 -4171 DEC 1
Fax: (503) 598 -1960 p EVEL�P�ENT Case file no.: Payment type:
Land use approval: COMMU Building permit no.:
T]'PE OF PERMfI'
)1(1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 Tenant improvement
0 New construction A'Addition/alteration/replacement 0 Other.
JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE
Job address: iiiiiiiiimg Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: Suite no.: value of all mechanical materials, equipment, labor, overhead,
Tax map/tax lot/account no.: profit. Value $ •
Lot: IBlock: I Subdivision: 'See checklist for important application information and
Project name: KAM jurisdiction's fee schedule for residential permit fee.
Ci Y/ n~ ; ZIP: ci J4- ..:21: .1- :11111:.1.Ir1a1.'G..11Ei.1: JT FEE SC1IFI)JiLE._._
Description and location of work on mises• : \ND COMMERICAL /INDUSTRIAL EQUIPMENTSCIIEDULE
M 6 PP /MS Eie Total
Est. date of completionfnspection: ' ° ` MEER Res. only
Tenant improvement or change of use: TACO
space heated or conditioned? Cl Yes 0 No Air handling unit _ CFM
Is existing l� Air conditioning (site plan required)
Is existing space insulated? 0 Yes 0 No - Alteration of existing HVAC system
ME CIIANICAL CONTRACTOR Boiler /compressors __ _ _..
Business name: l.�(,aerl4NS Ft e.EPL4CE � tV13 P4170 State boiler permit no.: --
HP Tons BTU/H .
Address: / a (o? 5- Su) Beau -arc/am Rea . - ire/smoke dampers/ . uct smoke • erectors -
City: , , i • ,L. State:O ZIP:' op Heat pump (site plan required) IIIII
Phone:$36440 (oyOq Fax:So3(,% �' ' E-mail: — ns : lrrepiace , . • sonar : - - N - ■�-
Including ductworldvent liner 1] Yes O No
CCB no.: 57 .�! (, 9 - X83 a_., nstaWreplace/ elocateheaters- suspended, ■ --
City /metro lic. no.: — wall, or floor mounted
Name (please print): Lu.. O - 40 ' ent foray. hence o er . an • ace M
CONTACT PERSON Absorption units BTU/H
Name: /14 44,4 Z.-14-0 6- At 4'0 Chillers HP
. - -;$ors HP
Address: leer( 1 .d : a
City: State: ZIP: Appliance vent
Phone: Fax: E -mail: Dryer exhaust
Hoods, Type l/ ll/res. kitchen/hazmat
Na . D l /C i hood st suppressio system
1 � ` - L . Exhaust fan with single duct (bath fans) . --
Mailing address: Vik C b C Exhausts stem a . art from heating or AC
;tt ; iT on up to ou ets
ES 7 f !� �' Z p LPG 4- NG Oil II .40 • Phone 0 . '�T� j, E-mail: u piping each additional over 4 outlets ■ t , 00 ENGINEER Procter piping (schematic required)
Number of outlets
ame: Other listed appliance or equipment:
F r- Decorative fueplace - 10.00.
State: ZIP: Insert - type 10.1:30 • Oa
' on • E-mail: ... toy pel et stove r • . 0 0
App,,r�:.2.: l :.m.. Date: 2. • • , - . MI
- Permit fee $
Na au '°°apt cetera end+. Call +•°'°B•"i"" rnr Notice: This pernut applicati on
CI Visa O MasterCard Minimum fee $ 7a . SO
Credit cad / / expires if a permit is not obtained Plan review (at _ %) $
E within 180 days after it has been State surcharge (8%) .... $ 4.'30
N ,.. as elhOa/a oa credit card : accepted as complete. p
Olhef Inspections end F TOTAL $ i p • 3 d
,. Innpecoons outside a normal Weems hose (metro= dnape•wo Iwn)
Cardholder sigmas Amount . g250 per how. 40.4617 (6100PCOM)
2. Ion per o which no tee eD•a11ra0Y Indicated (helm= ds N
rgsr Merv)
f7250 30 per for s
3. Additional plan review netted by d arpee. additions or revisions to pees (rrdeltrmen
rhsryaons.fs! hae) $72.50 per how
'State convector caw eerufOdon rumbled for rents s200k BTU.
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST
BUP
Date Requested / Z - Z 6 AM PM BLD
Location, ' , *-q S kv Cll.'") 7Pr✓a c-t Suite 047. W7
Contact Person / Ph 503 4'.3f-534'f - M
Contractor r Ph SWR
BUILDING Tenant/Owner /— ELC
Retaining Wall ` / ELR
Footing - cces •
Foundation i PS
Ftg Drain
Crawl Drain Inspection Notes: f.., ,��{ - S
Slab 1, S "' " �'�•' X SIT
Post & Beam .
Ext Sheath /Shear
Ina Sheath /Shear
Framing 4/,( � � �
�`
Drywall on \ / 9 . ; c b-e< k k a , , _ � ( � ,
Drywall Nailing `-- �
Firewall
Fire Sprinkler i
Fire Alarm 1 _
Susp'd Ceiling r . 1-& C /��— K\ ( l
Roof `�.�, vv"-a-c Q 6-1/\6-1/\.c �.c w
Final ddd
PASS PART F IL / 1
PLUMBING - C'� -. "�'�
Post & Beam
Under Slab g -- 0L-c_____ O�,-/�_:' lC .s.
Top Out
Water Service
■
Sanitary Sewer w ■
Rain Drains
Final l `
PASS PART FAIL \ l-^k- C.A \---1,
Post & Beam ��
Rough In 4
Gas Line �� S •
Smoke Dampers' ., .6., , ■ i \-4)
•
Ali iip PART FAIL
TRICAL
Service w
Rough In \-/ `�
UG/Slab
Low Voltage �
Fire Alarm � -/ Q �✓\.c
Final
PASS PART FAIL /�, t
SITE I �r vJ , I
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 1 ig( ;
Other Date y I nspector v �` ' Ex jt /9
Final
. PASS PART FAIL DO NOT REMOVE this inspection record from the job site.