Permit A CITY OF TIGARD MECHANICAL PERMIT
* ° 40 011 4 ' DEVELOPMENT SERVICES PERMIT #: MEC2002 -00328
1 - �I-II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/26/02
PARCEL: 2S1 04AD -04800
SITE ADDRESS: 12923 SW WALNUT ST
SUBDIVISION: PP1997 -070 ZONING: R -4.5
BLOCK: LOT: 002 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:
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 A/C unit. Cannot be placed in required setbacks.
Owner: FEES
EASLEY, JOHN H + MARGARET M Type By Date Amount Receipt
12923 SW WALNUT ST PRMT CTR 7/26/02 $72.50 2720020000
TIGARD, OR 97223 5PCT CTR 7/26/02 $5.80 2720020000
Total $78.30
Phone:
Contractor:
SPECIALTY HEATING & COOLING
9528 SW TIGARD ST
TIGARD, OR 97223 REQUIRED INSPECTIONS
Mechanical lnsp
Phone: 620 -5643 Cooling Unt lnsp
Reg #: LIC 66578 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
Issue By: /' Permittee Signature: g Ue C142/40.,(/
1
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the xi busine day
Jul 23 02 08:15) Specialty Heating 503 598 0718 p.
,7 _ .- '0 -
4.
Mechanical Permit Application MI
A.. L
,��,��i�. Cj of Ti gar , ''� ����) Date received. V /, . 0 0 3�
g ( r _ : \ \i � 1�� /� I Permit no.:
g d \ - ; - \ Project/appl. no.:
C i t y of Tigard Address: 13125 S W Ha04lvd; arcPOR 97223 Expire date;
P hone: (503) 639 -4171 � Date issued: „ "--- --
Fax (503) 598 -1960 `� .r1
Case Receipt u1.:
�°�� Case file no.: Payment type:
Land use approval: :2,-- r Building permit no.: `—
TYPE OF PERMIT �—
& 2 family dwelling or accessory ❑ Commercial/industrial
O New construction O Multi O Tenant inaprov< meat
Addition/alteration / replacement ❑ O ther:
JOB SITE INFORMATION COMM1:RCIAL VALUATION SCHED [it
Job address: 423 Z 3 liJw ila. Sr- Indicate equipment quantities in boxes below. Indicat, the dollar
B n o. : Suite _ no.: value of all mechanical materials, equipment, labor, o.'erhead,
Tax map/tax lot/account no.. . - profit. Value $
Lot.- Block: Subdivision: *See checklist for important application information i nd
- _. ._.Project name' _ , _ - _' - --
— ' jurisdiction's fee schedule for residential permit fee.
City/county: Ijai1 ii 1 & 2 FAMILY
DWELLING rtRR'IIT FEE SCl MILE
Description and location of work on
P _ L NDCOM, i� 'IER1C_%L /1NDUSTRIALEQUIPMENT' $ 1iEDULE
]:st date of completion/inspection: 74 6 Jp Fee(e v.) Total Description Qty. Res- o rly Res. only
Tenant improvement or change of use: . • C:
Is existing space heated or conditioned? yes Cl No Air handling unit Cb 'M
Is existing space insulated? t. Yes 1] No Air conditioning (site plan required) —
Alteration of existing IivAC system '/___
MECHANICAL CONTRACTOR Boil- compressors
Business acre" /` 14-1' i+ , State boiler permit no.:
• Address: • - - . cSLt.) / ..a/)., S ► f HP Tons BTU/I tatty: Q - Furist ioxe dampers/duct smoke detectors '
State. ' ZIP: at.3 ` [meatApmp(siteplanrequired)
Phone Fax:6 - 98 - v9 E -mail: Install/
r'Cp ace BT /}l
CCB RO.: — Including ductwork /vent liner t7 Ycs O No
City /metro lic., no.; 16 (/� wall, o r r flo oce /relocate heaters- suspendr� '
wall. o floor mounted
Name (please print): o r , k A' lir ens Vent for appliance other than furnace
CONTACT I'I ItSOi1` Refrigeration:
Na ru ` "- e' „'- _
Absorption units BTU /H
� �i2 42f� ` °' ' Chillers HP
Adclress: g.. 8'' Sf, Q� S? C HP -
C � Z y� �•` . ; -=.•-'-\- `, - s O� • ZIP:. '..• ? =, '� vlt onmental exhaust and vgrtllation:
Piton . - ,3;Ga0 C $9g -eft;, E-m ail. , APAliaucevene
Fax: "44' :r:4: :;;s,:;�:': -itt :',, -+ ryer , , tut • ,
•
OWN ER - Roods, Type I/ rlhc3.1utcUeu/Irizmat .
• , x ; " „ " _ � -r, ;� • ' ,.. , hood fire suppression system
Mailing address: '^�YY • ' 7 •••..• h• Exhaust fan with single duct (bath fans) •
e,1'=,y' - . •: 3 . .u., , ,ez! 'sjr' . ,- , i=xhausts stem a from heatin or AC
Clty; , ..e. r zit: •... State: a �J .z1P: ;;c '?a piping an utron up to 4 out c.ts
may.;.:: .' , NG
'hone; _'', ,l Fax: '::':: ° +,: v,'i:, E- mail +.. �.. T ype r ' � L.P C3 :`" ' '' O • •1 .::,,. • f •
°'^'^�: s ' i' �' "- =ice* :Fuel ip , each addition)[ ov -
:_� I ENGINEER 1.1,, er4outlets ;, .:,;;
; -* „ ,x • . ( -
N T ;4 ;;."2;',...- � �, 1. ;.Z :� w :: - �: ta ,:.- • /� :l_,•H�• \� .. .. - �' �.
�A "n
°•'�, i.i'4.•�?.' 1 •'kd:,: � • • 'Y.�'�.xr"'.: �.: 51, ' t�i O foutlets � \•.. , •
S R !ia: :i ' ~ .T•• ; w _ ,r.., :i: y , _. „ w tr . ' �O t7urtisi i d appliaIICeor C�lalpmC4ft h. : a.
='d; •.. .•.r,.x :, ;,,, Y$` - 1�aiii'ati- i:;.a_s b .6' .":•.;:', ;,J.
. • , . ,' . iri lace:: c , r, _ - • 4'� '' •'"
r .. •. _ - S'fat el' , ..i, ?.,.,:: ? !t.:S • -,� -
• :ph one: . , - .. '''...;4.7':; , � '`.:' . . ... �,'� _ -'` yper: :4:',; : - •- .. ,�
:;ter • ' ; Fax; E - ma �•:� a'.,;_:,.N.;, odstOV pelletstov , . ,
Applicants „`si�tlka� Dater. , _ o - ,'
Name(print): -- '6,e 7 Lt° -t°N Vr- ,s/Y/Z`'G .. ',• ” . " • , �;:' .. • .. ,•.,. ... `,.
Not an j,eisdictio asept, credit cords. Please call jiznsdcdon for moire iefo®a� . ' Permit fee $
m
0visa UMastetCard Notice Ili ape ' , Mi�Iimum fee $
gall can.' u ,,,,,t,� / cxpircg if a permit Is not obtained Plan review (at %) $
Entire, within 180 days after it has been
Nave of csnn,olde.r as show) on credit card accepted as complete. Stale surcharge (8%) - - -- $ -
TOTAL $
CaLdhol[ter :iEna AuWUaI — -
440.461 OAXIICOM)
Jul 23 02 08:15a Specialty Heating 503 598 0718 p.3
SITE PLAN
STREET
Specialty Heating & Cooling, Inc
9528 SW Tigard Street
Tigard, OR 97223
Phone 503.620.5643 Fax 503.598.0718
Hillsboro Phone 503.640.3607 Fax 503.681.0793
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 .
INSPECTION. DIVISION _ Business Line: (503) 639 -4171 MST
` � ' BUP
Received Date Requested 7 " AM PM BUP
Location / a' ` 1 2 3 fAJabyzA4,t Suite MEC SOT — &"0 32 8
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner G P ELC 0D , -- 370
Footing .5 / — / v Z D
Foundation ' ELC
ccess:
Ftg Drain _a_ 0 -1 ELR
Crawl Drain , — -j
Slab Inspection Note . 1 _ a_.(_ SIT
Post & Beam [
3
Shear Anchors i
Ext Sheath /Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer , (/.....„....,....L.________________ .7--
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan '�'
Other:
Final
Z S P I FAIL
ost &Beam c,
Rough -In k ( `
Gas Line
Smoke Dampers `
Fi
LRT FAIL -
. i 'L
' e C.
Rou•
�
UG/Slab f‘
Low Voltage
Fire Alarm
F ( . ' ~ `l ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
❑ Please call for reinspection RE: ❑ Unable to inspect — no access
Fire i ADASupply Line lo7 / .j i Approach/Sidewalk Date Inspector 0 Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL ..