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9545 SW BRENTWOOD PL
ilpr 15 04 04: 33p climate control 503 968 7224 p . l
Mechanical permit Application
CitDate received: /G
City of Tigard 0 Penni'
Cris uj lignrrl Address: 13125 SW Hail Blvd,'figard, OR 977 �\ YrojecVappl.no,: Expire date: '
Phone: (503) 639-4171 Datc tssued: i
Fax: (503) 598.1960 $y Receipt
Cuse file nu.: Payment type:
Land use approval: _ Building permit no.: `--
I &2 Family dwelling or accessory 0Commercial/industrial
J Ncw rnl.�tr:scti"t' UAddition/alteratiur/replacenu:n LJ]O hle(,.family O Tenant improvement
Job address: c'31w F;jf Q.h�wOp —_ -
Aldg,no.; �y Indicate eyuiprnent quantities in boxes below Indicate the doilar
_ _�` Suitt no.: vnlut•,of all mechanical materials,enuipmenl,labor,overhead
Tax map/tr.x lot/account no.: --
I.�,t-, _ +_ profit, Value S
WBIo,7�k;:Projec nt amam�!c � -'Vie
Sce checklist for important application information and
'
City/county l nn �r� -- _ jurisdiction's fee schedule for r-ide:ntial permit fee.
LLDrscr-- {ptjun(end t atbc� ion of work n pt•eZIP �,:�U _
1rl�kT��hY lid 1 311t
Est.date of completion/inspecti_on: - -""-- Fee(ra.) Total
Tenant improvement or change of use: - Detrcrintion 4e'✓.. Res,only Ites,onl)
111 AM
Is existing space hented or conditioned?Cl Yes ❑No Air.windting unit CFM _
Is existing space insulaterJ?CI Yes CI No Air.:nn ition�;n(xitr pian required
�CT�erat on n exlsultg�'�"s�ystmn -
$oiler/compressors
Business name: Slate boiler permit no.:
Address: ��, �'1--------- -__.
o-_ tJ 7 v`c v/! - Hp _Tons BTU/H
City: PPEE ck-*\d _ State ire/'+ritukr amper. duct smo a eteetom
OIZ j`Z'IP�: p "—y
F'hune: [" �_ �leai huln`p(s tr an rc wre
3 c1�3, ax:Q 01 F-snail: nsU111Trep ke uinac urncr
L'C6 rl•—°. "��D Including ductworWvem liner 'Yes U No
City/metro lie.no.: rTsninT rep ac re DemetateTi- l _A-4---TeX,—
Name(please wall,or Moor mounted
Y 1 1^
Vent -, n Bance other than furnace
to r gerttt on:
Name: Abscrpli it, units BTLI/H
Address: - - - - Chillers _ — _ Hp
---__- Compressors HP
('styz1p; 11v runtaents ex taunt an vent at nn:
I'hune. Fax Appliance vent
E-mail; Ur _tr exhaust "-'
Floods.Type F 11/res. •itchen/hazmat
_Nome hood f re supprr..nlon system
Mailing addressa{ 4 w Exhaust fan with single duct(bath fans)
� e I �xliau�i s stem a an from heatln or
City: I i�to��"'-- - -
Photie (o S(ate10 ZIP; -7 as Pip ng andstr attars fop to outlets)
ax -m il; - Ty e:- LPG NO — 011
IM410 Jolt ue1 n"n _clic a I Mona over out cis
Name: rocert p ng(schernatir.required)
_ ___ Number of outlets
Address' --- tGeer sn app once or equtpmer+t: --
City; _ tale ZIP:
� becorative fire lace
F'bauc; 4� 1=-IP -ry e
Fax: ooaiti,ve pe et wove
Applicant's signature:� Date: [ `airier — - _
Narne(print) _ t et: -'
r_+
!ern ell�w udlcuens aceeptCryteaa cull)utUdicnnn fnr mnm inenmallion.
Visa 3 MasterCard Notice- This lxrtnit application Permit fee ..................... S �_
Ctedn cord number __ _� expires if a permit is not obtained Minimum fee......... ...... $ ��.�`iO—
Plan review(it_ 9b) S _
Esy,e, within 180 days after a has been ''—�--��
—Nome n cordhnlder d,,hnwn on cre h car State surcharge S�+ c .�V
s accepted as complete. 1; l ) S
Cn er xi nature �mn nt TOTAL...................... $ _--tTA
un•aet+i nn KUCOM r
CITY OF T I G A R D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2004-00199
13125 aW Nall Blvd., Tigard, OR 97223 (503) 6394171 DATE ISSUED: 4/20/2004
PARCEL: 2S1 11 CD04000
SITE ADDRESS: 09545 SW BRENTWOOD PL
SUBDIVISION: SUMMERFIr-1-D NO.9 ZONING: R-7
BLOCK: LOT: 529 JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: `SENT FANS:
OCCUPANCY GRP: R3 VENTS W/O ADPL: VEN i SYSTEMS:
STORIES: BOILERS'COMPRESSORSHOODS:
FUEL TYPES 0 - 3 Hf: 1 � DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP:
FIRE DAMPERS?: 30 - 50 HP: WOOREPAIR UNITS:
GAS PRESSURE: 50 + HP: CLO DRYERS:
S:
FURN < 100K BTU: 1 AIR HANLInING Ui:il'S CLO DRYER
FURN >=100K BTU: <= 10000 cfrrr: — OTHER UNITS:
> 10000 �:fm: GAS OUTLETS:
Remarks: I(eplace existing furnace&a/r unit \\ith like k nil.
Owners _ FEES
KNIGHT, BEI TY M Description Date Amount
9545 SVV BRENTWOOD PL VI I --�
�'ti11 ('l l I I'crmil Frc 4!20!00= $72.50
TIGARD, OR 97224 I: X1 k State Suiehart 4/20/2004 $5.80
Phone: __^ Total $78.30
Contractor:
CLIMATE CONTROL INC
16500 SW 72ND AVE
PORTLAND, OR 97224 REQUIRED INSPECTIONS
Phone: 503-453-4822 Heating Unt I-isp
Cooling Unt Insp
Reg#. LIC 62196 Final Inspection
his )ermit is issued subjact tc tht, regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all of ger applicable laws. All work will be done in accordance with app-oved 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 adootEb in the Oregon Utility Notification Cente-. Those rules ara set forth in OAR
952-001-M10 thFf7ugh OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling
(503) ti-6699.
Issu d By: Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for Inspections r i ided the nex sines day
(fpr 19 04 04: 34p Climate Control 503 968 7224 P. 3
CLIMATE CON , -W 72nd Avenue Poilland, OR 97224
ROL 16500S
HEATING & AIR (ONVITIONING 50.q-453-4822503-453-HVAC FAX: 963-7224
PF-7
Te,
SYSTEM DESIGN INSTA,'-L,TION __ �riVIC
E MAINTENANCE
PORTLAND -453-482," VANCOUVEFJ -360-254-3063
CITY OF TIGARID 24-Hour
BUILDING Inspection Line: (503)639.4175
INSPECTION DIVISION Business Li ie: (503)639.4171 MST
BUP
Received _3__Z6.. - . -___Date Requested_ "" 3AM PM _ BUP
Lc„ation - - _ ,Mite
';ontact Penson _ —___--- __- Ph (—__--) — ----------___ PLM __--
Contracior — —_ -__- -- --- Ph (- _ ) ---.___ _-_.,--- SWR
BUILDING Tenant/Owner __..------__—_-_ ----__--_—__----_— _._..— ELC --
Footing ELC
Foundation Access: ---
Fog Drain ELR
Crawl Drain ---- --
Slab Inspection Notes: SIT
Post& Beam
Shear Anchors �m
Ext Sheath/Shear
Int Sheath/Shear --- ----- --
Framing ---
Insulation
Drywall Nailing --------------- --------
Rrewall
Fire Sprinkler - --- ---- --- - -- - - --
Fire Alarm
Susp'd Ceiling - --- -- -- - ---- --_ ----- --- -- - _
Roof
Other: _-- -- - --- ----------__
Final
_ASS PART FAIL_
PLUMBING —__ •
Post& Beam
Under Slab -_ - _ - __ __-..._--------------_.-_--
Rough-In
Water Service -
Sanitary Sewer
Rain Drains --- -- - - --- ----------- — _ -
Catch Basin/Manhole
Storm Drain -- - - - ------_ ----. __.------ ------ -
Shower Pan
Other -- - ... ---- --- - ---
Final
- __ ---- ---- ------
M
---- -----
MECHANICAL
Post F, Beam --`
Hough-In --
Gas tine
mpars
F-E
ai
ART FAIL ------ - ----- --- -- --CAL —
Service
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
Please call for reinspection RE:--�- Unable to inspect--no access
Fire Supply Line /
ADA , I ,- 3
Datta _�._
Approach/Sidewalk ----1_ f _._ lespeCrtO� ' ��_-- Ext
Other: -
Final _ DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL