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16530 SW Greenland Drive
CITY OF
TIGAR D _- MI CHANICAI_PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2001-00423
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/28/01
PARCEL.: 26"1 14BA-05800
SITE ADDRESS: 16530 SW GREENLAND DR
SUBDIVISION: PICKS I_ANDING NO.2 ZONING R-4.5
BLOCK: LOT: 082 JURISDICTION: TIG
CLASS CIF WORK: ALT FLOOR FURN: EVAP COCLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W10 APPL: VENT SYSTEMS.
STORIES: BOILERSICOMPRESSORSS HOODS:
_FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: '_BTU 15 •31 HP: REPAIR UNITS:
FIRE DAMPERS'': 30 - F,0 HP: WOOD:STOVES:
GAS PRESSURE: 50 + HP• CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNIT_S OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm GAS OUTLETS: 1
> 10000 cfri:
Remarks: Install fireplace insert.
Owner: __ _ __.__ FEES
Dl::K, JACK E AND JUDY L Type By Date _^Amount Receipt
16630 SW GRE=ENLAND DR PRMT GTR 1 1128101 $72.50 2720010000
TIGARD, OR 97223 5PCT l'TR 11/28/01 $5.80 2720010000
y�a Total — $78.30
Pthone: — --- -- ----- -- —
Contractor:�
BELL HEATING
15550 SE PIHZZA AVE
CLACKAMAS, OR 97015 _ _ REQUIRED INSPECTIONS_____
Gas Line Insp
Phone:503-656-1184 Mechanical Insp
Reg #:LIC 447 Final Inspection
PI.M 3-286PB
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 accc,rdance with approved
plans This permit will expire i, work is not started within 180 days of isskaanr::e, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rtt!,3s adopted in thE:l Or�--.-gon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through ( 'AR 952-001 -0080.
YOU may obtain copies of these rules or direct questions to OUNC by calling (51313)2-1,6-9189
Issue By: �;<</.�r `� Permittee Signature:, (, / �, U! , , z7 c 1
- .
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
1.1,'20,'2001 15:90 FAX 5095981980 C'TT OF TIGARD 10002
Mechanical PermdtApyplication
. I
FIV:fY Dare tecewed: ' y Pctrut no.; �+
City of Tigsr� -T, �ai�ts
PPi.no.: Expire duce.
Cir,()j ligurd Addmesr,: 13125 SW Hall Blvd' � t r-------
Phone: (503) 539.4171 Date i4wcd: $y1 I" t Rcccipt no! w`
Fax: (503) 598-1960 'Cane file nn.; Payment type:
CITY OF TIGARI
Land use approval: Butlwng permit no
r 1 f.2 farnily dwelling or neccssory U Commercialhadusrrial 7 multi-family Tenant irnprovc-ment
:I New ronstruction U Addition/alteration/replacemew J ether.
Job address �t n c- r� ) l� _ Iridieate eq�tpment quantities in boxes below Indicate the doq.l
Bldg,no.:_ I Shite no.: value of all mechanical tnaterils,equipment-labor,overhead,
Taz�/tim lot/accaunt no.: profit.Value.$
Let: _ 813CK. Subdivision "Sea checklist f-)r Important application infonnntion and
jurisdiction's fee schedule for residential perrniT fee.
Project
Cityh oun 1 t Zl}': Nola,
LDesch tion and locattioTn of worlt on pret — e t
� 1 Fee(0&) Total
Est.date of cumpledtln"inspection: t Qty. Res.onlyRaw.o'Tenant improvement ter change of use: IA—C —'
t
Is existing space heated or conditioned?Q Yes U No Airhandlin unit CFM
Air condiuonin (site p an rc uired i
Is existing space insulated?U Yes U No Alteration of a sung 14VAC system
o0crlcomurenwrs it
111usiness natrre_:_ State boiler permit,no:
—moi-- 1 t ------, lip Tons BTU/H
smok
_ I '\� - �_lyL, _ irelct'empeta/duetnmokedetectors
eat pump site p an rcquue )
l ) -
Pltott Faz c ( � E-tt,7ilr insta replaceefuTdacelburner 8.l i
Including ductwork/vent liner ]Yes Q No
CCB no.: insta /replacelrelocatcheaters-suspended,
City/metro lie.no., wall,or floor mounted
Nam:.(please nnt): c' ''h i vent for xp ance othcr than furnace
K
-igen hnt
Absorption units BTUM
Nainc:` �' Chillefs___. HP
AddTC55: L_ Comore99(r5 NP
Cih: �~ State: _L` rltotuoealal exhaust and ventilation:
Appliance vent
Phone: E mail: rverethaust -- --
oo s,.Type /[ res.kitcben/nazmat
hood fire Auppression Sy;+terc
IN.arve: �( E haust fan with vinglc duct tbxth fans)
ailin*ad_dress: �; krhaust system apart f-am hcatin or C:
City; 'T IL
) I Stat :` ZIP, - f uel piping and sttt 1111011 lap to 4 outlets I
--�--� 7y e: LPG 10 0l 1
Phunc: AI Fax: 1r triad' Fuel p:ptn ,eacb additional over 4 ou r-ts Pr
ocess pipiep t cchemauc rrqurred
Name r et outsets _
�._„�_�_. L'Ket�ipp ce or equipnttnt; ��x 1
Address: 7_ -'
uvertreo'..ace ', 1 tcity. Sate ZrP Phouz: F :' overpeLst cmcApplicant's sigrj re: . 1
Name
-----, Permit fee........... .........S
-Not Oil iunsduCam a.ce i CfCdd Cy,L,oleate COUull
Itdictior f,r mom uu crmottor.. Nonce:Tnts permit application
�btsr Q MoatrrCard Minimum fee................$
rm,111 o,vd number expires if a permit is not obtained
/ t Plan review lac _„ %) 5 —�%`---�-
-^ Est lm within 180 days after it has been State surcharge(8r%o)....S
'.gime O:cardholder as shown oo cvd— ITd` accepted aS complete.
c TOTAL .......................$
�i'
Cudholder m2mure Atnouet 4"11 t6.11MCOM
CITY OF T'GAt-RD BUILDING INSPE:GTIGN DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ----- --
� BUP
fate Requested _ �_ nM PM ,Y BLD _
Location- S-30 Suite _ ME?C
Contact Persc i - Ph �� `� r' � _ PLM
Contractor _ Ph I SWR
BUILDING Tenant/ ner ELC --
Retaining Wall ir✓ ? ELR - --_---- -
Footing Access'
Foundation FPS
Flo Drain ---- - . ----- SGN
Crawl Drain ispection Nates: - ------- - _
Slab SIT
Post& Beam -----------_—_.-_ -
Ext Sheath/Shear
Int Sheath/Shear
Flaming
Insulation
Drywall Nailing _- /'S Gu���'v. '� C =. 42,�'t 7
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc. -
Final
PASS PART FAIL -
PLUMBING
Past 8 Beam
Under Slab
Top Out
Water Service _
Sanitary Sewer
Rain Drains
Final
PASS---L'ART F):I.
MECHANICAL
[lost& Beam
h In
Gas Ling
S e Dampers
PART FAIL
ELECTRICAL
Service
Rough In
I1G/Slab
Low Voltage
Fire Alarm -_
Final
_PASS PART FAIT _ -----_-,_—_----_ _ -- _-- --_—_
SIfE
Backfill Grading _— ---- ---- ------ --__ -
Sanitary Sewer
Storm Drain [ J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( Plea�e call for reinspection RE _ n Unable to Inspect-no access
ADA
Approach/Sidewalk
_ lateector OtherInspExt
-
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.