11160 SW NOVARE PLACE-1 33VId 3H"ON MS 096 6 6
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11160 SW MOVARE FL
• CITY_ OF TIGARD MECHANICAL PERMIT
DEVEL�,::VIENT SERVICES PERMIT#: MEC2003-00375
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 7/3/03
PARCEL: 2S103DI3-04300
SITE ADDRESS: 11160 SW NOVARE PL
SUBDIVISION: GENESIS NO. 2 ZONING: R-4.5
BLOCK: LOT:041 ;1RISDICTION: 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:
FLE 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15-30 HP:
FIRE DAMPERS?: 30-50 HP: REPAIR OVES:
UNITS:
VI
GAS PRESSURE: 50+ HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS C
OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm: —
> 10000 cfm: GAS 7UTLETS:
Remarks: Install AC unit.
Owner: FEES
CURTIN, GEROGE T +LOIS ANN Description Date Amount
11160 SW NOVARE PL [MECH]Pemit Fee 7/3/03 $72.50
TIGARD, OR 97223 [TAX]8%StateTax 7/3/03 $5.80
Phone: L Total $78.30
Contractor:
COLUMBIA HEATING + COOLING INC
P.O. BOX 230397
TIGARD, OR 97223 REQUIRED INSPECTIONS
Phone: 503-624-2704 Cooling Unt Insp
Final Inspection
Reg#: LIC 76359
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J This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
J and all other applicable laws. All work will be done in accordance with approved plans. Thi- permit will expim if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted in the Oregon Utility Notificatiun Center. i hose rules are set forth in OAR 952-001-00
Isatved By: ' � .� Permittee Signature>•J�='��1C113��.L"�-�
Call(503)6394175 by 7:00 P.M.for inspections needed the next business day
Mechanical Permit Application
Data received:' � Permit no.: �e}f3 tvj
City of TigardRECEIVED ProjecUappl.no.: 13xpire date:
CiryofTi;ard Addrels: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By Receipt no.:
Phone: (503) 639-4171 r
Fax: (503) 598-1960 JUL 1 2003 Case file no.. Payment type:
Land use approval: :l i Y OF 1 IGAHD Building permit no.:
SUMMING DIVICIMI
O 1 &2 family dwelling or accessory O Commercial/industrial 0 Multi-family 0 Tenant improvement
U New construction VAddition/alteration/replacement 0 Other:
Job address: Indicate equipment quantities in boxes below.Indicate the dollar
Bldg.no.: I Suite no: value of all mechanical materials,equipment,labor,overhead,
Tax map/tax lot/account no.: profit.Value$
Lot: Block: I Subdivision: $bee checklist for important application information and
Project name: jurisdiction's fee schedule for residential permit fee.
City/county: ZIP:
Description and local(n of work on re ices:
e-- rR
TXW
Est.date of completion/inspection: Daae# on Rer.o l'T'enant improvement or chrnge of::x: FAirIs existing space heated or conditioned?0 Yes O No dlin snit _CFM —
l omm�� to�Elan requtr
Is existing space insulated?O Yes O No on of existing HVAC
Boiler/compressors
B �t neas name: State boiler permit no.:
�d�Ljdaa- HP Tons BTU/H
Aridtess:
__�� OX li s�o�dam er uct smoke detectors
Cit : G A s4D __ Statc: ZIP: P,7/4 set ump s to an rrgmre�
Phone: Fax E-mail: Tnstere�,-rna'cele burner
CCB no.: 7L , sr 9 Includingdui,work vent liner 0 Yes O No
nsta rep .c re ocate eaters-suspen eT
City/metro lic.no.: 247 - wall,or r oor mounted
Name latae dna): enrTor a ancc other an urnaee
e eras on:
n sorption unite BTU/H
Name: I� �A f
77AOb
hillersHP
Aadress: m misors HP
ronnsenta a uet an tent at on:
City: Slate: ZIP: pplienceven!Phone: Fax: E-mail: er ex oust
Hoods,Type res. tkTehen/hazmat
hood fire suppression system
Name: C Exhaust fan with single duct(bath fans)
IL Mailing address: -;A,/ suss svatem a art from heating or _
City. States 0 IP: e piping an distribution up to out ets
R T LPO NO __ Oil
Phone: Fax: E-mail: Fuel pipinoeach additional over 4 outlets
— rocas piping sc emanc require
Name: Number of outlets
other Appanc�or e_g7@p tat:
Address: Decorstivefire lace
(� City: Stic: ZIP: ntert-t
' Phone: Fax E-mail: tov r
estove
Applicant's signatur I Date:-;7- (Xher.
-
Name (print): ---
No W Jurisdictions accept c.edlt card.,please call Jurisdiction r mnr Information. r Permit fee.....................$ _
Cl Visa 0 MasterCard Notice:ihis expires if a permit eapplication Minimum fee................_ �
permit is not obtained
Credit card number. Plan review(at __ %) $
ru ` within 110 days atter it t:a+been State lurch SSb S
Name o ors credit e - accepted at complete.
i TOTAL........... )................$s�aettn Amoeet
4t4ra17(tLOyC.`OM)
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HEATING & COOLING9 INC.
8900 S.W. BURNHAM ROAD, SUITE El 10
TIGARD, OR 97223
(503)6242704
FAX (503) 598-0270
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JOB ADDRESS:
J
SITE PLAN FOR AC OUTDOOR UNIT LOCATION
ZITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639.4175
MSTINSPECTION DIVISIC/N, Business Line: (503)639.4171SUP
Received pate Requested AM —PM_.-- SUP
Location — I (P o _ —?I " -'�_ —Suite MEC 3—003 4-5
Contact Person Ph( ) a �''D Mid _
Contractor Ph(—) _ SWR
BUILDINGTenant/Owner ELC
Footing —
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT ----r— --
Post&Beam
Shear Anchors
Ext Shoath/Shear
Int Sheath/Shear
Framing �/)-j----'L oq-a,( —m-c c
Insulation
Drywall Nalling —
Firetnall
Five Sprinkler -----
Fire Alar^i
Soisp'd CeBh;g --
Roof -- _ —
Other:
Final
PASS PART FAIL —
PLUMBING
Post&Beam
Under Slab - --
Rough-Ir,
Water Service ---- --
Sanitary Sewer
Rain Drains - ----
Catch Basin/Manhole
Storm Drain
Shower Pan
Other: —
Final
PASS PART FAIL
MECHANICAL
Post&Beam
Rough-In - -
Gas L i.^.9
Smoke Dampers ------
ART FAIL -- -
ELECTRICAL _ --
Service
m Rough-In v _
i9 UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of$�� required belore next Inspection. Pay at City Hall, 13125 SW HaN Blvd.
PASS PART FAIL _
WE lI Please call for reinspection RF:_ Unable to inspect-no access
Fire Supply Line
ADA �-��
Approach/Sidewalk Daft --� -- U of �Ct--
Other:
Final OO NOT REMOVE this 1m**Wen reoerlill from the J"A&
PASS PART FAIL