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13420 SW Village Glen Court
CITYOF T I G A; #. MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2001-00429
13125 SN' Hall Blvd., Tigard, OR 97223 (503) 639-4111 DATE ISSUED: 11/29/01
PARCEL: 2 S 102 CA-00936
SITE ADDRESS. 13420 SW VILLAGE GLENN CT
SUBDIVISION: VILLAGE GLENN ZONING: R-4.5
BLOCK: LOT: 036 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O ADPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS _ HOODS:
FUEL TYPES 0 3 Hr': DOMES. iNCIN
LPG _ 3 15 H►': COMML. INCIN:
MAX INI-'JT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPER;?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:FURN < 100K BTU. AIR HANDLING_ UNITS
FURN —100K BTU: <= 10000 cfm: OTHER UNITS: 1
> 10000 cfr,i:
GAS OUTLETS: 1
Remarks: Install fireplace Insert and gas piping.
Owner: � � FEES
HOLLEY, JAMES W +CARLOTA P CO Type By Date Amount Receipt
13420 SW VILLAGE GLENN PRMT CTR 11/29/01 $72.50 2720010000
TIGARD, OR 97223 5PCT CTR 11/29/01 $5.80 2720010000
Phony Total $78.30
Contractor:
SPECIALTY HEATING & COOLING
9ti28 SW TIGARD ST
TIGARD, OR 97223 REQUIRED INSPECTIONS
Gas Line Insp
Phone:020-5643 Mechanical Insp
Reg#:LIC 66578 Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. AT*rENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-008u
You may obtain copies of these rules or direct questions to OUNC by calling (503,246-9189.
Issue 3y: _ Permittee Signature.
Call (503) 639-4175 by 7:00 P.M. for Inspections needed the next business day
Nov PG 01 04: 37p Spec t a I t y Ile-ar. t 503 598 0718 p. 1
Mechanical Pet GPWW cFU
1
—� Datercccived: r-Q 1 Permit no.;/)
kitty Of Tigard NOV _ i) 2K Project/appl.nu.: E•xpiredate: -
e ryofTigard Address: 13125 SW Hall Blvd, QT 9ffJ�� Date issued: Receipt lo.:
Phone: (503) 639-4171 dd'
Fax: (503) 598-1960 RUCLn��1 Case file no.: payment type:
Land use approval:
building permit no.:
:New
& =t)ni
lling or accessory ❑Commercial/industriz? O Multi-family ZI Tenant impro• moot
Addition/alteratiott/r placement l3 Other-
.
ther
Job address D Gtr u tZ, t' Indicate equipment quantities iu boxes below Inde the tfull,u
Bldg.no.. I Suite nu.: value of all mechanical materials,equipment,;abet. :crhead•
Tax map/tax lot'account no.: profit.Value$
Lot: Block; Subdivision: 'See checklist for important application informatiut and
Project name: jurisdiction's fee schedule for residential permit fee
6f al City/county: ' $ 7.iP � — `_ 1"011i 7Ronl�De^rnptton a ocation of work un premises; ►'�� T �! t DI lll r FP4,en.) Tidal
Est.date of co mpiction/inspeclioQty' Re;only
Tenant improvement ur cha•ine of use: Airhan nu CFM —_
1s extsring srncr he and or ennditinned,�dYes Q No r con coning slce p an re utred) _ _
Is existing space ln.:mlated?O U No Alteration of ex.sting A system
lr►La071 t t of er/compressors
State boiler permit no.:
Busi►ress nam X4L t r v 4 Ill' Tuns i iU/Ii _
Address: v rr j LL'1 T smo tamper act smoke detectors
City: r '1 th _ State:p4 ZIP:q 7' a 3 eat pum (site plan r cued)
marl: nsta rep ace umac• urner 1T•I
phoney ,lam ZOuL�/ fax 59 �7/ Including ductwork/vent liner 0 Ycs J,Io
CCB no. 5 7 _ ,� �._ osis rep ace/relocatcheaters-suspen ed,
Cityntettv_lic.nu.: ! _ wall,or floor mounted
Nome(please print): r Q IS �`ent u�f r a�iancc u cr than ac
t rrt;cntt ou:
Absutpuonunits BTU/H _
Name: t�1( t�Co /Y '. 01+?!� Chillers •- IdP '-
Cum ressurs HP
Address: q S st R'_ K�(.iJ S T nr roamenta a ust anvent at on;
City: I Liel Stae:Qk_'. ZIP: 6? 70� 4-11 Appliance vent
rr 1 cr ex Aust
I hone: 5y'8 �/r G mail: rY—Roods,Type res. tc a azmat
a huud fire suppression system
Name: Exhaust fail with single duct(bath fans)
^' rTm
nts atLai apart from[tentin or C
Mailing address:/_3'/,20�gck) A G-GL644- Cl- p p g•o m ut on(up to ouc ets
City: - tntc:L . LPG NCI Oil
Fax E-mail: pt to each additional over 4 outicts
Process piping(schenimicrequIred)
Number of outlets
Name: _ _ _ _.+— ---- ter WSW app nee u�equ pment:
Address: Jecorauvefire iace
City: -- r rte: 7TP nsert t
----'— no ntuvdpe etstove
Phone: 'RX. E-mail: then
Applicant's sign ure: nate // a( U e:
Name (Print): /¢ }E( int --
Permit fee.....................$ _
Ito I janrdiotimu rc r.pr credit cards,please rail prnndiciinn ror mote infnmWion Notice:This permit application
Visa �ntastc � Minimum fee................$
�, expires if a permit is not obtained I'lan n:vnew tat '7's) $ _
Credit cwti number within ISO days after it has bren
ta<aire: y State surcharge
of ,uu r�i un��e .alb--- s accepted as complete. TOTAL .......$ �
t, otrUr d{nanne �� Amount Itq. l7(MOt4DMl
Cid OF T IGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST
UP
_.-Dake Requested AM �PM SD r
Location LZ L (�,cxe� .� � �� . BL
Ci-Suite MEC 2 0 y% C.�O q-2—c?
Contact Person _ — cL - Ph Z C) 6, y PLM
Contactor — — Ph SWR
BUILDING --- Tenant/Owner ELC _ — --
Retaining Wall I ELR
Footing
Foundation Access:
FPS
Fig Drain SGN --
Crawl Drain I Inspection Notes: ------
Slab
Post&Beam SIT „ _--
Ext Sheath,.'jhear
Inl Sheath/Shear
Framing "_ ���5 �i�1,.�s �"'.T -r�Sr- -30
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof - - -- - --
Misc:
Final ----- ---------------- -- ---- -
PASS PART FAIL --
PLUMBING
Bost& BearTl - -
Under Slab
Top Out -- ----------- -
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECH/'.NICAL
Post& Beamjjg. --------- --- -- -- ---
ugh In
Gas ----- -- - ----- - ---- -- - -------- ---
Smoke Dampers
PASa PART FAIL �_------.----�..--------- - -- ---
CTR_ICAL
Seivice
Rough In --
UG/Slab
Low Voltage —_ --------- -----_— — —.__—
Fire Xarm
Final -- -- - ---------
PASS PART FAIL
SITE
Backfill/Grading ----- ---- --- -- ------
S3nitary 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 rf nspection RE — ___ — —_ — _— — ( ] Unable to inspect-no access
ADA
AuprOther Date
Dat@ 2.- `-r Inspector Ext
Final
PASS— PART FAIL I DO NOT REMOVE this inspection record from the job site.