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11300 SW 79"' Avenue
CITY OF TIGARD MECHANICAL PERMIT
PERMIT#: IIEC2002-00485
DEVELOPMENT SERVICES DATE ISSUEE): 10/30/02
C 13125 SW Hal! Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S136CA-03500
SITE ADDRESS: 1'1300 SW 79TH AVE 70N!NG: R-4.5
SUBDIVISION: FRIENDLY ACRES JURISDICTION: TIG
BLOCK: LOT: 013
CLASS OF WORK: ALT FLOOR FURN: E`!AP COOLERS:
VENT FANS
TYPE OF USE: SF UNIT HEATERS: VENT SYSTEM-:
OCCUPANCY GRP: R3 VENTS W/O APPL: HOOL`
STORIES: BOILERSICOMPRESSORS _
FUEL TYPES J0 3 HP: DOMES. INCIN
LPc;
3 15 HP: COMML. INCIN.
MAX INPUT BTU 15 - 30 HP: REPAIR UNITS:
FIRE DANJIPERS7: 30 -50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K 13TU: 1 _ AIR HANDLING UN115__-` OTHER UNITS:
FURN >=100K BJU: <= 10000 cfrn: GAS OUTLETS:
> 10000 cfm:
Remarks: Replace gas furnace.
FEES
Owner:
STEVE BRAUN Description DateAmount
11300 SW 79TH ST [TAX] 8%StateTax 10/30/02 $5.80
TIGARD, OR 97223 [TAX) 8%StateTax 10/30/02. $000
[MECI l i ['ermit Fee 10/30/02 $72.50
Phone: 503-620-0703 [ME('I I I Permit fee 10/30!02 $-100
Total $78.30
Contractor: —
FIRST CALL HEATING & COOLING
1650 NE LOMBARD
PORT,AND, OR 97211-4798 REQUIRED INSPECTIONS
Heating Unt Insp
Phone: 231-3311 Final Inspection
Reg M. 102030
This permit is issued sribiect ,o 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 reouires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR
952-001-0100. You may obtain copies of these rules or direct questions to OUNC :,y calling
(;;03)246-6699.x'
Permittee Signature: �`�--
issued By: --
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
Mechanic d Plerniit Application
--- �r� in
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MY of Tigard Prolect/appl.nc.: lupine date:
City ojaiqard Addrvu: 13125 SW Hx11 Blvd,TiW,OR 97223
Date
utued: By_�Receipttrn
Phone: (503) 639-4171 ------ -
Fax (503)398-1960 Cff3l
-We.no ----- Payment type•
4n —
Ld tine Rpproval: —_.- _ .—._ _.._ _-- ._ dio6Pttatlt
1
¢l l &2 family dwelling or accessory a CommemiaJ/inQuctrial 0 Multi-fanuly O Tenant imps nvcment
❑New comdru,-tlan '3Addition/alttrauon/mvi&cement C3 Other. -_
Job address: �_ .>> ( t J -7 1h -__ - Indican eAlIlipmr--ni quantities in boxes Wow Indicate the dollu•
Bldg.no.: -TSaite no.: _ valve of all mech.•,r 1.ai mst"i"equipruca:,labor,ovvie4d.
7 Z rtu 'W ivt/a ixiuur Ito: --- profit. '':lac S ---_-..._..—
I uc _ Block: Subdivision: — *See J ecklist for important ttppticat;,+n information and
Projoc�rune jurisdiction's fee achedide for resident,0 prrrnlr fix.
Ci !county:
Deactipdd laftdon of work of promise+: <
r C ( � // hit�e>L� fcA1J
t date of amt tetiow - _ D im Qlt. Sew1J Res.
Tenant improvement or change of use HVAC:
It existing space ace heated or conditioned?U Yes L]No Asir handling unit CFM
rt crura on nd t to p an raga _ � __ _-Is exigans apace intimated?U Yrs 13 No twat n exreungFitr yetim
i'3orlr.�impceasora -- -
Business name: r 4 5tb.e botkr pemnt n
_ FtP Toni FITU/H
Address: m r cc ttVJrc/6,mokcdampwWduc1 smoke ctstectcxi Cia: Sum: 2V: Y 7-./Heat(sitepla_nrIreii!-- -
�!7 J_c �,y 1rax: ,'s'L /�'! &n11d1: nstislU rpT firrnac mer
ETUIR
Phone:
includingductworld'vent liner as O No
CCB no,: i_ natall/teplae'rTre'ocatehrat. -a
Citylrnrcro lis.ao.: � '�. wall,or flour muunted _ _m-
Naute(plessE ptittt? L .;;Z S A-ow 'vent o iamx aher than fum#=
�erabrra:
Absorption unitsBTUM -_._--
rattle: Chills." Iii' -
Addross: r'n rcsilpt�a7t��ExTI tw lfr
CkY• _ �1 plana vent
-T.ti�e:e�_��_tt -
s ioda�ypeDiilSe..tciichen/�ue,u-- -
hood dire suppmumn system
Nom: L IL 0 Exhaust taa wilt s►+tl�duct aw[_ __--
t�t��,� _ w.0 t Item a�aa cc
Ck4!,,.-7-/ y<C r Via 7 LPU NO oil - ---
Phoao: : Para &mW: `� -
vel sacb��tloa�a owcio�et�---
Fint pip" c"Nu
Nam- -Numtw of outlets
AlJnm Decorative laze
State: ZIP: !stai -
Wood�toAp licant's s' --
Dow. - t-s-ov-e
Phone. w __
0
Name(pttM ae:
-
HN all)nYehet M rmw amL rarer:.PraJaWk-A a nr art idsosleo, permit fee....................$
Uvia U ht.acrc'xr: Nude.:This permit"ie�rn Minimum fee..... S
i mirm if a perrnit is nix aHainod Plan tevlew(at _ y�) $Cmdh ae1 e'°°s0' -------- — L w0ia I AO days alar it has toe 1
HIM IN oelLotdn W ilrowu.p a«s►r ars = aenepletl est oemplete Stair,satchstp(8%)....$ -I-T
TOTAL, -
._ N6tl11M10�10A0
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175
MST
INSPECTION DIVISION Business Line: (503)639-4171
1 t/
PUP
Received __ ___ Date Requested_A —AM ' — PM--- --- SLIP
Location —_� J? �� —79 ±k . J —Suite / MEC
Contact Parson _ Ph( ), 2 L`7�a D`- Y PLS" _ ..-
Con!ractor_ _ ___ _ ____ _ h( ) _ SWR
BUILDING Tenani'Owner _. _ _ ELC
Footing------- - Co j e__3
Ft
Foundation
n Access: /q.- �LKi ------- -
Crawl Drain
Slab Inspecti tes --
SIT - _- -
Post&Beam
Shear Anchors --
Ext Sheath/Shear �" 1
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
Rain Drains ---- ---- -
Catch Basin/Manhole
Storm Drain — - - -
Shower Pan
Other: --
Final
PASS PART FAIL
MECHANICAL
Post&Beam
Rough-In -- - - -- -
Gas Line
Simgke Dampers ------- -- -- -- --- -
AS PART FAIL -- -- --' -- -
_.CTRICAL
Service ---- -- -- — - -
Rough-In
UG/Slab
Low Voltage ___---
Fire Alarm
Final r] Reinspartlon fee of$_- required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE [, Please call for reinspection RE:-..---- F� Unable to inspect-no access
Fire Supply Line
ADA I �1
Approach/Sidewalk Date-l. v�" Inspector Ext --------
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL