14647 SW 106TH AVENUE ..s
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14647 SW 106'" AVENUE
CITY OF T I G A R D MECHANICAL PERMIT
41 DEVELOPMENT SfERViCES PEPM!T #: MEC2002-00157
13125 SW Hall Blvd., Tigard, O'? 97223 (503) 639-4171 DATE ISSUED: 4/22/02
PARCEL: 2S 110AD-C4000
SITE ADDRESS: 14647 SW 106TH AVE
SUBDIVI,,ION, LANG HI!_L ZONING: R-12
BLOCK: LOT: 034 JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY CFP: R3 VENTS W/O APPL. VENT SYSTEMS:
STORKS: _ BOILERS/COMPRESSORS HOODS:
FUF'_ TYPES 0 3 HP: DOMES, INCIN:
LPC; 3 15 HP: COMML. INCIN:
MAX INPUT: BTU 1.5 -30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS.
FURN < 100K BTU: 1 AIR HANDLING UNITS_ _ OTHER UNITS:
FURN >-:100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Replace gas furnace with in garage.
Owner: — - -- FEES ----
THOMPSON, EVELYN M Type By Date Amount Receipt
14647 SW 106TH AVE PRMT CTR 4/22/02 $72.50 272002000C
TIGARD, OR 97223 5PCT CTR 4/22/02 $5 80 27200200-IC
Phone: —
Total $78.30
Contractor:
CLIMATE CONTROL INC
16500 SW 72ND AVE
PORTLAND, OR 97224 REQUIRED INSPECTIONS
Heating Unt Insp
Phone:453-4822 Final Inspection
Reg #:LIC 62196
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR
952-0 1-0080. You may obtain copies of these rules or direct g0es''ons to OUNC by calling
rrinRI AS-Q1RQ
Issue Y: V1 1Bt% Permittee Signature: �,� j_(1 r 6-t- k,
Call -417 503 839
( ► 5 by 7:00 P.M. for inspections Heade i the next business deY
Apr 19 02 11 : 48a climate control 503 968 7224 p. 1
Aechanical Pe>r»t ApplicaRk-'.>i
p Uate received; �/ p j Permit no.:f/f A�2a!;9 �U/S 7
Cl>t'�' Ol Tigard Proieet/appl.no.: 6 ' edate:
C_'iryo,/Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issue
Phone: (5x13) 639-4171 Y.-J-.0Receiptna.:
Fax: (503 598-1960r( Casefrleno.: Paymenttype:
l �
Land use approval: _ _ ._ _ ... __ Building pernut no.:
1 &2 family dwelling or accessory 0 CommerciaUindustrial U Multi family ❑Tenant improvement
New construction D Addition/altemtion/replace.men;: U Other:
1
Job address: Q-j�A AK • Indicate equipment quantities in boxes below,Indicate the dollar
Bldg.nn.: j Suite[to.: value of all nip chanical materials.equipment,labor,overhead,
Tax nutp/tau lot/nccount no.: profit.Value$
Lot: Block: Subdivision: "See checklist for important application information and
1'rojectname: Y jurisdiction's tic schech.tlt• for residcntiat permit fee
City/county: 6 Q Zll'; �' o t ' :' ' D !
Description and locatio �t work on r'ert� Qty.:s:
'A ° r p
u�_ Fee(a,) Total
fist.date of complraiull/inslnctiotl, — Description Ka.only Res,oul
;nt improvement or change ut use: A,rlcandling unit 1'FTd_._
Is existing space heated lir cunditioned'1 U Yes U No A r conditioning(site plan requir )
is existing space•insulated ii U's'es U No test un of oxisuu� A systtnn-
111111 11 M ullcr eumpressors
Business name. C L!N! 9 C�� State boiler penntt no.
-- - — ---
HP 1'ntts HTI:lII
Address: (,�_ Z� Ir ams r nmpersTductsmoko etectorF _ _—j
Clty: 5tatc; ZII': _ -- Iliac pump(siteT regT3) I
lrax• tail: ZrstalUreplacefurnac hurner __ '
PltottC:503' g _ �' I;eluding ductwork/vent liner U Yes 0 No
CCB no.: _ _ h stu rep ac rt ocatc caters•-suspect e ,
City/metro lie.act,:� � - �_ Wall,of(lour mounted
Nance(plenac.print). /yJ enc fora ante other t an furnace
611- e r sera on:
Absogltionunits__ B1U1H
lip
Adder s: 4nv rtionlenta ex!tnusl ang veal at un:
State: Zll' PLplinnce vent
I'hor►ca1�' S - 2L Fa, : E-mail. t tr'erexhaust
.Oo S, ype 1/tex, ilcl)en/ltar.mal
hood fire suppresstun ayi;1=
Name.; " A, Cxhaustfanwithsin Icduth(bothlana)
Mailing address: '/ t:x laust sysm m heating a ort toent n or
City77C Slate QR Type:liep n tg ern st lit un(up to nul ets)
' f L.PO ,_ NG _ Oil
i'h(ms1c • Fax: E mallve tt lit'each additional liver 4 uu►lets
rucessp p ng(sc temntwrequire i _
iJumberof outlets
Name: _ Werr- t-e rpp ante lir equipment,,
Decurntivrfimplace
Slilt c: IZ1F' ttlIsrrt- type
•mA---�— qw�C C I;ts:we
P ote: F x: r all t)t er: _ ---
Applicant's siRnutur hole I�- 'fJ/�. t,l er: —`
--
Permit fee
. .............. .. _
9N all Iun risdictloWept credit. dr pnv
Iulr• r cel nuudicaon fn,mote Inrormallon. Notice'�111i6ennit applicat on P Minimum fce. ._............
'f, _ ��_--
visn U Pius t C/ 7 expires if it rerntit is not oHained -
Ctr it r, r nn w•, l�IUll 1't.1'IiN'I8l
f '- ,nrn�� within lap diyii alter it Was been `
_ 5tntc soreho.kr (N,v: 1 ....$
-- accepted us cnf.111lete
Ilam of cartlt: el IIP „i,t Ju cmtl aX) -
-- -- -. - -
CITY OF Tii aA,RG 24-Hour
BUILDING Inspection Line: (503) 639-4175
INSPECTION DIVISION Business Line: (503) 639-4171 MST
BUP - - --- _.
Received _.. ___ Date Requested 5— AM -_ _- PM - - _ Blip
Location _ (c% f-7 /L �"` '`E Suite_ MEC _ Ly_�-_
Contact Person — —_ Ph( ) PLM
Contractor ��_ h(— — -- SWR
BUILDING Tenanv@—Wpb % ' n� ELC
Footing �r 7 .7 ELC
Foundation Access:
Ftg Drain ELF!
Crawl Drain
Slab Inspection Noses: h . /�" SIT
Post&Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing - -
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling _
Roof
Other:
Final
PASS_ PAR'r FAIL
PLUMBING
Post&Beamv
Under Slab
Rough-In I
Water Service -
Sanitary Sewer
Rain Drains -
Catch Basin/Manhole
Storm Drain -
Shower Pan
Other: _ - ------------- - -- —
Final
PASS PART FAIL - - — --- -- -
ME�RAIVT�' __— -----—----
ossT 8r a�m -
Rough-In -- _ --- — -- ---- - -- - - ---
�,as Line
SmQk Dampers ---------- ----- --- --- ------
Fin
AS` PART FAIL -- -�_-�. ----- ----- ---- -- - --
I ELECTRICAL
Service _ - -- ---- __-- -- --
Rough-In
UG/Slab
Low Voltage - — ----- --- -_ -------- —
Fire Alarm
Final Relns octior;fee of$ r required before next Ins
PASS PART FAIT. p 4 Inspection. Pay et City Hall, 13125 SW Hall Blvd.
SITE F] Please call for reinspection RE:-- — Unable to inspect-no access
Fire Supply Line
ADA 5'/6-1-
Approach/Sidewalk ��� Inspecter 141 _
Other:
Final - DSO NOT REMOVE this i•rrs;,er:tion record from the job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
EUILOING Inspection Line: (503) 639-4175
INSPECTION DIVISION Business Line: (503) 639-4171 MST
BLIP
Received _ -- Date Requested___ 21 !�_ AM --_ PM BLIP
Location 7 1,1-;49 '44-- /�-f�-e. Suite MEC
Contact Person L11Ih14 Zt_- A -K Ph(---) 41 S -3- �( 8'2—Z PLM - -
Contractor_ L��l/rTIaL _ Ph(—) SWR
BUILDING Tenant/Owner _ ELC
Footing
FoundationAcELC
A.-cess:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT -
Post& Beate _
Shear Anchors ---
Ext Sheath/Shear
Int Sheath/Shear K
Framing fV cvc:",7- lCl��S.X '.
Insulation
Drywall Nailing _l.. _4t_.
Firewall I WL L
Fire Sprinkler --- --- --
Fire Alarm
Susp'd Ceiling
Roof
Ota ier:
Final _--
_PASS PARI(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
Hough-In
Gas Line
Sp;ke Dampers
PASS PART FAIL
ELECTRICAL
Service —— -
Rough-in
UG/Slab -,-- -- - -- -------- -
Low Voltage
Fire Alarm ------ — _-- -- ----
Final Reinspection fee of$ required beiere next inspection. Pay at City Hell, 13125 SW Hall Blvd.
PASS PART FAIL
-BITE Please call for reinspectlon RE: — CJ Unable to inspect-no access
Fire Supply Llne
ADA �A
- y-fit .
Approach/Sldewa!k Date--y— Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL