14101 SW 125TH AVENUE 14101 SW 125`x' Avenue
n, CITY OF TIG
/� RD ^—^MECHANICAL PERMIT
nr'VEL0Pk. NT SERVICES PERMIT#: MEC2002-00338
DATE ISSUED: 9/4102
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
PARCEL: 2S 109AA-00400
SITE ADDRESS: 14101 SW 125TH AVE
SUBDIVISION: ZONING: R-4.5
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: ALT FIOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNII HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP. 1 DOMES. INCIN:
I_PC _ 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTt1 15 - 30 HP:
REPAIR UNITS:
FIRE DAMPERS7: 30 - 50 HP:
VIIOODSTOVES:
GAS PRESSURE: 50 + HP:
O UR
FUR14 < 100K STU: 1 _ AIR HANDLING UNITS
FURN >=100K BTU: <= 10000 cfm: OTHER UNITS:
>
GAS OUTLETS:
10000 cfm:
Remarks: Install gas furnace and exterior AC unit. AC cannot be placed in the required setbacks.
Owner: _ _ FEES
WALKER,THOMAS A SR+ MELISS;, Type By Date Amount Receipt
14101 SW 125TH AVE 5PCT— CTR 9/4/02 $5.80 272002000C
TIGARD, OR 97224 PRMT CTR 9/4/02 $72.50 1172002000C
Total $78.30
Pnone: -- --- ------
Cuntractor:
A-TEMP HEATING+ COOLING
16000 SE EV ELYN ST
CLACKi-.i,AAS, OR 97015 REQUIRED INSPECTIONS
Heating Unt Insp
Phone:650-5014 Cooling Unt Insp
Reg M LIC 71878 Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with -ipproved
plans. This permit will expire If work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR
952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling
/Sn-4wdR-q1 Rn r
Issue By: / t _ . ii Permittee Signa' e: =
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next busitiess day
Mechanical Permit Applicaticia
Date received-n MID-
Permit no.:
City of 'Tigard Projecdappl.no.: Expire date:
City ofTigard Address: 13125 SW Hall Blvd, Tigard,OR 9722?.
Date issued: _ By: Receipt no..
Phone: (503) 639-4171
Fax.: (503) 598-1960 Case file no.: PaymeuCtyl:e:
Land%se approval: _ _ Building permit no.:
NEWS
1
7&e.&2 family dwelling or accessory U Commercial/industrial U Multi-family Q Tenant improvement
w construction O Addition/alteralion/replaccmcnt U Other
1N COMMERCIAL VA1,UAT1ON'SCr11U;WiE
Job address: e S_ India aw cyuipm+Ott yuantmes ii;boxes below, indicate the dollar
Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead,
Tax map/tax lotlaccount no.: profit.Value$
Lot: I Subdivision: 'See checklist for important application information and
Project name: jurisdiction's fee schedule fnr residential permit fee.
City/county: ZIP: 1
Description and location of work on premises: `. 1NIM10111111WIF11 111MR&I I N t
il U
�r• . - ' IL QVic Fee(ea.) '1'0101
Est.date of completion/inspection: Description Qty. Res.only Res.onlyl
Tenant improvement or change of use: Air handling
Is existing space heated or conditioned?U Yes U No -Alt
itcndling unit CFM
_—i
r con i onlTing a plan required)�
Is existing space insulated?U Yes U No I Alletationo existing IIVAC system
Boller/compressors
Business nai7c: ► State boiler p rmit no.:
_ 1(P ___Tons RTU/H
Address: � +r groat a amper duct smoke detectors
City: r ` .e S Staler iZIP: �\'�pt, eat .um site an require )i14 -
Phone: `,- Fax: E-m urr Turner v '
ndu +n -rj o���n liner YeU No
CCB no.: n�:a rc a: re ocate. caters-suspended, �^
City/metro tic.no.: wall,or floor mounted
Name(please print): M tJ f . ,j J
ent ora iance of er t pan furnace
e Rest on:
Absorption units BTU/H _
Name: Q Chillers HP _
Address: ------- — Compressors
EAvironmental exlWuRt and vent al on:
City: „t State: ZIP: t, Appliance vent
Phone: fax. I E-mail: erexhaust
Hoods,Type / reTl s.kitcheiAazrnat
hood fire suppression system
\ Exhaust fan with single duct(bath fens)
Mailing address: \� \y ry t.AD Exhaust system a art from heating or
State: ZIP: ue P ping and (up to out eh)
City: l +C,f�(LD Gi Ty _ 1,R.] NO _ oil
Phone: C' ( I . f? mail: Fuel (iiia eac addittionaTover uta r is
Process ppng(sc cmaticrequite )
Name: Number of outlets
-Biller listed appliance or equipment:
Addmas: Decorative fireplace
City: ---- - tate: _] �. Tnecrt-type_Phone: -ax: E-mail: ��velpe et stove
Other:
Applicant's signature: Date:
Name(print): _
Not sit Jurisdictionsseep+credit coati,pinaoe call Jusiodktlon fix rose InformoUari. Permit fee.....................$ �2
U Vlae U Mas+erCerd Notice:This permit application ^;,nimum fee....... . ......S
expires ire permit is not obtained
Cada cord number:_ _ within 180 days after it has been plan review(at %)
S
State surcharge(896) $ r.. .�
Nomeo(cordiwideras shown oncre c accepted as complete. TOTAL .S 19
—
Ciiaholder signature amount 4404617(GOOM Mi
A-Temp ilctotting and Cooling
Site Plan
CLIStOlner Address:—__
CLIStOMCr'
I'101WH Y hounclnry Linc
I
iii►���,r�
.strccl
CITU' OF TICARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503) 639-4171 MST _--
Received —_ L/ / Date Requested Ilk — -
Location �_�_L_(Z 1 / j"c�t,� AM PM BBLIP-- -- _ BUp
3g�
Contact Person Suite MEC _- .� � Ph �1(Pc7�
PLM
Contractor _ Ph( )
SWR
BUILDING Tenant,'Owner _ -
Footing -- ELC _
Foundation ELC
Ftg Drain Access:
Crawl Drain i �� ELR
Slab Ir�spectio otes: — — -
Post& Beam SIT
Shear Anchors - -
- -- -.
Ext Sheath/Shear I - - - - -- -
Int Sheath/Shear
- - -- -- --
Framing
Insulation - - -
Drywall Nailing -
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof __--
Other:_------- _
Final
PASS PART FAIL -
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 LineSmo —- - - ----------
ke Dampers �—
A PART FAIL ---. - --- —
Service ---- _ - - - —._—_—_
Rough-In _-- - ---
UG/Slab ---
Low Voltage —
Fire Alarm ---- -- -- -
Final
PASS PART_ FAIL �� Reinspection f,e of$___, required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
81TE F1 P138so call for reinspection RE. -_
Fire Supply Line — --- __ ❑ Unable to Inspect-no access
ADA
Approach/Sidewalk Late l LL - G
Inspector 2 _'_
_
Other: _- ------ �t-.—.—
Final DO NOT REMOVE this Inspeciloc record from the job site.
PASS PART FAIL