10673 SW 127TH COURT 7
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10G73 SW 127'" COURT
CITYOF T I GA R D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2003-00395
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/14/03
PARCEL: 1 S 133AD-10200
SITE ADDRESS: 10673 SW 127TH CT
SUBDIVISION: AMART SUMMER LAKE NO. 3 ZONING: R-7
BLOCK: LOT: 158 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: Y 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 NP: 1 DOMES. INCIN:
I_PG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN >--100K BTU: <= 10000 cfm: -� OTHER UNITS:
> 10000 cfttt: GAS OUTLETS: 1
Remarks: IwtAl gas Puniaee,AC,gas line to fireplace.
Owner. FEES_ -- --- -
SEEMANN, SANDRA KAY Description Date Amount
10673 SW 127TH CT ---
TIGARD, OR 97223 [MI:CII] Permit Fee 7/14/03 $72.50
'TA
XI8 StateTa.x 7/14/03 $5.80
Phone: — Total $78.30
Contractor:
COLUMBIA HEATING + COOLING INC
P.O. BOX 230397
TIGARD, OR 97223 REQUIRED INSPECTIONS
Phone: 503-624-2704 Gas Line Insp
Heating Unt Insp
Reg #: LIC 76359 Cooling Unt Insp
Final Inspection
This permit is issued subject to the regulations mtained in the Tigard Municipal Code, Stalc of Ore. Specialty Codes
and all other applicable laws. All work will be du„-- ?n accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted in the Oregon Utility Notification Center, Those rules are set forth in OAR 952-001-00
Issued By: �( fJ� � Permittee Si nature:
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
Mechanical Permit Application
Date received: >-/�!p Perrrtitno.� c
City of Tigard ZQ Pro)ecVnppl.no.: Expire detc:
City of Tigard Addrets: 13125 SW Hall lv i Date issued: Recti tno
Phone: (503) 639.4171 BY�> P
Fax: (503) 598-1960 -JUL .14 ?003 Case file no.. Payment type:
Land use approval: CITY nl=Tin a RO _ Building permit no,:
O I &2 fatally dwelling or accessory O CommerciaUindustrial O Multifamily O Tenant improvement
O New construction Addition/alteration/replacement U Other:
11111611
Job address. c- �J 1 Indicate equipment quantities in boxes below. Indicate the dollar
'dg. n_ !o.: Suite no.. value of all mechanical material!,,equipment,labor,overhead,
Tax map/tax lot/account no.: profit. Value$
Lot: Block: Subdivision: *See checklist for important application information and
Project name. jurisdiction's fee schedule for residential permit fee.
City/county: ZIP:
Descnptrnn and local on of work on premises:
�, Fee(ea.) Total
i.. t.date of complebon/inspection: ti V Desai tion Res.onlyRes.on)
Tenant impr)vement or change of use: Air handling unit ___ CFM _
Is r; sting space heated or conditioned?O Yes ❑No it conditioning,site plan require
!s existing space insulated?O Yes O No aeration o existing A system
Boiler/compressors
i
Business name� zufi` "ir ` � a State boiler permit nu.:
� }1�_ __ HP Tons BTU/H
Address: Q D (} O)! J s O it smo adampers/duct smoke detectors
City: r G A State: ZIP eat pum (lite an re uire
nsta replace
Phone: as Fax E-mail: urnac urn
y Includirl ductwork/vent liner Yes 0 No
CCB no
24. 3 •7 9 nsta rep ac re ocate heaters-suspen e ,
City/metro lic. no.. 2 7 Qwell,or floor mounted
Name�Ie,13epnnl r'-C A� e- / � eft ora once other then furnace
! gEralOn
n Absorption units BTUIH
Name: 0 Yeq �// �iV� :CA7 .v/ Chillers HP
Address: f- — Compressors _._ HP
nr omnentisexhaust an ventilation:
City: State: ZIP: A liancevent
Phone: Fay F meal erex wst
oo s, ype res tc a azmet
hood fire suppression system
Name: /i Exhaust fan with single duct(bath fans)
Mailing address: `
Exhaust system a art Tom heating or AC
City. State ZIP: Type:
piping and_LPG _4,.—n(oNCup to oulDelts
Phone. Fax: E-mail: Fuel piping eachadditional over outlets
Process piping sc ematic require )
Number of outlets
Name ter appliance or eq pment;
Address Decorative fireplace
City: State: ZIP nsert-t e
Phone. Fax: E-mail: oo tov eutove
er.
Applicant's signature Date: O._3 t er;
Name (print):
Not W)wtedkUoru rAepi cndli etudA'pleat CAU'Uhici ton for man InfwWonPermit fee...... ..............$
Cl Visa ❑MasterCard expires
This permit application Minimum fee...._.... . ..S _
expires if a permit is not obtained Plan review(at — %) $
CmW°'b numbst spiel within 180 days after it has been
srm u own its e t e accepted a complete. State surcharge(896) ...,S
sipwum Amount 440.4617(603COM)
BEATING & COOLING, INC.
8900 S.W. BURNHAM ROAD, SUITE E110
TIGAM, OR. 223
(503) 624-2 4
FAX (503) 59 -0270
.108 ADDRESS:__-
SITE PLAN FOR AC OUTDOOR UNIT LOCATION
CITY OF '1"iCAiC� 24-Hour
BUILDING Inspection Line: (503} 639-41'15
MST
INSPECTION DIVISION Business Line: (503) 639-4171 -
BLIP ------
Received ___- .__ _ Date Requested— AM ZPM BUP
(_ocation __/0 ��� �a� Suite MEC
Contact Person Ph(_--) PLM
Contractor -- ___ --_-- --- — Ph(---) SWR
BUILDING ~-1 Tenant/Owner _ _. _------ ELC
Footing I ELC — --
Foundation Access:
Ftg Drain ELF!
Crawl Drain SIT
Slab Inspection Nutes: �. e �� -- - --
Post&Beam
Shear Anchors i , r ,
Ext Sheath/Shear
Int Sheath/Shear
Framing -
Insulation
Drywall Nailing - - - -
Firewall
Fire Sprinkler - - --
Fire Alarm
Susp'd Ceiling
Roof
Other: _ - " .... ----------- - —
Final
PASS PART FAIL -- -
PLUMBING
Post&13eam S 1 > S `" '
Under Slab - - - - - � J —�
Rough-In
Water Service - —�--
Sanitary Sewer
Rain Drains - - - -_
Catch Basin/Manhole
Storm Drain --- "- -
Shower Pan
Other. - —
Final ^
PASS _PART FAIL - —
MECHANICAL — --
Post&Beam
Rough-li+ -- -
.�.�"-�7
e Dampers
PART FAIL --
ELECTRICAL
Service --
Rough-In
UG/Slab
Low Vc!tage
Fire Alarm FinalPA_RT _FAIL `-J Reinspection fee of$..__ _required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS SITE_ C] Please call for reinspoction RE: Unable to inspect-no access
Fire Supply Line
~ � ��.��' —Ext -
ADA
c3 S InapbGto"r
Approach/Sidewalk Date �_ / -- —
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL