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7980 SSW Fanno Creek Drive
CITY OF T I G A R D __ MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2003-0054
13125 SW Hall Blvr,., Tigard, OR 97223 (5P3) 639.4171 DATE ISSUED: 2/11/03
PARCEL: 2S112BA-01700
SITE ADDRESS: 0i980 SV'/ FANNO CREEK DR
SUBDIVISION: WAVERLY MEADOWS ZONING: R-7
BLOCK: LOT: 036 JURISDICTION: TIG
CLASS OF 'NORK: AL'f FLOOR FURN: 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 HP: A� DOMLS. INCIN:
I PG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAPAPERS?: 30 - 5C HP:
GAS PRESSURE: 50 + lip: WOODSTOVES:
FURN < 100K BTU: 1 _AIR HANDLING UN_ITS CLO DRYERS:
FURN —100K BTU: ^� .= 10000 cfm: _ OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks:
Owner: _ _ _ FEES
CHARLFNE WHITTLESEY Description Date Amount
7980 3W FANNO CREEK DR.
TIGARD, OR 9'224 1ML•('III Permit Fee 2/11/03 $72.50
I n� x,,;,SaitcTim 211!03 $5.80
Phone: 503-0-14.6049 Total— $78.30
Contractor:
PIONEER GAS FURNACE
361.5 NE BROADWAY
PORTLAND,OR 97232 _ REQUIRED INSPECTIONS
Phone: 149-5000 Mechanical lnsp
Final Inspection
Reg #: LIC 36102
This permit is issued subject to the regulations coniained in the Tigard Municipal Code, State of Cie. Specialty Codes
and dli other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires yot to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0011-00
Issued By: Permitte,i Signal ure: C,c, >>j�'�,it 7"70N
%all (503) 6394175 by 7:00 P.M. for inspections needed the next business day
1ph 07 03 04: 51p 503-249-8260 p• 1
MechanicalPerr►>litA► t lima Wn
Date received: cZoo3-oo s�
-�— 7 1'7 Permit no.:
- 7�
City of TigardIG project/appl.no.: —_ Expire date: e -
CityoJTigard Address: 13125 SW Nall Blvd,TI$a(s�,OK r2n'! Uateissued: Ay Re
Phone: (503) 6394171 f1 �t Payment t c
Fax: (50:3) 598-1960 OF (l(aAR
Case 0leno.: YV
D
v1�Y r,,itll�I��N Building permit no.:
Land use approval: - - — - —
1Ta
�I &2 family dwelling or accessory E3Commercial/industrial 0 Multi-family` C7 Tenant mprovcr,c.nl
O New constNction J Adclition/alteration/replacement
U Ocher:
1
Job addre ts: 9 r G� ply ,� _�.("�� .� Indicate equipment quantities in boxes below.Indicate the(1011-11'
Suite no.: value of all mechanical materials,equipment,labor,overlead.
Bldg.no.: - - -- prof+.-Value$ I
Tax map/tax lot/account no.: - -
Block: Subdivision: 'See checklist for important application information and
LW - jurisdiction's fee schedule for residential hermit Re.
Project name: '- 1
City/county: IP: 2 1 t
��,, �
Description and loc f work on premises:
Ili•.�1'i pr ion Qty. R_uuly Rte.only
Est.date o completion/inspection: Ct -
Tenant improvement or change of use: Air handling unit CFM
Is existing space heated or condir,oned?U Yes ❑No Aircon cloning(s tT..n�lan,a�requ r )
Is existing space insulated?U Yes L,No 'Alteration of exist ng HVAC system
1 1 , o e1'compressors
State boiler permit no.:
Business name: No ir _ HP Tons HTU/H _
Address: ire/smo-T eTimper uct smo a detectors
State: IP: T� - � cal pump(sae p an mqu re ) �—
City: nstn rep ace urnace rurncr / �� ,0
Phone: 2 $bpD Fax: No !
CCB no.: z Instn rep I ace/re ocate heaters-suspcn e ,
City/metro lie,no.: wall,or floor mounted
ent ora iance of erthan furnace
Name(please.print). a goat on:
CONTACTPERSON Absorption units _ RTU/H
Chillers----- HP
Name: Compressors ____ Hi'
Address: nv ran eutal exhaust an vent at on:
City: State: ZIP: A) liance vent _ ---
Phone: Ti ,r. F-ITrtil: rycrcx aunt
,., loods.Type Vies. .itc en hatmat
1 hood fire suppression system -
�'Ie Exhaust fan with stn lc duct(bath fans)
Name: �1 �x Tonst systema:an tom teat n or
Mailing address: _`,� ue p p ng an It rut nn(up to out ets)
City: State: Type: -LM --- NG
F mail. ona over outlets
rocess pi ng(schemtitie required)
Number of uuticts
Name: ier lWed app ante or equ pm�-
Address: —---- - Decorative f-i
replace
State: nsert--type
V oStov pc
veCity:
—.
Phone:- - f 1 C-r ail: cn 1'r
Applicant's signature jf)atc: 11th++.
Name(print): - Permit fee...........•.........$
Nd a1 Jurttdkrinae nccep Mdil cattle,plea"call Judstucu n[w uK,m infpnuhon. Notice:This pclnlil Ap;t.obtain Minimum fee...........•,...$ -
D Visa u rinererCard expires if a permit is not obtained Plan review(at %) $
Credli end number. within ISO days ager it has been State surcharge(8%)....$
- -- accepted as complete. TOTAi, ................... $
Name of ten r�~r wn on c a card 5 .. .
--C holder el�nawre
Arrrount 4404617((urUCnM)
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 6.59-4175
MST
INSPECTION DIVISION Business Licte: (503) 639-41711
BLIP
Received _ _p Date Reauested AM PM PM �- BUP _
Location ��jL1�� -- `� � � -- "We MEC
Contact Person _ Ph PLM
Contractor_ _ Ph( ) __.—__ SWR _.
BUILDINGTenant/Owner ELC
Footing _ (4 EL(;
Foundation Access: .�
Fig Drain ELR
Crawl Dain —
SIPb Inspection Notes: SIT _
Post&Boam
Shear Anchors � '07, -
Fxt Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler --- -
Fire Alarm
Susp'd Ceiling
Roof _--
Other:
Final ,
PASS _PART FAIL —" T
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
Smoke Dampers
F in
A S PART FAIL - -- - -
tl- RICtAL _
Service --
Rough-In
UG/Slab _
Low V.Atage
Fire Alarm
Final Reinspection fee of$___ requited before next Inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
g jTE _ Please call for reinspection RE: __ [] Unable to Inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date Inspector 110
Other:
Final DO NOT REMOVE this Inspec't:an record from the job site.
PASS PART FAIL