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10290 SW HIGHLAND DRIVE
CITYOF TIGARD _ MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2003-00343
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/23103
PARCEL: 2S111 CC-17400
SITE ADDRESS: 10290 SW HIGHLAND DR
SUBDIVISION: SUMMERFIELD NO.4 ZONING: R-7
BLOCK: LOT: 225 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS VVO APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
__FUEL_ TYP_ES_ Y 0 3 HP: �i DOMES. INr'IN-
I_PG S 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLIN 33 UNITS OTHER UNITS.
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Install furnace and AC unit.
Owner: _ - FEES __ r
DARLENE RIFE Description Date Amount
10290 SW HIGHLAND %1};e`'}1] Permit]-cc n123/03 $72.50
TIGARD, OR 97224 I,%xi ri,State'Tax 6/23/03 $5.80
�
Phone: 503-443-1475 Tota! $78.30
Contractor:
CLIMATE CONTROL INC,
16500 SW 72ND AVE
PORTLAND,OR 97224 REQUIRED INSPECTIONS
Heating Unt Insp
Phone: 503.453-4822
Cooling Unt Insp
Reg #. LIC 62196 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 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 !a,^: requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR
952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling
(503)246-6699.
Issued B Permittee Signature:
Call (503) 639.4175 by 7:00 P.M. for inspections needed the next business day
Jun 20 03 08: 58a climate control 503 968 7224 p• 2
Mechanical-Permit Application
Datereceivedi _ ; U Permit no.:
City of Tigard Project/appl.no.: — Expire date:
Cirvof7igard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: . J. Receipt no.: _
Phone: (503) 639-4171
Fax: (503) 598-196U Case file no.; Payment type:
Land use approval: __.._
Building permit no.:
I &2 family dwelling or accessory 0 Commercial/industrial 13 Multi-family U Tenant improvement-�
U New construction U Addition/alteratiult/replacement U Other:_
Job address: 1 Val U �UJ - indicate equi f ment quantities in boxes below. Indicate the dollar
111dg.no.: 1 flue no.: value u:all m-chanical materials,equipment,labor,overhead,
fax map/tax Iot/a.xount no.: profit.Va; $
Lot: _ Block: Subdivision: 'See checklist for important application information and
Project name: ��? ju isdiclion's ice schedule for residential permit 1cc o t
City/county: -'�``� - ZIP: 971
- .L
Description and tion of work on remise - _-
�;'�.�. rce(ea.) •row
Bat.date of completion/inspection: 4v-;X-0- Y.',a ttC5t1'►'ti"" Ra.otU Rtx,ont�
- 11�_
Tenant improvement or change of use: Air handling unit __CFIv1
Is existing space heated or conditioned?U Yes D No -4JF ccon iuonin (sate an re u ro
Is existing space insulated?U Yes ❑No _i iierat on o ex sting IMECIIANICAll', CONTRACTOR system
Tani er compressors
St.lte boiler permit no.:
Business nacre: _QA Lky jG=�C.rav�i r O I _ HP Tons BTU/H
Address: c W 1Z r L -Fir smo a m1peralductsmokedetectors
City: �� t3.NCX Sutte:QR ZIP: 7a cat pum (sue p nu tc u re )
1
I nllil: TiRa rep nce urnacMurner
Fax.Phone:: 53 4 �' `���' °� _ --- Including ductwork/vent Ime Yes U No _i
CCB no.: (p� �`j(o _� n,ttn rep ace/re ocateheaters-suspended,
y l q wt u,or floor mounted
City/metro lie.no.:
ant or appliance of cr t nn urnarc
Name(please print): Yv1� w { 1 e r genal on:
CONTACT PERS(WAhsnrption units r_--- BTU/H
Chillers—___ HI'
Name: II'
Address: tiv ronmenta exhaust an vrt,'i at on:
State: ZIP' - Appliance vent __. _---
Phone: Fax: E-mail: t erex ty au4t _
Wdsds ype 1/Wres.k tc tet lazmat
hood fire suppression system
Name: DcJ.•�QJtiv�-2� Exhaust fan with single duct(bath funs)
�- t�vs L>t must systema art from scat n or AC
_Mailing address: I-p.L."10 �Lv -�"� rule piping andistribution(up to nut els)
City: I_cI�.CJh
State:(�
ZIP: .� T _ LPC NG Oil
Phone: o -� F mail: ue t n sac a ditiona over outets
toeess piping(sc temat a require ) I— --
Number of outletstNwne: _ -5 er app Ance or equ pment:
Address: be co•alivel"ar. InceZIP: nae.rt-type
Wicclotoo7pc et stovePhone: rax: E-mall: ( l e6i:
Applicant's signatureDate: (a•DU 015 1 er
Name(print): /� _-•
Permit fee.....................
Not dl Judxfletiom accept credit cards.please cell Jurisdiction for more informal'- Notice This pt rmit application Minimum fee................$ y''50
LI visa 0 MasterCard expires If a permit is not obtained Plan review(at
Credit card number. sp Rs-•- within 180 days atter It has been 15 3 )
State surcharge(8%) ....$ _-
Noma of caroolmr as shown on ctedu vow accepted as cortplele. TOTAI. $ ._LQ �_G -•
— 4aU 4617 i6ron Cal
— C:udholder it{nature Amouat
Jun 20 03 08: 59a climate control 503 9138 7224 P. 3
CLIMATECONTROL 16500 SW 72nd Avenue Portland, 08 97224
HEATING 8 AIR (ONDITIONINr, 503-453-4822 FAX: 968-7224
503-453-HVAC
�y I ' Q USS
SY',',T[7!A DESIGN INS 1ALLA7 ION SERVICE MAINTENANCE
PORTLAND -453-4822 VANCOUVER - 360 264-3063
CITY OF TIGA.RD 24-Hour
BUILDING Inspection L Ine: (x,03)639-4175
MST
INSPECTION DIVISION Business Line: (503) 639-4171
SUP ---- - - -
Received __ Date Requested 7- 2-9- AM_l 'r _ PM -_-____-__ BUP
Location MEC
Contact Person eY'- _ Ph; _) _ _ .1� - PLM
Contractor _- -__- Ph SWR -------_.�_.
BUILDING Tenant/OwnerELC
-Footing - - - --- 1 . Ca `` g 1.� " ELC
Foundation Access: _
Fig Drain ELR
Crawl Drain _
Slab Inspection Notes: SIT —
Post&Beam
Shoar Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing ----
Fire-.-all
Fire Sprinkler _—
Fire Alarm
Susp'd Ceiling - -
Roof
Other _ —_--
Final
PASS PART FAIL - -
PLUMBING
Post& Beem
Under Slab - -----
Rough-In
Water Service -
Sanitary Sewor
Rain Drains
Calch Basin/Manhole
Sturm Drain - - - - - ---- -
Shower Pan
Other:
Final
PASS PART FAIL
- — --------
MECHANICAL _
Post .r Beam
Rough-In — --- - --
Gas Line L� !
Smoke Dampers
AS pAtti'I FAIL
EL CTRICAL - —�; �' - �,1-1, V—
Service ---
Rough-In -
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of$ �_ required before next inspection Pay at C,i!y Hail, 13125 SW Hall Blvd.
PASS PART FAIL_
SITE [ Please call for reinspection RE:—_-. _ —__._--- Unable to inspect no access
Fire Supply Line . %
ADA
Approach/Sidewalk Date ! / _._ __ Inspector ' Ext
Other '
Final DO NOT REMOVE this Inspection record front the Job site.
PASS PART FAIL