11600 SW HAZELWOOD LOOP a.
,i 600 SAN Hazelwood Loop
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST
,. BUP
Received . _ _Gate R uested _ AM _ PM6 00 BUP
Location _ Suite — MEC �=
DContact Person — Ph(__—) a 4 PLM
Contractor_— —� — Ph(—_�� SWR
BUILDING Tenant/Owner ELC
Footing -
Foundation -- - ELC
Ftg Drain ACC@S3:
Crawl Drain ELA -
Slab Inspection Notes: SIT
Post& Beam --
Shear Anchors -
Ext Sheath/Shear 11
Int Sheath/Shear --------
Framing 1�-'i - EF�i���,�' �c. ,''/ a4Sa
Insulation .�
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other: ---------
Final - ---- - ---
PASS PAR'r FAIL - - -_
PLUMBING
Fubt l Beam -- - ---- ---
Under Slab
Rough-In -
Water Service
Sanitary Sewer -- -
Rain Drams
Catch Basin/Manhole L
Storm Drain - --------------—__-_-_ __
Shower Pan
Other: _..-_- ----- - -- - —
Final
PASS_ FART _FAIL --- """--"--- --- -----
MECHANICAL
Past 8 Beam -_.- - -- -- --- --___--- ----- ---- --- -- - --- —
Rough-In --- -- - - -
- -- --
Gas Lina
Smoke Dampers
ASS PART FAIL ------------- .._-___ _-- ------- _.----- --
E CAL
Service ---_ --- - --- _--- -- -- -------- -- --
Rough-In
UG/Slab ---- --- --_- -- ------ ---._..._------- - --
Low Voltage -
ire Alarm
Final Reinapecfion fee of __. re juired before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE T Please call for rrinspection RE: _ _- F1 Unable to Inspect-no access
Fire Supply Line
AUA
Opp,oach/Sldewalk Date �?--Z y- Z– . inspector__._�
Ext_---
Other:
Final — — — DO ltlOT REMOVE this inspection record Brom the joie site.
PASS PART' FAIL
r
CITY O F TIGARD
IGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2002-00096
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/11/02
PARCEL: 1 S134BD-05100
SITE /.UDRESS: 11600 SW HAZELWOOD LP
SUBDIVISION: ENGLEWOOD NO.2. ;CONING: R-4.5
BLOCK: LOT: 139 JURISDICTICN: TIG
CLASS OF WORK: ALT FLOOR FURN: EVA!" COOLERS:
TYPE OF USE: SF UNII' HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS _ HOODS:
FUEL TYPE_S 0 - 3 HP: DOMES. INCIN:
3 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 FHP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTOVFS:
GAS PRESSURE: 50 {- HP: CLO DRYERS:
FURN a 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS:
I FURN >-100K BTU: �! <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Replace furnace and install exterior A/C unit. AIC unit must no be installed within c!lp required setbacks.
Owner: _ FEES
BLAUROCK,JAMES CAROLYN Type By Date Amount Receipt
11600 SW HAZELWOOD LOOP PRMT CTR 3/11/02 $72.50 272002000C
TIGARD, OR 97223 5PCT CTR 3/11/02 X5.80 272002000E
Phone;
Total $78.30
----
Contractor:
COLUMBIA HEATING+ COOLING INC
8900 SW k3'JRNHAM
TIGARD, OR 97223 REQUIRED INSPECTIONS
Gas Line li,sp
Phone:624-2704 Mqchanical 4,sp
Reg #:LIC 76359 Final Inspectioi
PLM 34-175
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plan;;. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Genter. 'those rules are set forth in OAR 952-001-0010 through OAR
952-001-0080. You may obtain copies of these rules or direct questions to OUNC by Balling 1
rr,n,i»ar;_Q1 PQ
Issue By: L- - 4>> Permittee Signature:
Call (503) 39-4175 by 7:00 P.M. for inspections needed the next business day
Mechanical Permit Application
—
Date received:
City of Tigard Project/appl.no.: Expire date:
c avo.(Tigard Address: 13125 SW Hall Blvd,Tigard,OR Ti_12i Date issued: By: Receipt no.
Phone: (503) 639.4171
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: Building permit no.:
Q�4 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant iniptnveniew
U New construction Addition/alteration/ref.lacement J Other: _
t ; IMMERCIAII, VALUATIO14t
Joh address: I Q �j� 1-1,q? _/L,)wrj I orp Indicate equipment quantities to boxes below. Indicate the dollar
Bldg. no.: Suite nom value of all mechanical materials,equipment,labor,overhead.
Tax map/tax lod/accounl no.: profit. Value$ j
I,ot: Block: Subdivision: 'See check!!,( for important appl-cation information and
Project name: itil ction's 1,,c schedule fur residential permit fee.
City/county: r n CA ZIP:
Description and focation of work on premi"cs: t 111W Ij 51 XiiijNI r
rt _l_40 i t ) 'f tcr(ea.) Intal
ESI.date of completion/inspection; Ik•w•ription _ _ Qt . Re•.oul Res.only
Tenant improvement or change of use: A(
Is existing space heated or conditioned?U Yes U No Air handbag unit _Crls1 -
)rcon itioning(site plan required)
Is existing sp•tce insulated?U Yes U No terat ono existing system
o er compressors J
i State boiler permit no.:
Business name:
um lo,r'. �_�cea+t < �-ot)1 n_ Hp --Tons _BTU/H --
A {.iress: r 1 SLsJ r t 1,10k to _ -it smo a amper. uct srmo c etectors
COY: c, Staterf'l "T.IP:'j 7 1 L eatpum fsi rcyuired) -
Phone: LL 1 fax: E-mail: nsia {la`cfurna mrncr .:a 'y
CCB no.: Including ductwork/vent liner U Yes U No
�.J `/ _ nsta rep ac re ocatc heaters-suspended
_City/metro lic.no.: /2 J wall,or floor mounted
Name(please print): L),( we 1 I —vent foran i—f anceot er than furnace�
erat on:
Kill IL'IMMUNIii.111h
units _ BTU/H
s
7;Absorption
Address: reSSal., _nmentr.ex aium an vent lad on:
city: Slate: 7.IP: nce ventPhone: -'l)O fax: Email: cx aunt
ton s.Iypc / res.kite en aamat
hood fire suppression system
Exhaust fan with single duct(bath fons)
Mailing address: I I 1,, 0 C) � t w � )c� t r lam) :xhaus`— I s stem a partfrom heating or
Stale: 7►P: ue piping nn �t }rt on(up to out ets)
_ _ Tyjx. L.V [� NO Oil
Phone.: t 'r✓ Fax: E mail: ue i in cac a luonaj-av—er�tic!s
rncess piping(scematic required)UNU
Number of outlets _
Name: tt rher RIM appliance or equipment:
Address: _ Decorative fireplace _
City: State: ZIP nsert-type
Phone: Fax• i Email: WWstovelpel let stove
titeTir
Applicant's signatur -
Name (print): j ;A(.j
Not all jurisdictions accept credit cards,pleeee call I lc i. Ins rnmr infortruaon Permit fee.....................$
U viae O MasterCard Notice:This permit application Minimum fee................$
expires if a permit is not obtained plat)review(at — %) $ _
Credit card numtier __ — — -—�J__ within IRO days eller it has been
_ _ p State wmhttrge(8%) ....$
TOTAL ....................
o c o t o s own on cradu cutT- S accepted as complete.
. .$ .
Cardhol r signature Amount 4104617 t6bUWOW
00/1.1,/01, ooP'see)-yoauJ\Suuo)\SISP\I
llun)o luewooeld CulMoys ueld ails soJlnbei)ry lellu9pl%oH_
nle 1007.<shun jol puJlnbei uollsollllJoo Jollog JoloeJluoo alelS.
ino4 lad Og ZLS(Jno4 pow-auo-915AW
wnwiulw)sueld o1 9U0191AGJ w suop!ppe'296ue4p,tq peJlnbaJ McInGJ veld leuolllPPb C
,noq lad o9ZLS
ono4)le4-GBJa4o wnwlu!w) polm)!pu!,tlleobloeds 91 Gal ou 4ol4M A suopoodoul Z
Jno4 Jed OgZLS
(smo4 oMl-oBieyo wnw!uww)smog ss wlsnn ewou to oplslno suolloodsul 1
:6014 Pus suoll000sul J0410
:NodynIVA
4 :33d lIW83d IVIlN301S3U Idlol 7VIo213WWoo"IVlol
,thio 91pied leloJewwoo jjd 1o)pei!nbea £9 Jepno leuop!PPB U0e3
(le)olgns)o)eel MGJAOkl veld%GZ 09£ slepno V-l, u! l sed
�— 01e'SiJ0SU1
e6Je4o1nS elelS%9 999 SOAOIS poom bu!pn!oul'pun Jey)o
069 4 1oleleulou!leljlsnpul 10 lenjowiuoo
S :-lvioians 09'ZLS ded 3IWJ•d wnwlulW OLL L Joteleupul onseuloo
00'L 999 lsneyxe leolueyoew q pe 89 POOH
(yoee)lepno led-b ueyl 81oJN(ZZ — — 11w1e eauelldc e
Ob 9 999ui papnloul lou welsAs luGA
sJepno Jno)of euo Buldld sep(L7, 9Y4- Jonp el uis a of POIDG uoo A lueA
0001 999 ivl000 eJe10 e_ne elgeUo uoN
senols pooh Bulpnpul'spun Jey10(OZ OLL F— w{o 000'0 1, llun�ullPuey ply
5669 Jolejeuloul edAl leplsnpul Jo leplewwoJ(6l 999 wp 000 O L of pun 3u!nifil I w 9L j<
Ob L l 9ZL'9 'llun-glosge'd4 09<
slolelauloul onse uo0(9l --- `-- nlg'11W 9L l-1
00 Ol 004'£ 'pun glosge'dy 09-0£
Jsneyxe leolueyo.'JJ Aq pate;POOH(Ll nlg ow
— —
0001 IlLuied eouel�cle OL£'Z l of Mlog'1!un'glosge:dy 0£-9L
ul papnloul Jou welsAs uopelgueA(9l nlg X1009 01>ILOI
OB 9 OOL'L pun glosge'd4 9l-E
tunp 016uls a of pelo®uuoo ue)lua/\(9 L -- nl8>f001 01
I!un gJosge'd4 E>
0001 i9l000 elejodene olge>Jod-uoN(VI, 909spun nedag
OZ L t ----)!UUOO
+Iryjo 000'Ol pun Bugpuey Jld(Cl, 5yb eoueolldde ul papnloul lou JuaA
0001 -- Jaleey pelunow iooU
_ Wdo 000'01 of llun Bu!lpUey jId(zl, 9S6 jo jeleay Venn'ieleey pepuedsnS
OZ LB na I!w,Ll<pun -- 996 Juan ouipnpui eoewn)Jool j
glosge:dHO9<(l l slues V slonp
OZ Z9 nlg Ilw 9L'L-L pun OL CL Bulpnlou!me 000'001 c a0ewnj
giosge:dH 09-OE(OL slues g slonp
00 50 nlg Illu L-9'pun 996 Bulpnlou)'nie 000'OOL of ooewn j
gjosge'dH OE-91,(6 Junowy ---Te-31-
09
e3 10 --- —•uo J�se�
09 9Z nlg>I009 tl AOM JIM lelol I erle/\ _
q,osge'dH 9l-E(9 :30N` I IddV Had SNogyn1VA a3WnSSV
---- 00 bt — nlg Nool o)
pun gJosge:c'H£>(L _
H „ woo •Moleq selouloo) )oelayl uonoeJ) ._-_�
puoo dwnd Jo oes-L6•L swell JOA Jo 00'00LS leumpppe yoee 1o)OZ.IS
Jld 1e9H aellog :Aldde le4l Ile'boyo PUe 00 000'0951919 041 Jo)00Zl A do pue 00 l00'09S
5l Zt '00'000'09S
shun Mede» to Bulpnlow,pue o1')oe1941 uopoen
Jo 00,00 ISI"uonlppe yoee Jo)94'LS
099 puled eouelldde ul papnloul lou IUGR (9 pUe 00'0o0'9Z4 lsJ9 e4)Jo)09 6LES 00'000'095 0100*L00'9ZS f
0001 Jaleoq pelunow Joou Jo 00,000 93 _ 1
1eleoy IIeM'Jeleeq pepuedsnS (b Bulpnlou;pue of')oeJOyl uonoeJ)
Juen ulpnloul Jo 00.00LS leuoplppe Wee Jo)b9 is
00 bt eoeuinj JOolj (£ PUe 00'000'01.S ISJU 941 J01 OTO,LS __00'000'9ZS 0100 100'OLS
Ob Lt slues g slonp ftipnloui 00'000'Ols
+nlg 000'001 eoewn j (Z Bulpnlou)pue 01'10eJe4l uopoeq
00 bt SJUen slonp ul nloul 10 00 0015 leuo!l!ppe yoee Jo)Z.9'LS
ma 000'001 of eoewn j (i PUB 00'000'95 Isla GLO Jo)09 ZLS 00 000'03 0100 10095
09'ZLS ee)wnt 00 000'95 0100 LS
lwy (e3) AIC) epoo IeoluelloeJN VL elgeJ - 33� IlVn"IVA Mol
le)OJ eoud :uogdpose NO—
'3*1n(jAHOS 333 JN1313MG AIIWV3 Z S L 3l(1a3H7S 33J IV1ON3WW0O
S33J IIWN3d l` DIN`dH03W
i
1
i
z
0
1
rD
n
i