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15800 SW HIGHLAND COURT
CITYOF TIGARD — MECHANICAL PERMIT
PERMIT#: 6/5/03 3-00298
DEVELOPMENT SERVICES
DATE ISSUED: 6/5/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) G39-4171 PARCEL: 2S110DD-08600
SITE ADDRESS: 15800 SW HIGHLAND CT
SUBDIVISION: SUMMERFIELD NO.6 ZONING: R 7
BLOCK: LOT: 302 JURISDICTION: TIG_
CLASS OF WORK: ALT FLOOR FURN:— EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: P.3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERSICOMPRESSORS HOODS:
FUEL TYPES _ �0 3 HP: 1 DOMES. INCIN:
3 15 HP: COMML. INCIN:
LPG
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 HANDLING UNITS OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Install furnace and ACunit \c canno,i I,, I)Iaced in the required sethacks.
Owner: ____ FEES
FERRARIN, MARIO B +JEANNE MARIE Description_ Date f Amount
5505 SW CUSTER ST Ih1C•CIIJ 6/5/03 $72.50
PORTLAND, OR 97219 [TAX] 8%')1d • 6/5/03 $5.80
Total $78.30
Phone: — -- —
Contractor:
ANCTIL PLUMBING INC.
16P00 SW MERLO ROAD
BEAVERTON, OR 97006-0000 REQUIRED INSPECTIONS _
Heating Unt Insp
Phone: 642-7323 Cuoling Unt Insp
Reg#: I IC 00024184 Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if w, rk is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted in the Orf gon Utility Notification Center. Those rules are set forth In OAR 952-001-00
Issued By: Permittee Signature: �;-y2 �"t/ JA
titi –
Call (503) 639-4175 by 7:00 P.M. for Inspcctions, needed the next business day
r=RUM ANCTIL Heating & Cooling PHONE NU. : 503 ?825722'' Jun. 03 2003 02:0 PM P1
Mechanical Permit Application
Date received) -s'o Permit no.
City of Tigard H J--k t t`,.� `v �.:-- m :, IN
('1roaJ7'i,Sard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no.: Expiredate;
Phone (503) 639-4171 Dare issued: BY' Receipt no.
Fax: (503) 598-1960 case Ne no.: Payment type:
Land use approval: 1 Buildingperinitno.:
1
&2 family dwelling or accessory U Commercial/industrial U Multi family O Tenant improvement
U New eonstruc,ion 0 Addition/alteration/replacement U Other,
WRIKIMIX
Job address, 600 .;t_). V T i Indicate equipment quantities in boxes below.Indicate the dolhlr
Bldg.no.: suite no.. value of all mechanical materials,equipment,labor,overhead,
Tax map/tax lot/account no.: — profit.Value$
Lot: Block: Subdivision: "See checklist for important application information and
Pro ect name: /14 V- jurisdiction's fee schedule for resident-ial l,crwit ti-e,
Cit /county: I('A�j ZIP: 22 _
Description and location of work on premises.-��`�RS� i t m I118
trr,41Lw1iN ,�ti (;s1 vii nb.k'-1^..- 1'ee(ea)I Total
Est date of coinplebon/inspection: I1escNpthro Qty, BCS,un1 RW,2!
Tenant improvement or change,of use: —" HVA(-,!
Is existing space heated or wndifluned?0 Yes O No Air handling unit cFM_
Air con ri on n (site an re uc )
Is existing space insulated'?Q Yes ❑No _Alteration of-existing p u
HVAC s stem
Boi"�hmptc590r3
f3udncs:,name: �e n L C � .� State boiler petmit no.:
n�
�._.�_ tip Tons _BTU/H
Address: 3)a L)- (,,-)i 1 t1; rdsmo a ampers/ uctsmokedetector's
City: state: ZIP: Z eat ump site plan require )
Phone: Fax: _' mail: Install/replace furna urner_ U/
_ tmetro lie.no.'CC$no.: '9941-7 Including ductwork/vent liner AYes U No
/ nsta rep ac sp
re ocate eaters-sue
Cin e
y_ _ ( (`; —-- - --- wall,or floor mounted
Wim.,(plcnsr prinQ: _ - U Cp�(�f)V� Venr for appliance— o ert en fTi umace—r
-mije-ration:
Absorption units BTU/H
Name: �. "t Chillers... HP --
_- LO-011
om ressorsHf
Address: E]a ontneamtii cx u+t and rr U1 t e:
City_- [State LII' - Appliance vcut
Phone: i Fax: 7F nh:a,l ryerexlhaust
l oo _s Ype I/TI/rea.kitrfienthitzmat
hood fire suppression system
Name: A Ri o E R _ Exhaust fan with single duct(bath fans)
Mailing address; �—S. C Tiaust system-- apart m prat n or AC
p
City: I(vA1Z _ State:Oft zip; 9 ip'n` distribution up to outlets)
2?z�--. Twit, _[.PG NG Oil _
Phone: F JFax- a-III Oic5lipingench additional over 4 out ems
t»cesspipit�(sr. emntcrcquircd)
Number of outlets
Name: 151het listed apn ke or eqn M# nti
Address: Uccoralive fireplace
City: I state: TZIP: ascii type __
Phone -- _ Fax: Email: - --- stove%pe et stove _
Applicant's signature: C Gate: mer
-3-� t _
Name(print)- 14. Ca
Na W jorlidiettim scaeor et"t card.,plwt,call jurisdiction tot tame Infaimaton. Permit fee .........$
( 4 O MasterCard Notice:This permit application Minimum fee.... ...........S
expires if a permit is not obtained Plan review(at _ %) $
(:-tit cad raimler, S-91 I r�7 — ki . within 180 days after it has bern -
accepted as complete. Slate L ....tge(896)....$
.me �,rea,r It n.m t r e TOTAL . .$
Grdbotder►i�stu,e Arrwaot J
1041617(bUUTUMI
FROM ANCTIL Heating & Cooling PHONE NO. 503 2325722 Jun. 03 2003 02:09PM P2
L
NT S
W
60,
20' (+)
Mwio Ferrari::
15900 SSV Hghland Ct.
Tigard, Ore 97224
W'G 22648
CI1 Y OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST
SUP -
Received ___----Date Requested___ BLIP
Location Is 'Or., A k� �=- � _— Suite_, MEC
Contact Person _ _. __— PhPLEA
( �03)
Contractor Ph( ) _ SWR
BUILDING Tenant/Owner _ - -_ ELC
Footing
Founaation ELG
Access:
Ftg D-ain ELR
Craw,Drain ____-
Slab Inspection Nates: SIT
Post&Beam --
Shear Anchors
Ext;heath/Shear
Int Sheath/Shear
Frarring
Insulation —
Drywall Nailing - ----
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling ---
Root
Other: ---
Final
PASS PART FAIL
PLUMBING_
Post 8. Beam ---
Under Slab
Rough-In
Water Service —
Sanitary Sewer
Rain Drains -- - — --_ — -- --
Catch Basin/Manhole
Storm Drain — - ----- --
Shower Pan
Other:_ _ --- ------___.---__-- __
Final — --
mse- —
CHANIC L —_
Post BBeam
Rough-In ---- -- -- --- ——-- - ----- - -- -
Gas Line '
�
Smoke Dampers
\u
Fi I '
_ PART FAIL ._—
ELECTRICAL
Service
Rough-In -----
UG/Slab
Low Voltage
F!pLA,Iarm
t
ASS PART FAIL Reinspection fee of$ —. required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE LJ Please call for reinspection RE -_-_ _---_ Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date _ inspector
--
Other:
Final --� DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL