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15820 SW Highland Court
1\ CIT rr OF TIGARD _ MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2002.00514
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/18/02
9 PARCEL: 2S11 ODD-08800
SITE ADDRESS: 15820 SW HIGHLAND C T
SUBDIVISION: SUMMERFIELD NO 6 ZONING: R-7
BLOCK: LOT: 304 JURISDICTION- TIG
CLASS OF WORK: ALT 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: DOMES. INCIN:
I_PG 3 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 HANDLING UNITS OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm: � GAS OUTLETS:
> 10000 cfm:
Remarks: Replace gas furnace.
Owner: FEES ----
STA.NLEY DAY Description Date Amount
15820 SW HIGHLAND CT (MECIl 1'crnu1 Ice 11/18/02 $72.50
TIGARD, OR 97224
jMF,('llI'rrmit F:e 11/18/02 $0.00
jMI:(TI.N11'11111ItCN' '11/18/02 $5.80
Phone: 11(11 a�ml,ihkc I NIFUl'I N I I'Lm Its•\ 11/18,j2 $0.00
Contractor: — _ _ Total $78.30
SPECIALTY HEALING & COOLING
9528 SW TIGARD ST
11GARD, OR 97223 REQUIRED INSPECTIONS _
Phone: 6211-5041 Heating Unt Insp
Final Inspection
Reg #: r,0578
This permit is issued subject to the regulations contained in the Tigard 111unicipal Code, State of Ore
Specialty Codes and all other applicable laws All work 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 la\n 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 By: Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
Nov 15 02 01t40p Specialtu Heating 503 598 0718
p . �
Mechanical PeraqltApp�jcppi
Datereceived:
City ox Tigard
97�1Project/appl.no.: Expiredatc:
CiryofTipatd Address: 13125 SW Hall Blvd,Tigard, y Project/appl.no.,
Phone: (507) 639-4171O Date issued: By. ► Recriprno.:
Fax: (503)593-1960 OW4 OF 1�v;s ON Case file no.: Payment type; -
Land use approval: M 1140 Building pertnit io.: -- J
=New
y dwelling or accrsswry _0sommercial/indusrr.al 0 Muld-family Tenan�imnr,) emvv
uction -P-F4ddidorJaltemtioNrepiacement :1 Other-
Job addroua: Com"' Indicate,!gwVm zttc gi,nnhhc.c in hnres hrinw. Indic ice the dollar
Bldg.no.. Su to no.: value of all mechanical materials•equipment,labor,overhead,
Tax map/tax lot/account no.: profit, Value S —_
Lot: Block: I Subdivision: 'Scc checklist for important applieation information and
Project name; jurisdiction's fee nr.hedule fur residential permit tee
City/county: / ZIP! 1 I i a l
DeteripUon and 4-5q Nam 6
ocntiI I of work on premises, _ NO 6XV10la' « i aort
Hr.(,1.) T�� A
t.date of completion/inspection: ! -5 D 3- _ I3c+rriptlon qty.I Re o_ ly til
Tenant imprvvement or change of use: -- AC
CP�t
Is existing space heated or conditioned? -Yes O No -Air handling unit —��-
Is cuiring space insulated'' Yes O�o Arrcon ittonin (site Flan icguu�ed)
Alteration of existing {VA- iern—
BoITerr a prt siors
Business State boiler permit no.:
Addrnss: 5a �(tJ `i i- �.7 s/` 1{P _ ___Tons B TU/FI
rr tmu.e an+part duct smoke detr.,rtorq
o d state;0 ZIP:g 7-� 3 eat unlp site p an rc titre �
Phone �G-4os�1 Fax59jr-n J/ lr-mall nstst trop ace rnar: timer
t - Including ductwork vent liner Yes O No
CCB no__�,<,,> _ nstawrep acute ocntcneaters-suspdnaed,
City/metro llc. no. r ' wall,or floor mounted
Name(please print): r rrA, r- t?-;5 d enc for app lance other thin ftimace
Absorption HTt1,'
Name: (,{?� N Y) 7(!)� Chollers _J lip —
Address: g S�. $� .SL r / t $T Com ressors NP
�nritunmeuWl er,Luuat:,n�i rcutilauon:
LItY' T vlcl Ste c:O ZIP: 7�.a-3 Appliancevent
Phone" 3 G.av- Fax:S9,9,C11T E-mail: ryerex lust _
Hoods.Type Ij lure!c. tchenlhdzinat
hood fire suppression system
Name: 9j Exhaust faa with singie duct(bath tans)
Mailing address: /6g^.10 Sw Exhaust system apart from heiant or 7 1 1
�,�y ucl pip �amp di• ut¢o u to 4 out.cent
Cit ; State: ZiP. p
Phone: Fax: E mall: Type: LP,, -- NO Oil
u�el 11 cno cat ndeSitionsl over 4 outlets I _
t ocem p ptag i schematic required)
Nance: Number of outlets
-- t ter t app lace o-" r iku-p at,
Address: - _ Dmorativeflre lace
City: r StaWc 7-1P nsert-type
Phone: Fax, 1 E-mail. her, vdpel e:stove
Applicant's sign ure:
Name (print): IVI °E h —)---��--)�
I jurtrdicuoru acspt cam,r7,ds.rtrve�act,unsdteum,ter morn inlptmauon. Permit fee
tier:This permit IVitllltnum fee. . . . S
visa ❑MaatrtC�n� o p application
Credit card number --s ��I ifi.s�5 r •� q`t4�k4 •'•spires if n prrmir is tint nhlnined Pian ravle,% (tit '1 S
"h r1 chi Exports within 130 days after it has been —
��� 4►t ' State sunharge f$"al ....S t
+tine or cuµn tao,rn un,,,e�road accepted Jt cotnpl¢te. -
t .a/ s TOTAL ............. .........S
oidst+cnasuro meuM +,Or[rt�6NarCOAt;
CITY 01 TIGARD 24-Hour
BUI,_jING Inspection Line: (503)639-4175
MST -- —
INSPECTION DIVISION Business Line: (503) 639-4171
BUP _---
Received nate Requested _ AM---_��PM_—____ BUP
Location .Suite MEC — ��, T
Contact Person Ph(,. —) ele 2 -- PLM
- -
Contractor - -- - - Ph ( —) SWR -
BUILDING Tenanti'*Pr _ -- — ELC —
Footing - - ��C - �' ELC
Foundation Access:
Fig Drain ELR _—
Crawl Drain -
Slab Inspection Notes: SIT - — -
Post&Beam -- ---
Shear Anchors
Ext Sheath/Shear -- -
Int Sheath/Shear
Framing — —
Insulation
Drywall Nailing
Firewall
Fire Sprinkler -
Fire Alarm
Susp'd Ceiling
Root
Other. -
Final
PASS PART_ FAIL
PLUMBING_
Post&Beam -�
Under Slab
Rough-In
Water ServiceSanitary Sewer
Sewer
Rain Drains
Catch Basin `Manhole
Storm Drain
Shower Pa,i ----- ----- - -- -
Other:_
Final
PASS_PART FAIL
MECHANICAL
Post& Beam
Rough-InGas Line
-
Smoke Dampers
PASS- PART FAIL - --
ELECTRICAL
Service -- _
Rough-In —
UG/Slab
Low Voltage - ----- - — - - ---- -
Fire Alarm
Final I] Relnspectlon fee of$_ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
8ITE F J Please call for reinspection RE: ] Unable to inspect- no access
Fire Supply Line C
ADA
Approach/Sidewalk Date _ l 1�� T Inspectors l Ext --
Other
Final DO NOT REMOVE this Inspecti(,4� �•ecord from the job site.
PASS PART FAIL