11900 SW MORNING HILL DRIVE-2 HU 'MIH ONINMOW AAS OO611
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11900 SW MORNING HILL DR
CITY OF TI GAR D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2004-00781
13125 SW Hall E Ivd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 12/2/2OC4
PARCEL: 1 S133DC-02500
SITE ADDRESS: 11900 SW MDRNiNG HILL DR
SUBDIVISION: MORNING HILL NO. 1 ZONING: R-4.5
BLOCK: LOT:053 JUR13DICTION: TIG
CLASS 01- WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FAN'S:
OCCUPANCY GRP: R3 VENTS W/O APF(.: VENT SYSTEMS:
STORIES: _BOILERS/COMPRESSORS H0. JS:
_ FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 11-1 -30 HP: S:
R UNITS:
FIRE DAMPERS?: 30-50 FHP: ROOM TO ITS:
GAS PRESSURE: 50+ HP: WOOCLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN >=100K BTU: " 10000 cfm: GAS OUTLETS: 1
10000 cfm:
Remas ks: Installation of gas fireplace.
Owner: _ FEES _
WALTER, ROSIE Description Date Amount
11900 SW MORNING HILL DR IMECH] Permit Fee 12/2/2001 $72.50
TIGARD, OR 97223 [TAX]8%State Surcha-1 12/2./200- $5.80
Phone: Total $78.30
Contractor:
SPECIALTY HEATING &COOLING
1601 SE RIVER RD
HILLSBORO, OR 97123 REQUIRED INSPECTIONS
Phone: 503-640-3607 Misc. Inspection
Final Inspection
Reg#: LIC 66578
IL
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This permit is issued subject to the regulations contained in the'Figard Municipal Code, State of Ore. Specialty Codes
W,I and all other applicable laws. All work will be done in accordance with approved plans. This pemtit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are sct forth in OAR
952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling
(503)246-6699.
Issued By: ?ermittee Signature:
Call(503)639-4175 by 7:00 P.M.for Inspections needed the next business day
08/19/2000 1428 FAX Q001/002
-Mechanscal PeIrMit A plication
City of Tigard >R.eav« ,, .
R EN OatvB ' � iermfr Ne � r c 7 (f/
131215'.'/Hall Blvd,,Tigard,OR 97223 �L. a�.
Phone 503.639.4171 pax! 503.598.1960Flu w
Inspection Line: 503.679.4173 pyarp , Other Permit:
tnterrtet: w+w.cl.dgard.or.us I '1 ` ems "' i kr
t)Y {��,/ � /.lj�� �n �y 1 ArPpW�.earlHa►weden
.ri: , .y,+. ,�.t w •'I• :1. t �l'I}Tn 'i:•IY!'i.•�y •JS�A'+� ..Ty�DpR,I�. M .M+ .. L� tJZ.Y. �.
1�ECHIMUT
❑New eottsrruction CI Additia* i"WtTrv@+ t' Moch&nio&J pont i�ii based on the value of the work
❑Detnolinun []Other: parforxred.lrtdicate the value(rounded to the swat dollar)of all
_ mechanical mat rla4.e0uipment,lobo?,overhnd,and er Ifs
�"'
I-and 2-fValue:S
Ytrdlydwellin Y r.; „,.>¢. IBMEIYI'I3Y9TM&FZES•
Y g ❑CamrtrerciaUindustrial Accessary budding U
r For r -•
!ai i vrntvIIOA uae ckecklat,
Multi-family Q Moaner builder f�C><Jier: - y� "f n�
r,F •_ DesMpuln s•� Ea. Toni
.4n3t4`4C OG► Bootie atoll
Job site address: Air condi ming or but pump
W^t+ sit 4.
Ciry/$rate/ZEP: F- no 100,000 8 duatalveera _ 14.00
Suite/bldg./apt no.: PMI#ct enc! Furnace 000+ U� veno 14.00 _
C?as heatwo
Cross atreeddirectitnrs to job site: work 14.00
4
Hydranic hot waur s stem 14,00
Residential boiler(radiator or
h .in) 14.00
— Unit heaven(?bel-typo,not eleobic),
in-widl,in-duct,rusirended,oto. 10.00
Subdivision La nu.: u vent for any of 0ove 10.00 _.
Other: 10.00
Tax mw/parcd no.:
�'At'~'"'�� '_F•'": .�" ''7 •S.l'Ml� ''i Ry_'�6•:L�'„ �1>•, :r . .I�S ,III-w :I Water heater t0.0U
Gu ttr lace 10,00
Mile vimt or water ,eater or ga4-
rTM12RI
Los lighter(Mai). 10,00
Wood/pellet sn 10.00
Wood tlml:::.'inert 10.00
ChiwM0inet/tludwnt 10.00
'•ll�ii�i':�il!' i '111
10.00
I�F,;1+/����I/: i�•ii Y,�I.R' �./^'C„a' trlAl�lr�' •�;, - -
S 1 e� C.+ 'i �_. �4.: 0►h _ ____
Name:
aed r� _
Range hood/othet Idichen
Address Quiternant
MA
Ciry/State/ZTP: Clothes dryer exhaust 10.00
Single-duct exhaust(bathtiorns. ---
Phonc( ) a� - L Pax:( ) toilet co artmen udl jj rooms) 6. 0
, E—R —221. '' . . ►• AMC/Cwaetinsr' i10.00
Business Bernie:
toolle
�ntact ram�; ,`, ;�r._ t
CoL_ 5•40 for liras four,11.00 for each additional
Ili. Addtm f} rte`�, �S t° Farri�\ ace,etc•14
--
ass heat purrrp
Ciry/SutdZIP: t' s'•' LMK L 3 U.uunit hour
N! WG
Phone:( o s ) 1.�( C ; Fax: ;( �u�) �• r! a 1 r Water heater
I(( E-mail: rFireplacl
f .r,: ^`•a..7. C ,+':r. a g. Ran
,.1� mss. 'i� 'tj_ 1 i •:.. y'c' Bnrbeeye _ � __
Business usiness?tame:
W Cloths ( ar
WOther
Address: r •^k :ji -'T' W
.
`1�9•
Ciry/Snttc/ZEP- Subtotal
Phone!( ) fax:( )
- Minimum emit fee(S7Y.30)
-
-Flim—review(23Sb of ptmrrit flea
CCB lic.: G' State Surchar 11%of pennit fee
TOTAL PERMIT FtL O
ar C �' TMv,00rnd' eppilaadon ex Ire!It a permit
Is vet ebt-1; d thin 110
Authorized rigsatu»: �^�'� fes,` �}"t' dry"eAer It Ne have.eeprvd u eammptea.
`Print?rune! t DSI& Fft met)odololy wt by Tri-CoLtiny Building Indum ser.tee Board
i4uAdinglot v o%MSC-pmedtAppdoe 1710! ua�e17T(II/etlCrtAflWatq
CITY OF TIGARD 24-Hour
BUILDING Inspection LNe: (603)636-4175
INSPECTION DIVISION Business Line: (503)636-4171 MUT —
���'' BUP
Received _ D to Requested�__.L.___ — M PM__ SUP
Location
�„_” ' �° S G' -_0 -7 S"I
� ,F utte_ _
Contact Person _ ✓ Ph( ) — PLM
Contractor _— Fah( ) — SWR
BUILDINGS _ _ Tenan erg` —_ ELC _
Footing v7 0 a / �^ ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain --
Slab Inspection Notes- SIT ---_
Post&Beam
Shear Anchors t> ---
Ext Sheath/Shear +
Int Sheath/Shear
Framing
Insu;ation
Drywall Nailing — —
Firewall
Fire Sprinkler — -- -- --
Fire Alarm
Susp'd Ceiling — — -- _.—
Roof
Other: - — — --—
Final -y--
PASS PART FAIL -
PLUMBING
Post&Beam
Under Slab
Rough-In
Se C-T--���� U w
Water Service \
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain ---
Shower Pan
Other: --
Final --` -�-
PA RT FAIL — `---
Post&Beam
Rough-In
p, Gas Line '��Y
Smoke Dampers _------ --_--` _
} jARL PART FAIL ----- — —
,J E -- -
Service
In Rough-In
W UG/Slab
J Low Voltage j✓C7, — _ --
Fire Alarm
Final Reinspection fee ofrequired before next Ina
PASS PART FAIL pec!!on. Pay at Dity Hall, 13125 SW Hall Blvd.
SITE Please call for reinspection RE: _ Unable to Inspect-no ecceas
Fire Supply LineADA
Approach/Sidewalk Date- --- C�` —�t
Other:
Final - DO NOT REMOVE!file InspnWoh, romilM the oft.
PASS PART FAIL
c�
CITY OF TIGAPD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Busincv.Phone: 639-4171
Date R quested: _ I / 1-7 ,i A _ P.M. MST: --
Locatiot: / / `t . 1 A f
6 � QCs. -� BUP:_ �
Tenant: _ ) _ Suite: _Bldg: MEC:
Contractor: 7
Phone: ( 3 PUM: .
Owner
--- Phone: ELC:
---— - _ -- EI,R:
SIT:
BUILDING BLDG(con't) PLUMBING LECNANIC SLLC"MCAL SITE �-
Site Post/Be-am Post/Beam Post/Hearn Cover/Sery x Sewer/Storm
Footing Roof lJndFVSlab -In Ceilins Water:,ir►e
Slab Framing Top(het Rough-In UG Sprinkler
Foundation Insulation Sewer ct Reoonnect Vault
Bsmt Damp Drywall Stone Furnace Temp Service 1t 5C.
Masonry Ceiling Rain Drain A/C Ud Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found IN Heat Pump I ow Volt
Al proved Appnived Approved Approved
Appr/Sdwlk Not Approved Not Approvedved Not Approved Not Approved
FINAL FINAL e4nA FINAL FINAL
Y l..' c S �•,�l o f�v��r V_S G A�_.. r��—1 K fit? mat••,•-y
v p n�k — —__ ---- --- ---- --
a _
t-
CZ _
W
O Call for rein iM einspection fee of S required beforree next inspection ❑Unable to inspect
inspector:, e Date: I
--V� � — Pege of
wra. .�riw
CITY OF TMECHANICAL
DEVELOPMENT SERVICESPERMIT
PERINITT ##. . . . . . . : ME=C97-043cc,
13125SWHallBlvd.,'Mrd,OR97223 (503)6394171 DATE ISSUED: 1 i /OJ6/97
PARCEL: 1 c 133DC-02500
TC" AT`r(yC;S. . . : 1190w 2W MORNINC HII__L DR
':'"IV!r'TON— . . r MORNING HILL NO. 1 ZONING: R--4. 5
:.CJCf:. . . . . . . . . . : LOT. . . . . . . . . . . . . :053 ,TURISDICTIf?N: ric
nF WnI111. . :AL.T FLOOR F1JRN. . . , : 0 E VAP COOLERS: 0
TYP OF USEI. . . . .1)E- UNIT HEATERS. . : 0 VENT FANG. . . : 0
C,CUPANCY GRP. . r R3 VENTO W/O APDL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
"UCI_ TYPE _..___._.__ 0-3 14P. . 0 DO! 7,5. T NC I N 0
3--1C HP. . ,. . : 0 rOMML. INCIN: 0
"AX INPUT: 0 ETU 15-30 HP. . . . : P REPAIR I..IN I TS r C
FIRE" DAMPERS% . : 30-50 HP. . . . : 0 WOODSTOVE:S. . : 0
'"AS PrtE"S IJRC— , c 51i+ IIF'. . . . 0 CLO DRYERS. . : 0
'1. OF UNITS- -- -- -- -- -'ITP HANDLING UNIT, OTHER UNITS. : 1.
URN ( 100K STIJ: 0 (= 10000 c fm: 0 GAS OUTLETS.: 1
r"URN }==1.00N, BTU: 0 > t0000 cfm: 0
R e m civ k s : Install gas piping and insert into an existing fire place within a
single farily dwelling.
FErf
'1511" AL.`I'f'R type amul.111t by date vecpt
19110 SW MORNING HILL 1,R r,rIMT ; 25. k,?f GEO + 1/06/07 97-3007'
IGARD 017 171 ':'3 5PCT t 1. 25 GEO 11 /0G/97 97•.-3007
MrCI IAN I CAL
1Y r WYNNE`
W 7CT11 nVE $ 2S. 25 TOTAL
'-AVEETON V►R 07005
�c;r.Fl I c C.LrI 4 G 5�.
y J#. .. : 401 '1 i
-- -- - REQUIRE I NSPFrT I(INS
pis perxit is issued sub,ect to the regulatiors ccrtained in the Gas Line Insp _
gar-d Municipal Code, Eta+-e of Ore. Specialty .odes and all other Mi sc. I n s peu-t i un
,plicable laws. pll work All be done in accc-dance with F i Tla 1 I n pe(,t i un
'hi4 pArrit will expire if work is not started
.1hir IR@ days cf issuance, or if aork is sespended for more
U) `an 1Re days. ATTENTION: Oregon lar, requires you to follow rules
�cpted by the Oreyr. Utility Notification Center. Those rules are
SFt frrth in CAR through. OFR 9 E-W-e0R@. You may
FD •fain copies of these rules or direct quWiens to WX by calling
W
i.t is e e ^i y n a t�.r r•F�
4.44..+{..+++.{..,++ 1 +.41-+++.444--t-+•+4 1A4 4a 4.#..f.4_4 +4-++ . ....+t-+-4- F++A +.i. 4- 44 + +++ ;.+ ++ {..T
41.7!71 by 7:01' p. m. f,ii- irnspnr't- ion's needed the next buF irles ri.sy
.r .;._t- 1-a.4. +..f 4 +...4. + 4.+.,1 4++.+-V 4.4.4..4..+..+4--1-,• +4-+ T ++ r i +++..4...f•++4.,f.f.4+4.1 1-++4++-f f + ? .+.} +-.+. +.A AN
r�
Plan Check 0 f
CITY OF TIGARD Mechanical Permit Application Recd By
13125 SW HALL BLVD. Commercial and Residen4lp.S Date Recd
TIGARD, OR 97223 Date to P.E._
(503) 639-4171, x304 Date to DST
Print or Type permit" AL -0�f
Incomplete or illegible applications will not be accepted Called
Name of Dft"Pr^anwrolad DescnPtlon oTY PRICE AMR
Table to Mechanical Cada _
Job Sr"Adds" xae A) Permit Fee -0- -0 10.00
Address c' H(X0I 1
ftW itymaa1.) Fumsce:o 100,000 BTU 6.00
C4 YC. f7& 3 InCWN ducts&vents
Nana isn a 1 2.) Fumem 100,000 BTU+ 7.50
Owner - c')v, including duds&vents
Maang Adana3.) Floor Furnace 6.00
jAcn 1
Wxyl(vicl 1 wd _
CKW rata Z Plxona 4.) Suspended healer,wzA hester 6.00
u_oCJ 7 A or floor-,low ad heater
iwnKw qKm of busm") 5.) Vent not kuJuded in appliance permit 3.00
-
Occupant Ma"Addmu 6.) Boiler or camp,heat pump,sh cond 6.00
a,3;!P*absorb unit tD 100K BUT • _
c�n5rarr �P Phoma 7.) Boder or comp,heat pump,air pond v I 11.00
3.15 HP:absorh unit to 5WK BTU" _
Contractor , ,rlA 8.) Boiler or oanp,heat pump,sir Gond. 1500
�
(Prior to d-K 15.30 HP:absorb unN.5-1 mil BTU"
issuance Ma"Address 9.) Boiler or oxnp,hest pump,air oond. 71.50
applicant , r' yL 3 -50 HP;absorb unit 1-1.7"BTU"
must proavkfe ale Zip Phe+. 10.) Boiler or wrap,hest pump,air coed. 37.50
xntractor vX oc)Is >50 HP;absorb unit 1.75 mil BTU"
license Orew Carst.Com.Bowl Eros Dr�l� 11.) Ai handling unit to 10,000 CFM 4.50
information ( ��r'r _ � 1 7( 18
for COT COTBuar»a Tax aat
Mo 0 0 12.) Ace handling unit 10,000 CFM 7.50
database). 4 1'
Architect Nom 13.) Non-portable evaporate cooler 4.50
or Mile ig Addraa 14.) Vent fan connected to a single dud 3.00
Engineer cr,,'sar. -npPnon. t5.} Ventilation system not included in 4.50
1 __ _appliance permit
Descnbe work New O Addition O Alteration O^Repair n 16.) Hood served by i nechanical exhaust 4.50
tc be done Residential O Non-residential O
Additional Description of work 17.) Domestic incinerators 7.50
18.) Cnmmercisl or industrial type 30.00
Incinerator -
tacistirtg use of /9) Repair units 4,50
building or property Sf_ D
20.) Wood stove 4.50
Proposed use of 21.) Clothes dryer,etc. 4.50
building or property_
L 22.) Other unitsQ S +n 4.50 r/
r 1
Type of fuel-oil O nstiral 9/0"k
LPG O electric O 23.) Gas piping on0o four outlets 2.00
d U
~ I hereby acknowledge that I have read this application,that the 24.) More than 4-per outlets(each) .50
J information given is correct,that I am the owner or authorized agent of
C the owner,that plans submitted are in compliance with Oregon State CITY.GUBTOTAL
laws.
U Signature of Agent % Date *SUBTOTAL
J
6%SURCHARGE_
C6ntbct Pers Name hone PLAN REVIEW 25%OF SUBTOTAL
TOTAL
r
odst%mechpmtdoc (rev 9 `Minimum permit fee is$25+5'%surcharge agai
"Residential IVC requires site plan showi+g plawnient of unit.