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12290 SW MilMew Court
CITYOF TIrARD MECHANICAL PERMIT
/ DEVELOPMENT SERVICE: PERMIT#: MEC2001-00467
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1
PARCEL: 1 5134 1
S134C6-1'1800
GI E ADDRESS: 12290 SW MILLVIEW C.T.
SUBDIVISION: MILLVIEW ZONING: R-4 5
FLOCK: LOT: 028 JURISDICTION: TIG
CLASS OF WORK: ALT J 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 DAMPER`:e: 30 - 50 HP: WOODSTOVES.
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K. BTU: AIR HANDLING UNITS OTHER UNITS 1
FURN >=100k- BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Rernarks: Install gas fireplace insert, venting, gas line and outlet
Owner: FEES ------T ----_
GLENN, ROBERT I Type By Date Amount Receipt
12290 SW MILLVIEW CT PRMT CTR 12/20/01 $72.50 2720010000
TIGARD, OR 97223 5PCT CTR 12/20/01 $5.80 2720010000
Total � $78.30
Phone: --
Contractor:
SUBURBAN@HOME
6014 NE 112TH AVE.
PORTLAND,OR 97220 __ REQUIRED INSPECTIONS
Gas Line Insp
Phone:503-257-5438 Mechanical Insp
Reg#:LIC 143335 Duct Inspection
Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State o; Ore.
;.pecialty, Codes and all other applicable laws. All work will be done in accordance with apprc,,/ed
p ens. This permit will expire if work is not started within 180 days of issuance, or if wor': is suspended
fir more than 180 days. ATTENTION: Oregon law requires you tc follow ru;cs adopted in the 10regon
U,ility Notification Center. Those rules are set forth in CAR 952-001-0010 through OAR
952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling
Issue By: Permittee Signature:
_ - —
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
10/93/00 TUE 14:59 FAX 503 598 1960 CI TIGARII
Q002
JV uchmical Permit Applicastioari
-- - Date received: 7 Permit no.: ^ r _
City of Tigard y g Proiect,'appl.no.: Expire dote
Cityuf'rigurd Address: 13125 Sit Hall Blvd, Tigard,OR 97223
Phone: (503) 639-4171 Date issued: By. )t no.;
Fax: (503) 598-1960 Case file no.; PaymeutOPC:
Land use approval: _ Building permit no.:
t
rUNew
family dwelling or accessary ❑Conunercialhutlustrial J Multi-family J Tenant improvement
onstruction O Ad lition/alteration/mplacement J Other -
.611 SITle INFORMATION COMINItUICIAL t
1nb address:
Indicate equipment:ivantities in boxes below.Indio.ate the dollar
Bldg,no.: Suite no., value of all me;hanical materials,equipment,labor,overhead,
Tax mar/tax lol/acconnl no.: proiic.Yale$
Lot: Block: _ Subdivision__ 'See checklist for important application information and
Project name: jurisdiction's tic schedule for residential permit fix.
City/county:
Descrition and lorotlon ofnvork on aremiyes t t 1i t' a t3it
EA.date of a pfVion/inepection: Q0 Description _ Ql) 111 "1111 I_te'.unh'.
,rennnt improvement or change of use: nV
Is existing spacr heated or conditioned'?D Yrs U No Atrhandling unit
is existing space i iulmed?U Yes O No reon iiioning(sii'Plan require )
A tcration of existing HV system
of cr compressors
Business nameState boiler pfrmit no.:
tgfl -t --- _ IIP Tons__—fi 1 L/I l
Address ULj L.4 WE Irelsolo c damper.0lurt yrnnke dctecro_rt
City: I&YtAaM Stat 2IP: Ual pump(site an req..rcdri —
Phone:J ' Fttx _ mail
Install/replace furnace/turner 11!T;
/ `
- Including ductwork/vent liner U Yes`J.No
LCB ttn'Y1_y nstn rep ace re ocateheater%-suspended.
City/metro lie.fill.: J �'T wall,or floor mounted
Name(please,print); S ( j --' `ALL ent crapplianceother 'un urnuce -jf' T
t efrigeration:
Absorption units BTII/-1 _
Nam . C_'hillcrs --_ fill Coin resscrs_ III, --
-- v ronin ex ust an rent at om
City: State: 71 P:
_ __-- -- _.. Appliance vent
Phone:
Fax: I n ,.I IAyerex aunt
nods,Type-l/Wres. itc en/hazmat
hood Fite suppression system
Name: ' y1r"I Fxhaust fan with single duct(bath Fans)
Mailing nadres',: 1 j _ Mkil ie IA r x taustsystcrnapnrt rom catin or, C
-- Fuel piping and it it b ion(up to 4 out cls
City Q.✓ _ Slate ZIP- ��3 7ype: __ _l['ti _ NV _-oil
Phone: F.Ix: F mail: uel i n each additional over outlets
roceRgpiping(sc ematicregttirel)
Name: Number of outlets
_ Other listedappliance or eyuipnieM:
Addrt ss: _ Dccoraiive fire laec
r'ity: — ---J,�Stnte ZIP: ---- nsert-type _
Phone: Fax: &mall:
ou stns pe Ct Fl(lt'e
Other:
Applicant's signature` t Date: 1 er:
Nan,c(print): lC t K1
Nd all 1LLflR(ile'a0a1 OCCe1l CIldit COfaR,preyse cult jimRdmdun fix nttxe iNcxmoUtxe Permit fee... ................. b , ,
Notice:This permit application Minimum fee. _
❑Visa C]�tastelCard $ _... ._
(le,'.it pard number'
-_ �J expires it's permit is not obtained Plan review(al
Enyim within I No days after it has been State surcharge(847e)....
NRw o e r as shown nn ctetlit card---` accepted its complete.
TOTAL ..........I............$ - - —
car older sliasttlte Atnonnl
- M1104n17(NONC't,U1 r
78
CITY OF TIG.ARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 & MST _-��—
BUP -
'Date Requested l a� �- PM - ESLD _
Location__„'/ � a-�� �"Y1.c..(��.!ti-c Suite _ MEC
Contact Person ��i Lc.0-C.� Ph / �{, PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELIR
Footing Access: �,,-p� c.,. fZ,J -
Foundation f� . FP
Ftg Drain SGN
!'yawl Drain Inspection Notes: _ _
Stab _._. - --I SIT
Post R Beam - -
Ext Sheath/Shear
Int Sheath/Shear
IFraming
lnr:ulation �O Q
Dryv all Nailing _
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling _--»_--
Roof
Misr:
Final --
PASS PART FAIT_ --- - ------ --
PLUMBING - `
Post&Beam
Under S;ab
TopOut �_-___-_----_---------- -- - -�-�-------�--., _ -
Water Service --k—�f.
Sanitary Sewer -
Rain Drains
Final
PASS RT r IL
CHANICAt_
Post& Bean, - _ -- - - - -- ---
Ro rf�la,�
Smok- tampers
WAPAkT FAIL.
ftt1CTR!CAL
Service
Rough In
UGIElab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
BsckfliUGrading -_---
Sanitary Sewer
Storm Drain I J Reinspection fee of$' _-__ required before next inspection. Pay at City Hall, 1.3125 SW Hal)Blvd
Catch Basin
Fire Supply tine I J Please call For reinspection RE !--_ --_�.- _- j J Unable to inspect no access
ADA
Approach/Sidewalk Date ` `-'� ( f
Other D
I C}�Inspector Ext
�-•'t _ --_` ---
Final
PASS _ PART FAIL AO NOT REMOVE this inspection record from the job site,