14330 SW MCFARLAND BLVD-1 OAl9 LINVIHV33W MS 0££ti6
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0330 SW MCFARLAND BLVD
CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC205z-00144
13125 SW Hall Blvd.,Tigard,OR 97223 (503) 639-4171 DATE ISSUED: 2SI I'
PARCEL: 2S110BA-042Q0
SITE ADDRESS: 14330 SW MCFARLAND BLVD
SUBDIVISION: SHADOW HILI ZONING: R-2
BLOCK: LOT:023 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COGLE'RS:
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:
LPG 3 - 15 1!!"- 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: AIR HANDLING UNITS _ OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Remarks: Fuel piping and distt ibution outlet.
Owner: FEES
DUNCAN,THOMAS R + FELISA P Type By Date Amount Receipt
14330 SW MCFARLAND BLVD PRMT CTR 4/9/02 $72.50 2720020000
TIGARD, OR 97224 5PCT CTR 4/9/02 $5.80 2120020000
Total $78.30
Phone: � '—�
Contractor:
JACOBS HEATING +A/C
4474 SE MILWAUKIE AVE
PORTLAND,OR 97202 REQUIRED INSPECTIONS
Gas Line Insp
Phone:503-234-7331 Final Inspection
Reg#:LIC 1441
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W This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
-i Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. Thi,; permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 day-, ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You may obta�jn copies of these rules or direct question;to OUNC by calling 1,503)246-9189.
;s3ule By: lad", �J. �� Permittee Signature: L'/
Call (503) 639-4175 by 7:00 P.M.for Inspections needed the next business day
Pp-)r-- Q9-02 02 :04P P.02_
Mechanical Pcrmif Application
'� D■lereccivod. �9-M7- I'rrmit nu.:n 16 -I
City of Tigard Projecl/appl,nil, _ Expire dptr._
AJJress: 13125 SW Ball Stvd, ltgardel
CirynffigarA ][t Date issued: - Ry:^ M Recoiptno.:
(- (50:1) 67494171
�' `
Faxax (t 507) 598-1960 ;�,� ~ Case file no � Fuyntcnt type;
Building penntt no.:
Land use ui�prov.+I: --------
UUM
I=,faml77,
y dwelling or accessory U Cy�twle �11(ndusltial U Multi-family U Tcnanl ingttnvament
New construction O AlMnon/Ateration(rq►facement ❑Other:
1
Job address: Indicate equipment quantities in boxes IN-.low Indicate the dollar
Bld act.: _ Suuc nu value of all mechanrn
ical ,ucrials,equipment,labilr,overload,
g _ --- profit.Values
ax - ---
Tmap-Aax lot/accounl tin
BI(x:k: " Sutxilv{sion: aschecklist
for important application infxmation and
Pmjcct name.: � \�.;✓1- juri:adiction's fee schedule for residential pen pit fee-
. V y
Cit Jcounty: _ r t Gr, alm
.'
Description and'ocauott tit w Irk t-w I tenures _
F'ee(ea.) Tow
I-st date of completil)t>Iinsptuliurl -__ t7rscription Vty R«.o Aetr ody
II. n :;
TcnNpt improvement lir chsulve of list- Air h■ndling unit _.-Is existing space heated of condltio-m-d')U Yes U No Air condtuuning(tile p■n rnyuiICd
Is exisline space insulated?Cl Yes U Nlt A teratinn of exlsnnti I IVACslcfn--
rVIUUIjANIUAL ' ' Irl COR1plC SOrs
$tiLc boiler pry mil nu.:
t usincss namc. ( � n�� ++S�AA NP funs H'I Uni _ -
Add •ss: _�'� fn ). t,✓G., Q ireellimokcdimpel s/ uclSmllk-' rteC101K _ --
City. Stn : LIP: titpurttp(sis pTn requ—ild— -
P1ton Fax; I.-mail Ins ITL4 furn1cc/hurnet FIT/IT
lncltdfn ductwork/vent liner Cl Yes U No
CCB no. -- nstalVrcpl■celteDeate catcrn-sus'pundcd,
City/metro lic ne.. J wall,or(loot nountrd
a - eoert►aniuin-
ccr
Narne(please print) g, crtfonllon:
Absorption units t3TU/11
Chillers_--- Hp
Name: MZ ��Qt.M Compressors J III' -
Address: � _ ,nv ratunmfa ex list mod ventilation-.
City: titalt 1. Appliancevent
Phone: fax --TE, rnail: uCxlraustJ ' _ —
oo s, ypr U Ik+inc�r✓hazn of
hood life suppression system
Name: �t1r 1 �� (,i✓\ Exhaust fan with single duct(hath tans)
- x ■list systema art fruu^ i tient .in At_
Mailing address. ~�� . - Flwj P P ng slid diOrUVWn(up to 4 ouilrtti)
TU
!1.
y l.1'li NCl00Phone Tag li-mail tIlan in r sac l ad itinna over q nnncl,
10 reetsfpQtng(�cllernsticrrriu;rr.
N Number of outlets
Ot r sted.app aaceoriyT-nlc
13mmlivefueplace
State:y;Cit LIP: �oodr i0-VWpe et- s-11- rove
Phone: Fax
LU
Applicant's si a
ae (grin C
Nrn
_ Permit fee. ...._......
...... -
Na dl oea ktiam Ucep credd cM4F.r+kaK .,It jurivlirllun 1a arm infnrmatiw Nolioe:This permll appli4Alinn Minimum let ........... S _
U vie, U Masn•,Cerd i:xpimt if a permit i%not obt■ined {clan review(a{ _ %) t
Creditmr
card mba:— - --- --41--1-114 within 190 days after it has been StAte surcharge(8%)....S
Name d cardholJrr u 1 wn nn cicArt t�— accepted aS complete.
(rntlrWder riRrtatme Y Amwm 440."1 i(6mK'(Att
C�c"\
CITY OF T•IGQRD 24-Hour' ,
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION - Business Line: (503)639-4171 MST _
eup
Received zDate Requested AM _ PM__ BLIP
Location ____ �_ 3 /r-' W L BCS Suite i_ MEC
Contact Person — �`-�' Ph _7.33 PLM
Contractor LZ Ph( ) SWR
BUILDING Tenant/Owner ELC
Footing -
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors - -
Ext Sheath/Shear
Int Sheath/Shear
Framing L r-tit5
Insulation
Drywall Nailing - � -.-
Firewall
Firs Sprinkler ---
Fire Alarm
Susp'd Ceiling —
Roof
Other: - -- -
Final _---- -- - . .. .
PASS PART a AIL - - — -'
_PLUMBING
Post&Beam
Under Slab
Rough-In --
Water Service - --.- --
Sanitary Sew gr
Rain Drains -- - --- --- --- _-_�
Catch Basin/Manhole
Storm Drain --- -- - - -- — ----
Shower Nan
Other: ----- -- - — -
Final __---
PASS PART FAIL -- - -- -� -
MECHANICAL
Post&Beam
Roug4A -- _-�_-
(L �rn t, _-
e= Smo e ampers
FinaL
PASS PART_ FAIL - -- - --
ELECTRICAL
m Service -_--- --- -_—_ V-
Rough-In -
_1 UG/Slab
Low Voltage - -—_- - ---- — -- -- --
Fire Alarm
Final F] Reinspection fee of$__ _ required before next inspection. Pay at City Hall, 13125::W Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: __ __e_ IJnable to inspect-no access
Fire Supply Line
ADA _
Approach/Sidewalk Daft
Other:
Final DO NOT REMOVE this Inspection record from the job she.
PASS PART FAIL