9485 SW SUMMERFIELD DRIVE t,
9485 SW Summerfield Drive
ML
/ \ CITY OF T I G A R n _ MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2002-00545
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/4/02
PARCEL: 2S 111 CA-03100
SITE ADDRESS: 09485 SW SUMMERFIELD DR
SUBDIVISION: SUMMERFIELD NO 7 TONING: R-7
BLOCK: LOT: )7B 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: _B_Otl_ER_S/COMPRE_SSO_R_S_ HOODS:
FUEL TYPES v J HP: DOMES. INCIN:
LPG ^-` 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: 1
> 10000 Cf m:
Remarks: Replace furnace and gas line to water heater.
Owner:---- FEES ----- ---I
HOFFMAN Description —Date A� Amount —
9485 SW SUMMERFIELD ITAX1 8%.)StateTax 12/4/02 $5.80
TIGARD, OR 97224 IMECIIJ Permit Fee 12/4/02 $72.50
Total $78.30
Phone: 503-639-5243
Contractor:
COLUMBIA HEATING+ COOLING INC
P.O BOX 230397
TIGARD, OR 97223 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 624-2704 Heating Lint Insp
Reg#: LIC 76359 Final Inspection
'This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center Those rules are set forth in OAR 952-001-00 10 through OAR
952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling
(503)246-6699 ,,,or
Issued By: � � s. Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day �`
Mechanical Permit Application
Date received:)d' i 1 Permit no. 2 ,O 5
City of Tigard Project/appl.no.: Expire date,
C'iryofTigard Addreft: 13125 SW Hall Blvd,Tigard,OR 97223 - --
Phone: (503) 639-4171 Date issued: By: Receipt no
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval; --- _ Building permit no.,: _
7 1 &2 family dwelling or accrssory ❑Co mmercial/industrial O Multi-family 'D Tenant improvement
U New construction AOdition/alteration/replacement U Other: —_
' COMMERCIAL VALUATION
Job address: Indicate equipment quantities tit boxes beiuw. Indicate the Ju!I.0
Bldg.no.: _ Suite no,: value of all mechanical materials,equipment,labor,overhead
Tax map/tax IuUaccount nu profit. Value$
Lot: 1Block: TSubdivision, _ 'See checklist for important application information and
Pro)ect name: - jurisdiction's fee schedule for resi"cnual permit fee
City/county: ZIP: i
Denscnp ion and location of work on premises: _
-/I— - —AL2M ZMC Fee(— "Poral
1:st date of completion inspection: Description Qty. Res.only lRcy,oul
Tenant immrovement or change of use:
Is ex;sling space heated or conditioned?U Yes U No Air handling unit - CFM
!r con tuor,mg(site plan require )
Is exwing space insulated?O Yes O No Alteration of exlsung RVAC system
CONTRACTORo er compressors
Business name. 4 AState boiler permit no.
HP — BTU/H
Andress.
J S O _ Fir smo a ampers uct smoke detectors
City: e,4B State:iWZ1P: eat um (site plan require
Phone: 2-7 - - -'
CCB no.: id. 3 st ej Including ductwork vent line Yes D No
nsla rep ac felt eaters-suspande
City/metro lie. nt L 7 wall,or floor mounted
Name(please pnn!! M,'<-A,pe o /s�.� ent for tante other tan furnace
CONTACT PERIGAIIIN e gerat on:
n Absorption units BTU/H
Name: r b //)�N_Odud Chillers _ HP -
Addres:;: f-'�- Com ressors HP
— --
City -State: ZIP: n onmenta ex ust an ventilation:
i
Appliance vent
Phone. f ax S E-mail: ryerex aaust --
1 0o sd ,Type U i res :he azinat ---
hood fire suppression system
Name: _ Exhaust fan with sir le duct(bath fans)
Mailing address: 9- � x amt system arart row m- ern or A
State: ZIP
Fuelpiping an st ut on up to out ets
City:i_ � a 7
Type: _-_LPG NG Oil
Phone e.2 431 Fax: E-mail: 'ue i to each-additional over 4 outlets ~ ---"
rocess piping(sc ematic required)
Name: Number of outlets
-— ter MR app ante or equipment: -
Address Decorative fireplace
City. ^� State: Zip: nsert-type — _ -
Phone: Fax: E-mail: oo stov pe et stove
-'
Applicant's signature: Uate: 2,- .� t er ter:
Name (print): pd4 0,Q-4,k1 / I
Not An lud"caoru accept credit cads,plem call Jurisdictiat for mune infonastion Permit fee.....................$
❑Viso J MasterCard Notice:This permit application Minimum fee $
Credit cud number expires if a permit Is not obtained
'—
Expires within 1g0 days after it has been Plan review(at i %) $
State surcharge(8%) ....$
Ntune of cardholder u shown on c l cud $
accepted as complete. TOTAL $
Cardholder Nanuure – Amount 4444617(&WCUSI,
CITY 0' a I.aA►RD 24-hour
BUILDING Inspectioi i ine (503)639-4175
INSPECTION DIVISION Business Line: (503) 639-4171 MST _
Received _— _ _ Date RequestedAM�_ " PM_
M BLIP _
Location ____ � _> ��-L��� Z Suite MEC - GU syr
Contact Person f? Ph(—__ _) 7 C PLM _
Contractor — Ph( ) �— _ SWR
BUILDING Tenant/Owner �._ ELC
Footing _
Foundation ELC
Ftg Drain ACC633:
Crawl Drain ELR
Slab Inspection Notes: SIT
Post&Beam -
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear -
Framing G�L�-c`f Ci e44. _1Le ae._ 12qEL ';io(- 3 (Y,� 27 e-!
Insulation
Drywall Nailing 5, 1W141r 1�11�.7 sz Aa' .-Ica �-
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling ---- --
Roof
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
�Beam
IL ------ ----- - -.--- _
Post -
Rough-In
Gas Line ----------- -
Srnoke Dampers ------- _-__--
ART FAIL ---___---
ELECTRICAL—
Service —
Rough-In
UG/Slab — - -- --_--- -- -----Low Voltage
Voltage
`ire Alai - -._--- -
Final Reinspection fee of s required before next Ina
_PASS PART FAIL q pectlon. Pay at City Hall, 13125 SW Hell Blvd.
SITE — _-_ Please call for reinspection RE: -- n Unable to inspect-no access
Fire Siiaply Lire
ADA _.
Approach/Sidewalk Data__�` �'--- IinapeetOr �'
Ext —
Uther:
Final DO NOT REMOVE this Inspection record from the Job site.
LPASS - PART FAIL