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13990 SW HALL BOULEVARD
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
3125 SW Holl Blvd.Tl2ord,Oregon 27223.6122 (503)632-0171
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/ CITY OF T I G A R D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2004-00023
13125 SW Hall Li!vd.,Tigard, OR 972.23 (503) 639-417-1 DATE ISSUED: 1/21/04
PARCEL: 2S 102DD-00701
SITE ADDRESS: 13900 SW HALL BLVD
SUBDIVISION: FDGEWOOU ZONING- R-7
BLOCK: LOT: 004 JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY CRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: _BOILERS/COMPRESSORS HOODS:
_ _FUFL TYPES 0 3 HP: DOMES. INCIN:
PCI 3 15 HF: COMML. INCIN:
MAX INPUT: BTU �5 - 30 HP: ITS:
UN
FIRE DAMPERS?: 30 - 50 HP: REPAIR REPAIR NES:
GAS PRESSURE: 50 + HP: WOCDSCLO DR
FURN < 100K BTU: _ AIRDRYERS:
Eh S: 1
YER
_HANDLING UNITS OTH
FURN —100K BTU: <= 10000 cfm. GAS EP LETS. 1
> 10000 cfm:
Remarks: Installation ol'gas insert&gas hihini,
Owner_-- FEES
CREW, MICHAEL D + LESLIE L Description Date Amount
13990 SW HALL BLVD -
TIGARD, OR 97224 I MIJ 11 l Permit I-ce 1/21/04 $72.50
1 1X1 Y Statc Surc•harl. 1/21/04 $5.80
Phone:
Total $78.30
Contractor:
T& K MECHANICAL
11525 SW CANYON ROAD
BEAVERTON, OR 97005 REQUIRED INSPECTIONS
Phone: iO3-626-4652 Gas Line Insp
Mechanical Insp
Reg #: LIC 121165 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: Oreg.)n law requires you to follow rules adopted in the Oregon
Utility Nott tca oh- enter. Those rules are set forth in OAR 952-001-0010 through OAR
952- 01-0100. Yo m4ot) in copies of these rules or direct questions to OUNC by calling
(50 )246-6699.
Is td By: / Permittee Signature:
Call (503)639-4175 by 7:00 P M. for inspections needed the next business day
®wr
f'RfJM HOTSPOT FIREPLACE PHONE hJIJ. iF936269138 Jan. ld 2004 02:11PM P1
Mechameal Permit Application r
��— Datcreceivod:/ � ( J Permit na ;1`
City of Tigardt�EPF � ProJccUappl.no.: c date:
ED
CttyofTigard Address: 13125 SW Hal, I Date Issued: By:l ,0 Receipt no, —
Phone: (503) 639-4171 JAN
Fax: 1503) 598.1960 2004 Case file no.: Payment type:
Land use approval: W y": WARS
Xdt 2 family dwelling or acct sory U Commercial/industrial U Multi-family O Tenant improvement
Q New cons'nution A(lditiorldiernhon/ivplaceuront O Other:
Job address: 64PI/ � r<` �+ - Indicate equipment quantities in boxes below. Indicate the dollar
$ld .no.: Suite no,: value of all mechanical materials,equipment,10yo,overhead,
True map/tax lot/account no.: proflt.Value$
Loc: Block Subdivision: "See checklist for Important application information and
project name. — jurisdiction's fee schedule for residential permit fee.
City/county9' RaC r 7.IP: -
lkscripd n and location of work on on nsea:
Fee(ea-) ToW
date ofcempletior pection: / j p �_~ 1)kierlP-6m Res.oWy Res.only
Tenant improvement or change of use: ,
Is existing space heated or conditioned?0Yes O No Airhandlin unAli conditioning it ---(site arrequired)
_CFM
Is existing spat a insulatcxl?Q Yes O No lerat'ion
of existing HVAC system
130 er/compressors
Busmcssname: rR� l(ve attcc_� State boiler permit no.:
____� _ —. _ HP . Toth 13TU/H _
Address: It (5 vA. _ _ irelsmo c ampe uct smoke electors
City. '0aj a✓ors Stater ZII': _ cat pump(site p an requi )
Phone. Fanate rep acefurnac urner�ff/H
Including ductwork/vent liner O Yes U No
CCH no.:
��l!/CS� J �e _ Y Insta rep acehclocateheaters-suspe
CI /metro lic.no.: _ wall,or floor mounted
Name lease 'nt): (,� pyo Vent or lianceother r an furnace
c
AL•aorption units_ BTU/H _
Ntune: Q Chilies_-- — HP —
Add /// Sas $L> OlN 0w compressors--___ HP --
nv)� r�tal ea us1 a ventilation:
City. eaL,ei State ZIP: Appiiance.vcnr
phone: Fau E-mail: pryrrexhaust
FH000dsI Type I%T�s. tc a azmat
haul fire suppression system
Name: 4' VV. Exhaust fan with single duct(bath fa:js)
Mallin address: a we s ctetn apartfrom healing or _---
M esCal State ZIP: FVel P and dist pup to 4 o a cts)
LPG _ NG Oil I
Phone: Pax: E-mail: ipIng_each additionalover out ets
-;core pppiptriC(schematic.require
Name: Number of outlets
otherapplTanee a�eq pores t
Address: Decorative fireplace h. 11
City:_ ---_ Stale ZIP: nseri-t����ee _. —
ne:^ a mai sio�peliet stove
Applicant's si I
Not dl axep credit esrda,peer cels j...:xueuat ru nxxe Infl+rrrutinn.
Permit fee..................
Notice:This permit application Minimum fee................$
t]Visa ❑MasterCard expires if a permit is not obtained
(:rrdlr t:at1 lwmbtr•_ / / Plan review(at .. 9t+) $
txpiret - within Igo days after it has bet+ State surcharge(8%)...,$ 0
as rhowq an-radio card s accepted as complete, TOTAL
Amuunl 440,4617(ht "W)
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639.4175
MST
INSPE%rIuN DIVISION Business Line: (543)639-4171
BUP
Received 21 ^Date Reques d �2 2 �-� AM _ PM �. SUP
Location —_Suite MEC'
Contact Person _ Ph( ) PLM
Contractor L Ph SWR _
BUILDING Tenant/Owner __ Er_C
Footing
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
.)usp'd Ceiling --'-Hoof
Other: - -- - -
Final
PASS PART FAIL
^LUMBING
Post&Beam
Under Slab
Rough-In T l J
-�
Water Service ` C) y � r `�
Sanitary Sewer
Rain Drains /�
Catch Besin/Manhole PCS /7
Storm Drain
Shower Pan
Other: —
Final
PASS PART FAIL__
MECHANICAL --
Post& Beam
Rough-In - -- - - ---
1311 mpers —
[Fin'
PART FAIL -
EL RICAL
Service
Rough-In
lt
Low Vo
Law Voltage
Fire Alarm
Final F] Reinspection fee of$ required before next inspection. Pay at City Hell, 13125 SW Hall Blvd.
PASS PART FA,'!.
SITE _ F] Please call for reinspection RE: Unable to inspect-no access
Fire Supply:Ine I)
ADA �Approach/Sidewalk 0�� � (� Inspector Ext__
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PAR'r FAIL
J0srrM9� 1 NOTI T
City of Tigard Building Dapart'wmt
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspeation Line (pec•-O-Phonn)r 66339-41755 Busines Pho`•.ies 639-4171
Inspections 4�,r---------
Footir.y Mg. Underalab Hoch. u4h-in Appr/Sdwlk
Fcnsnd. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poat/Beam !tech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line i Gyp. Bd. -Neck).
Date Requesleds Z r C '� Times AM I/- H
Address L eft s
Builders 3�/
THE FOLLOWING OORRECTIONS ARE REQUIRED:
Inapectors _ Dates_xz " _
APPROVED DISAPPROVRD APPROVED SUB.t3CT In ABOVE
Call For Reinsp.
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