Permit CITY 'TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2004 -00161
I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/1/2004
PARCEL: 2S111 BA -05700
SITE ADDRESS: 14155 SW 97TH PL
SUBDIVISION: SOLARCREST ZONING: R -4.5
BLOCK: LOT: 009 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: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 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:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Remarks: Furnace installation.
Owner: FEES
BOYCE, RANSORN Description Date Amount
14155 SW 97TH PLACE [MECH] Permit Fee 4/1/2004 $72.50
TIGARD, OR 97224 [TAX] 8% State Surchar€ 4/1/2004 $5.80
Phone: 503 620 - 8646 Total $78.30
Contractor:
MILWAUKIE HEATING & COOLING
9961 A HIGHWAY 212
CLACKAMAS, OR 97015 REQUIRED INSPECTIONS
Phone: 503 Heating Unt Insp
Final Inspection
Reg #: LIC 104102
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 -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: Permittee Signature: �� /'
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
Mar 30 04 02:30p Milwaukee Htg t4 Clg 503 - 557 -0790 p.l
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City �a,d Address: 13125 SW Hall Blvd, Ti *1I Date issued: END I Receiptoo.:
Phone: (503) 639-4171
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Fax: (503) 59S -160 CITY OF IVIS IDN
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Land use approval: �?UIGD IN D "
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a 1 & 2 family dwelling or accessory U Commaci l�
ftoal 0 Multi - family CI Tenant improvement
Ci New coast/trader. CI Addition /allczationiteplacernent 0 Other:
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lob address J L f I5:5 S S. ‘,-) 9 7 equipment quantities in boxes below. Inter the dollar
Bldg. oo -: l Suite no.: value or all m:thanical materials. equipment. labor. overhead,
Tax map/ax lotlaccouat uo.: pprofit. Value S
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Lou tBlack: 1Sulxkvtsion: *See chedtllst for important application information and
Pro act name: _ jurisdiction's fee schedule for residential permit fee.
O oh„ / i 0 MI. IMMO 22- , 1 n : FA\IIL \' D \1 LLI.T \G PC101 FEE SCHEDULE
Description and ofworkon premises: _. AN I) CC1 N1MERIC- 11.v Itii)CS1EIaLEQI1PMLNTSCI1[Dh'I.0
' Fee (es) ! 7
Est. data of •, ., . etionlinspcction: - .0 -C' 4( — Aeaa Qty. . lltea only
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Is wasting space heated or ed? C�'Ycs D No AtreootGpottiog (artcDlaa�-' rtbod)
Is existing space insulated? rdYes CI No Ioerasod ■ ar tivA system r
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Applicant's signat • , / Date' - ci •- 0 Other ,
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't oo as i •rave ciodu cods. plow as jwrastis roe one i.r, Notice: This iidiotl Permit fie . S T��
la QMw+aCood P a1P Minimum fee $
I mires if a permit is oat drained Pia review (at 96) $
ciao and o.ehat within 180 days eta it has been Li. 4art aodratre (896) .... $ 6 Frb
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Mar 30 04 02:30p Milwaukie Htg & Clg 503 - 557 -0790 p.2
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CITY OF TIGARD. ,.. 24 -Hour ,�- �►
BUILDING Inspection Line: (503) 639 -4175 t
INSPECTION DIVISION -Business Line: (503) 639 -4171 MST
/ BUP
Received Date Requested < <6/ A PM BUP f/
Location /ij/ 5 5 q7` Suite / l0 /
Contact Person Ph ( ) c55 7 - , c ,C6 LM
Contractor Ph ( )) SWR
BUILDING Tena Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing • -Ar .. _ A _ ,,,, _/,46
Insulation
Drywall Nailing 7,3 6 3 2e 7
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL ,✓ .
Post & Beam " "� '
Rough -In ZL/1 was
Gas Line + .
Smoke Dam pe s
Final Aik
PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date — / 2 04— Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL