Permit e V �
CITY TIGARD MECHANICAL PERMIT
IA DEVELOPMENT SERVICES PERMIT #: MEC2004 -00751
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/17/2004
PARCEL: 25111 CB -00700
SITE ADDRESS: 14860 SW 103RD AVE
SUBDIVISION: DEL MONTE SUBDIVISION ZONING: R -3.5
BLOCK: LOT: 006 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:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Remarks: Replace gas furnace.
Owner: FEES
STOW, JIM Description Date Amount
14860 SW 103RD AVE [MECH] Permit Fee 11/17/20( $72.50
TIGARD, OR 97224 [TAX] 8% State Surchar€ 11/17/20( $5.80
Phone: 503 626 - 4465 Total $78.30
Contractor:
COLUMBIA HEATING & COOLING INC
P.O. BOX 230397
TIGARD, OR 97281 REQUIRED INSPECTIONS
Phone: 503 Heating Unt Insp
Final Inspection
Reg #: LIC 76359
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: L, �j �/ .�� Permittee Signature: Q7-Z.
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
CITY OF TIGARD 24 -Hour
BUIkDING Inspection Line: (503) 639 -4175 MST
INSPECtION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested /' AM PM BUP
Location /L n ') /03 Al A-1)--e- Suite MEC c9( q `607.S
Contact Person P.C.ciyVLJ Ph ( ) Z PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing ast O RD OCIS —"► 0
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear V Y ` ', &vim \ _ _ Q - Z < J
Framing �"
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm /
Susp'd Ceiling /.i ,�
Roof
Other: War
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
PAS RT FAIL
MBeWitAL
Post & Beam
Rough -In : , • p n I A„�
Gas Line W�'
Sm • - Dampers
AS PART FAIL
LEC ' - ICAL
- e
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 El Please call for einspe• ion RE: _ Unable to inspect — no access
Fire Supply Line �, , 7
ADA . Approach/Sidewalk Date Inspector AP Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL