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Permit CITY TIGARD MECHANICAL PERMIT I, DEVELOPMENT SERVICES PERMIT #: MEC2002 -00241 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/6/02 PARCEL: 2S103CC -04200 SITE ADDRESS: 13864 SW 124TH AVE SUBDIVISION: EAGLE POINTE ZONING: R -4.5 BLOCK: LOT: 017 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: 1 DOMES. INCIN: 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: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Install of exterior AC unit. Cannot be placed within the required setbacks. Owner: FEES DON DELISLE Type By Date Amount Receipt 13864 SW 124TH PRMT CTR 6/6/02 $72.50 2720020000 TIGARD, OR 97223 5PCT CTR 6/6/02 $5.80 2720020000 Total $78.30 Phone: 503 - 574 -0611 Contractor: ROTH HEATING & COOLING 6990 ANDERSON ROAD CANBY, OR 97013 REQUIRED INSPECTIONS Mechanical lnsp Phone: 503 - 266 -1249 Cooling Unt lnsp Reg #: LIC 14008 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 -0010 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246 -9189. Issue By: 4, � I _ ���J Permittee Signature: (-4 �Q Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day Sent by: ROTH HEATING & A/C 503 266 3478; 06/05/02 11:16AM; #388;Page 2/3 Racei0ec9; • 1 1 / 7/C11 3:1 SPM: 5OS5801 meO -> ROTH H ATINci ti. Mi -. . —"" -- 13/07/2001 15:15 FAX 503588195 C ITY OF TIGARP (a002 /ODs Mecha rtitcal Perinut Application Datereceaved• - -v Pcrmicno.: 1 -ti17a4 " '-'— �'� "l`�i City of Psaj+ctlgpP3 no.: 13zplttsdata: Aare iseued: Ry. � } /� Raoaptno 11 Paym n0,47-441.4 n0,47-441.4 AddtcSS: j3125 SW Hall Blvd, Tigard OR 97223 r � Phone: (503) b39 -4 - c -- (SO) 59S -19t50 building past qo.: Land use approval: ~- - INK: 01 PERMIT OMulti - family q'Cenarlt improvement CI 1 e cattstsuatian 2 family dwelling or accessory CI C i on/ d onlre cnt 0 either: CI New CI Adddanlalteratioa/replaccrt COMMERC1A1. VALUATION SCHEDITI.E �ii1s SITE INF'n3��iATl lob address: "4 — Indicate equipment quantities in boxes below. Indicate the dollar Bldg- n0-: Suite no.: value of all mechanical materials, equipment, labor, overhead, profit. value $ • Tax ma ./tax ipt/ , Black na Subdivision: • • See checklist for important application information and lit: Block: jurisdiction's fee schedule for residential permit fee. Project name: ..)-2---T 1 & 2 FAMILY IYIrCI.�i,ING PERMIT 1 SCUIL;Ul rI.t. City /courrtY' i. • _• • ur: Nl) CuMml;tir[ A1J1ti1►1:tiJltr N1. t: 01'rlNLI:NI;CilL:t)ie1.. Fee( SC Total Description + ds l ia; of iv; k on pretriis�= _--�- _ on Res. only *manly So_ date of com -letio RSpection: - e AC: C�1 e of use: Air handling unit �Irl�.�� Tenant I exist sp or healed Aer aanditiOn(n: faire • sn F- • •idt-. Is exisri tg space ham ar condition`! CI Yes 0 No Is existing space insulated? latedi la Yes No A tera4on Of cxrctln • HVAC rem =fi � N) 13.41 1 ( "Ai. (ClNlit A(�I "()T2 :.ikt /compressors Suite boilrrpermit no.: B mu O N * G001-3fv.• 1{P Tans — BTU/11 111 11 I T_ k 6 Srm ' • • er • met Kmo edelectors NM City: y . Ar✓ ',,f) / : : _ ;, sr : P/ nsratUreplaco mace/burner Including duetwotlr/vent © Yes CI No 111=1111 lnsca1Urcp re •c-ate , eaters -sU Pe • 'ado C ity no.: / no.: wall, or Door mounted � �� City no.: lie. ao. 13'2 ant o r e . , lanceotiier an mace i Af I l'Ii( {1ON Absorption unite Chillers HP M Nastte / i r �i� n u i vemtiltulottZ a ll11•11111 Addtoss: / _ /� State: ZTP: ltsse Phone: ?Avail: . ryer c salt !. _ _ — •. s, Typal/ I res. v SC en/trazt 1U 01ti'NTIZ Wort rue supprerKian sYsrem shaus(tan with sin : to duce � a3h tans) t 1l - � r,,, • � �r `e� �laa upto4a eta iMiiMi man : l,ddttss: � - , � ep S T.� NG Oil � , , `' •tea Puo pi. dig ac a.r. itianal over ' out CIA � � ' rU P p eg (se e.mst erequ ea) 11.111.1111111111.1 1 (.I?til =El[t Number of outlets Q - list a flee or equipment: Name: Decorative1 -lace ��� r Address zA 7 : • ; '� ._ltet5t4rc� _� City- mail: • ��� Ap .1-w 4 � .5 I _ Ap•licattt's slSrtt►curo: / Date: , S. _ � b Name • nt): 1.TM"' 'r/ / .4 pepltu feG $ �--� utl i•ri im tar a:on - Notice: This p it aPPlioation Minimum fee. < ►�a.11 9wi.diepaN accept ar�: ranee. pirate s if *perm is qoi ob tained pt�„ t�eiew C &t ,^ °�� �+ 0 ht within 1130 days after it has been state saran a 3:R%) • $ 3 'i e�oat, curl n_ � s u °Yates /'� accepted as complete. TOTAL ....... a4 70 n MO-4M1 (l WCOan i� G4 - • Ara Caatsal� ' , Sent by: ROTH HEATING & A/C 503 266 3478; 06/05/02 11:16AM;JetFax #388;Page 3/3 • • B . • . • It I r ' ; 1 .. .._n , . CITY OF TIkARD 24 -Hour — - BUILDING Inspection Line (503) 639 -4175 - I • NSPECTION DIVISION Business Liner (503) 639 -4171 MST BUP Received Date Requested / / `c /(g , AM PM BUP Location 130 �� `t' - /t—v'©e— Suite MEC Contact Person Ph ( ) . X71 ` � 1 / PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam ° ' " . rd '2 ' A . ;, Shear Anchors >'"' Ext Sheath/Shear hit Sheath/Shear Framing Insulation ? - Z Drywall Nailing I d - a '� ice e � C��, -cN Firewall Fire Sprinkler t P4 n ( Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAI PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / M • hole Storm Drain Shower Pan Other: Final - T FAIL ,ECHANI Post & Bea Rough -In Gas Line Smoke Da pers !� FAIL -1r Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of required before next inspection. Pa at Ci 1 131 AS FAIL p $ egwre o e n Pay City Hall, 13125 SW Hall Blvd. SITE El Please call for reinspection RE: Unable to inspect - no access Fire Supply Line ADA Approach/Sidewalk Date ,d 'r d 4 ` Z_ Inspector • Ext ' Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TI& ARD 24- Hour • BUILDING Inspection Lind (503) 639 -4175 ' INSPECTION DIVISION Business Line: (503) 639 -4171 MST / BUP Received Date Requested , / ( 0 AM PM BUP Location ' 3 a 7 / � € Suite MEC 2 '" 0 7 Contact Person 1 1 Ph ( ) / aZ PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain ELR .. b e r4 .40 /6/ 60414 Crawl Drain Slab Inspection e SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof L Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In et-276..7 Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan / 2 Other: Final /4i\ PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers PASS PART 9I‘. 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 V q/‘--y Inspector , v Est Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL