Permit CITY TIGARD • MECHANICAL PERMIT
ir DEVELOPMENT SERVICES PERMIT #: MEC2003 - 00588
I I I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/6/03
PARCEL: 2S104AA -11600
SITE ADDRESS: 12435 SW 129TH AVE
SUBDIVISION: BELLWOOD NO. 3 ZONING: R - 4.5
BLOCK: LOT: 135 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:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
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: Furnace replacement.
Owner: FEES
MORGAN, DANIEL G + MARTHA W Description Date Amount
12435 SW 129TH AVE
TIGARD, OR 97223 [MECH] Permit Fee 10/6/03 $72.50
[TAX] 8% StateTax 10/6/03 $5.80
Phone: 503 -590 -4158 Total $78.30
Contractor:
ALOHA HEATING & COOLING
PO BOX 6553
ALOHA, OR 97007 REQUIRED INSPECTIONS
Phone: 503-591-9824 Heating Unt Insp
Final Inspection
Reg #: LIC 141314
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: /�-v Permittee Signature: Yl, af L'
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
t- :ALOHA HEAT FAX NO. :5038480788 Oct. 03 2003 09:40AM P1
• ()I l I( I. t'NI ()NI 1
Ali Mechanical Permit Appb+ lion
-, _ - Date received: 9AMIRMEEMMIMM • • a.-
----,0- City of Tigard
Projce;tM. ppl_ no.: Expire ate: ;
C n n1 " 7igas Address: 13125 SW hall Blvd, Tigatd, OR 97223 Date is:st' ed: _ By4 '2 I Rcectipt no.:
Phone: (503) 639-4171
Fax: (503) 598-1960 or/ OF T 1GAFt o ff , Car file no.: Payment type: •
. Land use approval: gL111, D�NC" p1V1S Building permit no • / A -
IN PE 01 I'FRNIE i
I & 2 family dwelling or accessory J Commercial /industrial U Multi- family U Tenant improvement
U New construction U Addition /alteration /rvplacemcnt U Other:
Job address: ia 3S I, A Indicate equipment quantities in boxes below_ Indicate the dollar
Bldg. no.; Suite no-: value of all mechanical materials. equipment. labor. overhead.
Tax map /tax lot/account no.: profit. Value S -
Lot: f Block; [Subdivision: "Sec checklist for important application information and
Project name: g .(,(/V ai jurisdiction's fcc schedule for residential permit fcc.
City /county: �OM= ': 9--'7--' I ,e 2 t- 11111 I)t1 t 1.t.t\(, 1'! R1111 H.1 1 '( 111 1)1 1 I
Description an. • cation of work on premises:
■N1) (() 1111 121( \I ti! HI V. [ Qt !rm. \ l st III t)t 1 I
,_,_ Fee (ea.) Total
Est_ dale °I-completion/inspection: Description Qty. Res. only Res. only
Tenant improvement or change of use: HYAC:
Air handling unit CFM
Is existing apace heated or conditioned? '....1 Yes J No .
Air conditioning (site plan required) )
Is existing space insulated? U Yes U No Alteration of existing HVAC system
1.11(11 1 \I(.11. (Y)\ i U v( 1(112 Boller /compressors -
y _ 4k State boiler permit no.:
Business arms:
J7Y. tl' sl C��1 HP Torte BTU /H
Address: '2 d . / tD \ S Fire/smoke dampers/due sno c .cteeton •
City: i • • _ Lo State ZIP:. Heat pump (sits Ian n gored) .
Phone: Z — gam- Fax: it —07 A E-mail: n f erncrl alas t t
Inele mg =two v r1t liner J Yce'..t No / l
=two 7, 6D /{i
CCB no.: I (.41 3( tt Install /repiace/relocate heaters - suspended,
City /metro lie, no,: wall, or floor mounted
Name (please print): (✓1 vent for fiance other than Rlmace
e rat n:
Absorption sn iN BTU /H
Name; Chillers HP
Address: Compressors HP
Environmental exhaust and ventilation:
City: State: ZIP: Appliance vent
Phone: Fax: E -mail: Dryer exhattat
0 ti111' R Hoods, Type 1/ 11/res.. itchert/hazmat
hood fire suppression system
Name: An cW- CL- Y IV " CI—F1 Lstltau:et fin with single duct (bath fair:)
Mailing address: 2 ?7- mil_ Exhaust system a a t henna: or AC
City; �, vy� Slate: / Zl "l 2.2...3) Fuel piping and (up to 4 rntdt. )
Type; LPG NO Oil
Phone: -A • l ( Fax: E-mail: uc t to cue a Moe. over " our eta
1- . •(:i \t: • . - s ∎.,: (t' cntatte Required)
Number of outlets
Name: Other listed sppltsence or eguipmeudi
Address: Decorative tie Lice
City: State: 717: Insert - type - -
Phone: Fax: I E -mail: Wuodsttwe /ix;liet stove .
p Other.
Applicant's sipnaturc: 4,0 14€, I Date: /e731/6.-2 Other.
Name (print): (
NnI all juri.diclinrr+acccly cry lil card.. pkaise calf juri.Jiction for more information. Permit foe ..... ---- ....- $ , r O
u v'ie`s u Muntet('nnt Notice: This permit application Minimum fee ____ _ _____ $
Crgi it cord number- / / expires if a permit is not obtained Plan review (at _ f S
I .r;,« within 180 days after it has been State surcharge 8% $ 6,
Marne orear 4.1e a• Jn + + on Cl edit card accepted as complete.
c TOTAL ........... S r 74'( 30
(:l l.J1 u kkr s, so. Antonin
440 -4617 (6A0/COM) •
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 - 4171 MST
BUP
Received Date Reques 1 5 A T PM BUP
Location 122135 /d ,cT }6 ` Ave— Suite . - e:
Contact Person ► ' la 4 /14,P Ph ( ) 59 r /SY PLM
Contractor Ph ( ) S9 / - «$ O T SWR
BUILDING Tenant/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
Insulation
Drywall Nailing i ��
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In ; 7
Water Service
Sanitary Sewer ,1
Rain Drains ? 7
Basin / Manhole l
Storm Drain
Shower Pan
i
Other:
- f
Final _ )/7,--7
FAIL
CHONIr
Post & Beam
Rough -In
Gas Line
• " : Damp- s
/ �
PA PART FAIL
CTRICAL
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: EI Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date /7( Inspector ' / Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL