Permit r r- CITY O F TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2004 -00270
. 1 11 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/13/2004
PARCEL: 2S 104AC -08500
SITE ADDRESS: 12520 SW 131ST AVE
SUBDIVISION: MORNING HILL NO. 9 ZONING: R -25
BLOCK: LOT: 228 JURISDICTION: TIG
CLASS OF WORK: OTR 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:
ELE 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: AC install
Owner: FEES
DOMOGALLA, DAVID PAUL AND Description Date Amount
LYNDA ROSE [MECH] Permit Fee 5/13/200 $72.50
12520 SW 131ST AVE [TAX] 8% State Surcharl 5/13/200 $5.80
TIGARD, OR 97223
Phone: 503 524 - 4379 Total $78.30
Contractor:
CLAWSON HEATING & A/C
4350 SE 4TH ST
GRESHAM, OR 97080 REQUIRED INSPECTIONS
Phone: 618 - 9646 Cooling Unt Insp
Final Inspection
Reg #: LIC 110307
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. ,.e
Issued By: 4 / ' � �` ��'�'�' Permittee Signature: 41
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
05/11/2004 13:14 5036652375 CLA4dSON HEATING PAGE 02 ,
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05/11/2004 13:14 5036652375 CLAWSON HEATING PAGE 03
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CITY OF TIGARD'P 24 -Hour -:"4. 'ir
BUILDING Inspection Line: (50:4'639-4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
J / BUP
Received / 6 7 4 Date Requested 5 ' 0 e AM PM BUP
Location / Z 5 ZO /3/ Suite MEC 2 -00 " - C ) 270
Contact Person e Ph (. 5d_ & 7f9 6 PLM
Contractor Ph ( ) 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
kit Sheath/Shear
Framing 4`-'! i -J 6. TO a � ,,4 �L t L14-e- c.- ---- -.
Insulation �,
Drywall Nailing ! c.../.‘h t"
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 •
Gas Line
Final Dampers
Final
PAS FAIL
ELEC _
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: E Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date ,) ` _) 1 Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site..
PASS PART FAIL