Permit CITY OF ° IOARD
44, MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2004 -00214
"�JI 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/23/2004
PARCEL: 2S 109AB -08800
SITE ADDRESS: 14195 SW 131ST PL
SUBDIVISION: RAVEN RIDGE ZONING: R -7
BLOCK: LOT: 017 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:
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: Installation of a/c unit.
Owner: FEES
MANDY OLSON Description Date Amount
14195 SW 131ST PL [MECH] Permit Fee 4/23/200 $72.50
TIGARD, OR 97224 [TAX] 8% State Surchari 4/23/200 $5.80
Phone: 503 - 591 - 9824 Total $78.30
Contractor:
ALOHA HEATING & COOLING
2870 S 221ST #204
HILLSBORO, OR 97123 REQUIRED INSPECTIONS
Phone: 503 Cooling Unt Insp
Final Inspection
Reg #: LIC 158899
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)24 699.
,-. ,
Issued l ! Permittee Signature .-, / 4 -,.- ; /
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
APR -22 -2004 08:45 FROM: ALOHA HEATING 5038480788 70:5035981968 P:1
F
4-
r
Mechanicall'ermitApplxcation ,� ( ,
r� C of Tigard (he nccivect: mIV hermit no.: . CI
City rf7/gr�td Address: 13125 SW Hall Blvd Tigard, OR. 7223•-• Pro)acUnppl. nu. F.,
Phone: (503) 639 -4171 -'9'99' duty:
Fax: (503) 598-1960 APR 2 2004 ��
royal: CITY Payment type:
Land use approval: Building permit nu.: C)F T I! ` _ n tnn
Ri III n, „ -. • •• �U
I & 2 family dwelling oTacceraao
V New construction accessory U Commer ial /industrial U Multifamily U Tenant
► Addition /alteration /replacement. LI Other: improvement
.10ItNIII 1 NI'ORNIkI ION
Job ad - Ef :. m � ) f ('1111 \ lt 11(!11. 1 \1,( \111 >!1 1(Ilf l'ltrli
Bldg. no,: J Indicate equipment quantities in boxes below. Indicate the dollar
Su no.: value of all mechanical materials, equipment, labor, overhead,
^ Tax map /tax lot /account no.:
Lot: profit. Value S
Block: Subdivision: "See checklist for important
Project name: J y' 64/7.‘ f,, 6) --OIL pou application nia i permit f and
� — jurisdiction's foe schedule for residential c
City /county: T1 jQ� ZIP: q U p t'nlit fee.
!70 I K 2 1\nttl\ It\AI1,1 pi, unto 1 1I•I tit 111 1'
Description and location of work on premises: \NI) ( t taln11 , 11I( \t /iNI)I S1119\1 I.(►( IMO NI ~1711 1/1 i,1.
Est. date ofcotrlpletion /inspection: Fee (ea.) Total
Tenant .improvement or change of use: iOn i 1R ers en,t Reg, only
5 AC: Is existing space heated or conditioned? U Yes U No Air handling unit CFM
Is existing pace insulated? U Ycs L I No Air conditioning (site plan required')
111,(11.1,901('‘i, ('()1'11(.1{ I()It tcranuna existing r 'sy;etcm
t3usincss name ; }/� r
Ste boile
Hoilcr /rnmnrcaaurs
= � � � tar permit no
Address: name;
• - DTU /H
Cit es 04f
HP Tons
�' , �A Dr H ire /xrnoke •nmpeyduet smoke ctcctors EN Phone: v StalcC, ZiP: /'_2 Heat amp (site p an re um 1 r
s Fax:,: q;: �7S� E -mail: (iota rep ace mince timer CCB no.: /'6'8 3 - A -ci6 Including ductwurlc/vent liner U Yes Li No
City /metro lie. no.: ‘8 n5tu tip u cc r e ucarc imams -- susixnded, -
Name (please print): wall. or floor mounted
/� � ' Vent for appliance other than furnace
ikefrigerathun
Name: �/ LAY) Absorption units BTU/H
Address: _ Chillers HP
Cum ressurs HP
City:
State: ZIP: - ' magmata ex chest an yen a nn:
Phone: S��` �jr� Fax: Appliance vent
• E-mail: Dryer ex taut
0S1 ;NI' ll Hoods, Type I/ II/ms. kitchen/hazlnat
Name: t--1, _l, 0 Leo hood fire suppression system
Mailing address: Exhaust fan with si n a duet (bath fans)
t Exhaust s stern a art from heatin • or AC MO
City: t 49 0 .....r . Statc:�j� Fuel pi nt and(r strilmt n (up to 4 out cox)
Phone: Fax: Type: LPG NG Oil
E -mail: F -
'h(,1111 hid Fuel r m' each additionai over 4outlets • ears p p n (sc mane regnt ) Il•
Name: Name: Number of outlets
rt: Other listed appliance or equipment:
Il _
City: Decorative fircp]nce
State: ZIP: Insert - type
Phone: Wuuc crave/
�� Vas: E-mail:
et stave
Applicant's signature)- -777. . ,r Date: J/ -.77--6:4 f <)t Cr: = =
yj,4 ' Nn,E ► t cr. �
Name (print): I �
J —
Nat all kun diction• aa:epi teethe cartlx. plow tall iurikdlerion For more Infortrmtiote. Permit fee 5
U Vim ld MasterCard Notice: This permit application Minimum fcc $
Credit cord lumber:
/ • I expi a pcmtit is not Obtained .
Plan review (at _ %) $
L within IRO if days al it has been
Nnmc al' cardholder as Abown an arcdh card accepted 11e complete. State surcharge (8%) .... $
TOTAL $
Cardholder Yi5nnturc Amman
440-4617 (6rofICOM)
APR -22 -2004 08:45 FROM: ALOHA HEATING 5038480788 TO: 5035981960 P:2
r\
O
J
, 'T
I
1
G
?.
X
r i
0 P
n
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503, . -175
INSPECTION DIVISION i 3) 639 - 4171 MST
BUP
Received Date Requested �► � AM PM BUP
Location / c7-/ 9� / / -d / -- Suite
Contact Person rnetA Ph ( ) / — 9 & PLM
Contractor � U ✓ Ph ( ) SWR
BUILDING Tenant/Owner ELC v V_k
Footing
Foundation ELC
Access:
Fog Drain �/ u_at 1C,�ro - V �1v ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear V V t w� _ 2 , -4 C ) 2 6C-i� / / 7
Framing �
Insulation F
Drywall Nailing C��
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 j/ ,
Rough -In (/ (/
Gas Line
Smoke Dampers
_ ' 0 PART FAIL
E 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: El Unable to inspect — no access
Fire Supply Line
ADA ' ► f�
Approach /Sidewalk
Date v Inspector Ext
Other:
Final DO NOT REMOVE this inspection recor� 'rom the job site.
PASS PART FAIL