Permit CITY TIGARD MECHANICAL PERMIT
44 DEVELOPMENT SERVICES PERMIT #: MEC2004 -00267
-' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/11/2004
PARCEL: 2S104CB -03300
SITE ADDRESS: 13132 SW ASCENSION DR
SUBDIVISION: HILLSHIRE WOODS ZONING: R -7
BLOCK: LOT: 079 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
GEORGE, DAVID F + MELANIE Description Date Amount
13132 SW ASCENSION DR [TAX] 8% State Surchart 5/11/200 $5.80
TIGARD, OR 97224 [MECH] Permit Fee 5/11/200 $72.50
Phone: 503 771 - 7814 Total $78.30
Contractor:
AIR PRO HEATING & A/C
7405 SE POWELL BLVD
PORTLAND, OR 97206 REQUIRED INSPECTIONS
Phone: Cooling Unt Insp
hone: 771 - 7871
Final Inspection
Reg #: LIC 72086
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: /t Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
05/11/2004 12:12 5037715579 AIR PRO HTG PAGE 01
,N4.6 Y " �:ni Permit Application® FOR OFFICE USE ONLY
City of Tigard
131 ZS SW Hall Blvd., Tigard, OR 9 v Dnt i w / Pannit No: m� _ U � �
Phono: 503.639.4171 Fax: 503.5' \ � 00" 4A, Plan ate By R Review OthcrPermit: •
ln<pection Lino: 503.639.4175 UU __ ∎ ,, f os/ 1 Den /B le ns:
Infanta: www.ci.tigard, or, u,s A � '++ dY Y' s pie e n uII nr
-`�('j \ uy` Nolificd/Method' Supplemental Information •
fiA W
�3
❑ New construction X, A, ddlEfott/niteration/replacement Mech anica l permit fees* are based on the value ofthe work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
0. .7C.li.l . O„
dwelling ........ :
{ ti�
I- t .>a N 1. ATE i>a' IJY?j4JIJ i,1�5 Y t S........... : old 2-Ninny `:. „��, 1::
Lt Q Contmc:rcLttl /iniiuslrtHl ❑ nc(:essorY building � ; ' � ' : :' ��X
For special information use checklist. .
❑ Multi- family ❑ Master builder ❑ Other Description I, Qty. I En. ( Total
igs; �:::, >:::!,:�:l.�V:.,..,}: �;;; . y �
...�1� ..��r y {���y y,
I�l�:
t ". Ali::: i l, i?; i! is3�ii'• �: i` i:i:i ; > ?'3�:: ?:r'i
; ;�," ,,k,!r;�`�{ � end c n
rob site address /3 1 1 : :. Air condit ioning or hu pump
/ +1 1 3 _ .a ' (.4 4 , c P I'1 ,5 / .. 1 (fe site plan showing placement) 14 00 •
City /State/ZIP; 7 I D2 7 2-2_,I___ Furnace 100,000 BTU (ducts/ventsZ 14.00 , '
Furnace 100,000+ BTU (ducts/yenta) 17.90
� St] itc /bldg /a no :
—
- Project name: (i:LC hcntpump • 14.00
Crass street /dircctioris to job site; I— Duct work 14.00
' � - -• Hydronic hot water system 14.00
' ^ � . e7a Residential boiler (radiator or ' • • . .
• . hydronio) , • . 14.00 ,,
Unit heaters (Reel -type, not electric), �•,
in - wall, in -duct, suipendod et • ,..;40;.,•
_ 10,00.
Flue /vent for Any of above ' 10:00 • • ;
Subdivision: J Lot no.:
Other; 10,00.
fax map /parcel nu.: Other fuel appliances
psi":
i j;
1V
%'s' >`•� nlcr hcntcr
f� :. ' . .:,: ,, >,: >;: ads fireplace 10,00
S
le N G' c , ! :: C u .-i • e o •• P i t Flue vent for water heater or gas
fireplace _ 10.00 -
Log lighter (gas) 10.00 ' ....
Wood /pellet stove 10,00
Wood firo /insert 10,00
is r °:...; .,..... Chirnne /liner /flua/v r
.:k?.I7(WitrIZ'f:X y ctt )0,00
WN>�.
.... ...........:...: . ......� '
CHhcr. 1 0.00
Name; �✓ t°_ o r c Environmental exhaust and ventilation
Addres _ " Range hood/other kitchen
equipment 10,00 - _f i "
City/State/ZIP. 7 � j. Q� 5 7 7 7 '2 Clothes dryer exhaust 10.00
- Single-duct exhaust
Phone: (5 S7 o Fax: ( ) (bathrooms,
s� � toilet compartments, utility rooms_ 6,110
1. �] dal'
:.... ..... Attic /crawls
fans
1000
Business name: '•,.. Other: 1000
o Fuel piping
Contact name: e f L, '
�f. ° <^ r C. $5,40 for first four; $1.00 for each additional
Address: S'� Fumncc etc,
(WSW C as hea
Cit
WallAnspcndcd /unit boater
Water heater
F - mail: Fireplac •
`: yi Rage .
1VT;
Business name . ,r J J bic 2,
Clothes dryer (gas)
J Other:
1
CityiState/ZIPI P r.,-(&..... A� 2'7 - 2 0 6 s ,<.
Pholte; (S 43) ,.±....._22_71_______E ax ( ) 7 _ S s 4 Minimum permit fee ($72,50)
CC8 Iic.; �7 pla nreview(25%ofpermitfee)
/ State surcharge (8% of permit tee)
TOTAL PERMIT PEE • ? D �
Authorized signaturo; This permit epplientlon expire, Ira permit to not obtained within .180
_ days after It has been accepted ns complete.
Print name / w F cc m ethodolo by
— f. Data: . 5 — • �' car Tri- County Building Industry Service Board : .
thou liaKlPem No r • „
44n -4617: (I /O2/C'6M/wi Fr)
05/11/2004 12:12 5037715579 AIR PRO HTG PAGE 02
7` /3 /3 2 S s c e..� s ,ti Dv
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CITY OFTIGARD 24 -Hour
BUILDING Inspection Line: +3) 639 -4175 .
INSPECTION DIVISION , Business Li , = (503) 639 -4171 MST
,�� / BUP
Received � (� Date Requested �` AM PM BUP
Location / 3 (32 , a Suite ME c2-&C -
Contact Person Ph ( ) PLM
Contractor Ph (. ) 3) 7 2 / —'7c ? / SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: f� � SIT
Post & Beam ! � f o
Shear Anchors
Ext Sheath /Shear r �,
Int Sheath/Shear I f � ���+ ► ld`CiL 2? / a(LE/A)d l J ul
Framing �
Insulation X(, 15/ _ 6 , y - d [� � v 6)
Drywall Nailing 1� I X141 v-�
Firewall T
Fire Sprinkler
Fire Alarm P e h'� 6 . /0 ,
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
• - T FAIL
I
- cost . :eam /
Rough -In V
Gas Line •
• - Dampers
•
- _rraN PART (150
EC RICAL
Service •
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City H , 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: Unable o inspect — no access
Fire Supply Line ,
ADA -(71/ Approach/Sidewalk Date Inspector fA - Ent
Other:
Final DO NOT REMOVE this inspection recor from the Job site.
PASS PART FAIL