Permit Y % CITY OF TIGARD MECHANICAL PERMIT
I, DEVELOPMENT SERVICES PERMIT #: MEC2003 -00389
c � � II 13125 SW Hall Blvd., Tigar OR 97223 (503) 639 -4171 DATE ISSUED: 7/9/03
PARCEL: 2S103CB -08900
SITE ADDRESS: 12492 SW QUAIL CREEK LN
SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R -4.5
BLOCK: LOT: 047 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 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: 1
> 10000 cfm: GAS OUTLETS:
Remarks: Install exterior A/C unit. Do not place within the required setbacks
Owner: FEES
BRENT WHITTLE Description Date Amount
12492 SW QUAIL CREEK LN
TIGARD, OR 97223 [MECH] Permit Fee 7/9/03 $72.50
[TAX] 8% StateTax 7/9/03 $5.80
Phone: 503- 780 -5696 Total $78.30
Contractor:
MILWAUKIE HEATING & COOLING
9961 A HIGHWAY 212
CLACKAMAS, OR 97015 REQUIRED INSPECTIONS
Phone: 503 -557 -5562 Final Inspection
Reg #: LIC 104102
iq
VOID
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 -00
Issued By: 1 Permittee Signature: i J iii' -� �_
i /
Call ( 03) 639 -4175 by 7:00 P.M. for inspections needed the next • usiness day
Jul 08 03 12:53p YD/ 411 IL U VY. *NY • Milwaukie Htg 8, Clg 503 - 557 -0790 p.l
- •
. 9.
•
• Datereeehtek IMETYPAIRS
city o Ti gar d
..a-
a 0003 PiciegthICI-904 Expired=
n �- g � �aizssw SWIM n�� BY: ��
Phone: ) •4171 JUG a�tae�: Palace Far �) l CITY O F TIGARD
Laud use approval: BUILDING DIVIS1nN > p
TV PE. Ur PER 11T
r. 1 & 2 faidly &Was or aeoccwaY 13e ru Comney O bid -f DTeaaoti�mov
O New eaniteuctio CI Odmc
JOB Sil E. I \F0101ATIO \• + (ONIM1iu7 \1 VALL. I ION SCHEDL LE
Jab adds= I a2•F Q - 5 . G v g 1 , !re c.55 indicate imbues laden tabs .
f S uite o a:
valued an mediaaleal m•Iaei3 . cqm
Bldg. au.: peat. Valve $ _ •
Lou iolhocooat>oo : •� deCtgst ter apron iafcteaanm and
Po Black So>>d�isiom jm[ 600's tee schedule tar imdenoral permit fees. .
• • maser --n, dirt(
A l t o " J ' M P . : 7 7 7 .1 ri ? F A \ I l i . l ' D s LL),I\G MOM FEE SCI1ET:flE
3
Denziptianand Inuisio of work ®reads= r L \D rOMMERIC: \I.MM SiRI EQL 1P`•1L\7. SCI iMat
ER
�r.ame - , -- / z - e -. - r* I°�° - �
Teo imptunaaev<actofse: //� • Cad_ s
Is a space boned ar C1 Yec O No /
Is mining space es CI No Aloeedotot , spa=
•1L.111.k \I(. .L C•O \TRA(. -1(I11 9tbee
:,, „r ; r 1��A d °1 stn HP Toes BTUS
staxmo zat • - 7e. . 15 .—
- � :•
c®oo: (25f / o Z - - watLat>soma,e®eed �. _ .,.,, _. ,
Naxae (plane piine: ---- <- - . 4 . - Vales , - - oftertkat row=
i ON' 1AC1 r.:r:a■ Absotpdommits MUM
aofillas HP IIP
Addles= _
Zip:
Rom r• ! �-` ... .. •
f 1lV\E.R 1wodSveasp aTden
1 • Bslbvonctiowlit - - diet
LN.0 I\EFR •77.,1---:— .
lilnebadoadets .
(dame 1
Vdrelissegeoliseeserewitarlie
Addles_ .
• - Std r ' - stove ^ ~ ,
, Plicate lima L A , , , Dane 1 =. 3 .
4lsvoair S
Miss Aor•siers.� d..va.4ol.�is�• l�tottoe: Ilispeonb Mimman ........_a
Miss lapiesiraemail b otebiabsed pb review (at ,� . so $
CieYre.r�ee -- .dd�lmdvlsafba Wee lona sans wids�oario_•$
sag .ra ississ•ao.a. ko.s : aooepeodasoeeeytete. Ti ZAL .—.:.t
Caftan slummy Axonal ♦ 40407 «1oelCole
0
Jul 4 06:430 ���� Mi lwaukie Htg & 503 - 557 -0790 p. 1
Building . Division GG 1 v VO
Applicant Request to Cancel
pp eq Cance Permit ,
City of Tigard 0-
• G10 D . GAR�
TO: CITY OF TIGARD FFICIAL
BUILDING O soi_o 1\1G O`v,s o �
13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.639.4171 Fax: 503.598.1960
FROM: Applicant Name: 1r, , i LA: Au i 1444 ( I P" (..cxo I HI
Mailing Address: - - P. 0. Pj a .. � .. O . ! L
City /State/Zip: d w ow k z d R ? 7 a• Q.,
•
Phone No.: SId 3 - x' -
Fax No.: 5-0 3 -_ 557 — 0 7 9 0
PLEASE CANCEL PERMIT APPLICATION AND REFUND PERMIT FEES, IF ANY,
FOR THE FOLLOWING:
Permit No.: ►rVVt P C . bo 33 - t7n I P ci
Type of Permit: _ILL)
•
Site Address: 1 Li 9 a, S _c.�
Subdivision:
•
Lot No.:
EXPLANATION: _cowl e 0 11 I ) J Tl h
•
Signature: — t.i.A„ 4 6 Date: 2— / 4/--6 3 • •
Print Name: ' /5 k
I.l OFFICE LSE ONLY
Route to Admin.: Date: B
Permit Canceled: Date: ,S/a3 By: 44/
Refund Processed: Date: 7 / /S/ , By:
/I.ccf,& 0Loo - ag39
7/0.3 7t; 30
isVluildineForrtnNRegGneelPrnnit.doc 04103
Jul 08 03 12:53p Milwaukie Htg & Clg 503- 557 -0790 p.3
V
V P)
� 3
. 1.r)
1
J