Permit C ITY OF TIGARD MECHANICAL PERMIT
I DEVELOPMENT SERVICES PERMIT #: MEC2004 -00721
11/4/2004
lip 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: PAARR CELL : 2S103CC S103CC -02000
SITE ADDRESS: 12040 SW ROSE VISTA DR
SUBDIVISION: COLONIAL VIEW ZONING: R -4.5
BLOCK: LOT: 015 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:
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: Installation of furnace & A/C.
Owner: FEES
HAZARD, JOHN GERALD + Description Date Amount
DARLINE GROGAN CO - TRS [MECH] Permit Fee 11/4/200 $72.50
12040 SW ROSE VISTA DR [TAX] 8% State Surchari 11/4/200L $5.80
TIGARD, OR 97223
Phone: 503 639 - 6561 Total $78.30
Contractor:
ALOHA HEATING & COOLING
PO BOX 6553
ALOHA, OR 97007 REQUIRED INSPECTIONS
Phone: 503 - 591 - 9824 Heating Unt Insp
Cooling Unt Insp
Reg #: LIC 158899 Final Inspection
•
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: L� �—D �� Permittee Signature: P-{ P�\.
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
NOV -2 -2004 16:17 FROM: ALOHA HEATING 5038480788 TO:5035981960 P:1
013/15 ..2004 09:09 PAZ 5035981900 CITY OF TIGARD la 003
Mechanical Per r _t .4_7 r?il‘ VED FOR OFFICE USE ONLY
1 of Tigard
nn kepetvea aatr: //� Q y ) P ermit No.: CvZ y QD 7� ,
13
I312S S W Hall Blvd., 'rimed. OR 97223
Phone: 503.639.4171 Ftx 503.598.1960 fl ` i () 2"e'r'IIP Plao Review
Inspect otl Line: 503.619.417 ,
"� � ''!7i ' Date/By: • °War Penult:
Internet; www.ni.tigard.or.ea CITY OF TIGA ` i ` ! I + " Notified/Method: lurid Cr Soo Pate _ for
I 3 tlp p In a rIn n 1 information
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U New construction. /: • .. ': oB/a1tera ion/freplaremcat - btechtvdael permit f e • arp booed on the value of the work
0 Demolition MI Other: performed, ffidluata the value (rounded to the nearest dollar) of all
�,1! f i'"� Demolition
F . ! 't; r w'f G �r,,�4 t r I f meehrinieal equiprncn6lotion overhead, and profit,
. � J , 11.r,>41:11 a 1;'d,.'.�; fT J> �!(nlin it fi r n � Tl:l ,G, r 1 tit �� I 11 tJ1 J +s_f,' ' Value' $
C'ollimercia h �1; 1 1 f 111441 �N
and CI ❑, occaaD b ulldlrtg • ' r 7,P ! . 111 1.1 !' 1F R
1 a
F
111 ur ecial r in omariox urn checklist. ❑ Master but]dcr ❑ Other
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Job site address: ) a 74J 0 5 GO , t52 r . r Air conditioning or heat pump
�� �(tequlreimeptwtahowin •1 enlent 14.00 /°°,.
• City /Stata !<P: —r—' 5 or
J 1 0 2 � Q� Furnace 100,000 BTU (chlorinate) 1 4.00 4
Su /apt no.: y I Project Mille: ��
e; qp r1 At/d Furnace 100 pop+ BTU Nuetr 17.90
heat pump 14.00 _
Cross street/directioas to job site: Duct work 14.00
Itydrpnic hot water rypir:tn _ IA.00
Resldendol boiler (radiator or
b Ironic 14.00
UtNt heeterx (fuel -type, not a =trio),
in -wall, in -duct, swim :Veil, etc. E0.00
Subdivision: Lot no.: Pluelvrttt for any of above 10.00
other 10.00
Omar f ayp4nnces -
Tax map/parcel no.: O
4I l,I�r�il;, I; v�l ..[ _„ ta1.11 1c$!tl'f "i 17 :4 �'f � L ,= � [., 7 ii r ,G�j' �wlI , r,' �
+ti t I F : r ��tt'i :' ii � I]1 ' ! 1 tfrl -, � 'I - ; ; °i • l 1 yu ': i'.
! . t,LL .. ...:13A . • 1 •,. 4 y'r'Lh41...1.4.- •,uJ 1 1 r11'I,�f]i-r l' 1 lr 1 1,: -•4ylI tl I' l +"is. 7 ' ' ( rrA�r htG{tOr 10.00 • .1 f�a � 1
Oda fireplace 10.00 I
-s- ._ r n ,_•Q @- p - o • ' / /Dr�z � Flue vectt for water heater or gas I
Srtplace 10.00 I
LogHghtrr(i (gas) 10.40 l
- • • Woad/pellet *rove 10.00
Wood Gre plaee/insert 10.00
.,;, 1' II �tl r.f�Jr l r or;J ~• s .1 : r Cr �U11'fi ji (rll� +11 u l rv; �. ' 4 7 T "'-'l. rrmeylliner/0ue /vent 10.00
.... _ -. t7r c,.. 'i1iu1 I.(I J.y ' y; I ,t . 7 �I i'� I ti rU �i( Lty ,1 a. � C111 ,
... tee+ , i OthCr: 10.00
Name: EP G Z rr_ O��t —� .. _
. Tnvlroprrt�nittl exhaust and wentit:ttipn
Address: 50��. �r �� b nom Range hood /other kitchen
aiuipment _ 10.00 ,
City /State/ZIP: Clothes dryer exhaust _ 10.00
( ` r
Ph?home: (S(leg) 9 (� P ; ) totter comportments. utility rooms) 6.80 Single -duct exhaust (bnthroarns,
Pb !
1 !- ;i;ird.� lirjfi.. I'�,-', .J,�l . ( , 1 l
` `il ,.i ^':I, LJ i v L F 1 1 L'IP1 1'i 1 i drl .
.�.,�h ;. JJ�t ?01;31 1n.IIP.1; rsf��. �r,. , 'I. • '�I�u� " ti� 1 ��� : J F ���u.�� I
:� ' _ ��?t(!� Atorawl9Ps 10.00
Business name: Other 10.00
Contact name:
Fhel i in
•
$5.40 for first four; $1.00 for each additional
Addrttiu: Furnace. etc,
CiryistatdZlP: _ floe heatpulnp ^~ ^
WalUsuspcnddJUtti_t heater
Phone: ( ) I Fax.. ( ) Water hr:atr r -
-
b =mail: Fireplace
�,1 u- ',��� iv. .._'.,l^'^+'Fl jgr)I r n' 1,iu p l ` 1 , _ ,. r „ \ r amen w} � 711 t � ir' l.� �LII I�h d . tt 1 1 1 17 V 'y'i ql1'•'' '�' ".'')1k. „ -
a. h i � I II i l i F t Y1. I 'i' .%,'1L.1 Iii, ri . a! ilI . C I I f A I A ' I
d ^C r .—..[, ���;�If, inl�t,)u 1`.r:Ylh1 ii h�l�l�, 1 , .y,���,;l�;i Barbecue _
Basu,ggy ilar.Tlc. /� V `� ! ::" )
-_ (JI. ( 4 .03 �rl d • AP CIat9 a*Yer (gas)
S Gt, l Other:
Address: �.3 o r , n x: i 1r��m "-; ""i�uE em ' „ wi'c ."`1.''.. , .-
p /4, / /I 70 t5 Subtend
Phone: (3) . ems, 1 ,_ A V . � L/ I Fox: (�!f) �j (�g'•tJ g _ Min permst fee ($7� .SO1 7.�
l Cal . p.: 1 :eJ % � i?
Plan review (25% of permit fee)
CB lie.: �J _ State surcharge (8% orpermit fee) 1 5 KO •
TOTAL PERIVaT FiVl'; _36..
Authorized sigtwttyf0-- 2Q,r i1„_� TWA permit 0 900 1 401101434 . 07 If a pnrmtr G1 not obmlaea ..1tht„ loo
I PlIIlt aetna: rn • � ` f �'�"�_, eaYe anew ti tau been accepted u aempl�rr..
7 _Alan P Date: f / • eon mnebaA?4aR n
y Ret by Trr_Coanty e.etnc industry Service Board
i• l3andinutPrrm mrd
itaWair..PtAaA — -
44a. t1 (L i'OVCOM/Wbiq
JUN -15-2004 TUE 08:09 TEL: 5038480788 NAME: ALOHA HEATING P.
NOV -2 -2004 16:17 FROM:ALOHA HEATING 5038480788 TO:5035981960 P:2
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CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION Business Line (503) 639 -4171
BUP
Received Date Requested // " I AM PM BUP
Location f �O 76 � - Suite 4 0 W Y i 7�f
Contact Person 1(ff P ( ) PLM
Contractor S
BUILDING Tenant/Owner ELC Zody 00/7/U
Footing ELC
Foundation Access: e' ti h2,
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: ivi Q ( 4 O) , o SIT
Post & Beam _ �1
Shear Anchors ? . t; k -.�G e–Z �— L----
Ext Sheath/Shear
Int Sheath/Shear / (' cr7 /1 , / 74o, Air K f
Framing mi l/
Insulation
Drywall Nailing A (� _ p
Firewall f/ u / G '" // i
Fire Sprinkler
Fire Alarm 14 /1-K = - 'U , Rai/
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 - , FAIL
; nti.
- o . Beam
Rough -In Wfk
Gas Line
Smoke ! ampers
T FAIL
�'
Service
Rough -In
UG/Slab
Low Voltage
rm
❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
`�� ❑ Please call for reinspection RE ❑ Unable to inspect – no access
Fire Supply Line
ADA JI-
Approach/Sidewalk Date ` 0 � O Inspector Ent
Other:
Final DO NOT REMOVE this inspection record m the job site.
PASS PART FAIL