Permit 4
CITY OF TIGARD
MECHANICAL PERMIT
r DEVELOPMENT SERVICES PERMIT #: MEC2004 -00762
- -- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - DATE ISSUED: 11/19/2004
PARCEL: 25111 BC -01100
SITE ADDRESS: 10220 SW VIEW TERR
SUBDIVISION: GREENBRIER ZONING: R -3.5
BLOCK: LOT: 007 JURISDICTION: TIG
CLASS OF WORK: ALT 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: DOMES. INCIN:
LPG 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: 1
Remarks: NO HEAT Oil to gas furnce change.
Owner: FEES
PHILLIPS, LOIS Description Date Amount
10220 SW VIEW TER. [MECH] Permit Fee 11/19/20( $72.50
TIGARD, OR 97224 [TAX] 8% State Surchart 11/19/20( $5.80
Phone: 503 692 - 6089 Total $78.30
Contractor:
MILWAUKIE HEATING & COOLING
9961 A HIGHWAY 212
CLACKAMAS, OR 97015 REQUIRED INSPECTIONS
Phone: 503 Gas Line Insp
Heating Unt Insp
Reg #: LIC 104102 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: 40 Permittee Signature: /77 072 h 4 L-
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
1 , Nov 19 04 08:43a Milwaukie Htg & Clg 503 - 557 -0790 p.l
t 05/31/2001 09 :20 FAX 50 5847297 _ Lity Or l amina y �vvc
C_ \
Mechanical ' . -� .. , 1, - 0.-- A,
,- . 1 ' Y' Datemeelvetik t1 �l ,� �;/� . City of Tigard
a:Ye :arc( Adore= 131 SW Hall Blvd, Ttg TR12004 Date based: B 0 1 R000iptao.:
Phony (503) 639- 4171 Payment type:
Feu (503) 5984960 CITY OF TIGARU Edema;
Land use approval: BUILDING DIVISION sawag Permit nw» rI lit 0-)
71 PE or PERMIT
O Cotomcswa1 0 Mdti- family O Tenant improvement
1 & 2 family dwelling or accessory rxntenl O Other:
O New eonstiucdoo i a
.1 OR 5371: 11FOIi1IAtlON (O\MILR(i 11. 1'ALU.ATION SCHEDL LC
lob address: 0 v s t% barmen optipment quantides in boxes below. Indicate the dollar
S uite no.: value of all me Chanical materials, equipment. labor. overhead.
Bldg. no.: profit. value S -
Tax 1 taccwmr no..
Lot: Stock: Subdivision: , •See checklist for important application information and
Pro - eel name: jurisdiction's fee schedule for residential permit fee.
Q fewer 11111MEW1111111 ZIP; 14. 2 FA D11 [L3.1`G PERMIT FEE SCHEDULE
� � p \D CC)1111ERIC:11..1ND(S Er}l l l':�IC�- , 11'LC
Description and , .. ; , of premises: Fm(em.) Total
s ,r .s. .
FsL date of completioonnspeelion: / / - EBELVIIMI Deamlialste Qty. Res.ealy Ites.ody
■
Tenant imptovemeol ordiange et' usa 1 Airhaa8ingmit CRA
Ls existing space heeled or s l9 Yes O No Mr oaaditiauuE (simples re iced)
is =Laing space insuhted/ es D No I Ahead= of csisd5 HVAC system
ICC:U lCAL CONTRACTOR Bailetleompressors
¢
Busing= Chace: NI i I L.J A. r (P , e A r4 ,� 0,4, 1 HP Tons BTU/11
Addles= 7 R L I H by it z'> Z T^ -�I • F' .y _. City- State O ' 71P. i ❑ .. a-�* ^ .
Pgmae •
Fax -47f d BanaiL ductwork/vent liner eta No
GCS no- j .Q L U Z.- • .m'?. =�f Ins Uapkeehe , • _ _ -- , • "
Qiy /meal tic. no.: 3 A el A G i 0 vrall.arfloorraettated
eat a - than ttRaaae
Natant (please print): �'"-r' v i T -
(0 N I AL 1 i' L R SON Absorptionunirs B77.11ff
Name: kl Chilias _ HP
Addicts: o.r.
- "7"'"rrn - 9'
ZIP:
Scaa=
Qty: Email. ' ■ �_
Miffing address: d - • ' !�C �,' ^- � eo
City: ,itor ,. Stare:G r'' I r,. LPG ' NG Oil 1 .
Phone: ' - : Fat: Email: I rL :i. , .. ..--^= --1 over , .. , _ la
Nof *Weft II.
Nam= I- - listed appliance eremipmess:
Addles= I Decorative -
City: Stage: �: I -tlaac
Phone: 'I Fax: Pauli mmve
Oflua:
AppGoants signer .. ,�. Dose: - / ' -0 payers NM
Dame a>m �aa�. tar aryl btfo6m Permit fee . .. $
0Vit t desks; ld .._.. -.$ �t2.. CO
Oa& e.aa.ats u gG� Plait review (at —'yv) $ O
r r is not obtained
apes Stare =charge (896) S 41
rime at csatstder ..'bow ee coda rya _ aeoeps°d"°°anpkoe TOTAL ....-- __._ -.. :. $ iv- d
L Mount 44D•4617 (61e00t4
(—)
•
CITY OF TIGARD 24 -Hour
BUILDING, . Inspection Line: ,(503) 639 -4175 MST
INSPECTION 'DIVISION Business Line: (503) 639 -4171
// BUP
Received Date Requested / ` — PM BUP
Location -70 7i 2 C� � (ewe -(3 at"i) ; Suite g% A 0 0 ( f — 66 7 e
Contact Person Ph ( _ ) 639 - 1, 6 7 PLM
Contractor Ph ( ; ) SWR
BUILDING Tenant/Owner _ ELC
Footing -
Foundation ' ELC
Ftg Drain Access: 14Z..4 "la I l D 5 ELR
Crawl Drain rft _ - 1
Slab Insp ction Notes: r ,' :. • �� " _ SIT
Post & Beam
Shear Anchors E
Ext Sheath/Shear �E - - .. _ 7 ° . ���
!
Int Sheath/Shear C ii
do Ant-1 Le-Fr 4- a
Framing
• E 5
Insulation
Drywall Nailing - • L A �! L =
FirewalltL _
Fire Sprinkler
Fire Alarm /cm L / / e" zs#
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 - T FAIL
Pos � =eam � "
Rou • h -In j
`r► - mpers
� �
- PART FAIL
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: J 111 Unable to inspect — no access
Fire Supply Line _
J/7 2-0
Approach/Sidewalk Date Inspector — Ext
Other:
Final DO NOT RE OVE this inspection record fro the job site.
PASS PART FAIL