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Permit CITY TIGARD MECHANICAL PERMIT ��� DEVELOPMENT SERVICES PERMIT #: MEC2003 -00414 ' � Jil 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/25/03 PARCEL: 1 S134CC -04500 SITE ADDRESS: 12405 SW WINTERLAKE DR SUBDIVISION: CAPSTONE ZONING: R -4.5 BLOCK: LOT: 012 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: 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: 0 > 10000 cfm: GAS OUTLETS: Remarks: Install exterior A/C unit. Do not place within the required setbacks Owner: FEES SAMPLE, KATHI A Description Date Amount 12405 SW WINTERLAKE DR [MECH] Permit Fee 7/25/03 $72.50 TIGARD, OR 97223 [TAX] 8% StateTax 7/25/03 $5.80 Phone: Total $78.30 Contractor: TRI -TECH HEATING 6603 NE 137TH AVE VANCOUVER, WA 98682 REQUIRED INSPECTIONS Phone: 360 - 891 - 2002 Final Inspection Reg #: LIC 101873 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- ou may obtain copies of these rules or direct questions to OUNC by calling (503) 6 -6699. Issue By: ;'.�.�� ; � Permittee Signature: ;_i/ all (5 ' ) 639 -4175 by 7:00 P.M. for inspections needed the ne t business day OS/28/2001 10:69 FAX 5036981960 CITY OF TIGARA ?j001 mechani - o , . . . 111 ‘.;.: .,!...,, lio ' 1 1 I , V! I I On . . ' :I , f , Q� (* 41,,1 � , �. . • Pyq l Windex Address- SW Natniv ', t. '' ' Date i s not By Bees ipt no.: �Y no= (503) 6394171 .(O ® \\P Fax: ( ) 999 4960 CA ` Case e$1ono; Land use approval __ _ _ _ aaildhigpeamtt on: Ti;,'r►_ QV' 'F':z:. Vii;, t I & 2 family dwelling or occesso y 0 Contmeredebgndustrial 0 Multkamily 0 Tent improvement O dots A ,Additionlaltexatiorn/mpbmemsnt CI Over. e s. S : . ,: 11 A ; :I 1l\ , l.4iyq a't�r1 7:iG,. V.% ii..q.:1 L'‘: .S(1.1 ?;l,t''n r Or=11111KM,91101PMErattnagnin Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: Suite no.: value of all mechanical materials, equipment. labor, overhead. 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Name ,.,•,, trtr0Tata="IIIIIIII MN • mrmiamem =et uedu�. wee a � Mat Nob% p MiO7ts = ibe...,..... —•$ f oYma o atagatarn toegit<es en Penult is aicabtaeea Plea tram/ (at i $ asmosfod - within. 180 &el sBeit Mabeau same surc gyp $ WSC WNW acmebaxeerca akMetoepttedas oe>u+ to -- i aoe • Ox �' 14°18111 e7046171WI1MOM • JUL-17=4,7 FROM:Jerrs Rasmussen 800 - 903 -2487 TO:Tri Tech P:2'5 ,4 4(km Q P' I ).'Y.of sej LAA1Kk. i4 Po. o ,a)1 ^113 1 t f' Ito 1 r)(2 1 1 l i ctliy-cliz. t CITY OF TIGARD 24 -Hour BUILDING , Inspection Line: ( :9-4175 MST • f INSPECTION DIVISION Business Line: : 0 ' • •-4171 BUP Received Date Requested 7 — 1 AM PM 1 17 BUP a Location j a i/C s (� - QA Suite i - ) 3 v `1/ Contact Person Ph ( ) PLM Contractor ' S 1 �l9 Ph ( ) SWR I BUILDING Tenant/Owner . J `� ELC 1 A Footing 5- A `i - ° f ( .” ELC Foundation Access: Ftg Drain wi �.�! ELR Crawl Drain - Slab Inspection Notes: SIT Post & Beam Shear Anchors /ta4 /I / - 3 — Ext Sheath/Shear �� Int Sheath/Shear 6(___E- - � n /d� L e�� /,lam 7 Framing " 1 -�-P`f '17� ! G Insulation �_ P • KI --/z- l� Drywall Nailing 1\ `�-� Firewall DX © N' f/,7� � / Fire Sprinkler Ems( Fire Alarm M k-i FuS Og C B K <- Susp'd Ceiling _ Roof ill N IuM / , L/ Other: PART FAIL • - I NG Post & Beam Under Slab Rough -In Water Service ,',Th Sanitary Sewer ( /I , Rain Drains ^ -) Catch Basin / Manhole ] r Storm Drain � i P Shower Pan - i -� Other: Final , PASS PART FAIL " j MECHANICAL Post & Beam Rough -In It ' G' Gas Line Smoke Dampers - - = • PART FAIL TRICAL 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 0 Please call for reinspection RE: III Unable to inspect - no access Fire Supply Line ADA 5 / /�j� Approach/Sidewalk Date ` `' Inspector C/ — Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL