Case File .wo.r.+..u+.w.w�.............�.�........�........�......_.....,...... .�,..................w...�.w.+,.__.._..__. ...w........�......o....Y....�.rw.�,..■«»w...M.a.aMH.n...�..�.ra�.�.ww.�.«r,..�w■.�aww.ww.��.dYMswe:��e'
12144 SW Anton Drive
CITY OF
TIGA R D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#. MEC2.002-00330
I— 131-'-o SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/26102
PARCEL: 1 S134CB-18500
SIVE ADDRESS: 12144 SW ANTON DR
SUBDIVISION: ANTON PARK N7, 2 ZONING: R-7
BLOCK: LOT: 112 JURISDICT'ON: TIG
;LASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY :SRP: VENTS W10 APPL: VEN i SYSTEMS:
STORIES: BOILERS/COMPRESSORS _ HOODS:
FUEL TYPES _ 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: C:OMML. INCIN:
MAX INPUT: BTU 15 -30 HP: REPAIR UNITS:
FIRE DA'AP1:RS?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50+ HP:
CLO DRYERS:
FURN < 100K BTU: _ AIR HAND! INC UNIT:;
OTHER UNITS: 1
FURN >=100K BTU: <= 10000 cfm:
> 10000 cfm:
GAS OUTLETS:
Remarks: Exterior A/C unit. Do not place within the required setbacks
Owner: FEES
TODD, STEPHEN J + TAMMY D Type By Date Amount Receipt
12144 SVA' ANTON DR PRMT CTR 7/26/02 $72.50 272002000C
TIGARD, OR 97223 5PCT CTR 7/:9/02 $5.80 272002000C
Phone:503-524-8419 -- Total $78.30-- --- --
Contractor:
AAA HEATING + COOLING
2915 NE PAARTIN LUTHER KING PLV
PORTLAND, OR 97212 REQUIREL INSPECTIONS _- _
Final Inspection
Poione:284-2173
Reg #:LIC 222
This permit is issued suhject 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
952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling
Issue By: _ c�'?'YL Perrmttee Signature , -
Call (503) 9-41755 by 7.00 P.M. for inspections needed th�uniness day
'yWiSmtlJiY•.n,.a.Ma..vw wW.Wa'YuryWliww.cY.YM1wYaJwa.e..aW..{eM.YW WI.Y.WWeiu•' .• •MwM.1+w.W.iw....wuw.•a.wwbwv..awuu..M'ua..a-.
4:2001 12:00 FAX $09$$81960 CITY OF TIGARD 4�iun2
- -- XVlec�ha�atica-�--I'`—crx�i���t►�,�li�r��ia�o
/ �CiQyof '�t►u'r�e�rea_ r +tt_:i►tFi�q� o
l lrynjllgant Addrratr: I,))2;SW,}loll Bjvd -n ' Prajaet/app).no.:4 rwis Expiredaae
Phone: (303) 639-0.171JU 2 2�n, Urue is
Fr --- .` Dy:
FILA: (503)SyH-160 1. l!
Case file Ito- Payrocor qpe;
Land use approval: Ua� 0�1►ei
ng pecrrtdr no
R! tilarily dwcUng vt accfsLIM,111
sory J(:omrnerctaVir,du utial
Ci Vrw cnrshuctiiup ❑Mtfntnily ❑ TcmwtimprTwenirnt
Cl Additionlaltr_ra'itta/eep]gcement U fhberhcr. _ __
Job address: 1 L - --
• •- Indirate the dollar
Bids.no.: . - �iCl� ndivam epipmerlt quaadi]C8 ir.t)xe9 below.
- obla- T^rSnite uo.: ValaP of all mechnuical rule.renis,egtripment,IaLror.overhm),
Tax mapJtax I.pt/acct>ttnt aa: � —.""'—__._.
[nnr:t.Volta
_Lot: Block ---
��eex banes' Subdivision: _ •See chcckllst frx impotta„t appli,jadon info mattoa and
caft
�, urisdicdon'o text scheduic fu
r resirLentfal t[lbel.
Tloserrpt to read Wend= v��
BsL da►t of t om�dNistion/lnapccclon: _ PWOL) TaW
Tenant tmpuw-me nt ar chau,gc of uae: -`� -_. mss.
r+ala: i,Am apace heated or oondltione:d?-4 Yes U No �Airhstaordno�icuaa.►tnt CpAconu "Is ey ;.aiCr insuated? Yes O No a
.__
a� C:sYAtem
��r/�atnprasxir:
_Susirms sartl4: T i-- X>(T" ;hate holier ptainit no.:ArldtxBus: 2 /• L ( U - '_ Tons BTM
Ci ♦ '1`(.jg - Stute:brL ZIP _�'�� oa-- a
Plxme• e1�st�rrmp atop eit -'
F i S�tnW: -Inettsallllilrep ace e
CCB lt,�-: 7 - - locludi dtwmcn /vent llnct O Yam O No
fS�ted�o lie:.ao.: '-- ---•----•._..-.-- Tne`talll"' rar7elocate,Teirani-�rrypen""�aa _
w'
�� dei[): e[i,or flu-ruuunted
rcT! vr,.t r app ai cc ot,►er an
-- .�.�..
Namo. Abdo;ptlonunim _ 13TU/H
Jldtireas:
L7DrL'i6Ur6 ._. LSP
City: Stair.: �� "- tnuonaretata arc rid o�
Phone: Fru: E• ---.-. ..-- Applinnoovent
t5ry"-er exTiuiee -
LLN°ods'Typc PT1%r-ft-111c&IMEarntat
hood f un suuppresaloa"yamMtlili odder: gahauat tan with single duce(barb tone)
( Ll tv` l� u uIn sp ut Prow a --
1 R:7 3tate:�l2 ZIP � t i- ep to of
,VG
T�y'a_ LM -_ voiawT-' rl 00
o -
K`.:Ng(sc mnN. req )
Nom'_ Numbp of outlets
or
Cih ___-- l rrntNve Ise)c
-
eylrc
Ph Fax frtrtaltL.t` - 'Wf;r�r seo" ---
Appllemnes si aquas • Uste: "Uit- _r.
Not&H ynA.dbdore.r p.y.dlt QW.P%.� judedkute-
CI viu ]MaatclCud � NoUc4 Tltia pamtit application Pmu*fee.... S
eea:�o.a,mmwr _ expircr If a permit is not obrni,ed .............S Minfrnturt fa0...
Finn review
t mtn within t 80 days a wr it hrt_c been (at
Nan-to rn as cad accepted asoctmpitte. State surCfierBe($dol ....S ��r
............. ......$ _
auaen CaNt>reatin
A.�A Heating and Coaling air Conditioninq Site Plan --{
customer
Address /2-1 �+� S!la,' City
u
EXPIRED
E m
8{
m
v nB
d v a
(D ro'
rn
N
C
amr
Qr
Z sr2)o
O O Ot O`Mi 01Mf T Ot Q CD O) 0) � OM7 � � OMi QMj M M
r O O O O iN r �i c�+ 4 C% O O � c?S c3
a a N a a � u a a a a r;
8i ►- t h h N m N cn v7 N h �- a rn w (n v1
J J J J w w w w x ww J J J w (Y CC m (Y T S J J
m m m m U' U' 0 2 S 2 m m h U tr -t Z Z
O
Ci
Z
T"
(n (n N fn (n (n N o cn U7 U) 0 (n O In N (n U
(n (n :n (n a a a (n U) (n cn (n °- (n (n z 0 z (n v w z
N d d d d cL a O. k d d d d d d w a w d d d w
o a n. a s d n. a a a s a a a a a a a a a
CSI
CA a.
F„„cn
(0
J JF h N O7 (n N N N h (-. J cn "% (n CG (n CQ J
'O
c O
v 07 O
�h
Q C7l
(Q �
U c' ON1 QNB O) T OM7 cl) OMi OMi Orli CM7t M Q� O�Mf T cM7� t��? OMi OMi OMi a
Qr M M r r
u� iA v55 �?S R3 jZ
N Oi
m M
n 7
r
IL1
d s
d a
M
CL
cl
o a
v� a a n c rn a uai
rci �i prn p c vn c IL c_ c
'E clc C (� C Y Y
q. O 7 N (V C IDEEwo F- Ot w O - C C F 11 D N C
u f3 f3 ° o° (� a C .° c _� '� 'u m c a a N LL u
(A d O ca m ° o ani (Np H 7 _ Cn} ( as
0 R d U LL a a R LL (1 m LL Q U Q
Nr o O O in o r O (� u) Ln pp Ln u, pO n n (v Ln o Ln
CV O O n O N N N M d %r V) c0 m O)
U O N O O r` t` r` f` r` t` t- t` ti P. h r r-
d d d d d d d d d d d d d d d d Q Q Q Q Q Q Q d c
h h F- F h F• h h h h f- h F F- h h h !- h h h F-
V)
N (n w w w N w w w w (n w (n cn cn (n (n cn (n WOW m N
J
0
rn
� r r
J J J J =
CLl m m m �
7
9�
O W
=J
O
u u) U)
N c a a s
CD
V 45 a
as
:r
v
Q r 04
a
0
w €
CL
S
Ti ° v a M
a LL
a = ' S
N a v % 6 cI
r N
O Q QQ
Q n N ii) tin 04
en
I
CITY OF T10A RD �
WYoFnFARD
COMMUNITY DEVELOPMENT DEPARTMENT 00e00a�I MASTER PERMIT'
13125 sw wai MA. P.O.Fla#23197,rgw;;,Orrgcn4"M (sap)&1"175 PERMIT #. . . . . . . :
639--41 i 1 DATE ISSUED: 02/2:3/93
SITE ADDRESS. . . a 12144 SW ANTON DR PARCEL: 1 S 134C:B-AN 1 12
SUBDIVISION. . . . a ANTON PARK #2 ZONING:
BLOCK. . . . . . . . . . a l_OT. . . . . . . . . . . . . : 112
____________. _______._._____---_._._._-•--
BUILDING
REISSUE: DWELLING UIV I TS• 1 BASEMENT. . . . . . . . 10 s f
CLASS OF WORK. :NEW BEDRMSa3 BATHSa3 GARAGE. . . . . . . . . . :410 sf
TYPE OF USE. . . :SF FLOOR F(REAS--____._____ REI..0 I RED SETBACKS--•------•----
TYPE OF CONST. .-5N FIRS'T. . . . 1847 sf LEFT. . : 10 ft RIGHI. :6 ft
OCCUPANCY GRP. :R3 SECOND. . . - 730 sf` FROIVT. a2O ft REAR. . :30 ft
STORIES. . . . . . . :c TH I RD. . . . o0 s f
HEIGHT. . . . . . . . :24 ft TOTAL-------: 1577 sf SMOKE DETE.CTORS. aY
FLOOR LOAD. . . . :40 psf VAL.UE. . . . . $ : 79922 PARKING SPACES. . -. 1
Remarksa PATH I
------------------------------------ PLUMBING ____-_____-__-----___-__-_.-_.__---_.-- -
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :0
LAVATORIES. . . . . P4 WATER HEATERS. . . a1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . e2 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0
WATER CLOSETS. . s3 SEWER LINE (ft) . :0 GRiyASE TRAVIS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE (ft) . s 100 OTHER F=IXTURES. . . . . .1.)
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . sO
WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1.
MECHANICAL ------------------------------------ FEELS - --- -
FUEL TYPES- ---- ----- UNIT HTRS. . :O type amount by date r•ecpt
/GAS/ / / VENTS . . . . . :0 TIF $ 1460. 00 JH 02/23/93 -
MAX INPUT sO BTU VENT FANS. . :I+ BPRT $ 373. 00 JH 02/23/93 -
FURN ( 1O0K . - I HOODS. . . . . . : 1 BF'1I-.0 $ 242. 45 ,JL.H 12/16/92 92-234 (
FURN )-100K . . :0 WOODSTOVES. :0 85PC $ 18. 65 JH 02/2:3/93 -
FLOOR FURN. . . , a0 CLO DRYERS. .- 1 SSDC $ 280. O0 JH 0,:/2:3/93 -
BOIL/CMP ( 3HPiO OTHER UNITS: 1 PARK $ 500. 00 JH 02/23/93
GAS OUTLET'S: 1 MPRT $ 43. 50 JH 02/23/93 -
Owner,: - -__._______._--.--_____________._.__..--•MPEG $ 10. OB JH 02/23/93 -
FOUR D CONSTRUCTION M5PC $ 2. 18 JH 02/23/93 -
P O BOX 1577 PPRT $ 140. 00 JH 02/23/9-7
'SPC: $ 7. 00 JH 0.2/23 '93 -
BEAVERTON OR 97075
Phone #1: 641--0935
Contractors -----___--._---------_-.
FOUR D CONSTRUCTION
PO BOX 1577
BEAVERTON OR 97075
Phone ##a 641-0935
Reg #. . : 71037
$ .3077. 66 TOTAL
This permit is issued subject to the regulations contained :n the -- ----- REQUIRED INSPECTIONS -- -
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fireplace Insp
applicable laws. All work will be done in accordance with approved Post/Beam Struct Vas Line Insp
plans. ih(s persit will expire if work is not started within 188 Post/Beam Irlechan Insulation Insp
days of issuance, or if work is suspend for sore an 1 8 da Plm/undslab Insp Gyp Board Insp
�LM/Underf'_ or- F(atn drain Insp
F'r,r mil l ee 5iynatuv-e: _• echanical Insp Wa et- Line Insp
Plumb Top Out Appr/Sdwll( Insp
Issued IIS :� Framing Insp MechaTrir_al Final
Call for inspection - 6.�,9-4175
CITYOFTIGARDSEWER CONNECTION
PERMIT
COMMUNITY DEVELOPME14T DEPARTMENT
3126 SW wiawd. P.o.swra3g7,n9■id,a-err_97223(603)630-4175
orteceo++ PERMIT #. . . . . . . a SWFi92- 4�Zr�1
—DATE ISSUED: 0/23/93
L-jI-f E. ADDRESS. . . : 12144 SW ANTON DR PARCLL: iS134GO--AES112
SUFIDIVISICIN. . . . a ANTON PARK #2 ZONING:
BLOC;K. . . . . . . . . . : LOT. . . . . . . . . . . . . . l i..:'
TENANT NAME. . . . . :
FIXTURE UNITS. . . :
USANU. . . . . . .
CLASS OF WORT•(. • . NEWI)WE:LI_I Nfi UN I T'.�'. . : 1
'TYPE. OF USE. . • • • :5'- NO. OF SU I LD I NGS a 1
INS'T ALL TYPE. . . . :BLP_,WH
IMPERV SURFACE. . a : 5f
Rem;-Arks : PATH 1
-- __- FEES -----------------
F-OUR D CONSTRUCTION type amor-111b by elate rec_pt
P O LOX 1577 PRMT f 2100. 00 JH 02/23/93 -
INGP $ 35- VIO JH 02/23/93 -
BE,AVERTON OR 9.7075
4-'tr cr n cj #: 641-0935
Lontr•actor:
C ONl RACTOR NITT ON FILE
3 21-%F Q10 TOTAL_
Reg #. . : REUUIRED INSPECT IONS -- -
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. TI!e permit expires 190 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not ',,arantee the accur•ar.y of the
side rawer llIf the sew,) is not located at the measurement
installer
given, the installee r Shall prosaect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" permit and the Agency will install a lateral.
F'er mit tee 51ynaL1-rr•e :
Lail for i.nspert i on 639-41-75
i
Ca �.a3"7 070
/i
C111'r
r �3�zs sw Esau uwd. Pl-NCX RCCT # �� - 2 1' 7Z Or TIGAIz �
COAiN1UNIiY 1)EVEI.()PMENT I)( PARTME:NT 71gard,Orcgon97223 PERMIT # 177-51Jrz- v 3
(503)639-4171 DATE ISSUED
JOB ADDRESS: � ._S�i' ��n�t� -- --- TAX MAP/LOT ./S/ 3q C,13
SUB: r' _pal �1�L � LOT: //�_--�- LAND USE.:
VALUATION:
OWNER SPECIAL NOTES
NAME: .
_
GoNST�..Uc7'loN REISSUE OF:
ADDRESS: �'-"� O. �-J� 1 S '7 7 LAST REISSUE: - —
_-- -----eD—tea E- c? 207S FLOOD PLAIN/
PHONI : `�✓� <'� y 3 SENSITIVE L;N'D:
CONTRACTOR APPROVALS REQUIRED Sub 9l-e ee8
NAME: PLANNING: 0/c -
ADDRESS:
— ---
ADDRESS: _ ENGINEERING:
FIRE DEPT:
PHONE: OTHER: -r1
CONTR. BOARD EXP DATE:
� ITEMS REQUIkEQ
SUBCONTRACTORS: PLUMB:
C? .� �L U.Mfg/N C� LIST/SUBCONTRACT URS:
MECH: /v4;FVr'/J CV BUS TAX:
ARCH ENGINEER, CALCULATIONS:
NAME: �L¢��.� X14-c:a+ro>/ TRUSS DETAILS: -- ---
ADDRESS: /��/S ^/, GJ . �L3 iz rJ OT HER: --
- �hTc.AN7.2— D
PHONE: 2 2 S- �?/(, f -
PROPOSED BLDG. USE: `,`S 6,c C _ ��r L — ��i,C, el,
COMMENTS:
APPLICANT ; 89ATURE
iZece i ved ny Date Received: �� c
- -_
1 _
PERMIT # ACCT # DESCP.IPTION AMOUNT AMOUNT PD. BAL. DUE
/mf4t•o3Lr! 10-432 00 Building Permit Fees ------
10-431 00 Plumbing Permit fees
10 431 01 Mechanical Permit Fees
—^ 10-230 01 State Building Tax. (5"/) Z --g
Building 16"&i l
Plumbing 7 U /
Mechanical
10-433 3 00 Plans Check Fee
Building alit, Llj /
Plumbing
Mechanical
10-230 OG Fire -
i
Sr,li91 � I�u 30-202 00 Sewer Connection alou _/ i p0
30-444 00 Sewer Inspection 3 ) .5-5-
25-448-02 Commercial TIF Fees _ -
25-448--04 Industrial TIF Fees --
25-448-06 Institutional TIF Fees __ — -
25-448-03 Office TIF Fees —
25-448-01 Residential Traffic Fees 35c,/ 135a
25-448-05 Mass Transit TIF Fees __1 ��' _'/ He -
52--449 00 Parks System Dev Charge (PJC)
31-450 00 Storm Drainage Syst Oev Chrg
(SSDC) _ — ��u----
24-445-01 Water Qiality (Fee in lieu of) _
24-445-02 Water Quantity (Fee in lieu of) _
TOTAL ��l2 �_ --'�� (2• (,
nm/3587P.WPF