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13059 SW A SCENSiON UR
CITYOF T I GA RD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2004-00426
13125 5W Hall Blvd., Tigard, OR 97223 (503) 6?9-4171 DATE ISSUED: 6/29/2004
PARCEL: 2S 104CB-01800
SITE ADDRESS: 13059 SW ASCENSION DR
SUBDIVISION: HILLSHIR` WOODS ZONING: R-7
BLOCK: LOT: 034 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: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 4- HP:
FURN < 100K BTU: AIR HANDLING UNITS DRYERS:
FURN —100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: In,t,illation ofu/c unit
Owner: _ FEES
LINDA GRIMES Description Date _ Amount
13059 SW ASCENSION DR
TIGARD, OR 97223 I M1�.('f I 1 Pcrmit Fcc 6129/200 $72.50
ITA X18%StatcSurchart 6/29/2004 $5.80
Phone: 503-598-5208 – Total $78.30i
Contractor:
ROTH HEATING & COOLING
P.O. BOX 1265
CANBY, OR 97013 REQUIRED INSPECTIONS
Phone: 503-266-1249 Cooling Unt Insp
Final Inspection
Reg#: LIC 14008
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)246,6M.
Issu By: J4 ' Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
Sent by: ROTH HEATING 503 266 3478; 08/17/0G4� 2:07PM;]BtFu #729;Page 2/3
neeol.voo; ®/25,i08 1C,a2AM; 50350111080 P10T.H H�iaP N go 2
06/28/2002 08:30 FAX 5035081860 ,,,. x, IGARD l I (7� IZO02
Mechanlral e. "tApplicai t n'
Datertwivod: / D Acnetltno.; -qp'
�i of Tigard Proiecon pl.no.: R*re date:
Cltyetfragard Address. 19125 SW Hall Blvd,Tigard,OR 97223 Dateissued: Br' Receiptnc.:
phone, (503)639-4171 --
Fax: (503) 598.1960 Case file no.: Payment type:
d-and use approval' _ Suildinaysrmttnr.,:
`,2','1 &2 family dwelling or accessory C)Commemia)/tndustrial U Multi-family 0 Tenant improvement
0 New construction 9Acldition/altemlinrdmplacemCru U Othcr. _
Job addrrss: __ �tdltrn _ _ indicate equipment quantities in boxcs Wow. Indicate the dollar
Bldg.no.: _ _ suite no.: value of all mechanical materials,equipment,labor,overhead,
Tax m 1:11 lot/account no.: -- profit. Value 9
Let. !;tock: Subdivisiop •See checklist for impotwnt application information and
Pt',jcot namo: jt risdiction's fce schedule for residential mir fee
47it /county:
Description and 166 an of w r on rCtniS s:
F _ A ` d--.n c C_s_Y�. '77'a(Z) Tow
Est date of completion/inspection: -— — - _„ h cr)1ttiou - Qt • Ra.an1 IKes.o
'Tenant improvement or change of use: 4AYCcii-ditio-nin!
tr handpn unit c FM
Is ertisbng space heated or conditionedMR»Yea U No sitePa�anis existing apace insulated? es O No teration o exisef�ViA01or comprrssorr
Business names �,�, ' tbto botlrc pem►it no
�e� 1� HP ,�„ TongATl!/H
Adilmss: smoke air uya ctemolmdatectan
City. state; ZIP-; '� ;Heat�ium(s�itc�tan rc�u rc�-
Phone: Faz: _=y [i-mail; �-�. -- nsistUrep sc�efornacr/burnar= TU/H
CCS na.: _ Including ductwork/vant liner U Yes U No
its I mplic etovLA niers-snspan e ,
City/mean tic.no., / wall.or!toot mounted T
Nmtlo(PIC= t): L� - 1- 9WI77A err oro ,nnc,,ac>aerthan urnrce
Rtbue-tat on:
Abdarptiununits_.__-- _ BTU/H ,
Narita: chillers_, -.-. _ HP _--
Aeas r, -- ---- Com rerrote_ H
wry• I State. 7.1i A liettcevent
Phone: ez F•mail. ryes rsttaust --
Hoodi, y[,s V iTrei�ii 7frt t"azmar
/ hood fire suppression system -
Plttitrle: l 1 ✓�^' I:achausl fart with dngh:duct(bath rant'
M�iine a4dtasa: c - - - susl s SICm s art tioat hcaaun nt AC _
City: - � � Sww 7.I1'. Ilrc p pare as oa(up to autled
Type: 1rPCi ND __ Oil
phone: PUt: I F_-mail Fuel i ins each add aona over —au—re-11
rvc�er ptag achemattcrequ re
Number of outlets
her Uned app iatte/or R-51PRIM,
Address. ^'�� becorativetirr ]are --
Cpm,_; -� &� ail Woo pe cluove - —
Other:
Ap lice»t'9 signaru_re ` T� dam: r� _ Other:
Name --
hmitfee.....................S
50
Nmi.:*:This pattnit Upplidation Minimum Ileo................S _
Expires if aarmit Is not obts:ned man r ,i,w(ng — �) S
within Ito Saye after It has been Sl►te aurehuao(E9E+) ,...$ .
accepted as complete,
woarr�eoravMt
1 '
Sent by: ROTH HEATING 503 266 3478; 06/17/04 2:07PM;j&j&L_#729;P2ge 3/3
PL AV
HDu5E
Fla�a�r
STREC7+ , —
vv
A DR C SS: 5
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
MST
INSPECTION DIVISION Business Lin (503)639-4171
777 BUP _
Receivedi Date Re sted__—_ AM _ PM BUP
Location �U�9 Suite—_ ME ;W��4 �
Contact Person . Ph( ) — — PLM
Contractor__ Ph( ) _ SWR
BUILDING _ TenanUOwneELC
Footing ELC
Foundation Access:
Ftg Drain p �$ ELR --
Cray-1 Drain
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors ---
Ext Sheath/Shear
Int Sheath/Shear t'vv 0-�L LA
Framing - -
Insulation
Drywall Nailing -- —
Firewall
Fire Sprinkler ------ - — —
Fire Alarm
Susp'd Ceiling - ---- -
Roof
Other: -
Final
PASS PART_ FAIL
PLUMBING _.
Post& Beam
Under Slab -
Rough-In
Water Service ---
Sanitary Sewer
Rain Drains �r
Catch Basin/Manhole L 6 �,Q �qfU �1 U�C
Storm Drain - �-== �
Shower Fan - - t'y L - -
Other:
Final
P T FAIL -
_MECHANICAL) -- ----.-.-_-- _-
Rough-In - --- -
Gas Line
Smoke Damp r l� —• - -
Fin
PART FAIL - --
E _
Service
Rough-In Y✓J — •
lt
Low Vo
Low Voltage /✓ __�_�_ ___ __
Fire Alarm
Final_ Reinspection fee of$�_ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
Silly— _ F-] Please call for reinspection RE: Unable to inspect-no access
Fire Supply Line J/f
ADA /I_ - /
Apprnach/Sidewalk.. ��t�+�—���v G -- Inspector
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL