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13750 SW 122'11)AVE
CITYOF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2004-00332
13125 SW Hall Blvd., Tioard, OR 97223 (503) 639-4171 UATF ISSUED: 6/3/2004
PARCEL: 2S 103CC-09000
SITE ADDRESS: 13750 SW 122ND AVE
SUBDIVISION: WHIS-i LF_R'S WALK ZONING: R-4.5
BLOCK; LOT: 0,'-' JURISDICTION: 'TIG
CLASS OF WORK: OTR FLOOR FUR'y: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERSICOMPRES_SORS 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 -1- HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING_ UNITS OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Install AC Unit
Owner: _ FEES
ANDREW SCHMITT Description Date Amount
13750 SW 122ND [MECH] Permit Fec 6/3/2004 $72.50
TIGARD, OR 97223 [TAX]8No State Surchart 6/3/2004 $5.80
Total 778.30
Phone: — --- —
Contractor:
ABLE HEATING &COOLING INC
12420 SW SUMMERCREST DR
TIGARD, OR 97223 REQUIRED INSPECTIONS
Phone: 503-579-2250 Mt iianical Insp
Final Inspection
Reg 0: LIC 108535
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-)01-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calli•,g
(503!246-6699.
Issued By: = .s�..�. fi2 Permittee Signature: /T-)L a�&4 l' —
CMI (503) 639-4175 by 7:00 P.M. for inspections needed !hp next business day
L
J11r1-01 -04 09 . 02A ABLE HEATING & COOLING 503-579-9104
I' . O1
Mechanical Permit Application,
Pcl
D;ICISLU
roeeived mit not11 E� 2 o eY
City of Tigard ?004 Iqrr do rc.
-vo z
Addres+ 1 1125 SW Hnll Blvd, 1'i�arr; Ort t7-1� p . .r�uvr�(Ti�urd flns• (SU i; h;1PAI'll badf: 7--------
Fax,
Fax (1,03) ;4K 1W10 ' } vi i t :Jr i r aAHU rjY: ltccalplrw.:
'UII_GING r-i1VISIO Casefilcno. Paymenttypr:
1,31111 use :It,prr��,tl' �`_� Buildinglxrmitnu. -_-
-�i
1 Rc 2 family dwelling or ucccilsory ❑CommerciavinduAriel +
�❑ Cw construction U Multi-family U Tenant improvnntertt
❑Additioo/altetatioNroplaecment U Other
Job address: s,s _Z
ty nicslc atuiprnrnl quan:ilics iI
Bldg no.; -- Id —'---Mtxrs 1leluw. Indicate die dollar
�'. Suite flu•: valor nl all nu 0hnnic'al materials,erpaiPRu'nt.labor,uverluud.
Tax map/tux IuVaccuunt nv. _ --. -'---_.� --_--
Lot: Block: Subdivision: �^ `Sve checklist for important upplicatinn infnrmatirin
Project ojeflume: - - jurisdictinn's fee schet' do for residential and rmit frr,
City/county: ZIP:
Uess:Aptlon and Irlcatlon,ir work oAy�lfmises:
Fat,date of completiun/insltertlnn: -- rRe...
TTenant intpmvement or chungu o)use: ..lx e,l►sling space heated or conditioned'O Yee O No Air handlInnBUnit _ CPM
Ir;existing space imulalcd?U Yea U No Arrcnndulunin (sitean re uired) - - -
Atcrationofelistng nZ'syalcm - (-- -
oiler/cnmpressots -
Business nm!
. Stele toiler permil no
Addrrs : , ) ) —_ HP Ions DTl]/H
► -- Fre/smu edam ere' ucl,mv o electors
Cil tt.� y-- _ _
ZIP; eat�rumr(x tr plan ralut-
Phone: �t c7LV -maU Instauncpinre furnace/buiner- / --
C�CB no.- Q - / -- Inclurhn duclwork/vcnt liner U Ye,U No
Cit hnetm C.nn.- - natall/replace/rolucatche�tcn-atispen -
`. f
Narnr 1ldra5i -- -- _ wall.or floor mtruntcd
xn, ) tMt Cor lurrce -
of crl an furnace
Arasnrptinn units DTII/H
Nar1tc: - td�' "� ChillerR _ -
IIP
Address: t'o ors NP
Ch , Stat IP; Eisv is rxluust ' real oa:
Rtu .ru (_ A lisnevvcnl
�_ Fax: E-mail.
DryCtcxh4u.,vt — -
uod,, fd kl'tche rrrnsl --" -
Narltc• hood fire suppresainn sy,tem _
- -
Mallin address - - Gxluusl fan With li ftle duct(bath fans)
�._ �----'- - -"` — x uup�i�em,psn frvnn!rats-ria cx At.' --'
City: _ _tate: �Zlp a o out cls)
Phone: },., E-mail: iT-r —'I'�' NG CHI
, nk'—;"Toh atWrttpn over out
ptocca, W-8 f sc mane required 1
Nom' Number of outiv a
Address: _ of e. eT p q vm
- _�_ rkcontiv�nI�ce_
_ talc: TzIP: _ An-ft-n-type --
trail. �at3Ms >Cv�iTrtaOove ---
A liran_t'_s si O �; —
Name ( nt
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Mt1 sn�raliuuna twia fanM rkar tall Iw+uar+isra M mart 1Momuela �.., l'cfnllt fee..., .. -—.s
U'Asa U MsrIOCwd Notice: Ibis perr„if applicafirnl
r n m rad r,w,Ya: expire,if a Minimum fee . ............$
---•• Ixrmd u not nhlainnl --- -----
---- FspZnn/ within 1110 days sfler ii has IKcn Plan revtcw(al
r es c scempted as t,omplete State eutdrarse(8%)....S -
1. Ari TOTAL. •......................s
444461716MWUM1
Jun-01 -04 09: 02A ABLE HEATING & COOLING 503-579-9104 P_O2
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CITY OF TIGARD 24-Hour
BUILDING Inspection I ine: (5030) 639--3175
MST
INSPECTION DIVISION Business Line: (503)i'39-4171 BLIP
Received _ __ Date Requested_._ AM— —PM_ _ BUP
Location
375-0 /: �.
Contact Person � y Ph(_ ) PLM
Contractor RPh( } ) SWR _ 1 _
BUILDING TenanU'Owner - �1'll -� �'YLL ELC /y WI-C
Footing �— ( v ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain - SIT
Slab Inspection Notes:
Post&Beam --
Shear Anchors
Ext Sheath/Shear --- --- -
Int Sheath/Shear
Framing
Insulation
Drywall Nailing - — — -
Firewall
Fina 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 - -- —
Catch Basin/Manhole _
Storm Drain -
Shower Pen
Other:
Final J -
PASS PART FAIL
MECHANICAL
Fost&Beam
Rough-In ----
Gas Line
Smoke Dampers
SPA - PART FAIL
LECTRICAL
Service
Rough-In
UG/Slab
Low Voltage
Fire Alarrn
Final F] Reinspection fee of __ _ required before next inspection. Pay at Gity Hall, 13125 SW HH!i R!vi1
PASS PART FAIL
SITE __ _ Please call for reinspection RE: �— Unable to insp„ r
Fire Supplyare l r
ADA Ext
Appmech/Sidewelk Dolle - 7¢ -�'7-___. Inspector ,'___��_.___`'
Other _
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL