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13595 5W 124TH AVE
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11495 SW 124"' AVE
CITY
OF TIGARD ___-MECHANtCALPERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2004-00251
DATE ISSUED: 5/7!2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S103CC-05700
SITE ADDRESS: 13595 SW 124TH AVE
SUBDIVISION: WHISTLER'S WALK ZONING: R 4.5
BLOCK: LOT: 004 JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVA? COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BU.-ERS/COMPRESSORS HOODS:
FUEL TYPES — 0 - 3 HP: 1 DOMES. INCIN:
F T F 3 - '15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WUODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING_ U,JITS OTHER UNITS:
FURN >=100K BTU: <= 10000 cfrn: GAS OUTLETS:
> 10000 cfm:
Remarks: AC install. _
Owner: —_---— -------- FEES
RICHIE, CHRISTINE Description Date — Amount
13595 SW '24TH AVE. [MECH] 1'ermit Fcc 5/712004 572.50
TIGARD, CR 97224 [TAX]M State Surcharl 5/7!2004 55.80
Total' $78.30_
Phono: 503-579-0620
Contractor:
THERMAL FL O
14x65 SW 74TH AVE.#190 REQUIRED INSPECTIONS
TIGARD, OR 97224 _ ---
Cooling Unt Insp
Phone: '•03-670-8383 Final Inspection
Rag #: I_IC 151847
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)246-66W
r �
Issued By: ��+ � Permittee Signature:
Call (503) 639-4175 by 7.00 P.M. for inspections needed the next bt,giness day
oil I
Mechanical Permit APplir:lt�i°�EIVL
City of Tigard l
te/By: v !"milli�6L�E ��
1312,;SW Marl Blvd.,Tigard,OR 97223 Plan RevieZ other Pearn
Phone: 503.639 4171 Fax: 503.598.1960 MAY 7 Date/By:
inspection Line: 503.639.4175 Date Reedy%By: 1 + See Pane 2 for
S
Internet: www.ci.tigard.or.us Notified'Method: Supplemental Information
CITY�O}F TIGARD — ——
TYPE OF WOIt� COMMERCIAL FEE* SCFIEDULE - USE CHECKLIST
Mechanical permit fees'are based on the value of the work
❑New construction ❑Addition/alteration/replacemult performed.indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other- _ mechanical materials c ui mart,Tabor,overhead,and profit.
_ - Value:S —
CATEGORY OF CONSTRUCTION RESIDENTIAL EQI1tPMENT/SYSTEMS FEE"
❑ I-and 2-family dwelling ❑Commercial/industrial ❑Accessary building
For special information use checklist.
❑ Multi-family ❑ Master builder ❑Other: Description Qty. Fa. total
JOB SITE INFORMATION AND LOCATION Hearin coolfn
-�---� Air conditioning or heat pump 14A0
Job site address: / 3 � Sl t• / ';;i-yy 11) fit •� uirea afte Dian ahowirta placement)
City/stahl2[P: CI cv-j -_' Furnace 100,000 BTU TU(ducts ,vent 14.00
Ti. -
Furnace 100 000+B (ducrawnta 17.90
Suite/bld!;./apt.no.: Project name: Gas heat pump 14.00
Cross street/directions to job site: Duct work -_ 14.00
H drone hot waters system 14.01 _
Residential boiler(radiator or
h drone) 14.00
Unit heaters(fuel-type,not electric),
in-well in-duct St.spended,etc. 10.00
-- Fluelvent for any of above 10.00
Subdivision: Lot no.: __ _ Other: 10.00
Tax mapiparcel no.: !— Uther fuel appliances__�_ _
DESCRIPTION OF WORK Water heater 10.00
--_-- ----- Gas fireplace
10.00
Flue vent for water heater or sal
_� ✓ it ace 10.00
l
Ug lighter gLks)- 10.00
- -- Wood/pellet stove 10.00
- _ - Wood fireolace/insert 10.00
Chimney 1iner/flua'vent 10.00
Qf PROPERTY OWNF'A —�! ❑ TENANT Other. _ 10.00
Name: (f f l l 1•�� 1 L 1�, k;�c 1 �__ -__ Environmental exhaust and ventilation
Range hood/other kitchen
Address: 15- ��LU l 2 y �'r �^e _ equipment 10.00
r _ Clothes dryer exhaust 10.00
City/Slate/ZIP: T, r Cd IZ- 1 ) y —
--- Single-duct exhaust(bathrooms,
Phone:1�/ 1 1 C`C' (` Fax:( ) toilet com�ertmenta unlit rooms 680
[3h
APPLICANT 4WXONTACI PER-ION A er. wisoace fans _ 10.00
Other: 10.00
Business name: I /) 1Q /� �_-_ Fuel 1p�sinz _
Contact name. l �tiy.I a t� k(p --- — S5.40 for Ont tour $LOP for each additional
Furnace etc.
Address: ' jI.L ]CA411 41 /'ID Gashea:pump -
City/5tate/ZIP�� WelVsua dod/unit hater —
Phone:(5VS ) 7 C J 2 `Cf � .1 - �- ---
Water Fireceater
E-mail: -Range
CONTRACTOR Barbecue
_ Clothes dryer
Business nameTI >� l Other. r
Address: — y; j ^__ _ MECHANICAL PERMIT FEES'
Subtotal
Ciry-State ZIP: Minimum permit fee(572.50) 7
Phone:( ) Fax.1 1 Plan review(25%of permit feel
CCB Itc.: State surcharge 0%of permit feel
TOTAL PERMIT FEE
—i-his permit appi1cs ion expires,if a permit is not ohtalned within 190
Authon7ed signature: +"41t. �.l c" days after it has been accepted as complete.
Pnnt name: �13 � tate: r(� n yr� � tee tmtlxd.doRr set by Tn{-iwnry Building Indu+rn Scnrce rinard
twrw.y Persona WT-asmsAM dw t:o+ 440-MI't I 1102 CO%t%780
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CITY OF TIC ARD 24-Hour
BUILDING Inspection Line: (503) 639-4175
INSPECTION DIVISION Business Line: (503) 639-4171 MST
BUP
Received _____ Date Requested 7 APv1 ___._ _ PM ___. BUP
Location -- J f�5_----t` 1C.�- Suite - — -__- Ec
Contact Person —__ Ph(_ ) — PLM
Contractor— ----- Ph(—) 70 Y3q3 SWR _ -
BUILDING _ Tenant/Owner _ _ ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear `n^
Framing ���� &
Y �\ -42 CL
Insulation
Drywall Nailing ---
Firewall --- --
Fire Sprinkler - -- -- - - -- - - - -
Fire Alarm
Susp'd Ceiling ---
Roof
Other-
Final
therFinal
PASS PART FAIL
PLUMBING
Post&Beam
Under Slab
Rough-In
Water Service -
Sanitary Sewer
Rain Drains -- - --- - - --
Catch Basin/Manhole
Storm Drain - - - - ---- - ---- - --
Shower Pen
Other - - -
Final
SS_ PART FAIL
MECHANICAL
Post&Beam
Rough-In �. -�_ -- -- ----- -
Gas Line
SEoCAL
ers -
RT FAIL
Service - - - ------ -__ - .-
Rough-In - --- - --- -- -
UG/Stab
Low Voltage --__ -- _-- ----- ------_- - --
Fire Alarm
Final C] Reinspection fee of$ -required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASSPART FAIL
$ITE___ ❑ Please call for reinspection RE:-_ -_.-- _ n Unable to inspect-no access
Fire Supply Line
ADA -7 S
Approach/Sidewalk Date Inspector - Q Ext
Other.
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL