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10350 SW HILLVIEW STREET
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CITY OF
T I G A R D _ MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2003-00328
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/18/03PARCEL: 2S102CC-03001
SITE ADDRESS: 10350 SW HII.LVIEW ST
SUBDIVISION. FRELEON H-IGHTS N0.2 ZONING: R-3 5
BLOCK: LOT: 016 JURISDICTION: TIG
CLASS OF WORK: OTR — _ FLOOR FURN: EVAP COOLERS:
TYPE OF USE. SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPI_: VENT SYSTEMS:
STOR'-_S: BOILERS/OOMPRESSORS HOODS:
FUEL T'(PES 0 - 3 HP: 1 DOMES. INCIN:
3 - 15 HP: COMML. INCIN.
MAX INPUT. BTU 15 - 30 HP: REPAIR UNITS:
F;RE DAMPERS?: 30 - 50 HP: WOOD'-TOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: _AIR HANDLING UNITS OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm: i GAS OUTLETS:
> 10000 cfm:
Remarks: Install exterior AU n, if
Owner: FEES_
FAGAN, BETSY Description Date Amount
10350 SW HILLVIEW ST IMI.:('III I'etmit FCC 6/18/03 $72.50
TIGARD, OR 97223 ITA X1 H°„ 6/18/03 $5.80
Total $78.30
Phone. 503-639-0381 --
Contractor:
ALOHA HEATING& COOLING
PO BOX 6553
ALOHA, OR 97007 _ REQUIRED INSPECTIONS________.__
Cooling Unt Insp
Phone: 503-591-9924 Final Inspection
Reg #: LIC 141314
This permit is issued subiect to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Cedes Pnd all otner 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 requ res you to follow rules adopted in the Oregon
Utility Notification (_,enter 'chose rules are set forth in OAR 952-00'-0010 through CAR
952-001.0100. You may obtain copies of these rules or direct questions to OUNC by calling
(503)24(2-6699 �-
Issued By- �— Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
,i
FROM :ALOHA HEAT FAX NO. :50''9480788 Jun. 1G 2003 12:14P l P1
Mechanijl Permit Amp 'cation >
__ _---- Permit no.:
—----- — pne reccrval: �-/ -U G
ProJccUappl.no.: Ilxpirc daw:
City Of Tigard
Address: 13125 SW Ball Blvd, roll,OR 1171171 pRccei t no.:ate issued• -
Clry of V90 rd Phow.. (503) 639.11171
Care file no.: PaymenttypC:
psx: (503) 598-1960 —
Building permit no.:
Land use approval:
.!Multi-family D Tenant imptOvemeat
1 &2 family dwelling or accessory J Commcrci;icration/rcl lacement Other. —
❑New construction J Addition/a p
J1/� Indicate equipment quantities in boxes below.Indicatc the dollar
ob address' /b 10 ,4(,c,)
Suite o.: Yalu,,of all mechanical materials,equipment,labor,overhead.
n
BId .no.: n —' profit.Value S
Tax ma /tax lot/account no.: rtant a lication information and
-- •Sec checklist for impor=t pp
Let: Block: Subdiviaior..:
--• jurisdiction's fee srhertulc for residential permit tee.
Project name: L
City/count : 1XIS.62aw oil go
:toacriptlon and Jo ation of work on ptutaises:
Ferlrsl)I row
'— Dntytdm (kq. :in ra.'v lire_cm1Y
Est.date of completion/inspection:
Tenant improvement or change t.r nse: Air hamming unit CFM
is existing space heft,-.J)r conditioned? .3 Yes '7 NO fur cundinonin4(sile- , /
le existing space insulated"J Yes J No terrnon o exrdungHIP/T Mem
t3ui er/campresaors
4tatc boiler permit no.:
Bus;ctcss name: `� HP—TonsBTU/Fl
Andress: J F chgno c milers/ act stno more
City: State: ZIP: Z� cat pump(scfe pun segos )
tt a Imp n(�cr i
Phone: Fax: 'd $ Including ductwcRk/verrt Ihrcr 7 Ycs]No
E-mail-
CCU. no.; 14 l-il- nsta rep c•rr orf cWt heat& -N5pen&Xi.
Chy,metr- lie.no.: wall,or Hoo,umntcd
Name( leaac tint): ( v'crn for—'�'-i>anec oder aFi—n furnauc
Wma Abyxixion units__ _ $7U/H
Name 0,illem HP
- c:'om cssors HP
Address: �51 , rot an a:
Uiry• Y State; Z1P: Appliance vent -
Phonc: Fax: E-mail: i7ryer exhau.7 -_
ypr v f/m&kite ,anent
hood flrr anppnesYiou system - -
Nnmc: Exhaua fan with sin Ic duct(bath funs)
Ex t u�T. stem apart nm hcatin or, C _
Mailing address; _} L I-_IY. uel pj�=sat7Ttn (up to 4 outlets)
f'ity!r State: ZIP: 7 i _ T _—LPCI NG --_._,. Oil
-
I Fax: L•-mail: ucl I in enc a ra over ba —
t k cmatic mqu
Numb-r of outlet+ _
Name: _ t eTay�p G��e or e�
Address: _ - Decorative Lcc
G'Ity: -� - ---- State: 7,1P: lux•rr
Phonc: ax: E-m '1: Woodmr pe et stove
aher
A licantb el nat re: _ n�tc /
Name)(print);
No all Jm wwidion%meq"nail cards,dace U11 JMididom raw move 1"A"ruoa Nod(x:: Permit fee_e................S _L L
'This pc*rait appl,cation Minimumfee...............S ----
U Visa U 14:1%MK Sts a (nes if a Lt ece OWtnM
r rcdi�canl runnher�_�_---� � P� Plan review(at-- %) S .—
rcR within IRO days after it has been State surcharge(896)....!$
' mr or car cr ax wr na 1 accepted as Complete. TOTAL w* _..........
S Ai.
t (' x1e iun: Amnunl 440-4617(&WCoM)
FROM :ALOHA HEAT FAX NO. 50384807ee Jun. IG, 2003 12:15PN PP
41
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CITY OF TIGARD 24-Flour
BUILDING Insper!ion ! ine: (503) 639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST
BUP
Received —_ _—Date Requested _ 9 /n _ AM-- PM _ BUP
Location _ Suite
Contact Person - _ Ph
Contractor Ph(_ _) — SWR
BUILDING Tenant/Owner -�k!v L4 re3 5' 011? l _ ELC -
Footing
Foundation ELC
Ftg Drain
Access:
Crawl Drain _ ELR --
Slab Inspection Notes: SIT
Post&Beam T',.t f TP _ -——
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final �'V
PASS PART FAIL ------
P_LUM9-1-N__G
Post& Beam
Under Slab
Rough-In
Water Service -_ ---- -_._-.-- --
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain -
Sliower Pan
Other - --- ---- - -- ---
Final -- -..�----�--
PASS PART FAIL - ------
MECHANICAL
Post&Beam � ------ _ --� �—
Rough-In
Gas Line
SPASampers
PART FAIL — -- - --- -- —
ELECTRICAL _ 5TU 1�R ��,- �C. , FIRS _
Service --�
Rough-In
UG/Slab
Low Voltage
Fire Alarm —
Final n Reinspection fee of$ _required before next inspection. Pay at ;ity Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE _ [] Please call for rein pection RE:—_ _ Unable to inspect-no access
Fire Supply Line
ADA d
Approach/Sidewalk Date Inspector n''"'-_____ —_
Other: _
Final DO NOT REMOVE this Inspection record f om the ob site.
PASS PART FAIL