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11140 SW MORGEN CT
CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2004-00560
13125 SW Hall Blvd.,Tigard,OR 97223 (803) 339.4171 DATE ISSUED: 8/23/2004
PARCEL: 2S103DB-08300
SITE ADDRESS: 11140 SW MORGEN CT
SUBDIVISION: GENESIS NO. 3 ZONING: R-4.5
BLOCK: LOT:092 JURISDICTION: TIG
CLAS.-OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE:OF USE: SF UNIT HEATER'S: VENT FANS.
OCCUPANCY%RP: R3 VENTS W/O APPL: 2 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?: 30.80 NP: WOODSTOVES:
GAS PRESSURE: 50+ HP:
FURN < 100K BTU: 1 AIR HANDLIUG UNITS CLO DRYERS:
OTHER UNITS:
FURN>a100K BTU: <=10000 cfm:
> GAS OUTLETS:
10000 cfm:
Remarks: Installation of furnace,A/C,revise ductwork.
Owner: FEES _
EDSON, DAVE 8 LISA Description Date Amount
11'40 SW MORGEN CT [MECH] Permit Fee 8/23/200,( $72.50
TIGARD, OR 97223 [TAX]8%State Sercharl 8/23/200-' $5.80
Phone: 503639-1303 Total $78.30
Contractor:
ANCTIL SHEET METAL CO.
4320 N WILLIAMS AVE
PORTLAND, OR 97217 REQUIRED INSPECTIONS
Phone: 503-281-0752 Heating Unt InspCooling Unt Insp
Reg#: LIC 8897 Duct Inspection
Final Inspection
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W This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codec
—t and all other applicable laws. A1 wore,( will be done in accordance with approved plans. This permit will expire if work `s
no', started within 80 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 copse--,of these rules or direct questions to OUNC by calling
(503)246-6699.
Issu9d By: < Permittee Signature:
Call (F 1 )639-4175 by 7:00 P.M.for Inspections needed the next buslness day
0T2bM * ANCTIL Heat,r-iq & Coo11nq PHONE NO. : 503 2825722 Aug. 19 2004 11:31AM P1
Me:lfanical Permit Application
City of Tigard RECEIV nN" ��� — F•.murrla C��I�D_�I . CJ
1312 SW Bill Blvd,T'igatd,QR 91223 6LvMar —
Phone 503 639 4171 Fax: 503 598 1960 PIanP14ft R Other Pertain i
Impecban Line. 503.639 4175 AUG
-- -
Inirmet: www ci ligard.or.us AUG Dan Rena ey. Pap 2 Cor
1'tatliladlMetLod• SpDDl/wwel�l InrarroaHan
❑New construction EtAddition/alteration/replecemmt Mechanical permit 'are hued an the value of the Work
pertained.Indicate the value(rounded to the nearest dollar)of all
[]Dcmolition ❑Other mechanical rnsterials,cyuilinictit,labor,overhead,and lit
Value.S
1 and 7-family dwelling Cornrrw-rcial/industrial ❑Accessory building
[]Multi•furuly ❑Master builderFor lal i ormarton use OwAlin
❑Other: Uescrtptrnn I Qty. I Ea. Toul
VIw Hats co011n,(__
1 1 Alt conditioning or heat pump
lob site address:
�..L.1_.j �r—L►L�. r area site Was abawtas lone 14.00
City/Statow: el-) {�� Furnace IW STU duettiwnn) 14.p0
t �°�'T� 9�-7�2S Furnace 122,092!BTU tduetelvenu 17.90
Suite/bldg./apt.no.: Project taunt_ 3� N Gas heat pump 14.00
crota street/ditec ions to job site- Duct wort: _ 1400
— H c Ilot waters came _ 14.00
— Residential bodertees hi.tor or
hydronic) 14,00
---- - Unit heater(furl-type,not eltetric),
_ in-wall,in-duct,suspemled,eta 10.00
Subdivion hat no.:
Flue/vent for any of+Oo-m 10.00
— I -
--1 Outer: 10,00
Tat msp/pamel no,; O -or(tp eppllaac e —
Water uoatm I n.a0
r r Gas fire lace 10.00
Flue vtml for water heater or gas
Al
fl I e i-- 10,00
li teras) _ low
_�_� �111S a✓ �(,�,(r'�,5}>3/Zk.. _
WorAwIlet stove 10.00
- Wood tlraplacdi2 _
r Cbl mey/liner/flua/vent 10.00 _
_ Other. 10.00 _ r
Name aviranental sutt te
sxlun ventllatfoa
�� m`— Range hoodfmher kitchen -
Atldress: '��A.�Q ui t 10.00
City/StatdzlP: �' �( ��_t7rZ:0 Clothes diva exhaust 10,00
9ingll"um exhaust(bathrootnu,
Phone: b 3 t� Pax:( ) toilet c mnmts,udfi roarm _ 6.80
Atddcrawlspace am _ 10.00
Business risme:
Other: 10.00
--- - -- 3:ud�iaj
_ __
IL -Pula
time. � $SAO for first fou 1,00 for mic-thadditional
F- Address: Fum"etc.
Gu heat puny
c5ty,5tate/ZEN - Walvausplinded/un hes
Phone ( ) Pax: :(, ) Wmer hatter
m )!mail: — — Fier lace
W Barbecue
Business natne: �L �r l�L Cbou d )
Address;
t
City/Sate/ZlP 3
Phone: �Z (
Subtotal
`e 7 Za
M{n{tnm permit fa(
Plain review(23SG Of pctrnit floe
CCB lic.: _ State wrote (8%of permit fba)
TOTAL.PERl►11T PILL
—
Authorized signature: This Derenit applleaaea a}I+M If a peradt N nee ohtalaed edtble lee
_ days after It bra trete aempgd a gemplem.
-mss.._--__—
Print name; af` ���Date: � � t+K n+eritodobp by Trt•�oenty ttaildinp IndusRy Betula Bard
FROM ANCTIL Heating & Cooling R4M NO. : 503 2625722 Aug, 19 2004 12:00PM P2
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Dave&Lisa Edson
11140 SW Morgen CL
Tigard,Ore, 97223
W/O 2372
i
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 0
INSPECTION DIVISION Business Line: (503)639-4171 MST
SUP _
Received Date Requested i AM ti� PM SUP
Location /// �C� ,Z_L-A4eot] Suite------ (OE �
Ph ;'-�'/ —6 ZSR._ PLM —
Contractor --� Ph(_--) _ _ SWR
BUILDING Tenant/Owner _ ELC
Foating ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain -"
Slab Inspection Notes: _ SIT
Post&Beam
EhAir Anchors ---
Ext Sheath/Shear
Int Sheath/Shear • V\�,.V'%, 6,2
A(7
Framing
Insulation
Drywall Nailing J
Firewall
Fire Sprinkler —
Fire Alarm
Susp'd Ceiling << -- {� --
Root J L 11,►(A��'Ir 1
Other: °--
Final --
PASS PART FAIL PLUMBING
Post&Beam
Under Slab —
Rough-In
Wates Service -
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain
Shower Pan
Other: ---- —
Final
PAS - RT FAIL --
V�CHwAL L
t
r Smoke Dampers�1 ---
n
PART FAIL —,- -- --
LEC
5 Service -' -
5 Rough-In
?
u UG/Slab '—
Low Voltage \ _-
Fire Alarm
Reinspection fee of$_ required before next inspection. Pay at City Hall, 15125 SW Hall Blvd.
WSSik PART FAIL
SITE __�—_ F] Please call for reinspection RE:—��__ _ Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk - - Inspeetw/4 —
Other:
Final 00 NOT REMOVE this Inspoction -eco from tho b OR&
PASS PART FAIL