Permit CITY OF TIGARD
MECHANICAL PERMIT
P . 11/ 1 \ DEVELOPMENT SERVICES PERMIT #: MEC2004 -00473
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/20/2004
PARCEL: 2S 104CB -02400
SITE ADDRESS: 13032 SW ASCENSION DR
SUBDIVISION: HILLSHIRE WOODS ZONING: R -7
BLOCK: LOT: 070 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:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1
> 10000 cfm: GAS OUTLETS:
Remarks: Install A/C unit.
Owner: FEES
HALLAM, DOUGLAS J + Description Date Amount
CYNTHIA A
13032 SWW ASCENSION DRIVE [MECH] Permit Fee 7/20/200 $72.50
TIGARD, OR 97223 [TAX] 8% State Surchaq 7/20/200 $5.80
Phone: Total $78.30
Contractor:
ADVANCED HEATING & AIR COND
5825 SE FOSTER
PORTLAND, OR 97206 REQUIRED INSPECTIONS
Phone: 503 235 - 0060
Reg #: LIC 98573
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 -6699.
Issued By: Ary. Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
07/'16/2004 09:06 5037744391 ADVANCED HEATING PAGE 03
Mec P ermit Anplicatioq FO1t OFF ICF: X111: ONLY
City of Tigard r Y tteiB 7 0-0y LO Permit No.; McC,e 201 Y — !it0 Y 73
13125 SW Hall Blvd., Tigard, OR 97223"�� — Plus — Plus Review
Phony. 503.639-4171 Fax: 503.591!.1960 QQ� ,.'l I ■;O. Date/By; Other Permit;
impaction Lox: 503.639 "4175 ` ' b s `..� 1 Date lteadY/CiY; Jens: 11 Sec Pate 2 for
internee: wniw- rt.dgard.or.uw �v Natl6adrntetl,ai S V Supplpmantal lAformrhuo
''' >'zrez��` 1t:l�•- �-.i�, ,�f ,� •� a..
` q �`G , ,, r ' � •' ^� �i �w : �. },,, `�,
FC
p ii' � C ,,.� ,',i,l •Y i �i ,4' DI6ti'1SetlP– J:., =, 1 ,, ��' "7 , if . t,'1 li. : � s L;,,.; )*4 )*4 "tl, t .7.7:' y , i '._ ka . 4l C ifs'g.
New construction Additilalttratio
coast 71 tma /rcplticcmrrit Meelunlcal pttmit fet arc baled on the value of the work
❑ N e w coast LI Other: nsti milej, indicates tare value (rounded to the nearest donor) of all
I� mechanical inattaiais, equipment, labor, Overhead, and profit. -
i rpi. !i� P •- 11 , i tf' lttY �• ;17�Ri� ;n C �-{{� i t i t fi ii . i Value: s "
,
•�, i t„ .. :i7'4nll1IY:.t..fP•.. F •.`, ..z. r•T.,' ,., . „se "ftritl,' '1," ; - .i a ; ; -1. r 'I ri i +T'
j 1- and 2-family dwelling (] Commercial/industrial ❑Accessory building c: „. ' c 1� (! , ,., I Dde ,,, �
For spac f>tforma / ion use checldlsf.
El Multi - family ❑ Master builder ❑ Othtxl
Description Fty. I l=a. Total
;.v 1 : 1, 1 . .�1S'til « r. t
N I :3FjXtTc � ;,ANI1� I�.� i ' ��•
, ;�t.NY I � I�i7 1' �'z�` -� HaltiatJcoulinG ,
Job site address c Air cond or hest pump
> �� >� 5 I t9'7'I �i ` (toyuires tiro plan thawing placement) - 14.00
Chy/5tace/Ztp: 7",1 r t JQ '<, Q 7 Fumwca 100,000 ATU (ducni.tnta) 14.00
`` `` 1 (�� ` Furnace 100,0001 (dale /v nni 17,90
Suite/bldg./apt. no”: Project names Gras peat pump 14.00
(doss Street/dut0tioti to jOb Sit *. Duct work 14.00
1-1 . renic hot waters itm 1.4.00
Residential beticr (radiator or
hydrooic) , 14.00
- (Unit heaters (fuci -type, not electric),.
in-wall, in.4ues, sus a dcd, etc, 10.00 ,
Subdivision: Lot P1uclvrntfbr'cn7 of About 10.00
Other 10.00
Tax maplpareel no.; Other fuel appliances
44
���A,:l.:1�'��Ali�l ,l- ,o - -,.r � t! �,Y` ,t - % �`i,,a,�'i i� ;i'.�+1 •�' ata halter ► 10,00 ua
"H 7 ' i, y 1flr"$•. : _ :r� -"ir'7it+lt aoR"ii'�1111tVA 1•� W
; Ff A'1 6F'I '�P {f it "';!I'��li•t'iM1'lld
Oa5 fireplace _ 10.00
_ Flue vent (Or water heater or gas
fireplace 10.00
Log l(glitcr (Fat) 10.00
T Wood/pellet stove 10.0
wood fircplacdinscrt 10.00
(1, �fla�',' � '` aiT •,I 1t a : Chirrtnc711incr/(ludvent 10,00
-, i .1 e , ,,,-, . ,, : I : „ ' t t ,• r �M l'1l'• 7�? , .. ". ^� ' ' ' CJ ' , ..... u 1'J'k' • ;�1i � l:,. Other: 10.101
Nib ,(i r Environmental exhaaat and ventilation
Au1 9_ `t equipment t ather klrohan
7 equ ipment 10.00
City/StatrJZ17; Clothes dryer exhaust 10,00
phone; ( ) y Fax: ( ) to comp rtment,, u dl� rooms) 6.80
it'r, i "1•: 31S4�-' ' ` .@ de II T;ir4i Ii � p j �S1 ' Fr ;. ii ; �: ' E'.• f`l` i� i.1 alri Attic/Wt . ace tapir 10.00
;t w_ P+.- @ -b • ,,, „iii•• " .1 : „ .. 1 ..,,.. i i r, it ' ..*- • COI ' i , ∎ .piS 1 , U m,. Attic/moot �/� Other. _ 10.00
HtisirleSS, taint: A cl ,t / Ld.,_ ...- Fuel piping
contact name: , • 55,40 for first four; S1.00 for ca eh additional
1 1 ■_ -
Address: e . / Furtlace, etc. _
a - ■ — .
Gas half pump
City/State/ . LP: a i. > :,,,,� I/ • / . i IZI Wall/suspended/unit heater
Phone: .7 7v BL6 j Fax: :la j y7f i_9 / W h eater
E -mail; Range
u' , '!” 1 ._ . .... H:4" , lil!it•IIN07 .air ... 'e'' ^9 :9.V I 1 '.�r' , !' .j ; 4i i l ' i . . '��I,k� _Barbecue
Business tame: �� /' • ILalr `� r ' : - Clothes dryer (gas)
Other,
Address; if • , e ,1 ;; ;l'i.M•;' ;?�i'�'' Ax. E i r �s '' ■
Cary /Stnte/ZtP: 101,.../4. 7 " 240 4, tiubeotut
�} / ! P t Minimum permit fee 1572.50} 7 ,
Phone;
77�' F 'r f St_�_ Fes LSV �7 /3 Plan raview (256.4 of permit. fee)
CCB lie.; &Q.
(J Stare surChsrge (R% of perrrlit fee) 4_. go
TOTAL PERMIT 1;'EE
. 3
Td, pumrt app lie. Gan ' - -. it a p..•m a net e late:.∎ d ..:fn: r , tan
Ate hori; cd signature: 4 42„4„../ /4Z44-1---1---' day- aver It has been accepted i, complete.
Print none: Date 7... 4 • Fee methodology Eel by 7ri- County Building tnduscy Service Dowd
07!161'2004 09:06 5037744391 ADVANCED HEATING PAGE 02
AdvAnCOQ HostXng; Pepa 3
SITE PLAN
A/C UNITS, !GENERATORS, SPA/HOT TUBS OR
ANY NOISE PRODUCING EQUIPMENT
r` REAR PROPERTY UNE
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ADDRESS: /
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PLEASE iNCUfDE,
I LOCATION OP UNIT
. LOCATION OF FROrrr, SIDE & REAR PROPERTY UM
- 3 , DISTANCE PROM EDGE OP UNIT in FRONT, REAR & SIDE PROPERTY
M HOUSE LINES, NOT •
4 INDICATION Of STRVET LOCATIONS AND FRONT OP HOVSE
CITY OF TIGARD 24 -Hour ' �^
BUILDING Inspection Line: (503) 639 -4175 3
INSPECTION DIVISION Business Line'. (503) 639 -4171 � ST
BUP
Received Date equested AM PM BUP
Location / 3.0 Suite '°ado ( f -60 L/73
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/ v�r G
Footing S o� 9 _ 8 3 Co ELC
Foundation Access:
Ftg Drain G- ELR a (m4 Crawl Drain
Slab Inspection Notes: 4J SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear -W ''. r _
Int Sheath/Shear
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
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS T FAIL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
T FAIL
RIC
Rough -In
UG/Slab
Low Voltage
Fire Alarm
•Irs Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
— in ; ART FAIL
SITE Please call for reinspection RE: Unable to inspect – no access
Fire Supply Line
ADA
Approach/Sidewalk Date /9/ Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from thelob site.
PASS PART FAIL