Permit A - CITY OF TIGARD MECHANICAL PERMIT
0 DEVELOPMENT SERVICES PERMIT #: MEC2001 -00406
r � I II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/13/01
PARCEL: 1S125DB-09600
SITE ADDRESS: 07080 SW LOLA LN
SUBDIVISION: THE RAZBERRY PATCH ZONING: R -4.5
BLOCK: LOT: 016 JURISDICTION: TIG
CLASS OF WORK: ALT 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:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS DRYERS:
FURN > =100K BTU: < =10000 cfm: OTTHH ER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Remarks: Change out electric furnace to gas and add NC.
Owner: FEES
KELLY, JOHN R + ELIZABETH A Type By Date Amount Receipt
7080 SW LOLA LN PRMT CTR 11/13/01 $72.50 2720010000
TIGARD, OR 97223 5PCT CTR 11/13/01 $5.80 2720010000
Total $78.30
Phone:
Contractor:
ROTH HEATING
ROTH ZACHERY HEATING INC
PO BOX 1265 REQUIRED INSPECTIONS
CANBY, OR 97013
Gas Line Insp
Phone: 503 - 266 -1249 Heating Unt Insp
Reg #: LIC 14008 Cooling Unt Insp
Final Inspection
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 -0080.
You may obt -'n •pies of the e rules or direct questions to OUNC by calling (503)246 -9189. .
Issue By: ` _ / _ Permittee Signature: 3 V? �G0'c_..'
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
Sent by: ROTH HEATING & A/C 503 266 3478; 11/08/01 9:20PM; #753;Page 2/3
Raoeivoa: 111 7/01 3 :13PM1 5035981960 -> ROTH HEATING & A /C; Pepe 2
1, 4 2001 is :1.5 'FAX 5035981960 CITY OF. TIG la 002/000
Mechanicalpe ' i_ r ': I on
. Datcreceived: t I /) 1 Permit no.: M Ee. 249/ -
: - 'II'. I' City of Q Pta]ext/appl. no.: are loam:
Co 4lT+8ard Address 13125 SW Elan Blv4,t' re �7 7.?�� Da[missued: 8y 1 Receipt no.:
Phone: (503) 6394171 ��`�`"' G f�1��
Fax: (503) 598.1960 a r O r ' " � Case Me no.; 1 p e:
Land use approval: R �'w Bunching penult no.:
'111'1:. 01 1'1 ((MIA
1 & 2 family dwelling or accessory Q Commercial/industrial O Multi - family l] Tenant improvement
O New construction Cl Addition/eltecaaaoheplacunent Q Other.
1013s11 I. t(\1 Ol01.1TI(1N ( \11i1_Iti't. 1, v• IA1. SC11E1►111
Job address: 70 r SW taut) Indicate equipment quantities in boxes below. indicate the dollar
Bldg. no.: Suite no.: value of all mechanical materials, equipment, labor. overheat',
Tax mapftax tar/account no profit. Value S
Ltd: Block: u f .Ld T.t AllilM •See checklist for important application information and
Project name: juris4Ic ion's fee schedule for residential permit fee.
4b /coon : / G • P. EMILFEFWIMMIII I & 2 l • . \i11.1' uw1_I I. IN(: r): 111 i l;l: Si ItEi11'Lf:
Descri• OOn andloSatlon0 Watt anprorniles: i fLemelc. TO tiNl1(1)�l�ll:'►(l( ‘I ll�.ul,SI1(1 I.l:Q1'11'111 ::Ni tii ltt •
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Est - date of coett -le rio� sp
necrion_ -- O -O 1
Tenant improvement or change of use: Air handltn unit CM . al
Is existing space heated or conditioned? D Yes 0 No - re -. o • ; • to • No .__ . E M
Is existing space insulated? O Yes O No t iera - on . • - r.: n ; ' Y A - SYaccm 11111111
1111 (iI \,`I(' I ()\ 11(,\Ci OIt "i -/tomptessors
Business name.: 1'0 HEA /A S "t • • s1 Starer boiler permit oo,: Tana 11 .
IQ' BTU/H
Address: ' .0.. C 4 M ;.y T"'T7Trr??-trG. _ , , • mom ma
Phones: i :. - y ' lnstaliheplace • • • • v• 4 s Ili � t
Mardi , : dueawoddvern Tines -' Yes D No / 7
CCE 1111.: , : •T711/ . se • lets- euspen•ei, ■ MI
city /metro lie. no.: ,, ,, , wall, or door mounted
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t t ►N I' \ (. 1 1' rR S (1 \ Absorption unto _ _ _ BTU/Ii ■
Name: Chillers HP —
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Adttess: - . --. . , • • o NM
State: ZIP: •.•.
ti , . -Went M Phone: Fax E-mail: Dryer ^ : t ��
()t1\)"It ' oods, Type /Pubos. T e.Nbamlat
hood tire suppt+eraioa system
MilailkWIMIWIIIMMIIIIM atheistic tan with sin : dust oath Canal IIII ..1111
Exhaust tear `•• : froln . a or
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Mailin: address r err S — . .in-171",s :PS.- in SAO
City: / r d state:, : ZIP: - AFEra 1 ' . LPG _..v NG _ c° _ o Oil
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N1upe: Other r : r*. , � ; i pee or - • , punt Address: Decaretivef - • lace
City, State: ZIP: mart- OM
Phone: E, " • • IOV • stove Nil MIMI NUM
Ap• (can's signature 1 f (,� :rl� a Dare: //- • p I , um
Name • riat): �'' //. r l: Q - M lilillIMI
' Ka A J uaaf weeps nude cares, pima a WI Jtriidrcdoe for Delft latoclwia Notic40 This it lioadon use a -
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P snP Mi n i mum fee $
amber ys • (} )9O9 7 ho 3$I7 �t O P>� it'e permit is not obtained plan review (at 16) $
/r within um days allot it has been State sun hatgo (896) .... S 5 -
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Sent by: ROTH HEATING & A/C 503 266 3478; 11/08/01 9:21PM;JetFax #753;Page 3/3
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CITY OF TIGARD BUILDING INSPECTION DIVISION
'24 -Hour Inspection Line: 639 -4175 Business Line: 639
•
s
Date Requested �/ 2 / AM P 4/h 2 B
Location 70 gO S w Zrneegt. Zez-y -e Suite � MEC Oe W 90 4.
Contact Person y1 Ph 2,4.H 2-1 y PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC _de___
Retaining Wall ELR
Footing
Acce
Foundation S S -7 �' C/ [1 T) FPS
��� �.1
Ftg Drain 0 CO P/ 4 G
Crawl Drain Inspection Notes: ( S laf� SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
•
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
Post &Beam
Rough In
Gas Line
Smoke Dampers
Fi
RT FAIL
TRICA
Service
Rough In •
UG /Slab
Low Voltage
�e -Alarm
PASS PART FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date / 1 1 Z J U ( Inspector Ext
Final 111
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.