Permit C ITY OF TIGARD MECHANICAL PERMIT
ern DEVELOPMENT SERVICES PERMIT #: MEC2004 -00702
,.� II DATE ISSUED: 10/22/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S135DD-03301
SITE ADDRESS: 11945 SW PACIFIC HWY 228
SUBDIVISION: HOFFARBER TRACTS NO.1 ZONING: C -G
BLOCK: LOT: 002 JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
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: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Gas line from meter to unit.
Owner: FEES
TIGARD PROPERTIES INC Description Date Amount
2106 SE OCHOCO ST [MECH] Permit Fee 10/22/20( $72.50
MILWAUKIE, OR 97222 [TAX] 8% State Surchart 10/22/20( $5.80
Phone: Total $78.30
Contractor:
ROTH HEATING & COOLING
P.O. BOX 1265
CANBY, OR 97013 REQUIRED INSPECTIONS
Phone: 503 - 266 -1249 Gas Line lnsp
Final Inspection
Reg #: LIC 14008
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in'OAR
952 -001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling
(503)246 -6699.
Issued By: , .�1k'� Permittee Signature:
(503) 639 -4175 by 7:00 P.M. for inspections needed the next businas day
03/15/2000 01 :50 15032632513 ROTH MECHANICAL PAGE 02
� I Z 7-/o /f ( Vii' - rya- / it s atee, n eeded A 1I �, e,
ech • nical P e r m i t A • c a t i o n 1 . • ) u 0 1 . 1 : I ( l ' : U S E : On►.\'
City of Tigard � L I, ',l oa�"sv e - , eY7 A tfill i ��
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13125 SW Hall Blvd., Tigard, OR 97223 pt Bevies,
Phone: 503.639.4171 Fax: 503.59 S9'$ t9 . r., „ „ '_ ,\ Date/13y: Other Pernik
Inspection Line: 503.639.4175 ` (L, :.. ✓ / - �_ i I
Internet: www.ci.ti - Date Ready/By: J I � { sr see Pape 2 for
B onus Notified/Method: �/ v Stwpteimental Inform Bann
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0 New construction ddition/alterati on/replacement Mechanical permit fees* are based on the value of the work
petfo red, Indicate the value (run • - rn dollar) of all
❑ Demolition 0 Other: mechanical materials, ecOpm abor encc and profit.
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17 1- and 2- family dwelling ommercial/industrial ❑ Accessory building 1 :; L'!R .
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❑ Multi- family ❑Master builder ❑Other For special information use checklist
Description LQty 1 Ea 1 T
��� ��3^ ' r� ?'7`lr7t � { .l ma ,, I •r.! ^:, ;� . n ;.::;:dm ;?;� �
5g-I r r.'�I w ij l fir:: 0.. ®T!'E WOKi1 1�1''I1.tOly�`i !G9kL'Y'1O Ii; . ;_�0 ; de'! ',: :! l: ^' t Heating/cooling
? 7o1' i / Y� S �Q ' C- limy Air conditioning or best pump
(requires site plan showing placement) 14.00
City /State/ZIP: �*Wi..iza 5 ( ° II 23 Furnace 100,000 BTU (ductevenca) ; 14.00
Furnace 100,000+ BTU_Sducts/vcata) 17.90
/ Suite/bldg. /apt. no.: 4.5 r ..2 7 2 i'Project name: •+, ..._ri?)'A Gas hart pump 14.00
Cross strect/directions to job site: C O . sty N e.r Duct work 14.00
Hydronic hot water system _ 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, induct, suspended, etc. 10,00
Subdivision I Lot no.: Flue/vent for any of above 10.00
Other: _ 10.00
Tax map /parcel no.: Other fuel appliances
nitl S�`M� . ��f 7 7riqN { 0 •S[ i 1 . ii ,q�q� � S i 7 (" �g i - 1�i74 §i :f. ta"Nt et heater 1.00
0
�� ' 1 fry d1�, nr '!� 1� -0 %4,�g�,`I �%ry�, �+Frg 4 ... _�..:,I�44r:.Cr:dA!R• C.,ly' 'I`t3` ".i;...lu ;�3�' �`y br'
�,d�y�s•},1,1'f.il r l'i�f.Y`AN.:, rH` 1 t �If.�,.':i ...• to - - c ues' dt 1 _[• , ;3 �•,.. d • .1,. . ,'rA 1,,• ., .'.�. •'7„ ,.. .n..1 -••? [:�'• •':.r..J Wat
, ':: �.•'
OQ , L Y Gas fireplace vent water heater or gas 10.00
Flue vent for
v fireplace 10.00
Log lighter (Ras) 10.00
Wood/pellet stove 10.00 _
Wood fireplace /insert 10.00
,�,�p �, r u +, ., u Chiron /lincdflue/vent 10.00
f ?�r� { r i",' f�fl�.p.�g ' a ; t,�"��?i��+, IsEy. Other; 10.00
Name;
4\ \"-'L t v-'\.1-N Environmental exhaust and ventilation
Address: Range hood /other kitchen
1 r1(,� ,_ -Range 10.00
City /State/ZIP: P) 4` Clothes dryer exhaust , 10.00
Single -duct cxturwrt (bathrooms,
Phone: ( ) t L4-3 - S'? S 7 Pax: ( ) toilet compartments, utility rooms) 6.80
10.00
y e Ogiti `IF riSV , A [! ''; a ! 3A T�• `G° : 0.0.� ri`"�'j1° Atti
"7 ;'• ' c%tawisPace fans
�i Ih11�- H�I� ,•. .,� .:aid df :o'!q.?r',i� ..�,b i'y4�Mt:�.p ;�� . !..,«„•�. ,.. ,r. ,.. , , , C••�' ;_�,F,�:,
Business name: Other 10.00
Fuel piping
Contact name: $5.40 for Ent four; $1.00 for each additions
Address: Famnec, etc.
Gat: heat pnm�
City/State/ZIP: WalUauapended/uaithcater
Phone: ( ) I Fax: : ( ) Water luster
Fireplace
E -mail: Range
' or��,iIffl�`�i.�•,e,}� -WOW- �..• .J { t:. W r �.r• ' {I " v.`r � Barbecue
• 1• •' 44i�?St!r' , t ,, , . ~ . `,�l hl I i :,e''``ii tl'irf' r c..' s ail, •i; 1N5:Gt;ti of
r r.,Je . � ;!• I' M }. t +- ; �.,.. .7:ryy. �!I�ti:
Business name: f i �� Clothes dryer (gas) _
O ther: ..
Address: � U � I I :;; . t '.' ; , ; . ,'• v f'ri otZ City/State/ZIP: 0444 Pay 9 70/3 Subtotal, t1� ri
�/ / Nlinioma ermit fee ($72.50) r]l -
Phone: (5�j) 114 --( l A I Fax: (5 5) 24 34e7 PIan review (25% of permit fcc)
CC'S lie.: / Li DO f State surcharge (8% of pcpermit fcc _. , ; .
TOTAL PERMIT : 7% ,
. 0 .44 4 0k Authorized signature: . Thle permit a cxplro If n permit v not ob \ ' this 180
i days after It has been accepted as complete_
I Print name: / "Sot_ � Mat Date: / d (2_1-1()L1 J l)� to F methodology set by lei- County BuudInf lodestar Service S .. m,„ \
A
CITY OF TIGARD 24 -Hour
BUILDING 4 _ 4 Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION Business Line: (503) 639 -4171
/ 1 t/ BUP
Received /�/ Date Reque d ' L A7 PM BUP
Location / / 9 5 < rc- Suite , ao MEC ae)2 G 76°\
Contact Person Ov Ph (2 ). - A24`7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling her'/2 Roof
Other: f A/I
Final
PASS PART FAIL
PLUMBING
Post & Beam ` —_� = ���_ //
Under Slab / /NGi --:0 � : ..= = ��
Rough -In C
Water Service
Sanitary.,Sewer• /
Rain Drains
Catch Basin / Manhole Illir �Q - /G16.r
Storm Drain
Shower Pan , /
Other: S % i
Final / • , i
PASS PART FAIL c— /
MECHANICAL _ ii i� . / . �L / dliglW
Post & Beam ►' /1
Rough -In � " v
Seers /
Fi I t / i / (../
P S PAR �
ECTRICA &
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final 0 Reinspection fee of $_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: ❑ Unable to inspect – no access
Fire Supply Line /
ADA / L
Approach/Sidewalk Dat Inspector / Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL