Permit •
• A, CITY OF T I GA R D MECHANICAL PERMIT
• o
I j DEVELOPMENT SERVICES PERMIT #: MEC2002 -00160
" .� I- � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/22/02
PARCEL: 2 S 103 C B -07900
SITE ADDRESS: 12287 SW QUAIL CREEK LN
SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R -4.5
BLOCK: LOT: 028 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:
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:
> 10000 cfm: GAS OUTLETS:
Remarks: Install exterior NC unit. Cannot be place within the required set back.
Owner: FEES
AARON COKER Type By Date Amount Receipt
12287 SW QUAIL CREEK LANE PRMT CTR 4/22/02 $72.50 2720020000
TOGARD, PR 97223 5PCT CTR 4/22/02 $5.80 2720020000
Phone: 503-590-8577 Total $78.30
Contractor:
MILWAUKIE HEATING + COOLING
9961 A HIGHWAY 212
CLACKAMAS, OR 97015 REQUIRED INSPECTIONS
Mechanical Insp
Phone: 557 -5562 Final Inspection
Reg #: LIC 104102
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 obtain copies of these rules or direct questions to OUNC by calling (503)246 -9189.
Issue By: '! � L 14 47 Permittee Signature: pJ ,
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next busines day
ii 22 02 08:27a Milwaukie Htg & Clg 503 - 557 -0790 p.l
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Address. 13125 SW Hall Blvd, Tiga d, OR 97 Date issued: :�� [leoeeptao
Crrygf7'r8asd Phone: (503) 639-4171 �J
Pax. (503) 598 -1960 (J ' C Cuefilew.: Parsee hype:
Land use approval: Bta7d'axgpemmtmo.
1 & 2 family dwelenn or accessory 0 i - 0 Muld-ply 0 Tenant improvement
0 New coaStrection 0 Addt4onfaltczatimh l t Cl Other:
JOfl 517E JNT012 1ATIO \' ( \t 1'ALLUAT10N SCIIE.D1 LE
lob adds s= .P I'MBILIIIENIRMWRIFIMI inc diate equipment gamultits in boats below. Indicate the dollar
Suite no.: value of ill mechanical materials, equipment. labor. ovezhead.
Bldg. no.: profit. Value S -
Tax maple t no.: ,
Let: IBlode ISubdivision: •Sze dueklld for itopottnit application information and
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Project name: - jurisdiction's fee sdscdOle for residential permit foe.
CSgf crmty ZIP: • 2, 2 3 ■ 1 .h 2 FA:NlTi.5' D11 LL1.1 \G PEILNIIT FEE 5CI1LDLIE
Description and cm premises: 41 C , I \NDC(151` 5Ix1ALEQti11'1LtiCSCI
Tani
date of comple ioMn , .. ... - A Dera;Mira Res.. •
Tenant improvement or change of use Afrhandring wit _,
Is existing spore healed or O0° ed? Yes 0 No Air cool tioolog Dtaplea re4uitad)
Is existing space iasalsted7 ales O No I Aloemeoa °feasting HvACrystcm
ILCH.1 \1CAL CONTRACTOR
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Business Hume: Ilan i' i• 6 K 1 %L, I ?a 1 ,`, 01 _11 . r 1 1 /ELI Tong BTUAI
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Phone: !L' ..,r Fax: E-mail: ( "?� 7r7. r--i r7- -rEM� _
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Other listed appbsoe or ega�e�
Adder L Deooaativc6se place ,
City: I Slat= IZIP: I ratty -type
Phone: I Fax: Z.-Raft wooduavdVWast°ve Other
Applicants si - . _ , . ' Dater'' - 2_
Name (print): T tae >_. J'. .
'r et eniedisiefieed swept aadtt cods pIrMr c ll judeacose 1411 male l.a.-.A. -- Ptxmit ree ...... » .............5
ours oM and Nt oia: ' i><is Pumkrglppm i on Mini um fee .............._S
oseW ails Demise Lin if apeman is tot obtaiesd plan Review (a 96) $
within 180 days alter altlies been State =charge (8%) .... S
saw or cdholser as dome asDealafd accepted at
• $ TOTAL .r._ __.,...:.5
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Apr 22 02 08:27a Milwaukie Htg & Clg 503 - 557 -0790 p.3
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CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested 4 7 — ?"-S —
AM PM BUP
Location / �—� ^] ( J,Suite MEC BOO Z 00 / 6 D
Contact Person Ph ( ) PLM
Contractor Ph ( ) .c'S • SSG, , SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear /
Framing ELEevi4 CAI- Lu t �6' h a4 _ Z y gO 3 % ci1 a Lev
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
T .FAIL -
ECHA !CAL �/
Post Beam
Rough -In
Gas Line
Smoke Dampers
Final
AS PART FAIL
CTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final ❑ 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
Approach/Sidewalk Date Q Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL