Permit CITY TIGARD MECHANICAL PERMIT
l� DEVELOPMENT SERVICES PERMIT #: MEC2003 -00133
1.,L � II 13 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/24/03
PARCEL: 1 S134CB -00400
SITE ADDRESS: 12155 SW SUMMER ST
SUBDIVISION: SUMMER HILLS PARK ZONING: R -4.5
BLOCK: LOT: 002 • 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: 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: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Replace furnace.
Owner: FEES
DRAGOO, PATRICIA A Description Date Amount
12155 SW SUMMER [MECH] Permit Fee 3/24/03 $72.50
TIGARD, OR 97223 [TAX] 8% StateTax 3/24/03 $5.80
Phone: Total $78.30
Contractor:
MILWAUKIE HEATING & COOLING
9961 A HIGHWAY 212
CLACKAMAS, OR 97015 REQUIRED INSPECTIONS
Phone: 503 Mechanical Insp
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 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 -669
Issued By: Permittee Signature: / /e
Call (503) 6394175 by 7:00 P.M. for inspections needed the next business day
Mar 19 03 4 Milwaukie Htg & Clg 503 - 557 -0790 p.1
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Ems: (503) 59* -196O • • Menu.-. Payment type:
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CITY OF TIGARD 24 -Hour •
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION • Business Line: (503) 639 -4171 MST
q q BUP
/ Received Date Requ sted ( AM PM BUP
Location /oZ / s� -it Suite MEC 3 -- /3 3
Contact Person .yyL. Ph ( ) S S- 7 - PLM
Contractor Ph ( ) 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 J ��✓ ��2A
Insulation . � 4 • Al — 4 2 - 7 — 7
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 PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
ART FAIL
ECTRICAL
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 2
Approach /Sidewalk Date 4 - --9 --D3 Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL