10900 SW MIRA COURT-1 I
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10900 SW Mina Court
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: t ,3)639-41 75
MST
INSPECTION DIVISION Business Line: (503) 635-4171
BUP _.._....._._
Received _ —_Date Requested ( J AM ... PM BUP
Location __ { C�,�G CJ 'Lc�.. Suite MEC _
Contact Person r _ Ph(_ ) 1 y PLM
Contractor _ _____ - ^-- Ph( ) SWR
BUILDING Tenant/Owner ELC
Footing _L C
Foundation Access:
Ftg Drain EL.q
Crawl Drain __-
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing (�� 41-:5.a�3:!C��-(dd�•�•v��.`� '� 4-d Z 7 Z
Insulation
Drywall Nailing —_—_.-_-
Firewall
Fire Sprinkler - —
Fire Alarm
Susp'd Ceiling - - —
Roof
Other:
Final
_PASS PART FAIL -_----
PLU".180NG ----- - - ---- — -- - ---
Post&Beam
Under Slab A_-___ - __ _��_--w_ ___• - _-- - -
Rough-In
Water Service - ---- ------
Sanitary Sewer
Rain Dreins -- ---- -
Catch Basin!Manhole
Storm Drain -
Shower Pan
Other. _. ...
Final
PASS _PART FAIL -
MECHANICAL _
Post&Beam
Rough-In
Gas Line
Smoke Dampers - — -------------_.� ---. -___
ma
"s PART_ FAIL - ----- -- ---
ELECTRICAL
Service
Rough-In
W
UG/Slab
Low Voltage
Fire Alarm
Final n
PASS PART FAIL Reinspection fee of$ _ _.-royu;ieu oetore next inspection. Pay at City Hall, 13125 SW Hall Blvd
_ _
SITE Please call for reinspection PE: A -- Unable to inspect-no acces
Fire Supply Line
ADA Approach/Sidewalk I Dates .�7 Inspector Ext
Other: - --- -
Final DO NOT REMOVE this Inspection record from the Jeb site.
PASS PART FAIL
CITYOF TIGARD _ MECHANICAL PERMIT
4, DEVELOPMENT SERVICES DATE ISSUED: 3
PERMIT#: M15/0 -00012
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
PARCEL: 2S-S10 3
103nA-07200
SITE ADDRESS: 10900 SW MIRA CT
SUBDIVISION: MIRA PARK ZONING: R 4.5
dl_OCK: LOT: 0 0 JURISDICTION: TIG
CL'1SS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: Y UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: '13 VENTS W/O APDL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
FUEL. TYPES 0 - 3 HP: 1 DOMES. INCIN:
LP � 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: R, PAIR UNITS:
FIRE DAMPERS?: 30 • 50 HP: WOODSTOVES:
GAS PRESSURE: 50 4 HP: CLU DRYERS:
FURN < 100K BTU: 1 _ AIR_ HANDLING UNITS OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm:
GAS OUTLETS:
> 10000 cfm:
Remarks: Replace gas to gas furnace and install new exterior AC. Carnot be place in the required setbacks.
Owner: _ FEES
PAPE, ALAN R +JODI Description Date Amount
10900 SW MIRA CT I ANI , Slate l ax 1/15/03 $5.80
TIGARD, OR 97223 � `
�M1 ('IIS Pcrmit Fee 1/15103 $72.50
Total $78.30
Phone:
Contractor:
ROTH HEATING &COOLING
P.O. BOX 1265
CANBY, OR 97013 REQUIRED INSPECTIONS _ m_
Phone: 503-266-1239 Heating Unt Insp
Cooling Unt Insp
[Reg #: LIC 14008 Final Inspection
This p-crmit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION Oregon law requ!res you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR
952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling
(503)246-669
Issued By: Permittee Signature-
Call (503) R39-4175 by 7:00 P.M. for inspections needed the next business day'
Sent by: ROTH HEATING & A/C 503 266 3478; 01 /13/03 12:03PM;)&tFu #176,Page 2/3
Hdoolvagt O/+7/01 12:57PM; 50359016160 ROTH HRATINQ & A/ci Page 2
00/17e'1001 13:08 VAZ 5038981980 CITY OF TIGARD f�j00Z
Mechanical Permit� a l
N.
Datorewived, /' c ?)I Polrnitno,:
City Vf Tigard and j pp Fixpira date:
ry l Tigard 1 SW Hall Blvd,Tigard."043 2003 Pro Detre 1.no.
CI o g Address: 13 25 W Aaleisctied: b ` Y.
Phone: (503)639-4171 _ y- i� xacriptno.
Fax: (503) 598-1960 CITY OF TIGARD 'Cascfiicno.: -�Pnymcntty�c.
Land use approval: UIt-nmr., nivlSlf)N suuamggctmitno.: -- - _
2 family dwolling or accessory U CommarciaiAndusuial .1 Mala (am,1 Q 7enunt improvetocrit
D Now construction U Addition/altcratinn/i-placcmcnt J(101cr
e _—
Job:utnc�yl. t ) `�Ll.i Lf" - - Indic,tr etluip(ncm quantities in boxer helow. lndtcute the daUtu
Bld a�.: Suite na.: valw;of all mrehanical materials.eytilmenc,labor.over'netid.
Tax mw/tax lot/aecouatlaa•i - p1uEit-Value$
.ot: 111lock. Subdivision, •Sex ehorldist for important e.ppiivatiun information arW
Project name: _ iunsdlc0n'5 fee schedule for residentin pennit fee.
City/t:otptty' i 121T'' 7.3
Aescripdon and location of Wolk on p r:
'? �-- Y�� _.. Fw(avt.) Tt.W
laMWIMIL WIN
st. Ate of co letinntinspeedoa: --_ticatrilRlatt Rd.nnly Ael.olll
---- --�-- ----- avec:
Tenant lmprovcrnrnt or change of use:
Is existing spaeo has"or conditionndl 0 Yes U Idu Alrbandling unit _._ Cf-V
Alrcoatiittorun(tile iantegtured) 77
le Wating spoce insuWud'!O Yes Q No terlinon ox,et n H system
HU6iness natrle: r Stare boilez perudtno
Address: ? -_. HP Tons_ _- BTUM -
emPl(e am itl uCC stnOiCe ecettors
City: State: 7IP. / estputs- (e t7 r lin r�Eircd).•....
Phone: giU 1- un:FE-mail: r req ee urnac t / --'
CC$no.: Includingductwork/vent liner A&es q No
nsu rep a ocate hestm-suspendE ,
City/mtro lie,no.: — - wall,nr flour mounted
Name letter teat): t t_ ent ore an e other than htrnmeMA 2
- -
t�eeselio,,:
AlienrPtion unity___� BT,/H
Name; Chiperc._---- -._ HP —
AdtftecA: Wirt rDMOlA�..__ Iii
city: / Stir» _ �' 4plim revent '
Phone: f": E-mail: )I-W1 ,xbeuat
iype Vrea.Tq'tehCn/ azrnat - --�--
hood t.tre suppression system
Nast—a.' F.xAsu t fen With sln lc duct(bath funs)
Mailing addlt:ss• �• � _ � Pxhiust sysrrm► art row`.ctun—or Ate' �
City - � . tate - _ ZDa: �r Inping MW diM11,2 ua up to 4 ou its
,_ I..Pu - NO Oil
Photo axe E•tnail: „c , to rsetwn"nl over 4 ou etc
t'rocea ptpq,6(crherricac require
- Numter of outictc
lfft ter-ince or eg ens:
McorotiveftepLue _
"t_'Y
24
A ltcant's silrtattlr i./� _ Dace: r --
er.
Name-(�tiut : t�-- --- ---- --- -- _ ----
N4�at jwttdluloat U&CIX ctedlt-;Md.Ptwc girl iudiacuaa tot mate tntormatlon I Perntlt fee...... ......... ....S _
4 Vise 4 Mslterf.ard e�cplreR lY a permit is not nhuuNotice:This permit antj bmviev
tiun�ocl �
Minimum fer................ fr
C,seu two rw,mYor. .—_---- - -- -- wifiin 190 days after it ho boon Plan (at -�,
rine or cWoolo.r aihown one-`R�.r+ — arrrptrtl as Coatpletl. State surubarge(8,o) .... 3 _
TOTAL .....................$ _— '::%A l.M1AAp�lcr-tR^ � Amew, 4404611(M)WOK
Sent by: ROTH HEATING & A/C 503 266 3479; 01 /13/03 12:03PM;Jsffj-_#176;Page 3/3
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