8420 SW LA MANCHA COURT T
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6420 3W LA MANCHA CT
CITY OF TIOARD 241-Hour
BUILDING Inspection Line: (503)639-4175
MST
INSPECTION DIVISION Business Line: (503)639-4171 —
//// BUi —
9eceived d_ -2 BlP
_ Date Reque _ _
Location t-2- yn17AA 111A
Suite MEC `_ !
Contact Person Ph(_ l �- TL_,/ PLM
Contractor_ �Q Ph(_ _) _—.— —_ SWR
BUILDING 1enant/Owner ._. . -------- _ . — ELC _—_—
Footiny -�----
Foundation ELC
RCC@SS:
Ftg Drain ELR ---------- __--
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam
----- - - - --- ------ -- -Shear Anchors
Anchors - --- -
Ext Sheath/Shear _
Int Sheath/Shear —
Framing --
Insulation
Drywall Nailing --
Firewall
Fire Sprinkler - ---
Fire Alarm
Susp'd Ceiling - , ---------
Roof t
Other: --
Final
PASS PART FAIL
PLUMBING
Post&Beam
Under Slab -------- - --- --
Rough-In
Water Service --- - --- -
Sanitary Sewe-
Rain Drains -- ------ -- --- — -
Catch Basin/Manhole
Storm Drain -- - -- ----- ----- -
Shower Pan
Oth9r: - ------ - -- - ------- --- - -- ---- -
Final .-�------
PASS PARTF
_
MECHANICAL -- - -- --- --_-. --- ---- --
Post& Beam
Ruugh-In - ---� -. ------ ------- - ---
Gas Line
ampers -----____--
r
SS PART FAIL - - -- -- -- - -- -- -- - - -
E _ IC_AL
Service - - - ---- -._ --^
Rough-In
UG/Slab ---- ------_---------
Low Voltage __-_-------- - .,_._ .._.--- -- -- ----- ----------
Fire Alarm
aminal Reinspection fee of$ _.._-___._.required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
gITE _ F-1 Please call for reinspectioq RC-:.- -_ Unable to inspect-no access
Fire Supply Line
ADA Data .. �. —_ Inspector -- Ext _----
Approach/Sidewalk -'Z�`/l-/� --
Other:
Final DO NOT REMOVE this Inspection record froe" the Jo site.
PASS PA^T. FAIL.
CITY OF
TIGARD MECHANICAL_ PERMIT
DEVELOPMENT SERVICES PERMIT ti: MEC2.004-00171
13125 SW Hall Blvd.. Tigard, G`t 97223 (.503) 639-4171 DATE ISSUED: 4/6/04
PARCEL: 2S1 12BC-05800
SITE ADDRESS: 08420 SW LA MANCHA CT
SUBDIVISION: L.A MANCHA ESTATES ZONbNG: R-4.5
BLOCK: LOT: 011 JURISDICTION: TIG
CLASS OF WOF:K: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT BEATERS: VENT FANS
OCCUPANCY GRP: VENTS W/O APFL: VENT SYSTEMS:
STORIES: B('1.LEHS/COM?P2SSORS HOODS:
_
FUEL TYPES — 0 3 HP: DOMES. INCIN:
3 15 HP: COMML. INCIN:
MAX INPUT: RI'U 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: JO - 50 HP'.
OD
GAS PRESSURE: 5') CLO DRYERS:+ HP.
FURN < 100K BTU. _AIR_HANDLING UNITS CS:
FURN -100K BTU. — <= 10000 cfm: —� � OTHER UNITS:
GAS OUTLETS:
> 10000 cfm:
Remarks: REPLACE GAS FURNACE
Owner: --- —---- FEES ----
DARREN SHELSTAD Descriptloo Date Amount
8420 SW LA MANCHA CT
TIGARD, OR 9722^ [MEC'FI1 Permit Fee i 416/04 _ $72.50
[T,1NI 8"/"Stale sulclwit 4/6/04 $5.80
Phone: _ Total ` $78.30
Contractor:
ROTH HEATING &COOLING
P.O. BOX 1265
CANBY, OR 97013 REQUIRED INSPECTIONS
Phone: 503-266-1249 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 regt..ires 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: �c.G — Permittee Signature: G"��
Call (5 3) 639-4175 by 7:00 P.M. for in spections needed the next .;u3t pss day
Sent by: MOTH HEATING 503 266 3478; 04/02,'04 11 :46AM;JejLju #438;Page 2/2
Hee,a "e Q t bl2f,'02 1 0:02AM; 5035081 080 -1 RUTH 11EAT INU & Al(-; P"Ge
08.25/2, :2 08:30 FAX 300!'A&1.960 �`r�,' CITY of TIGARD 0002
a r
Me.icrlaWcal Permilt Application
Date tecci%ed: Fartnit
City, of 71gard proiecdappl na.: Fspire date.:
t:uynfTip ard Ad,,'Cm, 13125 SW Hall Blvd,T1Card.OR 97223 pataissucG. isy: RecCi p1 no-:_
I'tr�:,r•a; (503) 639AI71 _ P-
Fax ,;503) 59K•19d0 �1V� Cut file no.: J—X-- Payincnttypo. ----
1I-altt.1 use approval: -� Building pormitno.: _
Iv a mm 0-a 0 mail
=Netwounsmucrion
dwelling or Accesscuy L,(�mmatrial/industrlal O Multi-family U Tenant unprove.mrru
U/,dditran/alre:xUor✓n plarcrnr.nt G 011tcr __._ _
lot,aridness: L (� Indicate equipment qu /)Gates in boxr.e',clow Indicate 01n dollar
Sui;c no.: value of all mer tisai a;materials,equipT.am labor ovetluad,
Tax tea tau lat/uccaunt no.: profit. Value S —
Lot Qlcck: Subdivision: _ *See checkim °or important application infOrn1116 . and
--
fhvject name: — jurisdiction's fse schedule `or rceld,wial rmit fns
City/co ��.—.^ ZIP: ____
nt;scnptloo and lots don of work on prnru acs
1f.►1_L Fes(w,) Total
F-st.dateS6f comp on/ins,uinn: I►eera on Qh. Rer.aslr only
''enam improvement or change of usc. HVACc �-
Air naodung urdt ___.�GFM _
Is existing Space heated or conditioned' U Yes U No Aircondttio`nin'(s;iepianceq Tired)
Is existing sparse tnsulatcd?0 Yes Cl No AItecatiano 0xl9ung HV system
TomptrsBut,
Humness murk: Stets Dolls,^^rtnit no•:
_ HP Tont_ 13TU/14
Add St.- I slnu7kc Uun rr�uct 6rtw c emiors
City: State: empmn(s t-7 r n icqui[���_- - - -
Phone. Fax: - E-mail. nsial aplarefurnac lburner f sTU/9
Lf IC
�-
— -- Including ductworWvent linty UYcs U No
CCB na,: /14 , —. .. ,. _..
_ _ _, ���,^ nttlaiac relor.tuhraters-swpcnde
CitYNnetrn lie,no.. / wall,or MDT mounted
- em or app ianre other r true furoate
Natrte(plra:,t print)• �., � g �/yj/1� _ _�-.�� -___
It.ctr4QerwTUtlp:
BTCfAI
Zd
Chillers.__ -_---_-_-__ HP
as: Cate rnus }ip o ntttental al�Wust ata � an;
� . State: - -- Applianrevent
u: E tuatl: Dr ercxhautt -
Ponds, ype /lllrt:t.lutchmha7tnw..
hood f Ic.suppressin"system
Nama; J � lxnsust tan with rile le duct x•an;fans) —
MalUttg add(c a Mau systcrn apa:z otn Acatlng or AC`
_ V SLAIe: '; � plag and�o�utum Ip to 4 audevl)
City: 7y1a: _LPG NO _ .--
F'Itone: Flu: E mail ucZ i inn each ad L anal over 4 outlets
rocdsg)ptag(achemat►crcqutre _
Number of outlets
Name; � ter Omed app ran•-cerr eq- mTpW"sF -
Addrless: — Carctrrauvefireplact w
City: ��-- Slste: t —
ve
Phone:
Fay: 6-tlrtail oo _tnve/peitntuta --
�thcr:
Applie-nnrs ':Ignaturo- Yl,Es/r� Date of ter _.
Name riot)
Permit fre........ ......... ..
Notwe:This permit application Minimum foe.............. S
expires if a permit is not obrainmi plan rnview(at ._- 11)6) S —��-- --
a illkin IYn days after it Iris a¢Fr1 £lite Sufcharge
Accepted as complete t
TOTAI. .............. ..... . S �J
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