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Permit 1, y CITY TI CHARD MECHANICAL PERMIT "* PERMIT #: MEC2004 -00431 - 13125 ;ly DEVELOPMENT H BMENg Tigard, ) 639 -4171 DATE ISSUED: 7/1/2004 PARCEL: 2S110BB -02300 SITE ADDRESS: 14300 SW HAZELHILL DR SUBDIVISION: AMES ORCHARD ZONING: R -1 BLOCK: LOT: 023 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: LPG 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: 1 Remarks: Gas piping to BBQ. Owner: FEES SCHRUPP, ALISON + RICHARD B Description Date Amount 14300 SW HAZELHILL DR [MECH] Permit Fee 7/1/2004 $72.50 TIGARD, OR 97224 [TAX] 8% State Surcharl 7/1/2004 $5.80 Phone: Total $78.30 Contractor: WOLCOTT PLUMBING/DBA JACK HOWK 1075 W. HISTORICAL COLUMBIA RI TROUTDALE, OR 97060 REQUIRED INSPECTIONS Phone: 503 Gas Line Insp Final Inspection Reg #: LIC 23847 • 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: i � of AI/ Permittee Signature: 67i Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day ' i__ . .>i a`aical fl Felrmi _A�ppRicato nn [�J '� Received Potm s/ U lf�� City of Tiger . Date/By. 7 — / —1.9 y Ad � 13125 SW Ball Blvd _'dam, OR 97123 t4 b VA Plan Review Permit: : P?Monc: SG"; .639,417 Fax: 503598.1960 ° �_ ! ...1 'a Date/By Inspection I434: 50' _39.•1175 W� ' T IGARD t. - - . nate Ready/By: has; ; PI sec Pv;e 2 for ! r .. aZ sa Notified/1%4060d: mentat Internet: WSV'a/ -Gill � : �d.or.us � 0 r , 1 `J 1U I T Suppk t III t`IG' 1 T YPE OF WORK Irf , A e u Vi 1AL FEE" SCHEDULE -- IISE C : t. C'la.I.4T '� ' Or ' �- permit fads* arc based on the value of the irk (] Now pppy� u e .* p AdditinrJalterleion /replacement perfimue - Indicate tbo value (rou)ded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, andprofit Value: $ CATEGORY OF CONSTRUCTION RESIDEN LAL EQ1TiPl11ENT / 9I sTr.MS FFIESR tIr 1 - and 2 - fumil dwelling ❑ Commercial/industrial 0 Accessory building For special b1 orntarldNt ass checlriisl ❑ Multi- family ❑ Mesta builder ❑ Other: Description Qty. Ea. ! Total JOB SITE INFORMATION AND LOCATION Ileali , eoolin_ Job site address: - 3 L) � � v conditioning Air . r hod L o pump 3 , • site m a p moment) 14.00 t/ Putnam 100,000 BTU duets/vents 14.00 City /StatcJZlP_ Furnace 1001100•~ B'l J dncta/vents) 17,90! Suitc/bldgJapt. no : Project name: it! Gas heat pump 14.00; - Cross street /dire ';ns to job site: Duct work 14.00!' dronle hot waters 1 tent 14 -00! 44° /..5 -- 1 Res boiler (radiator or a 1 L . � 14.00I dronio r ! ` � -- Unit heaters (fuel-typo, not electric), in-wall. in-du sos . , ded. etc.. )0.001 Flue/vent for any of above 10.001 Subdivision: J Lot no.; Other: 10.0(' Tax map/parcel n , . : Other tact a , .fiances 1. DESCRIPTION OF WORK J Water heater 10.0 e Gras firepla 10.04 r MTj ✓ � Flue veto for water heater or gas 10.001 1 fnE• Lo- lithter 'r 10.00 • • - WoodI_ llet stove • 10.00 Wood fireplace/insert 10.00 - _ Chime flincriflue/vent 10.06 ) .7" PR s PERTl OWNER ©TENANT Other: 10.00 Name: L S � �( , exhaust and ventilation - -. - .. _ _ r t RAW hood/ cn other kitOb Address: ' - 6 ; - 40 City/State/ZIP: ] r ' a l Climes dryer exhaust 10.00 tY Siggle.duct exhaust (bathrooms, Phone: ( fax: ( , tact compartments, unl rooms) 6.81) , R • APPLICANT y CONTACT PERSON , �Attic/crawlspace thus - j0.0'0 _ - � I Other 0 Business name: 4104 Fuel piping I ' Contact name: � / � ' 55.•10 for first 1bur; $1.00 for each additidinal Furnace, etc. - Address: Gas heaywup ! - �Vali /suspended/uait h 7. City/State/ZIP: _ Water heater Phone: ( ) Fax: : ( ) Fhiplaca E-mail: Range - ��� CONTIIAC'TOR Barbecue - ITJi�t r lothes dryer (Ps) Business name: f,� , r 11_ / .L I�t� � VP 15'hor: 1 - Address: ► 1 A ! I1 MECHANICAL PERMIT FEESth! 0i- / ' 0 Subtotal ; 4 City/State/UP: i� f 1 >� /� �1J �a t , �, T Minimum permit fee (572,50);! �' Piton r YJ /� , I1 Plan review (25% of permit fee)! _ CCB lie.: • % V / 0 o 2 I i � a , � ' State stvchurge (8°!a of permit fee) TOTAL PERMIT PEE;', A ' A11t1111rized S' / This permit application aspires if a permit is not obt ' �(l'T� 80 ' , days after it has been accepted as cotnple�e 30 E- 4 ,r ' AV `, ! .0r44 flate' r i r1 I r ° Fcc methodology set by Tri- County Building Indust[ Screw* we Board 1 Pnttt name' �t� , ✓ Z'd' 29 'ON JN ISWf1d >I MOH - >10df • Wd9t7:8 17002- 92'Nilf CITY OF TIGARD 24 -Hour BUILDING - Inspection Line: (503) 639-4175 MST INSPECTION DIVISIO14 Business Line: (503) 639 -4171 BUP Received Date Requested � / AM PM BUR Location 0 o � � ! �: _ !_, , 4L Suite 0,20641 dv 4 /3l Contact Person Ph ( ) PLM Contractor Ph ( e 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 i t Insulation Drywall Nailing l�! Ztv7 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 HA L Post Beam Rouqh -In 1, r V was Lin'e� Smoke Dampers Fin - 'T FAIL ELECTRICAL 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 Inspector • Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL