Permit CITY TIGARD MECHANICAL PERMIT
r I DEVELOPMENT SERVICES PERMIT #: MEC2004 -00595
II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/7/2004
PARCEL: 25111 DD -15500
SITE ADDRESS: 08705 SW HAMLET ST
SUBDIVISION: MILLMONT PARK ZONING: R -7
BLOCK: LOT: 032 JURISDICTION: TIG
CLASS OF WORK: OTR 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: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Install gas furnace, A /C, gas water heater, gas pipe & vent.
Owner: FEES
WROLSTAD, KIMBERLY A Description Date Amount
8705 SW HAMLET ST [MECH] Permit Fee 9/7/2004 $72.50
TIGARD, OR 97224 [TAX] 8% State Surcharl 9/7/2004 $5.80
Phone: 503 639 - 9472 Total $78.30
Contractor:
R C HEATING & AIR CONDITIONING
2345 SE 143RD. AVE.
PORTLAND, OR 97233 REQUIRED INSPECTIONS
Phone: 503 Mechanical Insp
Heating Unt Insp
Reg #: LIC 123660 Cooling Unt Insp
Final Inspection
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: Permittee Signature: . L e eNT
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
I
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❑ New construction Addition/alteration/replacement
1w Urns" ore bet,c:1 on the value .... the t,urk
performed Indicate the t•tttuc (rounded It. the nrarest dollar) of all I
Demolition 0 Other-
, nrcelmnwal rr e u1n n;nt INIXir nver),c;ut, ;Ind rn
CATEGORY OF CONSTRUCTION Value $
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l and 2- family dwelling L]' (:otnt,tcrcitll /induslri;i1 ❑ Accc+sory building -
' Multi-family Masl r builder ❑ Other; - - - --
Fur sper'iul information use checklist -
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City /Statc/ZIP: 1 l J 9 � d ' O O 97/- F o r m e r • t00,000 ft111 (tluet.,'lcnt,) . -- I d (10 j
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1 Suite/bldg./ow no.' Project name: __( „cusn 17 90
........ . � -- - Cas hcut Lump .............._ ,.,
Cross sum/directions t0 job site. Duct work Id 00 {
H 'dt'omu hot hater srstcn, . 1 (H)
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City /Statc/ZIP. I k a. i O a q j a� ` ^14 I Clothe, dryer e�(hauM . -.... ' 10 1'ltl
Singlc.iuot CXI'tou t (bathrooms, I i
Phone (96) '- _ 1a 1-4 7Q Fax: ( ) tuilrt cutnkwnmcnts, le ltty counts) 6 Su '
`V— ❑ APPLICANT [a CONTACT PERSON .,Attie /crawl:; uec limn it ,C
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K.C. Hea ting & Air Conditioning, Inc. FttOpllting_..
Contact name: K U CI cur son 'S5.40 for first four; S I.00 fur much .ddllinn.l
Address: 2 3 4 3 S E 14 3 A v e . -- Funmoc e ,....,
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Phonc( 760 - 5940 I Fax: ' (503) 260 - W 1_.
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CONTRACTOR
— __..._. • Rflrba ue
business Atone: Clothe. d tycr (,p,iu )
— .._w.` h l-:. H ea_ r ii n g & Air (; o n d i t i o n i n , I. n c __._ T ......... ... . . -__
_— ._.... $._. _..,..— — etch.,.
AddreSS. 2,345 SE...., 143 r Aye -._.,.. , D1E(:HAN /CAL PERMIT FF.F.S"
(ln'1SlaleJ7IP P p r t I. �l n d ,U OR 9/2'i3 — -- -- - - Subtetrl .
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x 1
'� TOTAL, TOTAL, PERMIT PERMIT 3 ui
Autborired signature
; n+U pefdelt app o Irhe■ If • permit is not ubtulnrJ Ntthln I
r ---- -- - - - -.. _........_._.. __ — -- - clays after It has been meowed all complete.
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CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 - 4175 MST
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested �o� AM PM BUP
Location 7 ) 5 / � Suite MEC \ 0 4 y 3 S
Contact Person Ph ( ) PLM
Contractor Ph ( SWR
BUILDING Tenant/g50 �P ELC "A 7
Footing 63 9 -
ELC
Foundation
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath /Shear
Int Sheath/Shear
Framing ar
Insulation pt 1 � - ��� 12.L 'J J ► l� �,��, p)16
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling •
Roof
Other:
Final
PASS PART FAIL
Po r?1
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain NO Shower Pqr
O e
� NA� I r� �^
r. 1 1
rCA ffr)..., PART FAIL
A NI
Poi eam
Rough -In ( 1
Gas Line
Smoke Dampers
'— ' 11 11L41/ 14-7
PART FAIL
CTR
Service
Rough -In /' , F
UG /Slab l�
Low Voltage
Fire Alarm
F Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
S� PART FAIL
SITE, Please call for reinspection RE: El Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Dat /Z I nspector Ext
Other:
Final DO NOT REMOVE this inspection record from site.
PASS PART FAIL