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Permit
ft f. CITY TIGARD MECHANICAL PERMIT ikom DEVELOPMENT SERVICES PERMIT #: MEC2004 -00414 ' 1 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/28/2004 PARCEL: 2S 114BA -05200 SITE ADDRESS: 09870 SW KENT CT SUBDIVISION: PICKS LANDING NO.2 ZONING: R -4.5 BLOCK: LOT: 088 JURISDICTION: TIG CLASS OF WORK: ADD FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: 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: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1 > 10000 cfm: GAS OUTLETS: Remarks: A/C install, do not place within the required setbacks Owner: FEES LOBBATO, JOHN V /BRENDA K Description Date Amount 9870 SW KENT CT [MECH] Permit Fee 6/28/200 $72.50 TIGARD, OR 97223 [TAX] 8% State Surcharl 6/28/200 $5.80 Phone: 503 620 - 3586 Total $78.30 Contractor: SUNSET FUEL CO PO BOX 42287 2944 SE POWELL BLVD REQUIRED INSPECTIONS PORTLAND, OR 97242 Final Inspection Phone: 503 234 - 0611 Reg #: LIC 2374 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling (503)246 -6699. Issued By: l .4 n1 Permittee Signature: Call (503) 639 -4175 by 7:00 P.M. for inspections needed the net usiness day 06113/2004 14:31 0000000 ABAB:AAAAAA AA PAGE 02 Meci.,�iiical iexlin A licatio 1 111i Oh I t( I I '1.0\ 1.1 f ity ot Received Date/By: Permit No.: / 1312Z .SW Hall Blvd., Tigard, OR 97223 �� �� r m /}(�L�LY��{�66 Phone: 503.639,4171 Fax: 503.598rt`96 l(�� Plan Review � v tlAil! -`' Date/By: Other Penhq; Inspection Line: 503.639.4175 ^I I Date Read /$y; JurI . Internet: www,ci.tigard•or.us -- y See P 2 far Notified/Method: Supplementeni al Information P. ° ;.\ 2 3 2004 . .qil :, i i�'o 4 tc °;(�t�tkl. n; 1 / J •,gym l j :4 { ,: S , i v l`' , �i*.tJi 1�lt ll!1 F • _ }S C411�I1UY.E "U9 Q New construction '. Ad� i Mechanical permit fees" are based on the value of the work blTi� - 11v �" `" erformed, Indicate the value (rounded to the nearest dollar) iii all [a Demolition ❑ Other: mechanical P materials, equipment, labor, overhead, and profit. Commercial/industrial . 9 1 •'h . 11 .:Ole' , 1�( a R1 w', if ; 7t74.4147 V slue: $ -[ , :; ,.�a+Oi� , , , , ,��?. , , �, a I- 521.1 - and 2- family dwelling (] Accessory ;r> U 0 sory building E ENTIAL EQUIPMENT / SYSTEMS FEES* ❑ Multi - family ❑ Master builder ❑ Other: For special information rife clack /;�f. ' :. JOB.. S. FTE. IINFORM T1 ,; i ,,, 1 f I tai Description Qty. at 1'0 '" "' ' HeatinA/cUOling Job site address; 4, 1 D l� ! ± Air conditioning or heat pump Moires Site flail slioN In • , lacement) 14,00 MO City /State /ZIP: 7' 4 . / / 22„,. Furnace 100-000 BTU(ductswent 14.00 m Suite /bldg. /apt. no.: r Foacc 100.000+ BTU (ductsivenis) 17.00 R� -/ Ki Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type. not electric), in -wall. in -duct. suspended. etc. I0.0(1 L-ot no.: Flue /vent life any or•ahove 10.(10 Tax map /parcel no.: Other: [0.00 Other fuel appliances -DESCRIPTION. OF VIrORIf • :'::;i` .. M Wster r 1 1).00 mater 1 .j, Gas fireplace 10.00 / °..% / # 0 _. A . /1 I" 4.... - ,;i)! /_ / / ad <.A Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood /pellet Stove 10.00 nr Wood fireplace /insert I0.0(1 ROPER)fY :OWN. :; _� Chimney/liner/flue/vent T 10.00 Oter: t 0.0 A A a..A,d_ .•111 Environmental exhaust and ventilation Address: q 0 s ! 1 Range hood/other kitchen equipment 10.00 City /State /ZIP: "Ti I N . q,; .j` 4122 Clothes deter exhaust . 10.00 Phone: (�J63) Single -duct exhaust (bathrooms, 4 . 35 ( e, Fax ( ) - toilet compartments, utility room) 6.80 © APPLICANT . :••: ticrawls ace fans Attic/ crawls toji'I'Aet. PERSON. • .:. • : .... 10.00 Business name: Other: 10.00 Fuel piping Contact name: 55.40 for first four: SI.MI for each nddit• al Furnace, etc, Oas heat tun[ Elidllilli Wall /suspended/unit heater Wit h R- ntaif: Fireplter ace eater • Range CONTRACTOR Barbecue lusiness mane: S se.t Fuel C'k,[hrs doer (o _ ... ... "' Other Address: 2 4 SE PDV f J• I V �- MECHANICAL PERMIT FEES City /Stine /ZIP: e 6Y -1 ' 1‘I_ • - Ct72,02.- 41ih {tta1 i4-V" ('hone: ( 503) 23 . co I lax: (505) 2 3 j • 014.39 Minimum permit ('ce 19 72.51)) 72 t Plan rc%lcw (351oulp4rt) lit Icy)_ _ State surcharge (8':e Orpermit feet s Au[hprired signature: C� . This permit appiil;etion expires if a permit is not obtained within Ian days lifter it hu7 been accepted 0 complete, L Print name: ShauYtp._ '0'l b S y>`j 1 D ate: 69 gn r., (.L • Pee n,clhudology wel by Tri- Cinu{1y I3uitdir,E lodes} tiar•ir,: Itu+nd ■ ftuilJin P 0,,, I2 /(lt 440.4617T {Il- ryai('0/L1 /w'EHI 06/23/2004 14:31 0000000 ABAB:AAAAAA AA PAGE 03 AK Loc./A- not.) ( : L00 b6 �I �� Q %•0 5w KE-wr CT . K)Of-A W C S S k) C /59' coreAcic p�L l\ mRau‘- Once, 3°i CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: - ( 639 -4171 MST BUP Received Date Requested 7 - /3 b'M PM BUP Location q F 7 e kc,_41;t Suite o .?0O/ -Co L/ ( 4 Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING r- TenanUOwner 1 -o -6) - 3 S 8" 6_ ELC E ' �p e- sL, Footing • Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: , . ,� 0 _ SIT Post & Beam _ t, = 1 " - - _ Shear Anchors Ext Sheath/Shear A Int Sheath /Shear Framing Insulation ,V'/ (T, _1 /) --• Drywall Nailing ` Firewall r ''/ Fire Sprinkler Fire Alarm Susp'd Ceiling / ��� t! �! �-•17 I , Roof /` w Cl/ �Flt ►O7 0c Other: Final A ! / U -Q.-' 97 v, vAA9bk 2/) PASS PART FAIL A ,/� 4 IP [114 0 'VI V G∎ ) Q. Post & Beam Under Slab Rough -In f Water Service I Sanitary Sewer Rain Drains Catch Basin / Manhole 1 Storm Drain C/4„, /f ` Shower Pan Other: Final PASS PART FAIL I MECHANICAL Post•& Beam • Rough-In 1� Gas Line �S Smo e Dampers „arm, PART FAIL RICAL 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: n Unable to inspect - no access Fire Supply Line — i - — -- ADA f 3 --- 0 1 1/4 , 1 Approach /Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record rom the Job site. PASS PART FAIL