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Permit CITY TIGARD MECHANICAL PERMIT � ,�r DEVELOPMENT SERVICES PERMIT #: MEC2001-00218 Ail. 13125 SW Hall Blvd., Tigard, OR 97 (503) 639 -4171 DATE ISSUED: 06/19/2001 PARCEL: 1 S133DC -11800 SITE ADDRESS: 13486 SW LAURMONT CT SUBDIVISION: ARI GREEN ZONING: R -12 BLOCK: LOT: 009 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: 1 DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Installation of exterior NC unit. Cannot be placed within required setbacks. Owner: FEES BILLETTE, STUART C + Type By Date Amount Receipt FOGELBERG- BILLETTE, CHERYL PRMT CTR 06/19/20C $72.50 2720010000 13486 SW LAURMONT CT 5PCT CTR 06/19/20( $5.80 2720010000 TIGARD, OR 97223 Total $78.30 Phone: Contractor: GEORGE MORLAN PLUMBING 9806 SW TIGARD TIGARD, OR 97223 REQUIRED INSPECTIONS Mechanical Insp Phone: 503 - 624 -6895 Final Inspection Reg #: LIC 2734 PLM 26 -60p 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 -0080. You may obtain ies of these ru ri or direct questions to OUNC by calling (503)246 -9189. ' ' Permittee Signature: 1 �v / � . _ _ Issue By: ���.r� .� � g /�l >7 Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day t t l ' - 1J — c uoi 1J •4( 10/ .72o0U 09:51 FA1 bU.fb841 /2I t.iL) Ut 1 Lbw u . RECEIVED Mechan P erm i t A l ,- 5.Eri s a _ n. t �. r �I� !�, r ,F -JUN' 1 8 200 Date received a l/ /0 / cI amino "Ng D/ -G • / City of igarU G Projcctiappl.no.: Expire date: Ciry of Ticard Address: 13125 SW Hall Dlvd, igtJR �J Dote issue 1 • By:g ltcceipt u0.: F'ltonc: (503) 639 4171 pC Fax: (5 03) 599.1%0 /0# /610)(.49 glis-5 Cur. fit: no.: Payment type: Land use approval: © uiidtngper- n i:no� w�4� � , , ,,� .,� y�,t r ,;;;i �� =117 • :'3 : .: . 5 ::_� , I , ; .,,,,:, 4t:; * .:y.. : • XI & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family ❑ Tenant improvement Cl New construction )9( Addiuon/nitcrsuon/teplacemer,t 0 Other: '" ' JODbil'E INIORM.1T /On t. r • ,, ` " �� :COM14Fint'1: %/ *A0 :VMIVN ;SIIIEDULE'= > , 1 Job address: . / / � - Indicate equipm th ■ Bldg. no.: Suite co.: :ot quantities in boxes below. Indicate the dollar `� � {� � ' - value of rill tncehi.icsl materials, e9 P ui iti_nt, labor, overhead, Tai map/tax lot/account no.: pto;it. Value S -_-•_ - Lot: _ 13 lock: Subdivision: 'Sec checklist for important application information and Project ne mc: j r • c t Jurtsdton s fec schedule for residential permit fee City /county: - _ n ( ZCP C 7x,2.3 ` t l & 2 ItAbHLY D ELLING PERMIT ITC itl1LULu , : O scri uon ands o1 cn or Work on� QJ..P __ �1�R1MA1/, Ilia' AIIINUIISI 144A9l1.*Fir§04#,1l1.F 4 VV roe (ca.) rout Est. date of completion/inspection: Dcxrifttion Qty. Res. only Res. only Tenant improvement or change of us :: IIYAC: , Is esistin , space heated or condigoncd? 0 Yes 0 No Air (landl.n� unit CFNS P Atr con•luantng (site pint required) S Is wasting space insulated? ❑ Yes 0 No At :crltion of exi sting H syltcrn IMI -" ;;.,•i;M n,;111Ec UANICO t;ONTRIitTAUI " ' • "'e,' I S riff L3otL:rIconpressors Ste boiler permit no. • t♦�:1 I // e / I HP Tons _ = BTU /H Address: • 1 Ot OAP s S-•ire/smokc c capers /dur sntoJ:e detectors City: " t. .r -- •a • Hest pump plan required) ' Phonc: • Fax: d E-mail: install /rerl :cturnacefourucr BTUitt t �� - , �� -ml: Including ductworluvent liner 0 Yes 0 No i CCE no.: l, Installlrepinechcloeate - suspended. City /metro lie. no :: / • ( l • - • . - Wall. or floor mounted -- -Naive (please print): b i a "" IPA_ - S - vent fora • •fiance outer than Turn ace — . • . ` taltf, 9 -A - 4 :- O / 1 IV 4ii Absorgt;acram": is BTU /tt . Nutnc: Chillers HP ' Address: • • - • Compressors HP ru'ommeatii exhaust snit ventilation: . Cry: 15 talc: ZIP: Appliance vent Phone: Fax: E -rneil: rycrc null " , r 7 • " i ; k v1, r'la+. x s,. • Hoods. Type U Lures. litchenJhaznvt III hood Fite supprciaion sys cm 1 Name. t • , ' IT ' Szhaust fan with single duct (bath faro) ) 1 lv!Liio addics3: ••. ' .hsust system a art from he eu or AL i City: 1 1 t � fuel pip tog AU• ' • butson (up to 4 outlets) .•� t i?� Type: LPG NC Oil phone: Fax: E -mail: ' Fuel i i each rdditional over 4 outlets " ',, a:; `" ; .l• ilst N; Yroce.splpIn6(s ell cmulic reel uit.. Number of outlets Name: '' Other bstcd tta sppttecor equlpxscnt: • Address: Decorative fireplace I Coy:'. Stare: ZIP: insets - type I Phone: J F. : • 6 -m4 �oodsrovapeit:t stove i1: ' Applicant's signature: , ./0,40 /•' ,r 74 )..aze: Omer: Name (print): 1 i / . • - - 'Y.R Ai ivrira.nioac tempt Or cards, parr call iwuale..,.. r.,.., i,J011•,•noa2N 1 Notice: This p anic application Permit fee , $ a - , - O fruit O Mx:cereud [ Minimum fee - — �; 4 y . expnres, 3 permit is -not :obtainad••' • ��� r«a number: P � _ within 180 days alto it has been plan review (at _ 96) $ Scare surcharge (89b) .... $ . r. 1.4.0. or c.tmowtr.c.ov+n to .1., p.m accepted a; complete- TOTAL :Tl+r C'wtmetea eitnetotc A mown t i 44 0 -x611 (61x0lCOt•Q JU -13 -2001 13 :47 r•"G . George o Plumb �and o 9806 SW Tiggcircl st. Tiocarc1 OR 97223 w 503- 624 -6030 . Fax 503- 639 -4531 S b d oor un it site plan ., - Name: 0 \The 1 N u 1 (4 e,Job no.,1 to bl yv Address ,t5 . LAL 12_ . Jr\ - C_. Oily ■ 1ek,.,(--c\ Zip code • ._ . • . _ , „ . • ._ . . .. .. . . . , .. . : . . . . . , . . . .. • . . . . . . • r . . i _ n7 Q . _ Ho use t ___. ti �w. . . i. __ .._......_.. Fk I. ` i _ ., _ t ...... ... ._ • om . _- 1- _...•.Kr� . __ :... 1 F, i S -• i ; . j r--I--k- ti Front • • • • CITY OF TIGARD BUILDING INSPECTION DIV • ■. X 24 -Hour In spection Line: 639 -4175 Business Lin MST � BUP • Date Requested /' Z 3 AM PM BLD Location / 3 - •:3 S 24 4 yrn Suite MEC 4o) - a /— Contact Person Ph 7 7/- 6 5 - ‘ PLM Contractor Ph SWR BUILDING - :, Tenant/Owner ELC Retaining Wall ELR Footing Access: / js — lY1,p�/�vlhr /1.71( - 5 tt ay Foundation , `r ru FPS /� Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing I , ) J r , e/ Ciliv O i b r r v / 0 1 9 1 ' f e h Insulation ✓ Drywall Nailing PI o v e7.-, -t,. j , Firewall . Fire Sprinkler • Fire Alarm Susp'd Ceiling Roof Misc: .ilJolt' e e0.4 04'7, _e't Final PASS PART FAIL Con TA . "h f 7'U /7 oT 9' M ref 0 /i? Post & Beam Under Slab Top Out Water Service / Sanitary Sewer / "( j . Rain Drains r Final _ PASS PART FAIL • t''4 )� (& Beam V G Q T Rough In Gas Line Smoke Dampers i� PART FAIL • CTRICAL; .= .9r. , Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA - -- - Ottheoach /Sidewalk Date 7 2 3�o / Inspector Ext - ?cam Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. •