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Permit CITY TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2003 -00259 e 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/21/03 PARCEL: 2S 103BC -08200 SITE ADDRESS: 12279 SW LANSDOWNE LN SUBDIVISION: MLP1999 -00005 MOSES PP2000 -077 ZONING: R -4.5 BLOCK: LOT: 002 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: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Installation of exterior A/C unit. Unit cannot be placed within required setbacks. Owner: FEES ED OSBURN Description Date Amount 12279 SW LANSDOWNE LN. TIGARD, OR 97223 [MECH] Permit Fee 5/21/03 $72.50 [TAX] 8% StateTax 5/21/03 $5.80 Phone: 503 - 590 - 7490 Total $78.30 Contractor: ADVANCED HEATING & AIR COND 5825 SE FOSTER PORTLAND, OR 97206 REQUIRED INSPECTIONS Phone: 503 Mechanical Insp Final Inspection Reg #: LIC 98573 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 -00 Issued By• Permittee Signature: ei7v /7 6°L /6.f -�B",/ Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day May-16-03 4:38PM; Page 1/3 502, 774 4391; Sent By: HP Laser Jet 3100; .._ „Ivanc• d Heatirru; Pe 2 ,. . Fl l4C 6 7 - Cr ii Q7: OGa . P • 2 \ . RECEIVED • : 4 . 08/00/01 ION 10:19 PAI SOS 598 1900 CITV OP TIGARD t 002 MAY 1 6 2003 i ,. . CITY OF. TIGARD • . , . :. Medianicalrer .fication. • :. Ink ,• • - Detereadielk S7t 02 Peanitito.e 1 ,i0 VOAC* . .i •/: '. .. City .of :Tigard. EET= a gyerwani : Addrai, 134.5 Wir Nell Blvdmvua ot. 97223 . Phone: (503) . 6394171 Data hound: • • . • F . MAI M=11111111111. • ax: (S05) 5984960 Cue Mean.: • . :aMffillaillin L • aild:11$0 lipprOVII: • • . . • - ' . • • • :=MlIlrdailf/ZllIllIllMll i 'STU OF 11,i0iii . . • • , • & 2 fans* detailing Or accent's) CI Comm taidalibideettini a bluitt•family • .. CI Tenant itnammulmi. 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ADDRESS.:: . : :,.,.. : ,;.;:: 1 '•'• l, : ' .:... . . • : , /" . ,e,:,.... .....4, Z". : ... . , .• 1 PLEASE INCE.UOt.i : I : U:CATONOP :: ONII, .. 2 ‘ : . LOCA . 1 4....t.„....ML.....mi PlIOPEItTYri0 IVO ",._SIEDE..01:,:itroitit .. IttiES p*vi (6 pNler TO FRONT REAL& --- :SWE Pitairteiy: LINES N ot .. 4 i ON : 11014' ort — utatAritoNs AND PitON't Cit: *louse . 1 ' ' _ i 1 ' " ' CITY OF TIGARD 24 -Hour . BUILDING Inspection Line: (50.3) e69 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requ sted "I l AM PM BU • . Location / - 9 7 9 4/4i41M L suite Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner al 3 - o6; Footing 0 -- ( p 0 517 )4 ) ELC 'Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes , �� ' �� A SIT Post & Beam 'rte'/ G Shear Anchors /� j ' $ 4/ Ext Sheath/Shear Int Sheath /Shear Framing Insulation Drywall Nailing 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 figrCNANIaL Post & Beam / , Rough -In All Gas Line Sr_ruo6ADampers PART FAIL L; _ ervice Rough -In UG /Slab I/ • Low Voltage 0 F'r larm ina Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. AS) PART FAIL SITE Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA Approach /Sidewalk Date 9 / ( - ) A3 Inspect /Air Ext Other: Final DO NOT REMOVE this inspection record f om the Job site. PASS PART FAIL