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Permit f. C ITY OF TIGARD MECHANICAL PERMIT 'IA DEVELOPMENT SERVICES PERMIT #: MEC2004 -00468 ��" ..�) 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/16/2004 PARCEL: 2S 102AB -00501 SITE ADDRESS: 12115 SW LINCOLN AVE SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND ZONING: R-4.5 BLOCK: LOT: 063 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: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Install gas furnace and A/C, (existing gas line). Owner: FEES CAROL D. SCOGIN Description Date Amount 12115 SW LINCOLN [MECH] Permit Fee 7/16/200 $72.50 TIGARD, OR 97223 [TAX] 8% State Surcharl 7/16/200 $5.80 Phone: 503 888 - 4510 Total $78.30 Contractor: HEAT RELIEF CO 1311 NE 116TH AVE. PORTLAND, OR 97211 REQUIRED INSPECTIONS Phone: 503 260 - 0077 Reg #: LIC 122424 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: S -�� )) Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next busirtes day _ L H ' 1 1 1 1 r 3 2004 11:52RM Heat Relief 503-261-9914 p . 1 . ' . . • Mskanical Pe ..... i,,,,,.i , I tillogiogeol City of Tigard 'ec e r-‘ . . ...t 13 ..: M.: us SW Ba ll Mod. . . e lO tk gazd, Oregon 97223 x F.; . RiliTiRIIIIII . .. ri • . \ - , I Phom 503-6394171 FM: 503-593149600a 410k 11;% - r-- u Ur . Flanlet WWW•atiltadarAli I . i I • 1111, • ..-.• • A* rmol3 Abr. • • . 24415ur blepOCliOn itcOoSt 50.14690151‘" ' ' Nieomatellol: 11111i • • J L .....L . V . • . . Rial'a i. :i'l!:".ali'A.27 .:.41i.41*, ,- 0 % ' • 1. --*:,..::,--_; .i_ :.,.: -_,,.• ' :_l ,r• ;', ,-- :i. , IN New orarstmetion . • • . . 115 11 wowed weft IMO tit brat *DIM soil %obi cribs worI • • i ■ . . ill!ili I. E:=111111.1111.1 . potemmil. kat* ate Woo (naisktitelhanreffit follod of .-.;::: lic ,, ! • , • jc, ,. • ,,,., , . c-. . 11114111 milt* equiPment bbiliOvelirld 11116 PMfit Ift, • • WW1 • • sum. . for Pee 01:11 ii=__IMMI . 1111•11117_7A11111111111MICi7.7115=nu 7 1. kintier Blader . 1111 °the ir' . • ' . • • • • EgiBREMEMPAN=Emig - , I '; '; ' ' • • , 7 ' 2 - 51 ' • :'iL? • : AF'''' . • • • EA =i1=7=""_._ . MIN WE _rF311 .... . ._ fissiteaddoete, _ . .... gnar . . Sobs #: • h1=PLTri'aillil 1111.11I E.77=11111.= NAG • • 10==..- :=-Amoi. ultuia Cross streetiDheedensio job Nita ' • 1400 111M • 1E2-= I num" . ir2 ....11.11111111111.11111.11i MN MERIN • Subdivhime . . „, ... . . Tom . Li • ' ' . "' II ' • • I I 1 migg mum! . riffillE9..” 11=rn""="_=_ ., IBM IIIIMETI • • MOMIIIIIIIMmmmmimmmm. .• IL,r ME moo 111' • • I I MLMJ ItIMTNIETWIRTIArtall111111011111101111•111 -. . uniEral • 11 . 11 -irhtIIIIIIIII.IIIIMIIIIIIIIIIIIMIMINIII ' • ..C1..._ J ==-11..11111M11 111111MOI • l ' i '' E . ''' - = : -: k • : . -.• d= 211 4V 9 -4N z L''F:— '; . . —=z:' .:SIIIN;; E—. 10 i ( Name: . , ,„ . . . 0 - • . • . . ' . • ' t'. . ! • Addeass: am-m. . . : itorgaomtdfolor . . • , , Iquiprosat la00 • •• . — ....... ....--,--, Cloths 0 dryer Mime' • 10.00 . = i te di ilffi I t• =.1r1."!1 . ,..41,r:■•:Cri: 0 . Fay . • :, . • Imam ccocidoolli, . • ;•..En_iLif_, • : - .;.:?,•-,:,:..',=;7.. . , IL - _ , i,. .1 .,.. ..I Name: I , . ■ - P _ , • . IETril". woe boa • . • I WA Address: - I . 1. ii, :. . . • C..... . . • VtAtIse.,:n5FAAMICTRAM ' r .r:s: ' '.. 1 ■ N :.; ''..g ' :, Phalle:. • _ • ..0077 • • . atillilMirr __ _. , MM. " ' • Ek . . ' 1 " • War - .lal. T 'i:i.._ 1;::= , s• .. Boldness Nam 14.e.d 4- , . -c...4- • • • • • •• Addrerme - MO ..,...: .. . . ' - * 0. • we . 111111n1=In111111.111. . . di. . i • -• i • • • ' CCM Lir.. #: / . • • - alsosase; Acrel..i.DerE40 • Degg' Thigki IIIIIIIIPIIIVWe:7 1=1 IF lifit4 II! IV • --- Mark Da • • • =1..un1 '2.'. . OW mo • onimmr,=..1,_ E. imipir . Hodges lab pseedt mamas aphis Ifs molt le old obtalosti utile °PIO ametiodiliploottiv Irei4Jsogribsiiltiess 1 ; • - . Illom IN days filar It Yahoo asespiid as somisto, 0 •01D gas raided tar itiesioir NC asks Mosillowilt PoonsWeePoultApp.dou 01/D3 • • . — • • • 1 Ju1Ir3 2004 11:52RM Heat Relief 503 -261 -9914 p.2 07/08/2004 07 :613 FAX 0003/003 • el g Vi • I • 1 CI v) R g • . 9