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Permit C ITY OF TIGARD' MECHANICAL PERMIT PERMIT #: MEC2004 -00550 F yn DEVELOPMENT SERVICES DATE ISSUED: 8/13/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S103DA -02201 SITE ADDRESS: 10975 SW PARK ST SUBDIVISION: DERRY DELL PLAT 2 ZONING: R -3.5 BLOCK: LOT: 023 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: 0 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: 1 AIR HANDLING UNITS CLO DRYERS: <= 10000 cfm: OTHER UNITS: FURN > =100K BTU: GAS OUTLETS: > 10000 cfm: Remarks: Replace existing gas furnace & A/C. Owner: FEES DISANTO, JAMES & WENDY Description Date Amount 10975 SW PARK ST [MECH] Permit Fee 8/13/200 $72.50 TIGARD, OR 97223 [TAX] 8% State Surchar€ 8/13/200 $5.80 Phone: 503 - 598 - 3952 Total $78.30 Contractor: HONKE HEATING + A/C 840 NE CLEVELAND AVE GRESHAM, OR 97030 REQUIRED INSPECTIONS Phone: Heating Unt lnsp hone: 666 - 3725 Cooling Unt lnsp Reg #: LIC 71762 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling (503)246 -6699. Issued By: Xy 2/�f Permittee Signature: Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next busiAss day 08/13/2004 12:58 5036660589 HONKE HEATING PAGE 01 08/13/2004 12:28 FAX 6096981960 CITY OF TIGARD IA 001 Mech cal ermrt A li. O FOR OFFICE 1_IS;E ON f. City of Tigard —Cc, It - • , - 3 1) V peradL _,d Q--id it 13175 SW Sall Blvd., rya, OP - 9 A..) • LQO PIED Revkir Other Permit Phone: 503.639.4171 Fax: 503 , 0 17a' �''� " 1'�� Fn SeePa$e2far Inspection Line: 503.639,4175 . _1y :'_.. Date llcadY/Sy Internet: www.el.tigarcLor.us v \\ -`` - ' Notified/Medusa: Supplemental information � r4 �VV 5N �+W�.m11a1��L L� • `I" • •. • ;+:' t. p��v,� '',','''.1:,:•,•-•..:i:^',':••••• ,I' ;Cto�, '' $fiNI* ! ` Y • -v a1 T 'r..;. -�^ .i ' Mechanical permit lb& are based on the value of the went ❑ New conseutt:tion ©Ad. r )alacratiOn/tep18oement performed, Indicate the value (intended to the neatest dollar) of in In Dvmotitionn ❑ Other. mechanical materials, egmpment, labor, overhead. and oreEt. = CA�1 R1( C r , �, Value S • ' 1 . ;; • ROiDtra4 5Y.01 M$ 1St' ' •` • • j 1. and 2- fand'ly dwelling 0 Commercial/industrial ❑ Aoocssafy building For special in arm?iion ass checklist. 0 Multiarnity [] Manta' builder ❑ other Description _IV — fry. I Total '•det'$ITE 11 ?oN,AND , ., ��h 2(eooeaa Ate 10b rite amass: /0 9 7 5 sW P.t1...A ( , in g ' �„_'t'yt _ 14.00 /�1 lseenannt) CitY/5tatc/Z1<P Y --e 7 2 2 j Fumnce 100,000 STU (duets/venta) 1440 Furnace 100.000+ STU (duarlv�) ! 1790 /7, 9D Suite/bldg apt. uo.: / peuj e ) / S 1't� T • on ht l 14.00 , Coss street/directions to job lite: Duct work 14,00 13ydronie 1101 water syst003 14.00 Residential boiler (radiator or . - h>; 10 14.00 Unit heaters (f1Le1 -type, ant electric), . in -wall, induct, eespender set. 10.00 _ Etas cat for any of above / 10.00 /O, or Sobd+'viSion: Lot no.: Ottec 10.00 Tax map /parcel to.: Otter fuel Ap plhtUOey f - • ' ' •- ti D O1't• O T'*UEK ,,, I I' , • ' 1.1 .1 Water heater 10.00 Gas /evince 10.00 ---T E/G Sao vent for water healer or gas Lo 10.00 � ' c- Lot; j�hter ( om) lo.00 w net sto 10.0 • - Wood frm,Iaceftasa t 10.00 • • . • , .426gol r eb*Pope :1e :S' . • Gif •. • • other 10.00 Nth _ . c ?MVO. , Environmental ✓ � - _�, Environmental et<heast end ventilation Ra11Ac bood/other idtahen Add: r , ' ; L = 10.00 City/State/MP; ,9 9 7a .2 3 Cloths dryer exhatt8t 10.00 Single -duet odsarst (bail:moms, Phone: (5 3) 3 9 -5:2 Fax: ( ) ba • llet competenceta, utnllty rooms) _ 6.80 Pr r APPL• 1<C741 • • ' ! �} t ' � p1V' � ; , .. YBit N Atbc/cra lh 11100 • l3tna( m �/1� 7 f � 4. C Fuel piping , 10.00 Contra name: To y J S5AO for first four; $1.00 for each additional _ ■ Address: 9Y0 . &E Nonce, etc. Gm herd pomp My/State/UP: C ,� 42, 970 3 d Wall /suspeadeNrmit heater S b 1 4 3 7� 5 I Water heater Phone ( Foot ; (5p�1 10 to b O 5 S q Fireplace a te • ;y; , • '« I• 1 4'49Naucrfera'OR1 I 'd .!.d , • • r'e': ;:'; - to Business name: S4`rriE 195 R- )J6 Clothes dryer (gas) Odic: • • C1ty/Stater2IP: - subtotal Phone: ) /e fob 3 7 $ FAX: (gyp 3 o S p, Minitm� permit fee 072 72. 50 to dv lfl T - - Plan review (25% await fee) CCB 11e.: 7 / 7 i . 2 -/ — state sutrhattfiO (B% ofpermh lee) s To rAL PERMIT VEX :7111 . 3 0 Authorized stgnatnrtx , . ^ e �/ — _ +' p erm i t app1iia6nn ', :t a pima is not obtained Within 180 days after It his been incepted as complete. Prins name: 1...... Q •"" ; g_ i3 - 0 • Fee Lnertwdotopy set by 11i-0euray 8uadbe Industry Service Bawd 08/13/2004 12:58 5036660589 HONKE HEATING PAGE 03 0 Le Lk 3 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line:.. (50) 639 -4171 MST BUP Received Date Re sted 0 — A M PM BUP �� `� ,l Location /0 7 75 f a Suite MEC, L " 0vs�s _U Contact Person ?4_41za Ph ( ) 66 — 3 - 7a,c" --- PLM Contractor Ph I ) SWR . BUILDING Tenant/Owner CI () If 0 591 ELC �/ Footing ELC 1 2Z '7 --005e9 Foundation Access: r Ftg Drain C - -4 -S ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear int Sheath/Shear Framing Insulation Drywall Nailing In �q p, Firewall 1 d i N -41 b\V d k/N1 41 & f 1\) A� J � V//11 `r 0 Fire Sprinkler \ R J Fire Alarm P `\/10' qp, '' <p�pv5_400 a 'Y Susp'd Ceiling ,�..1 ,�1 ,� ‘, 1 1•' � yy� Other: b (JW l v (9`Q j (N c5 iD - 1 1 / 1- 'r ! �, Final � PASS PART FAIL CPLIMBINQ Post & Beam Under Slab 1 Rough -In Water Service Sanitary Sewer I � C A � j 0 , t \ N,, i \'V Rain Drains \a Catch Basin / Manhole � .11ME OC)- , C, Storm Drain '\ Shower Pan ' 43 "Ant iis 17'D 1N Other: Final , \.90`. D \--4'.‘01 V -\ PASS PAR MECHANICAL Post & Beam .. Rough-In - Gas Line / D S�Hoke Da • - s ��`•! � PART I ELEC - ICAL - - 'ice Rough-In /' UG /Slab Low Voltage Fir- Alarm air PART FAIL ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SI ❑ Please call for reinspection RE: 0 Unable to inspect – no access Fire Supply Line Approach/Sidewalk Date i � ✓ a�S /� Inspector _/ ∎ �� .... V / mil' Ext Other: Final DO NOT REMOVE this inspection recor , rom the j , ' site. PASS PART FAIL