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Permit _, - r C ITY OF TIGARD MECHANICAL PERMIT lA DEVELOPMENT SERVICES PERMIT #: MEC2004 -00628 '� 11 � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/20/2004 PARCEL: 1S133DC-11000 SITE ADDRESS: 13309 SW SHORE DR SUBDIVISION: ARI GREEN ZONING: R -7 BLOCK: LOT: 001 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: LPG 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: Gas furnace replacement. Owner: FEES HURD - SHERECK, CYNTHIA JOANNE + Description Date Amount SHERECK, DARREL G [MECH] Permit Fee 9/20/200 $72.50 13309 SW SHORE DR [TAX] 8% State Surcharl 9/20/200 $5.80 TIGARD, OR 97223 Phone: 503 - 524 - 5441 Total $78.30 Contractor: A -TEMP HEATING & COOLING 16000 SE EVELYN ST CLACKAMAS, OR 97015 REQUIRED INSPECTIONS Phone: 503 650 - 9602 Final Inspection Reg #: LIC 71878 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: CB I ct: C.4.1. Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day SEP -17 -2004 13 42 A TEMP HEATING 5035572990 P.02/02 Aferthanicid Permit Application IA/It OFFICE UST. ()MA' • f -gard: V �D Dateay: / '' E Plea Revie Other Permit Mont 30t.639 4171;: Fax • - DatelDr. . Inspe�onLiieG ':503,639.417 :, .:: ' . Date Ready/By: Me . t1 % . ,A . 4 '1 �' ® See Pap 2 for a: • I .aorigniLigtua.o nit . :ti•; . • SE`' " i • fi L U . - - No ed/Method: �G l t applemeaslWormtdoa , • . JC .. ; . . ...... i s ... .... .....:._ :.�.- � 5 ; ;;� •_ - / l ! ` Mechanical permit fees* ara based on the vacua bfthei�tork Q New coastrtit�on : . i�' : • vb - ' ' performed. Indicate the value (rounded to the nearest dollar) dell • 0 Denii litiod:' - 0 Othw •. ' • • mechanical materials . men labor , • - -- • and , • • Value: S end ?rfriatliy dwelling :. 0 Cot>stnerclal/Indagtdal ❑ Accessory building For special lWarrnmdon gm checd id. . • 0.q4 .. ily �r-.u•.� :.[ "u• .-71:1 tioildee ' , 0 Other;.:. ' Description Qty. Ion Total Heat!.: coolie: Air conditioning of beat pump - Job site ` a ' , J ' �- a . • r she .lmn eh • . lacement 14.00 • ' • Furnace 100 000 BTU dints MIll 14.00 .. Furnace 100 000+ BTU duets/ve.n 1790 • Saiteibldgaept.110.t•r:• .....4..... . • .. I Project nittu - e Gas heat .urn. '14.00 • Om Stztoi/directiodB to job site : ' . Duct work 14.00 ' . H dronic hot water ten 14.00 i _ '• i F.: _:.::'' • Residential boiler (radiator or • • h d•onic 14.00 ... "` ' i::. - Unit heat= (fuel -type, not electric • • • • in -wall in -du.. • a•de! etc. 10.00 • Flue/vent for an of above 10.00 • Snb�v :i' ;' • •' .. • - I Lot an.: ° • Other. 10.00 • • • . Tritriiii*oel,ro »':�:: • " . Other fuel a.,Minces • "' • Water hater - 10.00 • Cress fi -.lace • 10.00 • ' `..�� ig ..s., d.■ Flue vent for water heater or gas fi .lace • 10.00 -• a r y r t 1 10.00 � ` • Wood/.'ellet stove 10.00 `• • - .• wood - . lace/insert 10.00 Chime diner /fludvent 10.00 • - Other 10.00 • Name: r;.' ' e ,0 I ,y Environmental exhaust and ventilation An ' � J{�1.b Dr Dr . �hood/other ldtcltca 10.00 oo d ''.. .;;' - 10.00 • � 7 te` 3 Single -dud exhaust (bathrooms. F ( • ) : toilet co . artntents utili rooms 6.80 . . �' );37.:' '`; : rS ; AttidcraW • ace fans = 1000 - • ^ • i :) � Other. • 10.00 Bvstit6ss .... - :�-�"..e , � • R Fuel . i • i CO ; ' ,.:• $5.40 for first four 51.00 for each additional • A ndress: .. Wal U t v It `,� • .. ded/unit heater r City/State/ZEN' S; - �� t ^` Water heater Phone Fac Pi .lace • E7ns €:' ,. ,:, 44, .. Ran:c • Barbecue ' . . Btu Addis •:' :,. tL otO 5t .. 3 • .v . Subtotal C�h s � ®dL 9 "1O 5 . , , - ., t i .(st):iasoac�oa- ' • I Fax:6C� 5 0 o ( g 1 State d surcharge (E% of . - .. t sae) IlMillidl TOTAL PERMIT FEE IWID ' '':• a'3 ; t � ~?.%'- r •_. • : -.. ', . t� a - -�' . This permit application lupins a permit h not obtdaed within 1110. : • . At iced 8i , • . • . �.< ns days otter It has been accepted as ommpkie. •••‘ .. '...••••• a. : u ' v tires_ - Lat • ,© JI • ice methodology act by 'VI-County Building Industry Service' 4 • TOTAL P.02 e CITY OF TIG ARD 24 -Hour • Inspection Line: (503) 639 -4175 �P BUILDING MST INSPECTION DIVISION Business Line: (503) 639 -4171 Q� BUP Received Date Requested / AM PM B Location / `3 30 9 49 Suite a0 Contact Person . Ph ( ) S° — s ( f (41 PLM Contractor Ph ( ) SWR 1, c BUILDING Tenant/Owner ELC 1v� Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: C2 c,5 .11 �►�� - SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear V A L/,‘ —� e <1 — 72 S50 Framing J� — max l.� 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 •• RT FAIL AL Post & Beam Rough -In Gas Line Smoke Dampers �ArRT FAIL ELECTRICAL 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. ❑ Unable to inspect — no access Fire Supply Line ADA Date � — v �" Inspector Ext Approach/Sidewalk P Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL _, - r C ITY OF TIGARD MECHANICAL PERMIT lA DEVELOPMENT SERVICES PERMIT #: MEC2004 -00628 '� 11 � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/20/2004 PARCEL: 1S133DC-11000 SITE ADDRESS: 13309 SW SHORE DR SUBDIVISION: ARI GREEN ZONING: R -7 BLOCK: LOT: 001 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: LPG 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: Gas furnace replacement. Owner: FEES HURD - SHERECK, CYNTHIA JOANNE + Description Date Amount SHERECK, DARREL G [MECH] Permit Fee 9/20/200 $72.50 13309 SW SHORE DR [TAX] 8% State Surcharl 9/20/200 $5.80 TIGARD, OR 97223 Phone: 503 - 524 - 5441 Total $78.30 Contractor: A -TEMP HEATING & COOLING 16000 SE EVELYN ST CLACKAMAS, OR 97015 REQUIRED INSPECTIONS Phone: 503 650 - 9602 Final Inspection Reg #: LIC 71878 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: CB I ct: C.4.1. Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day