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Permit • CITY O F TIGARD MECHANICAL PERMIT r DEVELOPMENT SERVICES PERMIT #: MEC2002 -00512 �" r � I l � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE I 11/15/02 PAARR E CELL : 2 2S S1 105D D -00700 SITE ADDRESS: 15165 SW_ SUNRISE'LN SUBDIVISION: ZONING: R -7 BLOCK: LOT: JURISDICTION: URB 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: 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: 1 AIR HANDLING UNITS OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Replace gas furnace. Owner: FEES DOUG/MICHELLE CROMBIE Description Date Amount 15165 SW SUNRISE LN TIGARD, OR 97223 [UMECH] Permit Fee 11/15/02 $72.50 [UMECH] Permit Fee 11/15/02 $0.00 [UTAX] 8% State Tax 11/15/02 $5.80 Phone: 503 -521 -8466 [UTAX] 8% State Tax 11/15/02 $0.00 Contractor: • Total $78.30 AAA HEATING + COOLING 2915 NE MARTIN LUTHER KING BLV PORTLAND, OR 97212 REQUIRED INSPECTIONS Phone: Heating Unt Insp hone: 284 - 2173 Final Inspection Reg #: 222 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: _ , /� / e11, , %f Permittee Signature: rTh ct • c_vAr_ Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day • 11114 /ZUU 1L: VU rtu ay.►aaoaaov ••• ~ _ _ c .. ` 4 4 ` V 12- 7 Af. 'Mecbanical Permit Application. ib�mrosoived: /1 15 -D r,�it no.: W1 ;ow -o a 51 . City of ' ;I , � Prroject/mgro.: Empire date: Q i a eingarld Adam=13l?s SW H - all Blvd. ^ `D� �� g ( Receipt no.: Phone: (503) 639-4171 s _ I.ttg' , 1m � Fax (503) 598 4 1 2. R• > ��p��� Land use ap>� _ ,,' r.( 'i i )11 & 2 family dwelling or accessory D • . „ , , .7?) • O Multi-family O Tenant impravamme D N e w construction C l A d d i t e o n l a l t e r r t l o m h e p l a r e m r a c 0 Oder- 1 )U •'I i r: t tt0rZ:: \1. r11)V ((11(ttiI.(l, \I- \ \i.1_. \11th\ ( 1111)1 )1; .lob address: I 11p 5 •L U i 6 - LA-kJ G Indicate equipment quantities in hoses beloar. ndir ate the dollar • _ am: I S lts no.: value of all mechanical mpenals. equiPment. labor. ova bead. Tax mapltiaoc IIOt/acco1o>at ltd: pleat. Va61e $ Lou (Block *See checklist for important appfination infonaut/to and ' C i 61E b 0 1 —.4.- C1 .E im 's fee schedule Arc raddentlal , .. a M► /CO4m* T tGA -R-P ZIP: col' - I \ il.) 1� T :t;.SI_111L1) _ . 1 ptif� andlocadan ofMnoak romm- 'tii),,,t \iLltl('\Iti., till.' I .1= (>t: WAIF ..∎tSC /11 /?/.1 -1' Banc heated o o�osndiitiooed%Yes O No c ' °� c� Ts lodging space Is existing spacejasulaledt0 Yes O No az , *-a-ra 1•�� 111 airltil('\j a.0\111. \(1(11. easiness ,�f� ` $-11 'i rr'Jt -- 4- C©�i t.._z& stare tenor eo: srur>A Address: e " 1.5 i i'1 LAC_ .7 ice.. i _A-.v i) . : .. Si . 1- o fr i L_, i) S u ' ZIP ci "1 Z. i -- ._I sate , - -• '='j11111� f �� : iT, , _ il' 1 * I LEMAIREEll > � f " 'In „ Hart _ _ yes Dm CCB no. ? '. '2- hr. c ■.1 p ti r--= ( ' ^7'"E , .I ,- „ ;r.:;; --1 . (..ON i '. (1 P L lz ti O . Aboodontmits BTU/H MIIE Names ChiIIets _ HP Address: MY Stag: TIP: Appliamcevent . Phony Faac E-mail: - =Mann e ? _ . : f rr, .... (1 _ hood foosuppresaionsystem Name: ( iSi E ' v V G- ±- MAC_ii E _coanntaawlmst /0e .,•.- , rape) . , W address: 151 . 5 6 i S E :: s :.: i & p - R- r Sta D1 ZIP: a o . - N13 07 Phone lAiii figri Farc Zama: - m t r — _. ir*!*.-t .; ,_ t:-N.(,i :\I.it .pqo011101 , r. ,(- 7- -.fric -. _,) Nnmberof codes Name • : Othernsiedandkesee aregui Address: DeC0e62k40 ” -' ° ' .• Std ZIP: , : - _ j , - _.._ - Fax: - ft' L - ' gova Ap signature: : Li - f' Y' Oat= -0 . - 0 . Name (print): v11. ,...e ki --- ..S.04. I 'fit Lt et a 1 mh�adoes ca rd. a�® k+ a>: made timoenown. Wow: Isis t�h a Mmfamm fee r . – . — ••.•� $ �,A ' 50 r Visa t] ldmmelC�+d if a pezrnit is amt obtained pl review on 96) s CreditAm nvmbee ----- — withto 180 days after h bas been Son =dune ($%) ..... s t r move m aces $ at:cept daIeompletle. Cacdhateer 4011411ge Ammo 4404617 06904e014) a r 7t• 3a r CITY OF TIGARD 24 -Hour • . BUILDINL�. -- Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested / a — AM PM BUP Location / S 1 (a c /14.4-e Suite MEC S/., Contact Person � Ph ( ) 7)5?' J ( 1 3 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspee ';• n Notes r SIT Post & Beam S �� i ARO /_4 Shear Anchors r Ext Sheath/Shear Int Sheath/Shear 7� � oY//X � zt�P�U.S7 4 N 4 : .De%� Insulation .e d� Drywall Nailing d� 111A," 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 / Man ole Storm Drain Shower Pan Other: Final PASS PA FAIL MECHANIC L Post & Beam Rough -In Gas Line 3• • e D mpers f PART FAIL RICAL 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 D Please call for reinspection RE: 111 Unable to inspect — no access Fire Supply Line ADA Date l ,1`p Approach/Sidewalk Spector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL