Permit CITY TIGARD MECHANICAL PERMIT
PERMIT #: MEC2002 -00214
9II DEVELOPMENT H BMENg Tigard, ) 639 -4171 DATE ISSUED: 5/23/02
PARCEL: 2S1 04 BA -00900
SITE ADDRESS: 12154 SW WESTBURY TERR
SUBDIVISION: COTSWALD MEADOWS NO.3 ZONING: R -25
BLOCK: LOT: 090 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: 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:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Remarks: Install gas furnace
Owner: FEES
MCGOVERN, STEVEN T + Type By Date Amount Receipt
JULIE A PRMT CTR 5/23/02 $72.50 2720020000
12154 SW WESTBURY TER 5PCT CTR 5/23/02 $5.80 2720020000
TIGARD, OR 97223
Total $78.30
Phone:
Contractor:
SUNSET FUEL CO
PO BOX 42287
2944 SE POWELL BLVD REQUIRED INSPECTIONS
PORTLAND, OR 97242 Gas Line Insp
Phone: 503 - 234 -0611 Mechanical Insp
Reg #: LIC 00002374 Duct Inspection
ELE 26 -113C 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 -0080. You may obtain copies of these rules or direct questions to OUNC by calling
rf2174.s_Q1
Issue By: Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next b s' ess day
05/21/2002 12:39 2340380 SUNSET FUEL CO PAGE 01/01
01/114301 14:37 FAX 8030847297 City of Tigard .
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Dateissucd: '. By: Receipt no.:
Phan= (503) 639-4171
Paa: (503) 598-1960 , 9 1 ,. '; taro ftla no.: Paymeat type:
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Bldg. no.: Suite no.: value of all medunIcal materiah; equipment. labor. ovcdarad.
Ts: - . - • Ice/account no.: pusfit. Value S
Lot Block Subdivision: *Scc checklist fbr important application infOrritation tmd
Project nem= - II 1 . _ .. . 'iniscnctIOn's leo schedule ihr residential permit fee.
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aped ma .. kUlD'ilk.Lati . zip e. win* lig ma" net 4sahma Pisa nsview (at s
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CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503 639 -4171 MST
BUP
Received Date Requ sted 1P PM BUP
Location 1 �' L ( l 4,ca/ Suite MEC o _C6 D- /
Contact Person / �Ph ( ) - °CI I / PLM
Contractor Ph ( SWR
X
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
y
Ftg Drain Access: r
Crawl Drain P ELR
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath /Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
' Final Q / '
PASS PART FAIL C/
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
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
final
PART FAIL
TRICAL
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 6/1'7/6 ADA Date 1 Inspector Ext A/ Approach/Sidewalk n 4 -
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL