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9568 SW NORTH DAKOTA STREET-1 jS vimpRa qj joN n?S 8956 A t 0 3 00 a ac a� t9 LU J 9568 SW NORTH DAKOTA ST • CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2.003.00164 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: PARCEL: 1 IS13 S135CA-03000 SITE ADDRESS: 09563 SW NORTH DAKOTA ST SUBDIVISION: GEARHART ACRES ZONING: R-12 BLOCK: LOT:002 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: _ BOILERSICOMPRESSORS 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: ODSTOVES: GAS PRESSURE: 50+ HP: C FURN < 100K BTU: _ AIR HANDLING UNITS CLO DR ITS: S: FURN >=100K BTU: <= 10000 cfn: OTHER UNITS: > GAS OUTLETS: 10000 cfm: Remarks: Installation of nit. Owner: _ FEES JOHN HOWLAND Description Date Amount 9568 SW NORTH DAKOTA ST TIGARD, OR 97223 [MECH]Permit Fee 4/2/03 $72.51;' [TAX]8%StateTax 4/2/03 $5.80 + � JPhone: 503-598-0531 Total $73.30 Contractor: SPECIALTY HEATING & COOLING 1601 SE RIVER RD HILLSBORO, OR 97123 REQUIRED INSPECTIONS Phone: 503-640-3607 Cooling Unt Insp Final Inspection Reg#: LIC: 66578 IL ac I- U) _J t1<1 W This permit is issued subject to the regulations contained in the Tigaid Municipal Code, :itate of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. 'This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to fallow rules adopted in the Oregon Utility No tice-►tion Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-0 -t"-0100. u ntay obtain copies of these rules or direct questions to OUNC by calling (503 46-669KJ. Issue By: 11 A Permittee Slgr ature: Call(503) 639-41"75 by 7:00 P.M. for inspections needed the next business day Mar 31 03 03: 59p Speoialt�j HeatfnC 503 5S8 0710 p. ? Mechanical Permit APPUCation -- Datereceived: Per mit no.:N�C�I.�- City of Tigard �� Projecthppl.no.: due: Cay of Tigard Address: 13125 SW Hall Blvd,'rigard.()B,9 T" Phone: (503) 639-4171 1.t l Date issued` B} R000tpt n i. Fax: (503)'99-1960 Y OFTIGARD (:asetlle^o.' Payrncnttypc: Land use . prova . G�� � ooll I�uildingpet7nitno,: -- 1 &2 family dwelling or accessory ❑Commercial/industrial 0 Muld-family O Tenant improvement O New uUnsuuctivu 0 Odor. job address; _ �/ indicate equipment quantities in tx,)xes below.lndica(;the dollar Bldg.no.: {Suite no.: value of all mechanical materials,equipment,labor,r verhend, Tax ma /tax lot/account no.: profit.Value$ Lot. Block: Subdiviaio:t: 'See checklist for importm,application information wd Pro'ect name: njurisdiction's fee schedule for residential permit fee. - Ciry/county- - Z1P- .__ . Description and location of wont on premises: _ Feel IW!y Tadd Est.date of completion/inspection., Q i, Res. Resod Tcnanr itnprovcmcnt or changc of tree: Is existing space heated or conditrone43A Yes O No Alr handlln unit CFM Is existing space insulated?,01 Yes U NoIter tees on of existing system od�couViissort Busintws name: ,�y State boiler permit no.: / l,�fm�_ cel/ HP Tom IITUM Address-- -- O SE 1 d8 t2 Kto D tmo a uctsm�o ctocton _ Clry: ' State77 /fid ump as V L._ Phone - O Fax - F-mail: lost ace n -_— Inclndiinng ductwork/vent liner 0 Yes 0 No CCB no.: nsta�rcnTod�mate e1mrss-soap&. — - City/metro L no-: Q wall,or floor mounted - Name leute -int): D/,n1 iQ 1S eat oar '5"ce�man mace oust 009Rm6ors HP Alir prim units_. BTURI Name- ?N llyy- , (Micts HP Address: h"UGIT ©/�-D ftybWasmstal v at ons city: � A ti.ne&�ent e . Phone: V&3Gr9 F �O7Q$ B tttait: ere aunt -- Hoods,Type �en7Fir�mar hood fire sttppnession oystom Name: yl O w t.t 1 Exhaust fan with sin le duct(bath fansl fl. Mailing�addccas: (F Sf[/ 7 '"-- au ! or X(: - 7J�" y up to ou ets a Glcy•r ! U Stan: ZIP: 7 7�s tyV NG OII NPhone: S 0 0..�3 Fax: E-mail: to eaT�oriat-o - requited)Number of outlets - J ;i iiRrWilh ® Address:- Decondve lace t7 city. stare: w -- --- cavo J Phone: F -- Applicant'ssignature: Date: 3/ Nuns(Dont�,d�4tL.�[K Sit'iNN .— _ UF m w Na all jRitdcdoauogn ottdlt calls,press art Jerlcabson for moi&lolbto>do ti Per-_.,it.fee................._..-$ O Visa ❑ors Card Notice:This p4mit application 141fti urn fee................$ — --- expires if a permit it not obtained Plan review(at _96) $ within 180 days atter It has been "�- - cState surcharge(11%)....$ i tame r diens en tt c� s accepted on complete. TOTAL s An� _ 4.04617(GGMMW Mar 31 03 04s00p Speotalty Heating 503 598 0718 p. 3 _ 1 �a -� r�0 Ns L IG Ar I 7 � I �, os i� r err �� C n ac � ?o CITY OF TIGA►RD 24-Hour BUILDING Inspection Linc, (503)639-4175 INSPECTION DIVISION Business Line: (503)6394171 MST _ UU`� BUP - Received - _Date Requested____ __L-�L_____— AM _.____.__ PM__- MUP Location -��___._ _ ite_-_____.___.______ MEC .3 /G Contact Person — ----_---- -- Ph(--__._-) '�4', o PLM Contractor- ------_—__ - Ph( ) ---------__..-.---------------_ SWR _ ' BUILDING Tenant/Owner _—_ EI_C Footing --- LLC Foundation Access: Ftg Drain ELR Crawl Dain 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 PASS PART FAIL - -- - - --_- - -` PLUMBING — - - -- --- -- -----------.- -- - Post& Beam - Unde, 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 tL Smoke Dampers ----_ -_.-.--_-- - ---- --- - - OC t~/D PART FAIL -- -- --- ELECTRICAL --.-__--.--- J Service m Rough-In UG/Slab W Low Voltage - - - - -- ---- - - - -- -------- Fire Alarm Final FIReinspection fee of$__ requirod before next inst.ee.lon. Pay at City Hall, 13125 SW Hail Blvd. PASS PART FAIL SITE _ �] Please csil for reinspection RE: -_ -_ -_ _ ❑ Unable to inspect-no access Fire Supply Line ADA !s' - __' 3 Approach/Sidewalk Datta Insp* for _-_-Ext_ Other: Final OO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING r Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 _--_—_— BUP t-- Received ��- _—Date Requested _ AM —.Prri __—_ BUP Location Suite_ --_ 6Ef. _4 b0 3 Gd/ Contact Person��� — Ph(� ) sPLM --- Contractor — — Ph( ) _ — SWR BUILDING_ Tenant/Owner _—_ _ ELC —_--_ Footing Foundation Access: ELC — rtg Drain (� ELR Crawl Drain Slab Inspection Notes: SI Post&Beam --- - -- -. - � � -� 14 3 9 Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing - --- -- Firewall Fire Sprinkler - ----- - - — — ----- Fire Alarm Susp'd Ceiling ----------- -- - Roof Other: -- Final __-- PASS DART FAIL — - -- --- - PLUMBING ^— Post P- Beam --------- - --�—. Under Slab Rough-In Water Service ---_- - —----- Sanitary Sewer Rain Drains ------- -- - -- - --- Catch Basin/Manhole Storm DrAln — Shower Pan Other. �. _ - - -- ---- - ---- - - Final — PASS PART FAIL -- --- --- ----- -- -- -- `— MECHANI^SAL--- - --- --- - Post R Beam Rough-In — CL Gas Line Smoke Dampers -- --- — - F.. Final U) _PASP, PART FAIL -- ------- -- - -� Service __--- -- m Rough-In _ C7 UG/Slab -------_-_.___---------- ------ - ---------Low'Voltage Voltage -------- - — - -- --- - — Fire Alarm PASS PART FAIL Ll Reinspection fee of$ __._ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE— - Please call for reinspection RE:-----,-- -- Unable to inspect--no access lire Supply Line ADA Approach/Sidewalk Dft — L� �mim��totr-- - __Ext Other: _ Final DO NOT REMOVE this InepocMon record from the Job site, PASS PA°'T FAIL