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14304 SW HAZELHILL DR
CITYOF TIGAR® MECHANICAL\ t.HANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2004-00431
13-i25 SIN Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE IAR E 04
PCELSUED:CEL2511 0B6-02300
SITE ADDRESS: 14300 SW HAZELHILL DR
SUBDIVISION: AMES ORCHARD ZON:'1I13: R-1
BLOCK: LOT:023 JURISDICTION: TIG
CLASS OF WORK: AL1 FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP. R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES. BOILERS/COP.PRESSORS HOODS:
FUEL TYPES _ 0 - 3 i'P: DOMES. INCIN:
LPG 3 13 HP: C'OMMI_. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS?: 30 - 50 HP: REPAIR UNITS:
I,VOOD5TOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm:
GAS OUTLETS: 1
> 10000 cfm:
Remarks: Uas piping to I3I3Q.
Owner: - _ FEES
SCHRUPP, ALISON +RICHARD B Description _ Date Amount
14300 SW HAZELHILL DR _
Nil ( IIS 11C111111l I cc 7/1/2004 $12.50
TIGARD, OR 9727.4 I \\1 `i til;itc Surchari 7/1/2004 $5.80
Phone: Total ,. $78.30 ---
Co'ltrai.tor:
WOLCOTT PLUMBING/DBA JACK HOWK
1075 W. HISTORICAL COLUMBIA RI
TROUTDALE, OR 97060 REQUIRED INSPECTIONS_-___
Phone: 503-235-9784 Gas Lino Insp
Final Inspection
Reg#: LIC 23847
This permit is issued subject to the regulations contained in the Tigard Municipal .'ode, 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 worts 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)24E-0699.
Issued By: Permittee Permittee Signature: —� � d L"i. L✓
Call (503)639-4175 by 7:00 P.M. for inspections needed the next business day
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13125 SW 14*11 Blvd .ilplyd,OR 97223 Y _ J y /
Fame: 5t .639.4'7t Fax: 503.598.1960 r."D,icw Odw hue.
Inspection Lhoe. 50-4;39.4175 Uate RaicyBy: •
® Soo rule 2 Fbr
Internet www-citigi:d.or.us Waitied/ha.host 10 9appkmeatal Lafirnalioa
TYPE OF WORK�— (."I% 'IAL IrR%4 SCIMULE [?9E CH1n�C'xain
�]Now Mnstrued 3n Additionlalmtatim/replan inent ,ni,- permi.rets*arc based on the Other: vaie of the�k
[])]cltl0litfarl perfvame Indicate tlio value(rounded to the nearest d9llar)of all
Inechaniwl materials, labor,overhead,and proftl.
(:-kTBC.OR)' OF CY5NIM1101-TION Value:S _-
RESIDENTIAL EQ(TIPAIFNT/4V%.r Lr11IN F*LtS•
1 and 2-fmtnil dwelling ❑Cun=ercIMry dustrial ❑Accemory buildi ---
❑Mul[i-family C1 Ivtastrr builder . � For�etnl f-rNo�nn-ad—ort u�se-ch-e�c-klr—'s.-�----
t)esaaiptioc ^ I �3• I Ex, tow
JOB VITT V41ORALITION AND LOCATION Iieatigq/eoolinr: T
Job site address: Air ctia
ondidng or limit purnp
uircn dfan ahowual placroaotar 14.00'' —
City/StatriziP: Ptrrnaca 100,000 BTU(dupe/veins) V 14.001 �-
Mc/bldgJapt.no: Projr ct ntttt>d' ' Furoax 100,000�_B ncrd.vars) 17,22!
Gas heat um _-----� 4.OJ.
Cross Street/dirti s to job site: Duct work_ _ 14.00' _
hot water m� - 14.001
Residential baer(radistor or
,,�r� dronir. _ 14.Oa
Unit heaters(fuel-type,not a cctrio),
in-walnut-J�J_,_9us�nded,ste. 10.00
Subdivision: �T Lot no.; -� Nlueyt ue Rar any of shove 10.
Other L to.OQ' _
Tax msp/pareel ni i. f)t6er tWcl a passes
DESCRIPTION OF r'iuRK Water beater 10.0
n -�- rias Gnplace IO.Od
Flue vent for water hods or gsa
fn P-IkCe 10.00
-- -- Logli&er s 10.
R'oodl*let stove 10 00
Wood 8rmlacoliner: 10.00
l'hlrlRaey/lincriflue/volit 0.011
PR PER. . 031'NIiR 7 EN;IQT Other: !0
Name: r!L� J LtiviroaelentAl cYltaLLSt sed Fell ilali00 —
Addtvss; ?. e �Q J -- RvIRC hond/rnhdr kitchen - -
r�tif .�r int 10.00
City/state zip.. - w I\ („lames dryer a>cLttllsl _ _- 10.06
Single-duct exhaust(Mthtooms, I
Phone:r _ Ca+c:( toilet�romtrottmcn uo rooms 6.Bb
AIPPLICANC r - �! [�(YJNT#tT PEMON Attic/crawlspace Ihm 1000
13a9ine93 name' Other 0,00
Contset name: ` $SAO Por 11n t furl;$1.06 elle
Addreaq — _ - F11TAatl,Ott
Cis ha_tm
Cit /Stat21P: �
e9usliwded/un_it_h
at�
Phone Wetor heater
F lees I
Email: -- Range
C'OM AMOR Sarbeeue r
Business name: n lvthes --
Address:`
Aft['UMC'AL PMJIT FRES"''
City/StateMn?). 7000 Sab M _ r
Phos . ! Fax:f 7 " _ Mlnitttwn t*e(S72JO)i' t
rmi
_ Plao review(25%of Porfult*C)
CCB lie. Qir' l )rp )( o( /� state sttrchlvgo(9%of permit tbe)
6-- f-i'f�t TOTAL PEKM_IT FEE!
Authtmzed 5' This permit appllcador stpites it a permit u not obs >f0
dM after it bun been tempted w complAr r
p�nl t Itame� - trate � Fcr mclhadnlogy set try Pn-r'mmh FlnilrltnR lmlaxn�l5er�:ce 9aerd
i'd Z9'ON
tr�n �z•t,inr
CITY OF TIGARD 24-Hour
BUILDING - Inspection Line: (503)639-4175
INSPECTION DIVISIOw Business Line: (503)639-4171 MST
BUP -
Received _ Date Requested AM _ PM BU
Location . .� '� AgA -Suite
�
Contact Person
Ph( ) _ PLM .�
Contractor Ph( ) � SWR
BUILDING Tenant/Owner - - - ELC
Footin; ELC
Foundmtion Access: -
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT _-
Post& Beam _-
Shear Anchor -- --
Ext ShRath/Shear Int nn``
Framing
4 �f 'ELL r-U' 17= _ G> , ` �_--
Insulation
Drywall Nailing --.-LeyrtL.�lr,` - -
Firewall r
Fire Sprinkler ----- -
Fire Alarm
Susp'd Ceiling - --
Roof
Other: ----
Final
PASS PART FAIL -
PLUMBING
Post&Beam
Under Slab
Rough-In
Water Service
Sanitary Sewer
Rain Drains - -- - - --
Catch Basin/Manhole
Storm Drain - ----- - ------
Shower Pan
Other: _ - ---- -
Final
PASS PART FAIL - -� -
L _
Po-s-Be-am Q -
RoNO-In 4t 17-
�LT-ng�
Smoke Dampers -- _
Fin
ASS T FAIL --- -- --
ELECTRICAL
Service - -
Rough-in -
UG/Slab -
Low Voltage _
Fire Alarm - -
Fine] El Reinspection fee of$- 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 w-
ADA Date <`�r�
Approach/Sidewalk - Inspnator_,�, _ Ext
Other:
Final - DO NOT REMOVE this InsspoWon r000rd from the fob sift.
PASS PART FAIL