8769 SW HAMLET STREET Oo
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8769 SW Hamlet Street
CITYO F T I GA IL D MECHANICAL PERM!
DEVELOPMENT SERVICES PERMIT#: MEC2002-00348
13123 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/12/02
9 {;,C3) F39-4171
SITE HDDr�ESS: 08769 SW HAMLET S'I PARCEL: 25111 DD-15200
SUBDIVISION: MILLMONT PARK ZONING: R-7
_— BLOCK: LOT: 029 JURISDICTION. TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEArERS. VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: '?OILERS/COMPRESSORS _ HOODS-
_ FUEL TYPES 0 3 HP: DOMES. INCIN:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 310 HP:
FIRE DAMPERS?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING_ UNITS CLO DRYERS:
FURN —100K BTU: <= 10000 cfm- OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Romarks: Instail gas furnace
FEES � --
FORD, DENNIS M AND SYLVIA A Type By Date Amount Receipt
8769 SW HAMLET Sl PRMT C rR 8/12/02
TIGARD, OR 97224 $72.50 2720020000
5PCT CTR 3/12/02 $5.80 2720020000
Phone: Total $78.30
Contractor:
AAA HEA i ING + COOLING
2915 NE M/RTIN LUTHER KING BLV
PORTLAND, OR 97212 REQUIRED INSPECTIONS
Mechanical Insp
Phone:284-2173 Heating Unt Insp
Reg #:LIC; 222 Final Inspection
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This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other af�plicabie laws. All work wall be done in accordance with approved
plans This permit will expire if work is not started within 180 days of issuance, or ii work is suspended
for more than 180 days. ATTENTIONOregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those -ules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
Yuri may obtain copies of these rules or direct questions to OUNC by calling (503)246-9189
Issue By: _ Permittee Signature:
Call (503) 639-41'5 by 7:00 P M. for inspections needed the next business day
11. 11.'2hn1 1.2:art FAT 5015981960 C'ITF OF TIGARD I�t1!aU2
Mechaniva)Permit Application
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�,Ity of Tiga r[1 E:tpbedateOrvn1'1'iKard Address.13125 SW Nell nlvd,Tigard,OR qM3Phone: (503)639 4171 ` By:r u: (50:)) 395-1967 paymenttype•
Land use apprnVal:
MMN
2 family dwelling tw ao:ecstory J Coinawrcinl/industiial u Multi faimly ❑Tenant improvement
41 New eonshuctioh q Addition/al'^Cation/replacctnurtt U Other
I WW
lob add[Cxs: '`'� J 1, l' j i I I l-- I J -( L 'T' indicate equipment qutwtider,in boxes below.Indicate the dollar
.-Ell.no.. _ 3Wae tLo.: value of W1 mechanical materials,equipment,labor,overhead, �
Tax mirpRax lob/accouat no.: ptotic.Value
Lot: Block
Subdivision! '� 'See eht.-cklist for imporcaat application information mid
ERD r=/J /, i }- -- uriMlictlon's fca vchodulc fv( rctdr.ntini lwrtntt fix
City/colltlty: 7.D': "REMAIN'7. )
icription and location of work an S:
Fee(esL)
PAL dare of wmQletloNiaapet:ttotl: -..-. - Tefal I)seltaiNtieet � Utes.
Tenant linprovement or change of age: V -
T>;existing space heated or oouditioned?6th,Yes u No
Air
handlin unit CFM
-cir'c'a ovatng( tie--Gtr
Is existing space irw-alated?14 Yes O No pxsgun'ol"iGtm�VA( sya
lletycwnprssso�
Fsusinecs name: i i\ l. r• 1 ! l ! : " t.- 1 l,i; Slate botisr permit no.:
'-�'-�"- ----�-Address: 11P Tons
iroystrwo c er act sono
City: I IL 1 h-'l) Sntte>^ P ZIP:,I '7L.i" -'~� sltaytonre/tuiteo racoons -_
i'betro' ,5�1� ' I ? Fart" i':'> )i-mrtil: ane rep ace eor'�fiurrierI[TJf[
ns
$ �` including ^rjwcrit/veor liner+ Yes t7 NO
tailTiepisc re7uca-ttirwiorrs euupcn d, "
city/metro 11c.no: Wall,or flora mounted
Name tplease print), p?ance:�ii►er-'tTtai tttinaix
Abautptionunitn _ BI-UtH
Namo. C.billoxs _ -- --._- lip
Asldeeae: '
City:
Stott: ZII'
_._ ... ---_.. _ _... .-... Appliance vent
i°hane: Fax. E-mail: Brycrrextwat -- ---
ifir> ld ciTenl6azmrt _
Natsar: 1 ! ;. N ti r hood Piro suppression eytttam
1-r- S b S y�V / Exhaust tan with sin
.i sle dttcc(htnh tare)
Matiliat_ nes'— ��_' l��111 i ,l -T_ 1 / C ntern ap ut from mor
City! 1i t' r•l t' I State( r' 7ti': i , - {%MW,'�ntatiato kup to 4 o cul
Type:
co LoNra G _ NG�oil
ovrrSbott Fvt, -�e5i-i
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plyltrd(ac the c regnired) _
Haute Nuintta of outlets
Addtrst;: �'eo:oradveflre lac:.t
_city _ Ti
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Ph o: _ l ttuc Ueuall:�- --- 0(%ut t aarva ._ -
Applicant's 111 1 I `,; !. >, _ tAkwi
Net dl jn,ladlodaau notepe rrcdk.atJt.plear con 1W15AkU0o rat tnt�ie nd+xn,y+on. __.Permit tee.............. ......S
Visa .l MotrterCerd Ncat{ce:]itis prrntit ttpplimtion N inimttm fee....-,......S
c]rda�s,+ mMr._.___�.___ � J exP if a ix,nrit is net ol,taigenl Plain
teviau,(at 4 1 S J
tmtnt rvr!hin 180 dal^o atter it has been state review
tge(13 1 ,,,,$ `-,
mne-Z nt an ohe4ri'm c accepted as complete,
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TOTAL ...........
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r� der Rlpw -.LTJ
Mn 4r 1'•fBOtu�`UM
EXPIMED