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CITYOF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2004-00129
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/19,04
PARCEL: 2S 102DB-06400
SITE ADDRESS: 09107 SW HILL ST
SUBDIVISION: CHELSEA HILL NO.2 ZONING: R-4.5
BLOCK: LOT: 041 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:
3 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS?: 30 -50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
DRYERS:
S:
FURN < 100K BTU: AIR HANDLING UNITS
FURN —100K BTU: <- 10000 cfm: OTHER UNITS: 1
GAS OUTLETS: 1
> 10000 cfm:
Remarks: I replace and gas line
Owner: - --------- F(_E$ ---
COOLEY, ERIC J 4 RUTH A Description Dale Amount
S
9107 W HILL ST —'�
9107 S , OR 97223 f YIIJ III Permit [cc ec 3/19/04 $72 50
TIGAITAX1 8%State Surchart 3119/04 $5.80
Phone:
Total $78.30
gin; r,t��-��l __—___ —_--_�-- --`
Contracts,
JEFF BENNETT CONSTRUCTION
602 HOLLY DRIVE
NEWBERG, OR 97132 REQUIRED INSPECTIONS
Phone: 971-235-049; Gas Line Insp
Mechanical Insp
Reg #: LIC 143825
This permit is issued subject to the regulations c-)ntained 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: C �'j Z ) Permittee Signature
Call (5A) 639-4175 by 7:00 P.M. for inspections needed the ne�ess day
Mar 19 04 06: 53a Jeffrey Bennett ('� 503-537-5463 p. 2
RECEIVED
MAR 1. 9 L'004 X001
02/27/2004 13:01 FAX 5055981960 CITY OF TIGAM
"ITY OF
Mechanical Permit ARRUC40:90 i_DIN"
City of Tigard - — pennittjeflliL .",,1-( t
UasdeT
13125 SW Hall Blvd..Tigard,OR 97123 tR.n Hevtea Oder Pr,enir
Phones: 503.619 4171 Fax 503598.1960
Inivmtion Une: 503.659 4175 puts Itcadyter, �`- Ql 8«rape S for
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ilet: www.ct.hgard-of us rrotea/Metbods $rpNeeotmal
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"a - , dditiont�ltctatioo/r lamnent Mechanical pemni Cehe are based tde the value at este work
New construLt1t1f1 eP perhtrmd.Indican the value(founded ro Vtc neatest dollar)of all
[]Dermlltion ❑Otber• nFhanital ntatrriaJs,eq_iprrrnt,Tabor,uverhnad,and profit_._,-_
Value_- S��
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1 vid 2 family dwelling ❑COnitlletclaL111dus""a) Lj Accessory building For rpTeirif Inornndoe use rheckltta --7—
❑Multi-JSrsnily U Maslcr builder 0 Other. Description 9 °tel
.�,i I 'T iy ix''Pe� ull�i '�fIV.�-. .. •'neaf!� Jray'•-
f "' Air conditioning or heat pump
Job site■ddress. S�• trrwr me pion ehuw;nb at Isumr14.E_
C, �.' 7 Z 7-.,.-2> Furnace I G O.OW BTU 0wey oat)_ 14.00
city/StateJZD': - Furnace 10),000+B11J(duetarvertta) 1790 —
5ttitte/bidgJapt m. Project tram.: fids beat.�ry - -- 14.00 —_
i. 14.40
Cross stmt/directions to job site.: !'V1 t '(c,"(l�Go y _..`--IY' ` Duct work _-. 14.00
--- H rtmic hot eta syptar
Residential bmf,(rad;(radi.tu�or--
_ 14.00
tonic) - -_--
Unit heaters(fuel•typc.not eleruit),
in-wall io-duct,su2rendei,etc. 10_D0 -_
_-__----�. Flpptvenl.6oranYuf ■bwc _ _10.00 _
Suhdivisinn ot ml:
Tt�uup/parctl n0.. Otte►net —
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i!Ri�iib' 'i,)jai !i: .t.~_'�='� i*Z�` �_.:� 'r =_rL'.. :.i,1•.r'n: -___._—
Oa! ce --�- 1000
In
v -- ^-- Flue rent fur venter ham or gas-
V tom' I L - Y 10.00_
fi_te�ltice
'TSS ' (la.R.. Lo 11 bier _.10.00 _
--- — ——' __H--.9_—S&'2_
w°od/ tet stave 10,00
Wood fi:c�locdinscn
Chlnttte�flffledtludvent 10.(10
10.04
f ( Eevlreemra�ral tahauat and,.antllall e _
Name t L s ti w�� L t k� ♦t V -- Wage hood/ot11e+-kitkitchen
10.00
Address' q l0 1 j W \'.:� �"r -- egutPt,*rnt
Clothes d n eahaust 1000
city/State/V1110; —1 V,� Gl Z 7 --- �--
,.�
Single cxhaurt(hathrr.r rm'
Pheme:(Sp ) C
FOR:( ) toiletr�
coamnerrts.-utllit�roortu) Oso
Attic/rraw ace fans
- ._-�
lr 1 nia!1h'.ft : f ..E N• °,. 5 'f�a' 'il�id!'I Ot)trr -`-�.. - --- 10.40
Bwintfs name' 4; �-��t S• rJ�t'Z.-L-- c._._.�C./A)C•�.• Frel plpipg --------- ---._--
r� ` _ _SSAO Sor prat four:(1.00 breach addhhioal ___�_
Contact name: P•a. _ ___ ____._
�9� Fu_mece,err..
Address: -L,2C1j i �U ice- _G�:� Lj y
City/Statcrm: , 1�.4�r eq 1f-s 7 _Wall/wsycnded/tmil bora
l` - Wates hcaur
Phone (c� Y7:3'� r ',- Fax::(S G ) S,��5-'l_`-- yt.rc _. ------- - - 0
i!e!✓ I�ii'4T,)Py4t� '�.f11- 1
r cloths dryer lira)
Business.deme: J.I ±j r/yu:� L 031.1�•1 Other. -- --
Address: t _
_ f�ct(f v fit, '1+ •r IIAfi�CJF13 _ _-,�a
-� Subtotal -
GYry/5tstdZlP: ��1�p`7�/ Minimum yermlt fees(572.50) ------
mWor(r I() 2 - S7 R ri 1_ L" 3-7-S �C., —- Plan review(25%of permit --
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