Permit 1
CITY TFGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2004 -00566
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/20/2004
PARCEL: 2S 104CA -07800
SITE ADDRESS: 13263 SW HILLSHIRE DR
SUBDIVISION: HILLSHIRE ZONING: R -7
BLOCK: LOT: 078 JURISDICTION: TIG
CLASS OF WORK: ACS FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
ELE 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: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Remarks: AC unit.
Owner: FEES
SCHEURICH, LARRY G JR + LESLIE A Description Date Amount
13263 SW HILLSHIRE DR [MECH] Permit Fee 8/20/200 $72.50
TIGARD, OR 97223 [TAX] 8% State Surchart 8/20/2002 $5.80
Phone: 503 799 - 5092 Total $78.30
Contractor:
HEAT RELIEF CO
1311 NE 116TH AVE.
PORTLAND, OR 97211 REQUIRED INSPECTIONS
Phone: 503 Cooling Unt Insp
Final Inspection
Reg #: LIC 122424
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 -0100. You may obtain copies of these rules or direct questions to OUNC by calling
(503)246 -6699.
..2
Issued By: �� Permittee Signature: orn C1Qtf2JZ& c' €
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
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7x813 84th i30. E.. Ft AVENUE
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CITY OF TIGARD 24 -Hour
BUILDING Inspection Llne: 003) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested — 3 A �� PM BUP
Location / 3 (3 / � SL Suite M _2;00=9 —Oc�S6 �o
Contact Person r ! .i Ph ( ) 4 & 0 / 7 PLM
Contractor Ph ( ) SWR ,,�.
BUILDING Tenant/Owner //
Dc 4t' Ssd
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
- Shear Anchors
Ext Sheath/Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Fi rewal I
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
F r T FAIL
EC AL
Post & Beam •
Rough -In
Gas Line
S oke Dampers
T FAIL
,r2tec-Kci 4j.)
Rough -In
UG /Slab
Low Voltage
Fire Alarm
ina Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
SITE 0 Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk D a t e Inspector 4- �`'I� Ext
Other:
Final DO NOT REMOVE this inspection record rom the job . ite.
PASS PART FAIL