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Permit CITY TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2004 -00592 � II- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/2/2004 PARCEL: 1S133DC-18400 SITE ADDRESS: 13081 SW LAURMONT DR SUBDIVISION: VILLAGE AT SUMMER LAKE PARK ZONING: R -12 BLOCK: LOT: 039 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: BOILERS /COMPRESSORS 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: 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: Installation of A/C unit. Owner: FEES MCKINSTRY, JIM & PEARL Description Date Amount 13081 SW LAURMONT DR [MECH] Permit Fee 9/2/2004 $72.50 TIGARD, OR 97223 [TAX] 8% State Surcharl . 9/2/2004 $5.80 Phone: 503 590 - 6477 Total $78.30 Contractor: SUNSET FUEL CO PO BOX 42289 2944 SE POWELL BLVD REQUIRED INSPECTIONS PORTLAND, OR 97242 Cooling Unt Insp Phone: 503 234 - 0611 Final Inspection Reg #: LIC 2374 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling - - - ( =6699. - Issued By: _ - / Permittee Signature: up c, Q Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day , . 09/02/2004 08:36 0000000 ABAS:AAAAAA AA PAGE 02 ha ,ical Permit Application so - tl; i t t I I t t i I, r s ■ Cit of Tigard neN - f t ved t rte.. e 13125 SW Hall Blvd_, Tigard, OR 97223 may' Permit -061;9_ Phone: 503.639.4171 Fax: 503.59$,1960 )$ . Review triter Permit: Line: 503.639.4175 '' 11 I Dete/By: Inspection Internet: Line: ,tiger 39.41 0 :.3 °!i ,' 1 -• Date Ready/71y: d/M th O El See Page 1 for Notified/Method: supplemental lafor stsise n 116..0 014 ❑ New construction l Addition /a�lteiatioNreplacemettt � � Mechanical permit fees* are based on the value of the work El Demolition ©Other: performed. Indicate the value (rounded to the nearest dollar) of all .J•. w ^ , :`. • : mechanical materials, equipment labor, overhead, and profit ' R }.8: 1 , tv. " "Vu :=. C'aia .i.:+•, ' Value: t it 1- and 2- family dwelling ❑ Commercial /industrial 0 Accessory building Multi - family ❑ Master builder ❑ Other: For special l+l{ormatt checklist. r . ;.. >„, ; ; ,. , 4 ,, , ,.:,:. . . Description I ttiS¢C Ea Tote .,;,`� r��d '� ^�:, a „ .... ::� �(��. Total f lux ", ,,. ,,..x c . ,.:, ,,:;;; FleatinR/cooling Job site address: 1302 i : � Air conditioning or heat pump A. „� ((� Da Jreguires site plan $hawing plac ement) 14.00 IL{. i0 City /State/ZIP: ''n / / 0 41 p)'72 Furnace 100,000 BTU (ducts/vents) 14.00 , _ Suite/bldg./apt. no.; Project name: . r ' Furnace 100,000+ BTU (duets/vents) 17.90 (jet _ Gas heat pump 14.00 Cross street/directions to job site: Duct work jjxdronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (Rte) -type, not electric), in -wall, in -duct, suspended etc, 10:00 Subdivision: Lot no.: Flue /vent for any of above 10.00 Tax map /parcel no.: . Other 10,00 • •iv :: %„;` p a ;Y s":S %'�Y, "ir x n'r.yrs„ -+ ;rsJ Other fuel a r 'fiancee {q��;;,� �,,,. 7 ,. : ":./ a1.x i i,, y .h:. .Y „ ::G;X.J,SLT w "i' 3 �. y , / 'f�� Mr ..• iG:A'!:?'' l:kaf'ti{ r.,'[: :,: i r ql k;I:' {w 5 . ;,1 „ �4' > ;l,; ,, S .... , . t "4", l . ;, rY kl A 1; Watcr heater 10.00 ,Llj( ` AI r -II / G33 fireplace 10.00 Flue vent for water heater or gas fire. lace 10,00 Log lighter (gas) 10.00 Wood/pellet stove 10,00 Wood fireplace /insert 10,00 s'IN �z {sx .. ,. ,.. c:'Frra><'9 a'T 1 ,:,''n'• : ?a:^r;,;ii::r .ryt, ,;;;; ;;, ....105, no • `.t.., RP "��� l s, � a , a , 7 t ,. < , .f- ''!",.,?).:0;,;:',;;',:,:::':,'N.; {,i: +,c L ` 1 ' . ° ` r :''+' G t ""6 ” . Chimney/liner/flue/vent �+�. z,..�,.w,: . „a xt, a,.,s,.,ru � II 10.00 othcr: 10.00 Name: S Pear ( 4 i n • Environmental exhaust and ventilation Address: I 30 L. arn- an . r. - Range hood/other kitchen r A- ,equipment 10.00 _ City /State /ZIP: ‘ • • / 6 177- Clothes dryer exhaust 10,00 Phone: ( ) 51 ■ • ,p � -. ,, ;; ,,, ,7x`x+'.^f ;a;i , ,axi'r:(; rsr7:f'i; utility 0 ��� 'fxr4r' ,�,,.., }'.r,�„ , 1' !: x. .,: v f5::, ;F .rr ;ras^ :a� w,;. Single-duct exhaust athrooms, � toilet com�ulmen t' i rooms) 6.80 i „' "h , ; Y : - ..f:: ., �,. , � , `3is� ".L,r., nl: r Attic/c is f. 4 "Ft.��ara.'�u�r"':,.nc�•:r`r, e• � "aS • ^!,!l,: •c�a� " '•,. ,U raW 8Ce fall$ {tns „ ,.. s rc .... ..9. , 1.d .,,. �4�x''f ..;�:���: .,. ,,,.... , .; "r.•: +.4 »K''�. , p 10.00 Business name: Other: 10,00 Fuel Piping Contact name: S5•4Q for first four; 81.00 for each a_ dditional Address: Furnace, etc. I ! Cias _ heat pu mp City / State/ZIP Walt /suspended/unit heater Phone: ( ) Water beater _ F mail; 1, Fireplace i �;ar � R u V {z� eda+, C i,"aaG7�+� �fiiY' �" li °1P s t pp re W` ” 7 B b ` it'. ,t o .t xn -1-, rr:, -e:4o .,-ell . rrr {iP Jew L:�?ifI.I�,«`E,4 , y t y tl I t lt id t B arbecue _ . � ` s� �ts�����a�ri, �>:1� :li : Business name: Sunset Heating and Cooling Clothes dryer (gas) Other: Address: PO Box 4 2289 � i ti° Sj ' a a� m i , pa : - .,: , Cit /State /Z nr rs• ti+�a•'lotf :tinere..wd t r . y 1P: Portland, OR 97242 Subtotal ) ,Do Phone; (503) 234 -0611 Fax: (503) 234 -0439 Minimum permit fee ($72.50) z22D Plan review (25% of permit "f'cc) — CCU lie.: 161085 State surcharge (8% of permit fee) • , 0 v jl TOTAL p ermM7T FEE eyg.k • Authorized signature: (I`1 - $� Thta p ermit e pp l r ca d on expires if a permit is not obtained within ItrO q days after it has been accepted as con plc0a. Print name: Shamus D'Ambrosia Date: g /2(' g • Fee methodology set by Fri- County Building Industry Service Board i \ Building \ Permits \MRC- ParmitApp.doe 17/03 440.4a t 7r { 11l02/COMM1V€$I 09./02/2004 08:36 @000000 ABAB:AAAAAA AA PAGE 03 A/C & H/P SUNSET, Site Plan purr 1 Company Name & Address: DIRECTION M ; Js 1302 1 Svc moo»..* HOUSE z5 6 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (,. -4175 INSPECTION DIVISION Business Line: , 171 MST /; /a• / > BUP Received 9 �i ` ` 7 Date Request d AM PM BUP Location / 30 ft ji) 0 6a _ Suite 16, , e Contact Person / Ph ( Sb 3 ) ..S 5/7 7 PLM Contractor Ph ( ) SWR 1 BUILDING Tenant/Owner ELC t * ) G v n Footing / ELC Foundation Ftg Drain Access: (&?) {� �Z)tJ L LA1/i - ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath /Shear Int Sheath /Shear v \A LA✓��Z/ el. / t/2 ',- 0J R 2— Framing Insulation l ' , �� /1-7--÷K Drywall Nailing "` Firewall �-� ' ,�, r / /r - l 47?-c--7/1 • Fire Sprinkler Fire Alarm M �� iffMr Susp d Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In ; if Water Service Sanitary Sewer 1 : i\ Rain Drains _ ', Catch Basin / Manhole //;; IPA ‘ 1 Storm Drain �'* I. Shower Pan n Other: Final P RT FAIL ECHAN , >''' Pt & Beam Rough -In Gas Line U Smoke Dampers i oif i gY PART FAIL TR ICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE n Please call for reinspection RE: 0 Unable to inspect – no access Fire Supply Line C ADA Date 9 I j1.–..___, Ext J Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL