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CITY OF 1�I G A R D ��MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2003-00204
13125 SW Hail Blvd.,Tigard, OR 97223 (503) 638-4171 DATE ISSUED: 4/23/03
PARCEL: 2S 111 DC-10200
SITE ADDRESS: 15575 SW OAKTREE LN
SUBDIVISION: SUMMERFIELD NO.10 ZONING: R-7
BLOCK: LOT: 555 JURISDICTION: TIG
CLASS 7F 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:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP:
r;,.: AMPERS7: 30 -50 HP: REPAIR ODS UNITS.
GAS PRESSURE: 50+ HP: COD DRYERS:
FURN < 100K BTU: 1 _ AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm: -
> 10000 cfm: GAS OUTLETS:
Remarks: Installation of gas furnace ai-a a/c.
Owner: —. _ _FEES
HANKS, MICHAEL C+ CAROLYN .A Description Date Amount
15575 SW OAKTREE LN
TIGARU, OR 97224 [MEGA]Permit Fee 4/23/03 $72.50
[TAX]8%'tateTax 4/23/03 $5.80
Phone: ^�� _ Total $78.30
Contractor:
ROSE HEATING CO
9945 NE 6TH DR
PORTLAND,OR 97211 REQUIRED INSPECTIONS
Phone: 503-283-5183 Heating lint Insp
Cooling Lint Insp
Reg#: LIC 00002084 Final Inspection
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uOu This permit is issued subject to the regulations contained in the-rigard Municipal Code, State of Ore.
—t 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 issuanrH, 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
952-00 ou may obtain copies of these rules or direct questions to OUNC by calling
(503) 46-6699.
Issue By: 1 Permittee Signature: f
Call (50 )839-4175 by 7:00 P.M. for Inspections needed the next business day
Apr 22 01 09: 02a P. 2
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Phone:(503)6394171 �i 1003 DaRsi"USA': _ Illy-
Paul:(503)598-1964 CITY OR TIGARd Cateiloeso» ��,
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Description and 1 of work
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LOT LINE:
FIRST NAME: C G1'c�� (1 LnST NAME: �d►.n�\r7 --- ____i ___�
ADDRESS: CITY: STATE: LIP:
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CITY OF TIGARD 24-Hour
BUILDING � Inspedion Line: (503)639-417E � (4-M
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INSPECTION DIVISION Business Lina: (503)639-4171, 1 _
S-1 BIIP
Received /r L=am Date Requested _"� AM--_PM ___ BUP
Location _-__L �~1 �^� � <<' _Suittep. - MEC
Contact Parson __ !�� 7�' g Ph(— ) Ciill"2�5�� _ PLM _
Contractor___- ---_-__. ._ —_ Ph( ) __ _ SWR -
BUILDING Tenant/Owner _�______ ELC
Footing — - ELC
Foundation Accees: --�`
Fig Drain ELR
Crawl Drain ._.
;;lab Inspection Notes: -` l..�c J� SIT
Past A Beam
..'hear Anchors
Fxl Sheath/Shear
ant Sheath/Shear
h-sming
Insulation
Drywall
Drywall Malting
Firewall
Fire Sprinkler -- --- — ---- —
Fire Alarm
Susp'd Calling
Roof
Other: ---
Final
PASS PART FAIL
PLUMBING
Post&Beam
Under Slab — —
Rough-In
Water Service
Sanitary Sewer
Rain Drains — -- --
Catch Basin/Manhole
Sto,m Drain — --
Shower Pan
Other: —
Final
PA FAIL --
VECHANIGA 0 _
Post&Beam
Rough-In --— -- ---- ---
Gas Line
d Smoke Dampers -- — - - --- - ----
p�
in
ART FAIL
EeLl
ECTRICAL
ice
W
Rough-In
W UG/Slab
W Low Voltage
-j Fire Alarm
Final PART PART FAIL Reinspection tee of _. _�required before next Inspection. Pay at City Hall, t 3 t 26 SW Hall Blvd.
PASSSITE F1 Please call for reinspection RF' _ —_ Unable to inspect- no access
Fire Supply Line ��-
ADA \
Approach/Sidewalk
Daft - ~ -- - __ Inepeeter ��
Other:
Flniul �- -- , DO NOT REMOVE this Insp*c#lon reeerd from the Job Me.
PASS PART FAIL