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12310 SW NORTH DAKOTA ST
CITY OF TIGARD MECHANICAL PERMIT
..,. DEVELOPMENT SERVICES PERMIT 0: MEC2005-00122
13125 SW Hall Blvd.,Tigard,OR 87223 503-639-4171 DATE ISSUED: 3/2112005
1S134CB-04600
SITE ADDRESS: 12310 SW NORTH DAKOTA ST ZONING: R-7
SUBDIVISION: ANTON PARK LOT: 008 JURISDICTION: TIG
Project Description: Replace furnace.
CLASS OF WORK: OTR I•LOOR FURN: _ EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERSICOMPRESSORS _ HOODS:
_ FUEL TYPES 0 - 3 HP: 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 BTIJ: 1 AIR HANDLING UNITS CLO DRYERS:
FURN>=100K BTU: <=10000 cfm: OTHER UNITS:
> GAS OUTLETS:
10000 cfm:
Owner: FEES
LLOYD,THOMAS C/CLAIRE M Description Date Amount
12310 SW NORTH DAKOTA —
TIGARD,OR 97223 IMECIl] I rmit Fee 3/21/200E $72.50
["1 AX] 8` State Surcha 3121/200E $5.80
Phone: Total $78.30 —
Contractor:
SUNSET HEATING&COOLING
PO BOX 12289
PORTLAND, OR 97242 REQUIRED ITEMS AND REPORTS
Phone: 503-234-0611
Reg 0: LIC 161085
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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
t applicable laws. All work will be done in accordance with approved plans. This permit will exp!re 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
ro ro Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these
W rules or direct questions to OUNC by calling 503-246-6699 or 1-800-332-2344.
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Issued By: �=��y '"r� Y Permittee Signature:
Call 503-6394175 t,y 7:00 a.n.for Inspections that business day.
This permit card shall be kept In a conspicuous place on the job site until completion of the project.
Approved plans are required on the job alto at the time of each Inspection.
WA/18/2005 01:55 0000000 ABAB:AAAAAA AA PAGE 02/02
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Phone: 303.639A171 Fa; 303.346 1
Inspection Lin: 303-639A175 t]�rftrnale
Internet: W%rW'Gl.tigird.er.ua
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Multi-fiimily Q MBmeY builder Fo. 1�dbnttonon rx aha,t//K
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City/Statozip' - 14.
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suits/bldg./apt no.: Projw naroe: F looBnl� 17. _
Cross Itreet/directions to job site: Oas heat 14.00
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don 14.
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Subdivision: "- i 1 --'�0d �• 10,00
Lot no.: Fhwl"m for an of above 10.00
Tse map/parcel no.: "- Otter. 10.00
ei f ictal a Weem
W henta 10.00
ON fl got 10.00
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Wletetove 0.00
Wood f! h=49 art 10.
ChittrttsyAiner/fltte/ysnt 4.00
Name: / Other 10.00
C, wMo I acrd re 110
Address: j3 DSln� -
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City/Stat iP: P ��' 10.00
k3w- -- exhaust 10.00
Phone: ) .rJ �• DZ� Fax:( ) 9
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Businesr me: 0-00 1
1000
Contact ns�ne: -
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Address:
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City/Beard !P: -- - - - i Uaa;�•t �- _
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Phone:( ) fax::( ) Wow heew
E-mail. Fi laa -
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8usmess n me:'1911n40 Heating and Cooling er �t --
Address:Pbt Box 4228^
� IP:Portland.OR 97241 NJ I i
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Phone:(50 )2'31.0611 � Fax:(303)231.0139 Minitran !t fee =72.30)
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CCS Iic 1 SS Plan revkw(23%of It me)
State su �- 11fi of permit he
Authorized ignature: AL1109
Tib Mrs 4 ad" m N a N b aN a w eMts e..
Print name:Shmona D'Awbrwla~ - Date: / 0"altar It w Daae"wpm ss ea Opt
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CITY OF TIGARD '
BUILDING DIVISION PERMIT#: MEC300&00127
13125 SW Hall 131vd.,Tigard, OR 97223 DATE ISSUED: 3/21/2005
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 41.V200/ TIME: 7:09AM PAGE: 67
SITE ADDRESS: 12310 SW NORTH DAKOTA ST CLASS OF WORK:
SUBDIVISION: ANTON PARK LOT M: 009 TYPE OF USE:
PROJECT NAME: LLOYD
DESCRIPTION: Row*lumsce.
OWNER: LLO.D.TF IOMAS GCLAIRE M, PHONE #:
CONTRACTOR: SUNSET HEATING a COOLING PHONE N: 503-234-0611
Inspection Request Scheduled For: Date: 4/51't1)05 Pour Time-
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 003591-01 503-%&1023 N
Corrections/Comments/Instructions:
P4 C,1 45
*00
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KPASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: _ Date: (2!S—Phone M (503) ?IS-