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10145 SW HIGHLAND DRIVE
CITY OF TIOARD __ MECHANICAL PERMIT
� EC2
DATE ISSUED: EC2
PERMIT#: M003-00386
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard, OR 91223 (503) 639-4171 PARCEL: 2S111CC-14700
SITE ADDRESS: 10145 SVV HIGHLAND DR ZONING: R-7
SUBDIVISION. SUMMERFIFI f? NO 4 JURISDICTION: I
BLOCK: LOT 98
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/0 APPL: VENT SYSTEMS:
STORIES:
-901LERS/COMPRESSOR S HOODS:
----
FUEL TYPES0 3 HP: DOMES. INCIN:
-
� - -- 3 15 HP: COMML. INCIN:
,
I_i G
MAX INPUT: BTU 15 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS _ OTHER UNITS: t
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS:
> 1000f, cfm:
Remarks: Install new gas fireplace and outlet
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Owner: FEES ----- - - -
—
JOHNSON, ALAN E AND LAURA R Description Uate Amount
10145 SW HIGHLAND DR INILC'HJ Permit Fec 7/8/03 $72.50
TIGARD, OR 97224 I 1 AXI K 5tateTax 7/8/03 $5.80
Total $78.30
Phone:
Contractor:
NW GAS LINES
ANTHONY M YOUNG
16731 NE WASCO ST REQUIRED INSPECTIONS T�
PORTLAND, OR 97230 Gas Line Insp
Phone: 50-256-2436 Mechanical Insp
Reg#: LIC 131136
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codec,
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 952-001-00
Issued By: r .%, Permittee Signature:
T_ -- —
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next bus day
FW. 111-1. Jul. 07 2003 03:11PM P2
ill?:.54 FA!. :�n�7�lylNbu l'1'1'1' Uf' '1'li;.+�Hll I�lUU4
Mechanical Permit Applicaflon
Dare rsadred:
Ully of Tiguld 1}o vp►. ^� .
GfryvfTitiard Addiess. 13125 SW Hall Blvd.TiYavd,()it 4727.3 f?atelastrcd: - -- By: tdecriDrnr..
,4,K)ne: (503)6V-4171
VAX: MM 598.1960 C:Moftlarta: lltymeltttyyo: -
f_and uw approval: Building puTnit so
1 &2(amity dwelling or acceswrY 0 ComrttestialAndtua+aI O Muni-family 0 Tenant,mproventrot
New 000luuAlon U Addition/alteradrn/replaccnient 0 Odu-r �--
b sddres& tediwte equipment quantitrra in hnttee below.Indicate the dollar
B-S.no.: S no.:
valtr.of all medlatdeal maaxlale,egmltttu�nt,labor,overb"A
_._--- __ - profit.Value S -
Tax tuap/tax hilae <=t ISO.: _ _ _
--- •sea checkllst Air Im rrmu villicadon ihfbnn.n:uo arui
LAI: 5lrst k: _ St1F+91vIR[on: - ,unsdictioWs fee tlshodule for►c-idcntial permit fee.
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Is existing space hnared nr condi united 7 U YeR .]Nu Air ouoditialtiart(sioo swuund) -- _..1
to existing slrace insulated?0 Ynt 0 No r VAC:eyetsur
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rr,,.s reYiMweNnt ay.pe�esrdf.ok :I�jy 'z. eerm.er.t 1'i,4CC 11tis ptxmit qrplitatiott Minimum fee.......... .....S
a+Dire➢ifs p0mit is not obtained Pbwl review('At ab) $ _
A i"n 190 eiRyt efler t hsa tovn ..
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CIT'l 7F TIGARD 24-Hour
BUILDING Inspection Line: (503)639-1175
INSPECTION DIVISION Business Line: (503) 71 MST
BUP __-- - --- ---
Received —__Date Request d — AM PM__ BUP
Location Suite MEC
3 -00.38
Contact Person _. Ph( ) c2 `5 PLM
Contractor - __ Ph( ) SWR
BUILDING Tenant/Owner ELC
Footing - ELC - --
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: ✓ (( SIT
Post& Beam "� —
Shear Anchors k
Ext Sheath/Shear
Int Sheath/Shear
Framing -- -t
Insulation
Drywall Nailing - - — — —
Firewall
Fire Sprinkler r -Fire Alarm - � _
Susp'd Ceiling --- -- fl
Root
Roof '-
Other. _-
Final
_PASS PART FAIL
PLUMBING
-Post&Beam _
Under Slab --- �- --- ---
Rough-In
Water Service `
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain 'T -
Shower Pan F a
Other:
Final
PASS PART FAILM
MECHANICAL
Post&Beam
fl4ujlV1n'' --- --- ---- --- ------
Gas Line'' z "
Smoke Dampers
FinN
SS PART FAIL
E RICAL ___. _
Service
Rough-In -- - - --
UG/Slab
Low Voltage --
Fire Alarm
Final LJ Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ~— - Q Please call for reinspection RE: Unable to inspect-no access
Fire Supply Line / 1 ,•� \
ADA Date Inspector — J—Z
-- Ext --
Approach/Sidewalk
Other.
Final DO NOT REMOVE this Inspection record from the Jab site.
PASS PART FAIL