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12920 SW HAWK'S BEARD STREET-1 N t0 N O cn C= C cn 0 V? I � I � ++1 J I 12920 SW HAWK'S BEARD ST r CITYJF TIG/"'!,R ® - MECHANICAL PERMIT_ DEVELOPMENT SERVICES PERMIT#: MEC2004-00802 •- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED. 12/7/2004 PARCEL: 1S 133DA-06800 SITE ADDRESS: 12920 SW HAWK'S BEARD ST SUBDIVISION: .AMART SUMMERLAKE ZONING: R-7 BLOCK: LOT: 090 JURISDICTION: TIG CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VE'JTS W/0 APPL VENT SYSTEMS: STORIES: _ s? TILERS/COMPRESSOR_ SHOODS: _ FUEL. TYPES _ 0 - 3 rIP: DOMES. INCIN: I_I'( 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 30 HP: RFPAiR UNITS: FIRE DAMPERS'?: 30 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: _AIR HANDLING UNITS - OTHER UNITS: 1 FURN >=100K BTU: V <= 10000 cfm_ GAS OUTLETS: 1 10000 cfm: Remarkp: Replace woodstove with gas stove and gas piping. Owner: � — FEES _-- ADAMS AND WETZEL. Description — Date Amount 12920 SW HAWKS BEARD ST lML'Cllj Permit Fee 12/6/200 � $7250 TIGARD, OR 97223 [TAX] 8°-„State Surchart 12/6/2001 $5.80 Phone: 503-494-0524 Total $78.30 Contractor: SHAMBURG HEATING L'_C PO BOX 829 rL)ALATIN, OR 9111062 REQUIRED INSPECTIONS__ Phone: S01•692-5%3 Gas l: ip echai. ,Ilr,sp Reg 4: LIC 126881 Final Inspection 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 if 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. Issued By: -.,, _iC{/ f,�,�� a - Perrni!tee Signature: ��--f—_S) 10 D _ Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day _1.2107/04 15:17 FAX 503 484 7088 OREGON CANCER CENTER X1001 Meci - ni.al Pergtit Ajpjplpcaliitn City of'Tigtird Dots Y a 4 y 010� 13125 SW Ilan ruvtl.,'rig",OR 97223 Plan Review I Phone: 503.639.4171 Fax: 503.599.1960 Datriny. Other Permit: Inspection Line 503.639.4175 Date Ready/By: gee Page 2 For Internet: www.oi.tigurd.ot.us Nolified/Mel"A t�j. 8upplenuMal Information —_ TYPE OF WORK COMMiAc1.►I, ItLA,a SCti18DULE Uslr macki'lST ❑New construction ®Ade:,ion/alteration/replacement Mechanic .ivirrnil fees*arc based on the value of the work ❑ ❑Demolition perfumed.IndHate the value(rounded to the nearest dollar)of all Other: mechanical mverials,equipment,labor,overhead,and rimi7it. CATEGORY OF CONSTRUCTION _ Value:S 2960.00 IP1l41CN'l'/SYSTI(MB FEES"'— U ® I-and 2-family dwelling ❑CorninerciaUindustrial ❑AccessoryRESIDENfi IAL E4"'building For Multi-family ❑Muster builder Other ,gteclal lsformadon we cMecHtst. ❑ Y -� Description _ Qty, k.a. Total JOB SITE INFORMATION AND LOCATION Heating/conlinil Job site address: 12920 SW Hawke Beard St. Air conditioning or hest pump rc uires site plan showingIscement 14,v� City/StatcJT.IP:Tigard,OR 97223 Furnace 100,000 BTU(ducwvena 14.00 — Furnace 100,000+BTU(ducts/venis 17.90 Suite/bldg./apt no.: Project name:Shamburg Heating Ues beat pump — _ 14.00 Cross street/directiom to job site:Schools Ferry and Summer bake Drive Duct work __ 14.00 ----- Ildrone hot waiar s tem 14.00 Residential boiler(*adistor or h dronic) 14.00 Unit heaters(fuel-type,not electric), in-wall in-duct suspended,etc. 10100 _ Subdivision:Summer Lake Lot no.: — — Flue/vent for any of above 10.00 Other: 10.00 Tax map/parcel no.: Other fuel appliances — DESCRIPTION OF WORK Water heater 10.00 _ -- — '— Usefi lace 10,00 o.v� Replace woodstove with natural gas stove Flue vent for water beater or gas fireplace _ 10.00 -- ---- - Log light s 10.00 _ — Wooa/pcllet stove 10.00 —Ap-- WW4 fi lace/ineert 10.00 _ PROPERTY O*NER —=--T�❑ TENANT — Chimne /liner/flueNcnt X Other_ _ _ Name:Can yce Adams and Timothy Wetzel Environmental exhaust and ventilation Address:1 20 9W Hawks Beard 9t. Renge hood/other kitchen ec ui ment10.00 City/Stage! IP:Tigard,OR 97223 Clothes dryer exhaust — 10.0_0 — - - Single-duct exhaust(bathrooms, Phone:(50 )494-0524(work) Pax:(503)494-7086(work) 16iet compartments,utility rooms) 6.80 APPLICANT IS CONTACT PERSON Attic/crawlspece fang 10.00 �— Business n me: Contact Other: 10.00 Fuel ptping_ Contact na c:Candl Adams $5.40 for first four$1.00 for each additional Addresa: 1 920 SW Hawks Beard St. r —J _ Furnace,etc. gas heat pump City/State/41P:Tigard,OR 97223 Wall/eu ended/unit heater_ Phone:(50 )494-0524 Fax::(503)494-7086 Water heater Fireplace E-mail:ad msc®ohsu.edtt _ Range CONTRACTOR Barbecue Business n me:Shamburg `—�-�— --- Clothe.dryer(gas) -- -- -- - —• Other: Address:NO.Box 829 MECISANICAL P1'CRM1T FEES" City/State/ :P:Tualatin,OR 97062-0829 _ — Subtotal _+ _ Phone:(50 )692-5563 Far:( ) Minimum permit fee($72.50) Plan review(25%of permit fee) 14604V_ CCB tic.:126981 State surnharge(8%of permit fee) TOTAL PERMIT FEE \ 1 � h C� ?.�1^ —"� This permit application expires It a permit b not ohtnlaed wit in Igo Authorize signature: 1 r'S1 days after It lin been accepted as complete. / C t b l d h P Print nem Candyee Adams Date: 1217/04 Pee methodology set Tri- ounty try Service Iluilding IndwwIloe �- I\BuildMa\P **MBC-0erm1iAppdoe 12/03 440-46177'(1l102/C0Mf"B) CITY OF TIGARO 24-Hour BUILDING Inspection L;ne: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BUP Received —_ _/ Date Re nested r�-� r AM—._ PM __ SUP Location Z — "Le�b_ Suite EO .�Ie6 -U Contact Person --- Ph(—) _____-__ _______ PLM Contractor Ph( _ ) _ SWR BUILDING Tenant/t wi�i r � Et-C Footing9 7 ELC Foundation Acces Ftg Drain ELR Crawl Drain -__.- __._ ----- _ Slab Inspection Notes: SIT „ _ ` s Post 8 Beam -__ _._- _ __ _� 40 Shear Anchors — Ext Sheath/Shear Int Sheath/Shear Framing _..1( _ �'J-c•�� _ Insulation ) Drywall Nailing �'"1 a4S Fire Sprinkler Fire Alarm Susp'd Ceiling — Roof Other: — Final PASS PART FAIL — — — PLUMBIN©T_._ _ Post A Beam Under Slab ---_ Rough-In Water Service --- -- _ Sanitary Sewer Rain Drains — - Catch Basin/Manhole Storm Drain - Shower Pan Other: Final PASS PART FAIL MECHANICAL --.-_—_- Post& Beam Rou h In ----__ Smoke D mpers Final —.----_ -- —i-- %ASJ PART FAIL _ - ---- ------ __�� EILICTRICAL �— Service Rough-In Ulf/Slab — —_ Low Voltage Fire Alarm - - - ----- Final Reinspection fee of� -__required before next inspection Pay at City Hail, 13125 SW Hall Blvd. PASS PART FAIL_ SITE �� Please call for reinspection RE: _ I Unable to inspect-no access Fire Supply Line ADA Hato _/ 1 - �S` - meq- / Approach/Sidewalk --- -- Inspector -- Other: Final DO NOT REMOVE this Inspectlon record frown the job site. PASS PART FAIL