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14330 SW LUKAR COURT
CIT` OF TIGARD dF :,HANIGAL
DEVELOPMENT SERVICES rr=KNIT
13125 SW Nall Blvd., Tigard,OR 97223 (503).539.4171 PE RM T T #. . . . . . . : MEC97-0410
DA1TE. ISSUED: 10/2'1/97
PARCEL.: 2S104BC--01I600
SITF ADDRESS. . . : 14330 SW I._I.1K.AR CT
SURD 1 1119 1 ON. . . . : H I I-1_.SHIRE. WOODS 7..0N I I`1G: R-7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :057 JURISDICTI0N: TIG
C1,ASS) OF WORL(. . :ALT FLOOR FURN. . . . .. 1D EVAP COOLERS: 0
TYPE. OF USF'. . . . ;SF IU;,IT-r HEA'I-ERS. . : 0 VENT FANS. . . : 0
0CCI.IPANC`e GRI". . : R.3 VENTS W/O APPI.: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/C•OMPRESSORS HOODS. . . . . . . : 0
FUEL. 0--3 H171. . . . : 0 DOMES. T NC I N: 0
-GAS
3-1`, HFA. . , . : 0 C0Mh1l.. I NC I N: 0
M!qX I Nr'L1T: 0 DTU 15-30 HP. . . . : 0 REPAIR UNITS: ili
FIRE.. DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GA; PRESSURE— :: 504 HP. . . . : N CLO DRYERS. . - 0
NO. OF UNITS- -__.__._M__._ AIR HANDI-ING LIN ITS OTHER UNITS. : 1
FURN ( 100K BTU: 0 !- .10000 c f m ; 0 GAS OUTLETS-- 0
FURN ) =1.00K BTU: 0 > 1.0000 c:,fm : 0
R e m a 1-14 s : Adding gas piping
Owner: _ .._ __._.. _.__._ _-•----------____.._..__._______...____.._.__..__.__------._..__..._ FEES - ._._•--...__.._.-.__._._...._.._.
MARY PROVOST type anlo1.1nt t:ry date rec-pt
14330 SW I-UI(nR PRMT #, '`.5, 00 DST 1.0/21 /97 97---300-:7:5
TT GARD OR 972:24 SPCT 4 t! ='S DST 110/21 /97 '37-3002275
r,hnne #b:
Contractor _....__..._.__....._......._...___..__.___.__._.._.__._.__.__.
(l>3LC I-TEAT I.1dG R COOL T NG INC
124=10 SW SUMME:RCREST DR
'26. 25 TOTAL
T T G11RD OR 972:2"3
Pt')onP #: 579--2250
Rey #. . : 001.087)
- --- -- - REOU I RED T NSPECT I ONS .-- --__
This perait is issued subject to the regulations contained in the Me•+chanic:ri. Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection ___�_• ____,_
applicable laws. All work will be done in accordance with
approved plans. This pewit will expire if work is not started
within 180 days of issuance, or if work is suspended for @ore
than 180 days. ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952-001-0010 through OAR 952101-0080. You Ila,
obtain copies of these rules or direct questions to OUNC by calling
'503)246-9167. _
s o.1 e By _. .. _..._._ P e r^m i t t e e 5 i y n t l.1
+ F }+++++++++++t++ 1 •h++f F h++++{.F++i+++}+ F +-!-+4-++++4 4-+++ +++ ++4-4-++++-1 ++4-+4++44
Cal). 63,91-4175 try 7:00 p. m. fns- insppr.ti(rns: nPedr�d the nv)ct hl.lsine>ss day
i-+•+•+•+i-++i-+++- F h++1 -F+++ F+•1 +++ I ++f 1 +++F++M+ i++++ F I F+++ F++++ F+f ++++ h+t i ++i-+++++
CITY'OF TIGARD Mechanical Permit Application Plan Check# ----- __
PPcaon Recd ey�
13115, SW HALL BLVD. Commemial and Residential Dat,Res'& a I c 7
TIGARD, OR 91223 Date to P E.
(503) 639-4171, x304 Date to Ds ----
Print or Type Permit#-- '-7:7
yi'i
__ Incomplete or illegible applications will not be accepted Called-
Name of 0eveloRm PrdMa Descnptlon
/tom Table 1A Mechanical Code _ OTY PRICE AMT
JobS�eI dJew. Suites A) Permit Fee
10.00
Address � J, >�.% SILK �it-�c�,�
Bldg$ - City/State Zip 1.) Furnace to 100,000 BTU
6.00
------ - including ducts&vents
Nameor name of businea --- 750
4 n ' t 2.) Fumace 100,000 B U+
Owner �/� •1 including duds&ven's
M din ddros3.) Floor Furnace 6.00
C ' '' including vent _
CityI late % ` 21p Phone 4) Suspended heater,wall heater 6.00
---. _or floor mounted heater
Name(or n rna of buss ess) El
5.) Vent not included in appliance pe mit 300
Occupant Mading Addroaa 6.) Boiler or comp,heat pump,air cond. 6.00
to 3 HP:absorb unit to 100K BUT-
C1111 /State tip Phone - 7.) Boiler or comp,heat pump,air Gond. 11.00
3-15 HP;absorb unit to 500K BTU**
Contractor Name -� 8.) Boder or comp,heat pump,air Gond 15 n0
r %GZr/. r�1s1 A^ 15-30 HP;absorb und.5 1 mil BTU**
Prior to permit Willing Addrou -- - _
issuance,a copy 9) Boiler or comp,heat pump,air Gond. 22.50
30-50 HP;absorti unit 1-1.75mil BTU"
of all licenses city tate zip Phone 10.1 Bo+'. omp,heat pump,air Gond 37.50 _
are required if C�/ �iLj ' Z >5` bsorb_unit 1.75 mil BTU-
expired in COT Oregon CWst.Cont.hoard Uc.0 Exp,D 11 ) Air h�) ,:,g and to 10,000 C M 4,50
_database_ - 1 ) �- 1 c
Architect Name t3.) Non-portable evaporate cooler - 4.50
or Mading Addreae 14) Vent fan connected to a single dud 300
Engineer Cityistate v Phone
9 P 15J Ventilation system not included in 4.50
_ appliance permit
Describe work New O Addition O ARPration 3 Repair n- 16.) Hood served by mechanical exhaust 4.50
to be done_ Residential fit Non-residential O
Additional Description of work - 17) Domestic incinerators 750
18.) Commercial or industrial type 30.00
_ __ Incinerator
Existing use of 19.) Repair units _ 450 -
budding or property
20.) Wood stove 450
Proposed use of 21 ) Clothes dryer,etc 4 50 -
building or property-•_.
22.) Other units 450
Type of fuel oil O natural gas LNG O electric 23) Gas piping one to four outlets 200
i hereby acknowledge that I have read this application,that the J 24) More than 4-per outlets(each) - 50
information V is trorrect,that I am the owner or authorized agent of
the owner,that pl, s submitted are in compliance with Oregon Statr - QTY SUBTOTAL
la s. J
9 nature of er/Agent Date *SUBTOTAL
)��_. 5%EURCHARGE
Contact ersan erne Phone- PLAN REVIEW 25%OF SUBTOTAL
50 / �, TOTAL -- L161.;
i\merhpmt doc (rev 9 'Minimum permit fee is 9.15+5%surcharge
-Residential A/C requires site plat;showing placement of unit.
r�
lo-30
CITY OFTIGARD BUILDING INSPECTION DIVISION
2441our Inspection Line: 6394175 Business Pnc: 6394171
Date Requested: A.M. P.M. MST:
Location Lj
Tenant:
Suite: -13ldg: N11:C,
Contractor_ I/ I'llcyle
phone 27— /gs(i ELC:
14A.1,4 phone
ELR:
SIT:
BUILDING BLDG(can't) PLUMBING If A N I C A 1, ELECTRICAL 'SITE
Site Post/Beam Post/I learn Cover/Service Sewer/Stonn
Footing Roof UndFI/Slab Rough-in Ceiling Water Line
Slab Fiarning Top Out Gas Linc Rough-Fn I JG Sprinkler
Foundation Insulation Sewer flood/Duct Rcminect Vault
Bmit Damp Drywall Storm Furnace TLITIP Service MISC,
Masonry Ceiling Rain Drain A/C I IG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr m Low volt
d
Approved Approved Approved Approve
Appr/Sdwlk Not Approved Not Approved vee; Jot Approved Not Approved
FINAL FINAL 'FINAL 11 N A L FINAL
C1 Call for reinj. xclio 0 Reinspection fee of$ required before next inspection C1 I Jnablc to inspect
Inspector ni Page of