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9695 SW LAKESIDE DRIVE ca rn co vi r w x CD v x' 95 SW Luke Side Drive 7 CITY O F T I G �R D MECHANICAL PERMIT DEVELOPME'v f SER 'ICES PERM f#; MEC2002 3n2J7 6/02 13125 SW Hall Blvd., Tigard, OR 9'1 2.3 (.503) 639-4 171 DATE ISSUED: `S1 Po1RC�L: 2S11111 CA•0's500 SITE ADPNESS: 096951 SW LAKE SIDE DR SUBD VI510N: SUMMERFIELD N0.12 ZOWNG: R-7 BLOCK: LOT: 655 .IURI`;DICIION: TIG CI-ASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UiJIT HEATERS: VF.01 :ANS: OCCUPANCY GRP: K3 VENTS Wi0 APPL: VE>17 I'STEMS: STORIES: Bn_I_LERSICOM_PRESSOR"i HOODS: FULL TYPES 0 3 HP: r:);)(n�.i. I14CIN. ----- ---- 3 _ 15 :,!a• COMM_ INCIN: MAX INPUT: BTU 11 ) 30 HP. PEf All: UNITS: FIRE DAMPERS?: 30 - 50 HP: WOO,)STOVES: GAS PRESSURE: 50 + HP: CLO G,<YERS: I, FURN < 100K BTU. 1 AIR HANDLING UIJ_T5_ _ OTHER UNITS: TURN >=100K BTU: <= 10000 cfm: SAS OUTLET'S: > 10000 cfm: Remarks: Install furnace Owner: ----- —__—_Ic'EES -------- FLAXMAN, JANE TRUSTEE a Type By Da'19 Amount Receipt RACKI, ,JOAN + PRMT CTR 5/16/02. $72.517 2720U2000C FI.AXMAN, BRUCE 5PCT CTR 5116102 $5 r',0 272002000C TIGARD, OR 9722.4 =-_ --=---- 1'otal $78.30 "hone: -- Contractor: PIONEER GAS FURNACE 3615 NE BROADWAY PORTLAND, OR 972.32 REQUIRED INSPEC:T;0NS Mw,hanical Insp Phone:249-5000 Heal,rig Unt Insp Reg #:LIC 35102 Final Inspection This permit is issued subject to the regulations contained in the Tigard M6,-,isipal Code, State of Ore. Specialty Codes and all other applicable laws All work w::" je gone in accordance with approved plans. This permit will expire if work is not st.ar'.Pd within 180 !lays of issuance, or if work is st.lspended 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 CAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-9189. Issue By: i i r c ir�,�pt C__ Permittee Signature. _15 - C > > ej —� Call (503) 639-4175 by 7:00 P.M. for Inspctions needed the next brj�iness day Sent By: irp LaserJet 3100; 5032498260; May 13-02 8:09AM; page //W/00 TIII1 12:12 PAA :.!)J 511H 106C UI 11 l,!' l•1(;WIP Mechameal petrmitfipp:ication - -` '---'- fhdorccelved:"WORM L _ Permltnof, G� G City of figures �.��.o�:.1 V �U _ Projt:cUappl.no.: 13cplre dela: Address: 13125 SW liali Fllvd,'fiE arc,()t( )7223 r'itvnf7rgu�;t Vale iseuefl _. d�� ltereiptno.. .._.----- Phone: (503) 639-4171 -- - vu: (503)5V8 191 Q C'aeefilcna_t -L Paymrnitypet - ' ►iullAtngperrnit -- Laud use approval -.�n:+r« 1 &2 fmilily rswciling or acccssof} 7 Cfxntrurcial/l1tAultrial L?Multi-f roily U Tenant improvement natnxtion U Add it to nlalteretiolUrel lac:'rnCnl U Other: ± ,tob 1iAdioat: r.'r� (...iltYt I " Indicate equipment uaotirics In boxes Wow,Wicarr.the 0ollm f no,; Sulto no.; value of all mechm cal materials,equipment.labor,merhdnd. •'11lnr axlodmt ounlyo.: _--� -- — Profit Values . -�„; Blork Subdivision: ^� 'Seo checklist for li npottant epPlieatinn inirnlnlil�n sold I'rt:lect mune — jutiadiWon's fee a ledule for residential hermit f'r_- I)ChcriWon and I&*ticn of woric on promises:_22dA 1 .d;lle Of romplatlonfin!lection: 1 N tion 4ft. Res, rr.n►�y` Tells,IIro t impvement of change.of use: � Air handling unit In exirtlne spate heatrd or condiiioncd?01'2 r�No Arc con iontn4 !t anrex)urre ) -- ;.:,' Ap&: Iryaulatecl7 D Yr% �U No AGe"raiionoiaxis yetem I 11L'7 F I Tioi rr ii;mp'raino►� —_ slateltoilerpwnfltn : tl iioie Rama: J Cy(�pS fury art --. Hr ref. p7'WH t�ddtaea; ` -" uetlmo edetetwu CC _ al �� - T'•u': ����r eat-1 -"p-!t-Kr of 'eq -- - �M �� i--r—�1-L-� Ln! ropleco urni e/hlenrr-' 111'U u �.1 ax: f P�mall: Includili limmcxk n+it liner t_)Yea U NO ©� - - no.: _ _-- .�- inR1a rep ac .0 it INeICIP-NlpCn e Cit hnouv sic.no.; (; D --—-- well,at f poor mound _.. ifcnt ar_ -kin an utwcc po room 1 � � 'dAbsutptIollunitx_ - _. ilT1.1fli HP 'Address: -- - Tnrlc�m>rent>< ra ua rt rrat it oa: L'.ity state. _ _ Applianu vont --- i -- c.'iLY lT'itTia tetmei htKrd fin• ea5i n ryncm F me: 1?ehault tl►ei gle duct(beth(ant) ni qn addrsa: [ �( �,/ _ �Iuuu i $ora heel or Ci t ��a s on(tip to ou el! . tin IF' ylr ,Pt; NIL) _ till _ - - Fale: t'�nuLl ikie7Plyingra+c-Fic oda urrr ou eM �; rocr"!a M toy( mu c requ rc N,tmtictofoatlru' _ _ Name ___ F-_- _— �ilTa aye tocs,r et;aT - Addrras City: State: IP: Phone: Fax' W�vcf-'1 . E-trtal.l: r A{l Ali !cant'! Agntuure: [latc: --- ' erne-(wtat): �� ,� - -- _ �� '•__. feeD t1„t y,.i��a eeeaq pads e+n4,pkYe cYl Ju1�dl�uan lar u:niM In'orutellsn. m�tlnPermit on .... Ndice:T1ri,pennn.ppllc■tb MinimonIce....... ........ - ]wiee eeplren if a permll IF not ebtai t 1'Irul m Vlaw(al 96) $ --� j Girdle f 41 nun�alr within 1&l days of et it hes n ( �eiol•e� State 8111rharge(R%)....Z -, S 7acceptedarcnmplete TOTAt. .- era Af:b a"11 1hmm:T W I CITY OF TIGARD 24-Dour BUILDING Inspection Line: (503)6394175 MST INSPECTION DIVISION Business Line: (503) 639-4171, IjtiP __...- Received ____-_ —.,__ Date Reque ted— S 2-3 AM-____ PM BLIP pa �.r �,� �l 5 _ .�1-�G�C. L Suite MEC Location _. - - Contact Person --_— _- Ph PLM Contractor - - - _- - --- Ph y 22'—`fit' . SWR _ BUILDING - _ — lenant/Owner __--_— . _.____-__ ELC Footing ELC Foundation Access: Ftg Drain ELq Crawl Drain Slab Inspection Notes. SIT F Beam r.:,.,. Ancfiora E. ' ,teath/Shear -_- Int Sheath/Shear I Framing 1�!_ r r.A L _J.vt., Insulation Drywa!l Nalling _—� ---- _ -- ------ Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL Post&Beam Under Slab Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other: --� —- Final PA_ _PART FAIL MECHANIC _ Post& Nam Rough-In Gas Line Smoke Dampers —-- - - ----------- ., ---------- --- i AART FAIL --.-- ---- _�_ _�--- - --- --- ELECTRICAL — - Service Rough-In UQ/Slab Low Voltage - _----__._-.--- Fire A'3rm --- ---- Final Reinspection tae o1 ti�--__—required before next inspection. Pay at City Hall, 13125 SW Hall Elvd. PASS PAR r FAIL_ SITE Please call for reinspection RE:_ ___—_ Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Data Ext _ ��=d�_ �na.Pw�t�r ___ Other: Final DCS NOT REMOVE this Insp9ctlon record from the job site. PASS DART FAIL �s_r