Permit .9////03 ✓2�i � ,- /o-
C ITY TIGARD MECHANICAL PERMIT
i DEVELOPMENT SERVICES PERMIT #: MEC2003 -00548
-
el II SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 DATE ISSUED: 9/10/03
PARCEL: 1 S 135DC -01801
SITE ADDRESS: 11890 SW 91ST AVE
SUBDIVISION: TIGARDVILLE PARK ZONING: R - 4.5
BLOCK: LOT: 009 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: 0
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Remarks: Furnace and water heater vent installation with (2) outlets. As of 9/11/03, permit is for furnace only, venting for
water heater removed per contractor request.
Owner: FEES
HUBBARD, JUNE D Description Date Amount
1000 NW TURNBERRY
BEAVERTON, OR 97006 [TAX] 8% StateTax 9/10/03 $5.80
[MECH] Permit Fee 9/10/03 $72.50
Phone: 503 -531 -0710 Total $78.30
Contractor:
CLAWSON HEATING & A/C
4350 SE 4TH ST
GRESHAM, OR 97080 REQUIRED INSPECTIONS
Phone: 618-9646 Gas Line Insp
Heating Unt Insp
Reg #: LIC 110307 Duct 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 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 -0010 through OAR
9 - 01 -010,. ou may : btain copies of these rules or direct questions to OUNC by calling
03)246 -6699. -
i ' Al
s ued By: .�. � � . i� / .' ' Permittee Signature: c-02 , •J,/fo ;
Call s ) 639 -4175 by 7:00 P.M. for inspections needed the next business day
la E ,�04f2003 02:41 5036652375 CLAWSON HEATING PAGE 02
4. ai zuv;r 1 FAX 50159819 __ -
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CEIV s
13125 SW lIsil Blvd. ® A ata�yc ?atra ;t N ,:
C+roeoII 97223 n Plan Review
Phone; 503 W '.50 5i1Sili
owes _ i 1 Permit ti aD.:
Internet: www.ci.tigard.oLua ' Cass N .
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BUILDING ." ATarna�Mstlud; ? 9lkyrplameatel ;
lag C011at1. 0ti s - , litlon hfeehalical pcsooit feet' a. J based on the total value of the work
hilt M'dditlo • a - ' .:. ,' l icemrnit R . ta: performed indicate the value (rounded to the nearest dollar) of all
kcal ataterials, *quotient, labor, ovashad and profit-
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subdivision: 1 Lot #: 12.15
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Address: Other.
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iAWWPsrn iticann quells r atAppdoc O1/03
•
CITY OF TIGARD 24 -Hour
BUILDING Inspection Lir )
e: ( -4175 •
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested AM PM BUP
Location // $9 D 9/ st e • Suite cr o 3 - DO5W
Contact Person J v i'$ Ph ( ) & / g — 9 e fit? PLM
Contractor ) 1 -•11q* Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation Access: ,-
Ftg Drain •VI& J∎ k/(4)9-3Z - ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors C 4 „._,
Ext Sheath/Shear ,
Int Sheath/Shear
Framing
Insulation / ' ` —
Drywall Nailing �� �_ r �. ,� d�. D��_. ,
Firewall ry \
Fire Sprinkler �� ' , �, 1643 Fire Alarm _ ..J � � � '" � ` � p
Susp'd Ceiling �� ` • � � � •
Roof `��r 4 ; _ 1 '
Other: t ~ �f
Final Nara _ 9 h.� 4 */1���/ /W 1_ 4 -
PASS PART FAIL • ' 7 -� \ _
PLUMBING •
Post & Beam _ .. `�
Under Slab # Ciasi..._ + �1./iM∎41.• i��
—Noma Rough -In
Water Service • '
Sanitary Sewer
. ,VS(..
• Rain Drains • )/
Catch Basin / Manhole . Q6-v...- \--\,.Q .� I i> ) \ i c A )19` ��'l � k� t
Storm Drain _,�--- h ,,t� 1, J J r� �j j
Shower Pan 1 0 ' 0 V\) ' V D i iFO' (] Val Q� \ U to V
Other:
Final -a is
PASS • • RT FAIL . .
Pow eam L 1 1A
Rough -In yr '
Gas Line \Y U
Smoke Dampersl 0
ZIN �,. 0--z-N\I
EL .RICA T ' L'L\1 rili5
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: nable to inspect - no access
Fire Supply Line
ADA 0 t
Approach/Sidewalk Date Inspect. // _ I:_1 A _ -^"`` Ext
Other:
Final DO NOT REMOVE this inspection record fr ', the site.
PASS PART FAIL