Permit ttt
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MECHANICAL PERMIT
itiMk DEVELOPMENT SERVICES PERMIT #: MEC2004 -00671
'�JI-' 13125 SW Hall Blvd., Tigard, OR 9 (503) 639 -4171 DATE ISSUED: 10/6/2004
PARCEL: 25111 CA -10100
SITE ADDRESS: 09845 SW KABLE ST
SUBDIVISION: TAMI PARK ZONING: R -7
BLOCK: LOT: 008 JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
. FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Replace furnace.
Owner: FEES
JUDITH WOO Description Date Amount
9845 SW KABLE ST [MECH] Permit Fee 10/6/200 $72.50
TIGARD, OR 97224 [TAX] 8% State Surchar€ 10/6/200 $5.80
Phone: 503 620 - 9437 Total $78.30
Contractor:
TRI COUNTY TEMP CONTROL
13150 S. CLACKAMAS RIVER DR
OREGON CITY, OR 97045 REQUIRED INSPECTIONS
Phone: 503 Mechanical Insp
Final Inspection
Reg #: LIC 72623
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 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling
(503)246 -6699.
Issued By: P ermittee Signature: 1j / ..9 G/ �f}-- p er,/ ____41,,,...____
y
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
10/05/2t4:50FAX509Ffl Temp Cntr1 503570919 p - i
(Mecit 'ca1Permzt FOR OFFCE USE ONLY sr / 1SW1 LUU . /O/ /"/ r, Fctn1zN /1C2oO9 — c 7/
P h o n e : 503.63 .41 Ft 503,94q/ 0TtGb Ocrcnmt
Ipecrio Li 503 L, It'
}rttetttoC WWW BUL '- -- 77& Supplcmenea ielp r � atlon,
fl ❑ New co. - ctjon base hc v Qf the worse attar) of ail
❑ C7ther. cltj inarriaI8, qiinn, tabor o d. profit.
- - Value:
O
l - and 2- • y dwelling ❑ ❑ Acessoty building ...-. . - -
FQS sp (rzjrtftzzon use • Multi- s. ly 0 Mbuiide D Oth cer'tio L chetllirc
1QB ri ' � d _ i - aeaef ii
Job site .d. i&E .
- _. - 14.00
OEty/Sce/Zip ( d ci, 1 Fu 100.000 81 r.j (ictIvnJ Projectn:uiic f
- - Furnace l0G00o+ Brtj .7.90
.
tic n job s ite: Duct w ork . 400
Uydrectc hot vs a•
R boIer (radiator cr
h'Livnic) 4.00
tJtit t eattix (i-tye, not dcctric)
in-wall, in-duct, aUpided. ew. 0.00
-
Sub4 via,an Lot ac.; 1/Vtfanyc above 0-00
- i
Tax map zsrccl i.: - Othr f ppIianc
- thji -b Water heater 000
Gas Lreotacc 0-00
' p Fine urns For water hcnur or gas
Wcjod/• cllctetove 10.00
- Wcod p1aeg/iner-t 1000
- .- ...... . ChineyinerIflut 10.00
;1- 8-1) Other: t'O.00
nezLga ho /other kit
Address: -
CirylStacc✓ZtP: exhaust
Phone: (/j i, — - terom) I
- uti lity - ''.5 A(twdawltpace ra I D.00
ame: the - .
Caact 1 - $5.40 for flrfl fouri $1.00 for cash adclUo,tiI
Address: I ISO e • C1ackima Ftttnaco. ate. --
CiryJStJZjp «3 3(Q 7Q45
Phone () 5 222.0 (!5Q3) S7—O q
E-maU: Fr Incc
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$. ‚. •'
Pho; (S) T PJijJj Pax: - .
-
- State autvlarge (0% of permit f ee
.
TOTLfRMrr $.
Authojzcd sig - I prmJt tf bt i o
– - - d5'. tt ft h bco Crpft4 3 Comps 7tt
Print b' ' - Date Jf- Lio ic y TrCOm.ty m1Irtg tndu
...............
T'd 6I6OLSEO Iou:1 dwa± Rq.unojx...tj dSE:.b.O - O SO 300
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION - Business Line: (503) 639 -4171 MST
BUP
Received Date Re uested AM PM BUP
Location ggyc- Suite MEC -06 Li-0d 67(
Contact Person / �- Gc.Q.— Ph ( ) 6 7 - Z PLM
Contractor - Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation - - ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling : ■14"A
Roof
Other:
Final W .'� 611W%ga
PASS PART FAIL /r■
PLUMBING "'
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
P
h -In
Gas Line
Smoke Dampers
ASS ART FAIL
ICA L
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call ••r reinspe' ion RE: ._ El Unable to inspect — no. access
Fire Supply Line •
ADA
Approach/Sidewalk Date Inspector •� Ext
Other: L _
Final • DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL