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Permit '' YC I TY OF TIGARD MECHANICAL PERMIT ,0 ; , I 4 ' DEVELOPMENT SERVICES PERMIT #: MEC2005 -00027 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/18/2005 PARCEL: 25111 CA -09400 SITE ADDRESS: 09812 SW KABLE ST SUBDIVISION: TAMI PARK ZONING: R -7 BLOCK: LOT: 001 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: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: GAS 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: Remarks: Gas furnace replacement. Owner: FEES JOHNSON, RICHARD E + JOYCE M Description Date Amount 9812 SW KABLE ST [MECH] Permit Fee 1/18/200f $72.50 TIGARD, OR 97223 [TAX] 8% State Surchart 1/18/200f. $5.80 Phone: 503 670 - 1747 Total $78.30 Contractor: THERMAL FLO 14865 SW 74TH AVE. #190 TIGARD, OR 97224 REQUIRED INSPECTIONS Phone: 503 - 670 - 8383 Heating Unt Insp Final Inspection Reg #: LIC 151847 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 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: , Permittee Signature: �).- ac--(2_1(2_4 c-. p._{ Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day it 4222S- Medha nicalPer 1 *Ii o , ?i :4 � ci : ' ® FOR OFFICE USE ONLY City Mitt' _ Received t'amu No. 13125 Hall Blvd, Tigard, OR 9-12V1,1 1 Date/By. / g- o6 I 6C 0 v6 7 Phone: 503.634.4171 Fax 503.5 2��5 i»,,, M„ I ,i, �r Other Permit: Inspection Line: 503.639.4175 j Thom Ready/By: ram g See page 2 for Internet www_ci.tigard_or.us CIT OF TIG •_ Notified/Method: Supplemental Information BUILDING DIVISION 'FJ r ?;�,,. , ..t2X •` �, �+:�'_ �; .+� ..5� ':,�t't s:�. nr„ ":- 5 , �; • , t t�Py- '.,v;� -, �' '' . � i u.F szk. .v. ; „�:�.s,4 : � .ai�ii;'�., .,. a- ,.�� LL d � ' ` 'CY Kti,1 R 4-71: 4'i I R F" ° , ; +rr x CO FEE .1SGH . 0 : *2 EI 714`14 f� ; r• ��'..r.,"� - � �_ ,� •P,,,.. .. <.�,.,t,�_.u_.3�` .,e.... ,_R.,- d ., __._. ._. � _..�. ... .�_, �. _ ., ., .. _- _., .a.. � �. .. _ . ❑ New construction I Addition /alteration/replacement Mechanical permit ferns are based Q6 the valor of the we* performed Indicate the value (rounded to the nearest dollar) of all ❑ Demolition El Other: mechanical materials, equipment, labor, overhead, and profit fsh ;y;� r�;' �;� .�;, ...�� .�_ ..E�� �•� �„' +,•�,5 Value: '';Z r ' ` is r.' , � ,. rit >.; CATEEGORY OF C. COINISFR[1Cf1ONt,gg x ��'�" 'a: V w ), �:�5 duCf.�r ".�%„ v��o. ' z , ,, . n�'��Y� P.• �'�'Px" k r.e ..: .� �• : �v �r,�.,e 5: x�sxa,,,.:r� -+ ..v- , ,,ea. ,, ,m „ R�•;, .€ nzF'A a. • rn, tlr -w " °' � a�nr., ax'. h A`k NTYAL• EQUIPMEPTI' / SYSFEMS FE i?0, 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ° " `" f '` For special information use checklist. ❑ Multi-family ❑ Master builder 1:1 Other: Description ( Qty_ I Ea_ 1 Total / .d .::�+i ° i ?'4Ah • �' . . ; ', C , y�*•.. . t _ .'�4A .. ... , ., i : f 2 r! ;E . t .� 5" g } r^ . Z e.}5' He . ,Yl.1 a :�a $ ...., ,, S[ I EaIAiFORMATION ,, {LOCATIOIN . .A t 'p`'':.: , `t07„ g IIcAtingfCOati a . Job site address: (�Q �/ �^ Air conditioning or heat pump 7 t7 � 2. S� /C /g a C.�' \T' : (y s 100,000 e plan show ing placemen() 14.00 City/State/ZIP: 7--/.64/20, 0 � 7224 Pomace BTU ( ducts/vems ) ' 14 14. Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg./apt no.: T name: Gas heat pump 14.00 Cross street/directions to job site: 1 bk. 4v OF q( - Duct work 14.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in- duct, suspended, etc. 10.00 Subdivision: Lot mo.: Flue/van for any of above 10.00 Other: 10.00 Tax map/parcel no.: Other fuel appliances g • ''.,� a ., c,- ;� , a� v , x: '..,K. `l ,,,, k,(`,. Water heater 10.00 O , , ,. *`' M ,� :l' DESCRIPfIOPI W .... r at9 .,n��Xr:. ar Wnaa - 'E�d..� os3 se-+. . ... , ,,.� •v . c,.��: •, ..xn :u�i`.• 3tk€ y�c+f'- . �S9`.�`Sa_S:.x � fir. °% d5t y Gras fireplace 10.00 KtP LACE Ca AS Fti)2 A! P CE - g0 /G Flue vent for water heater or gds fireplace I 10.00 I O Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace/insert 10.00 Y. a ^ " t; , rf . i � -' ;f'r' „ R: i " t , Chian Ainex /flue/vent 10.00 » r �. �," se,.x- w,,..v�;n >�a..,�.a• -.� � y ^;� x . r -VN' :us,�=a'.r1 �i r+,"h C � �� u PROPERTYO 1` '. -. ' "-�` A 1 , EN AN' P �, R.„�,i�.��,$��..: . - »w: _ a�;�lf +�:�a.�'� : ��. �'•�e.�;Gl�':'���::�v�i;,.:..,� �?d'�t�a�� �i,��,��'�w'i^�:;� oth 10.00 Name: Q In-NW-0 To hlsci ni Environmental exhaust and ventilation Range hood/other kitchen Address: G 2 ,S ti,./ ii6443 to SI equiPment 10.00 City /StaterZIP: T[. A KD © ° 7224 Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: To 2) 6 70 . / 747 Fax: ( ) toilet compartments, utility rooms) 6.80 k ;Orri Nr .. - .. k . . f . y .r ° fig ,� y ; a, ,.x. ",., r .„ s c/ fans 10.00 .dir t 4. N ,APPI IC � y , .:� :- .° Jg1, ', , ? ,, ;:r q,+v �p CONTA G 7 ' 'PERSONQ ' J•" �� _.,. �� ... :tM '. �: ske'M.h. J �a�FSr ��'1T.' �v�. r+,��:.:,(i �`Qf'k ..e:tvi � Atti �' Other. 10.00 Business name: Fuel piping Contact name: me gp12 Af ie/D $5.40 for first four; $1.00 for each additional Furnace, etc. Address: Gas heat pump City/State/ZIP: Wall/suspended/unit heater Phone: ( 970 6 40? • PI 20 1 Fax:: ( ) Water heater Fireplace E -mail: Ran Iv 'r.e� " , 6.u � +'` C' '° ^ u,�' "� 'E, . .. rx�vx7: y 3t"� i. 'tb fine;w . , +. , ,.u,a;r.�; - r u- 'f l p� a J, ; 5 y� ' eikai A C T O R; v (: s� ` F i t��. , : ' ,, `x;, 5_ ...4'✓ vnA'"' .; %,A.Y��Y:' »:,: }G ,. �- qa-4,- ,t3is ::m,F .,,. et" .. 4, 4,. , ag q,, � .,e�<faii.a.,.. N othes dryer Business name: / 14 m v. . FcO' Cl (gas) Address: 14,Ic'b.S S/.tJ 74" A -elf / 9a -,? ke:tgw#Ami.m� 1', :.Yaegfi.r City/State/ZiP: 77 4e Ar 0a 97 224 Subtotal 29 � n r / Minimum permit -fee ($72.50) 72 S -y Phone:1S03) 6 L 0 . a 3 4 3 I Fax (�j to 7� t 7 ' 90 g 4 Plan review (25% of pennit fee) CCB lie.: / S l f4 7 State surcharge (8% of permit fee) s-, ed TOTAL Authorized signature.: ( � L .. permit days after it been as complete. It I Print name: 2 /fir I Date: d / _, ! ( -o 1 . Fee methodology set by Tri-County Building Industry Serviced nlik CITY OF TIGARD 24 -Hour BUILDING , Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Lin `1503) 639 - 4171 MST BUP Received Date Requested a -2 1" AM PM BUP Location • 7 J % tt K ,b 'e- S Suite 42) 0 O 5- 00027 Contact Person `1"L Ph ( ) — ` " 34 PLM Contractor Ph ( ) SWR 1� 1 BUILDING • Tenant/Owner ELC 1 V G � Footing ELC Foundation =Access: . Ftg Drain cc;(%�C �l - ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear 1/1 _ C - EL--- C Z 9 ? z Framing V 1i J Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm - Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING ; ,. Post & Beam Under Slab Rough -In .1111M=/ Water Service Sanitary Sewer ew Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final P!_- - . • :T FAIL ECHANIC Po • :earn ' Rough -In j " Gas Line ..'oke Dampers ART FAIL ' :ICAL 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 for reinspection RE: 0 Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Date _ - _ Inspector tAkt.. Ext Other: Final DO NOT REMOVE this inspection record fr = th = oh site. PASS PART FAIL