Permit CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2003 -00288
-:�.h 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/30/03
PARCEL: 2S111 CA -10300
SITE ADDRESS: 09801 SW KABLE ST
SUBDIVISION: TAMI PARK ZONING: R -7
BLOCK: LOT: 010 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: 1 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: Installation of furnace and A/C unit. Unit cannot be placed within the required setbacks.
Owner: FEES
O'HARRA, PATRICK D + MARIA C A Description Date Amount
9801 SW KABLE
TIGARD, OR 97223 [MECH] Permit Fee 5/30/03 $72.50
[TAX] 8% StateTax 5/30/03 $5.80
Total $78.30
Phone:
Contractor:
JACOBS HEATING +A/C
4474 SE MILWAUKIE AVE
PORTLAND, OR 97202 REQUIRED INSPECTIONS
Phone: 503 Mechanical Insp
Final Inspection
Reg #: LIC 1441
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 -66
Issued By: /I �, Permittee Signature: "Ti/ "tA,G / L�� /"7e5
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
May -30 -03 12:1OP P_02
" • Mec�ianicai � ' •� i �� f -� �._ , tion FOR OF"CiGE USE ONLY
G
• ,� Received Mechanical o co
- 1,-. 1
Date/By: - 0/.20 Permit No. >CL' �t..
Planning Approval Building
City of Tigard MAY 3 0 2003 PtaDate/By evtew Permit Nn..
13125 SW Hall Blvd. P a n It. . _ Other
No.:
Tigard, Oregon 97223 CITY OF TI D " Past- Review La nd Use
Phone: 503 -639 -417) L J O i 44' Ai
w { Datc/By: case Nu.:
Internet WwW.ci,tigard.or.us ; �,1 A I I Contact J " -.: '` ® See Page 2 for
24-hour Inspection Request: 503-639-4175 '' II Contact
Name/Method: / Su lemental Information. •
,"".':.: ::,. ...TYPE OF WORT( ' '..:..'_ .. "CUMMFRCIAL, FEE* SCNF.DUL.:E'=USr: CHFCKLIST• . :
D New construction - [1 •
Demolition _ Mechanical permit fees*` are based on the total value of the work
0 Additiott/alteratiort /replacement ❑ Other: performed. Indicate the value (rounded to the nearest dollar) of all
.. mechanical materials, equipment, labor, overhead and Profit.
'' :CATEGORY EGORY OF CONSTRUCTION i
Vaiae: $ -_ See Page 2 fur Fee Schedule
2-Family dwcllin ; El Comrrtercial /Industrial
A ccessory Building Mulll•i'ettllly _ _ .RES11JENTIAL EQUIPMF:NT/SYSTFMSFEE SCHEDULE
Description - Qty _ Fee en, 'I'otsl
❑ Master Builder n Other: .
ther: - lleat�Cuorng n
' 4. •
jO)t3 •and LOCATION • . Furnace - add -on art conditioning *' cy �, _ 14.00
_
Job site address: . (- - 1 ( 6(,) � ( 1 . � � �� r t � 1 e, Gas h ea t pump 14 -00 . : t 1 •
/A P Duct work 14.00
Suite ft: 1 Bld
1 t - Hydronic hot water system 14.00
Project Name V , Hydronic
b o i ler — Cross street/Directions to job site: (for radiator or hydronic system) 14.00
Unit heaters (fuel, not electric)
(in wall, induct, suspended, etc.) 14.00
Flue/vent (for any of above) _ 10.00
I Lot I I: Repair units 12,15
Subdivision: Other Fuel Appliances . , ...
Tax mat/ 4 arcel #�: Water heater _ _ _ 10.00
r . • t; . s�.::�..: 10.00
','�'C; ; � =:- , .':� i7 •SG '1 ',I,f 1�: ' � _ Gas fireplace ...
c, : !-, C:, C .� Flue vent (water hcatedgas fimplaceZ 10 -00
l og lighter (gas) - _ 10.00
Wood/Pellet stove 10.00
_ _ _ ._. Wood fireplace/insert 10.00
°' Chimney/lincr /flue /vent 10.00
'17(107 1 i J1E R' :::4.. ; 'i "' 4 :'. • Ilk fr A NT; . .. .;
;C��tiii � .,1 k ,` , .G (; Other: 10 00
1 r e
A. -. ���� _ ' Environmental Exhaust &Ventilation
Name: Range hood/other kitchen equipment 10,00
Address: C 6c.• Q 1
r''� Clothes dryer exhaust 0 00
City /State /Zip: r- "l I ...J H Single duct exhaust -- --
P t e: 4 C Fax: (bathrooms, toilet compartments, �J
, � i .pl, :.' ;.: :' - • ..:." � CONTACT PbiRSON_.�, . - • utility ' Attic/crawl otns ) 6.80
..... _.. -
Name: (–,C<34.2(:.:.> 1 space fans _ 10.00
_
Other:
3me: -.-._. . ... t `)c ... —.. 10.00
._
Address: . _ t t - - Fuel Pip'_s
City /State/Z j L10,- -J t' _ . -_ _ "($SA0 for first 4, 51.00 each additional)
Phone:
Furnace, etc. `*
Fax: Gas heat pump •• _...
E-mail.: Wall/suspended/unit heater _ _ ii
' -' .., ;;. r :g +1,il' +,'�;t `.;; �'7�,' . . _
;.: . >r n. a. "Coe \x'Il� Oit': .`. . ,,, �. ,`.rti Water heater •
Business Name: c�� �� , -,c1 Fireplace _ ** _. ,
�i <.j
Range ss
Address: �• I�-1 - 1 3 v- �..Jc }; _ L . - BB $ ..- _ ._ : **
City/State/Zip: /State/Zi •13 ( - 1 ,2 Cs . Q _ _ -...
y p: 1 `(_ l . �'� e– : .. Clot dryer (gas ... `"
c 2 C Other -
Phone �� i ,� 3 i •
. CCB Lie. #: 1 Fax i - 1 S -.. _
• ` u Total:
�- ` -1 M e chanical 1'errnil Feet
Authorized �� , J` I l�Z Subtotal: $ Signature: t�/11J"W 17at — _ Mi n imum Permit Fee $72.50 _$1 -) 7
-511\ Ch ^ C ( a C. r. l. C lc Plan Review Fee (25% of Permit Fee) $ T ,[,
(Please print name) State Surcharge (8% of Permit Fee) S v---
TOTAL. PERMIT FEE $
Notice: This permit application expires if a permit Is not obtained within *Fee methodology set by Tri - County Building Industry Service Board.
180 days after It has been accepted as complete. **Site plan required Car exterior AN:: units.
I:\Dsts\Per Porms\MccPemutApp.doc 01/0
S
Mai 30 03 03:25p p.2
•
•
1 '1
bi te-T,onl
Nau5E
PRoNr
._7"0/3 g / 4-7/— 4 4-
4 7 ,a l S PM; L, � ��711
D1 ?r�� G.) � �s'
moo EL gu U
MAKE .1 an.c./{
tillcor3s PIT& + Alc
12.1 3. #bLGflrE
f'or : o . 174o2
51)3 - 23V -733/
K A X 503- 234 - 6 5Z - ,
CITY OF TIGARD 24 -Hour
BUILDING ; Inspection Line: (503) 639 -4175
INSPECTION DIVISI9N Business Line: (503) 639 -4171 MST
BUP
Received Date Requested — AM PM BUP
Location p / Suite MEC ,3 —
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
r
BUILDING Tenant/Owner ELC
Footing Cp rt - d 7 ELC
Foundation Access:
Ftg Drain • f CO Q tpL 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
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS P T FAIL
C
Post Beam
Rough -In
Gas Line •
Smoke Dampers
PART FAIL
ELECTRICAL
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 111 Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line /
ADA Date i*z / 1, !, 0 Inspector Ext
Approach/Sidewalk
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL