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8152 SW Astitord Street
CITYO F T I G A R MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2001-00459
13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/17/01
PARCEL: 2S112CB-02600
SITE ADDRESS: 08152 SW ASHFORD ST
SUBDIVISION: ASHFORD OAKS 1'40. 2 ZONING: R-7
BLOCK: LOT: 040 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: 1
STORIES: BOILFRS/COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP:� DOMES. INCiN:
I PG _ 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Remarks: Installation of fire place insert, gas piping 1 outlet.
Owner:_ FEES
THOMAS MURPHY Type By Date ^lmount Receipt
8152 SW ASHFORD ST. PRMT CTR 12/17/01 $72.50 2720010000
TIGARD, OR 97224 5PCT CTR 12/17/01 $5.80 2720010000
Total $78.30
Phone:503-968-2466 ----
Contractor:
JACOBS HEATING +A/C
4474 SE MILWAUKIE AVE
PORTLAND, OR 972.02 REQUIRED INSPECTIONS
Gas Line Insp
Phone:503-2.34.7331 Mechanical Insp
Reg#:LIC 1441 Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal c0e, State of Ore
Specialty Codes and all other applicable laws. All work will be done in accordance wit;-, approved
plans. This pprmit will expire if work is not started within 180 days of issuance, or if wenv, is suspended
for more that, 180 days ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-00`C through OAR 952-001-0080.
You may obtain ropies of these rules or direct questions to OUNC by call„ig (503)246-9189.
Issue BY: teI1�r Permittee Signature: C1� �11T1 i r r.'c l �—
Call (503) 639-4175 by 7:00 P.M. for inspections needed thn oaxt busir.6ss day
Doc- 13-01 08: BOA P . Ut 1
Mechanical Permit Application
I�� 13 7".
ed:!�> >7 U ' permit na'.: i -au k
Cit of Tigard IJ
J g -� l.no,; F�cpiredatc:
Cit ri Ti urd Address: 13125 SW Hall Blvd,Tigetrd.OR
> > K 1 : fly Receipt nu.:Phone, (503) 639-4171 —
Fax: (903) 598-1960 �� 1 7 Casa file nim Payment type.
Land use approval- _ Hlfiminglwrmltno- Y
�M1 &2 family dwelling ur ecc:cssory O Comnterci.tW,•dustrial U Multifamily U Tcnant improvcmcni
U New constniction U Adflilion/altcration/rcplai-entent ❑Other;
JOB SilE, 1 1
Joh address: `�(�� r�J ( r Indicate equipmc.nf quantities in boxes below Indicate the dollar
Hlddp.no.: _ Suite no.: value of all mechanical mAlerials,equipment,labor,overhi:
Tax malt/tax lot/account no.: profit, Value$ -
I Block: - Subdivi0ow *See checklist for important application information And
project name: jurisdiction's tee schedule for residential pernilt fee..
c ityrcounty: ZIP. t
Description and ocivion of work not�premises;
Fee(ea.) Petal
Est,date of`complle nhwivection: _ _ ��I�Qe _- Qty. Res. Res.ody
Tenant improvement or chancc of uec; Ac '
Is existing space heatec.or conditioned?U Yee ❑Nn Air handling unit - CiM
ace insulate.'!Q Yes U No
Air runonink(rite rico ralutr )
Is existing space 1TcrolTonotcXisting A ystem
uiler/c mpresson;
Business; s `name: Ck t 0 c:L r4 Stare hotter permit no..
I1P _ _Tons HTIIIH
:
Address - T`i-s X-M—mporsiduct smokedetectors
City; 1 St e: Zia' hent pump(s_ite t required)
Phone' Fax: F-n1Ail: nstr rTU ephice furrinc urncir /
CCB no.: - Includingductwork/vent liner U Yes U No
_ -__-_ nstr rnp ro ro ocetc criers-suslrcn c
City/metro tic.no.: _ wall,of floor mounted
Name(please riot): y T L: f,.�,t
Vent
or a :race other than furnace
e n:
Ahsorptionuni�sHTUM
Name: 01111crs -_ lip
Address: - -" fa�1mjtre-mirs _ HI'
-- Enn�rontnental exhaust send ventilrt on:
city_ $LAIC LU_'. Appliance vent
—1:, "l: Drycrexhaust
1 �,� �, y[x / nee. tc cn tAsmrf .•.`
nond the suypreAsiuu system
Name: C� jiA•11 Gzhausl fro with Bingle duct(both f'Ans)
Mttilin} aJdress:451,.E =,t,J CL;�F�{e71r`Jfi-- f- xhsust system Apan trom healing of AC
Fuel piping a s ul on(up to mal lets)
SlalctJ(C. 7.IP:��7��24 Ty LPG NO --- Oil ` y
Fax: E-mall _ fuel i in eac i ad it�ia�-ove�utT - -
roce n piping(sc-hemrticrequ rc
Name. Number of outlets
01161ir lisiled appliance or eqn pmv-nT--
Address: Dccorativcflrcplacc.
City: _ tate:^ 7.IP_ _ 1�u�teryi�-t yc
Phone: rax._.__.. - ii-,tail; wnilT:iovr IrtfIVC
App'icant's xiSialu CIO Da .
Name (prinq: I 1•c
Permit fee....... .............$
sot an iunfdkltnm acoep Cldrl«t+.yr �>dl jori�dietim Ibr moll Inranwicll. Notice:'nils pennit application Minimum fee................$ '1 a
A0 vbr 0 MaAwCard D�A3
11-Tb, 5a13� 19-17 9 17 1 expires if A permit is not obtained
cn fere w ee M3 _ .. Plan review(al _ %) S -
s within 180 days efler it has been r
State surcharge(8%)....$ ..� 6=�
Huh ra ,..»n mmmkii Card .,S atcgAed as complete. TOTAL -1`6 3l7
-SGS 4..a ►.y�I}'L['t1_�-_-_. s._ ....................... -
V r rPiRnrtueAnewo
—_ 44(W17(60WOM)
CITY OF TIGARD BUILDING INSPECTION DIVISION � MST
24-Hour Inspection Line: 639-4175 Business Line: 039-417
BUP _
—_Date Requesteri_r_��_ Z( AM
.� BLD
I_ocatier,�— S-2- E cz,/ epz c/Lj
Contact Person
Ph PLM
Contractor Ph 2 2 ��` 7 3 �/ SWR _
BUILDING Tenant/Owner _ _ K ELC
Retaining Wall — ELR
Footing Acceps: �--�\,1 [_ , s c�-f S
Foundation ) % FPS
Fty Drain
Crawl Drain I sp Ctlon otes: SGN — _—
Slab _ SIT
Post R Beam - --
Ext Sheath/Shear
Int Sheath/Shear
Framing ------
Insulation - )�-- --
Drywall Nailing _ O" — —_--.
Firewall -----------
Firc Sprinkler --
Fire Alarm
Susp'd Ceiling
Roof ---
Misc: —----- -- --
Final
PASS PART FAIL —
PLUMBING
Post& Beam ---- - - -- -
Under Slab
.Lop Out --- --- ---
Water Service
Sanitary Sewer - —
Rain Drains
Final ---- _ - - I
FAIL
.Post& Beam - -- -- J ----
Pas
gh In
"TL ' ,/-e t --_ ------
Smoke Dampers
_ PART FAIL
ELECTRICAL
Service_
Rough In --- - —
UG/Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
—
.._.._ _— --
BackfiNGrading
Sanitary Sewer
Storm Drain I [ ]Reinspection fee of$ _^ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Firr,Supply Line I [ 1 Please call for reinsper;,..,r F',F Y_— [ ]Unable to inspect-no access
ADA
Approach/Sidewalk P
%I1: IZ p
Other Date1
_ � inspector---jy�' — Ext I
Final
PASS—_PART--FAIL DO NOT REMOVE this 9nslpectivrs -ecord from the job site.