7045 SW CLINTON STREET U
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47045 SW CLINTON ST
CITY OF TIGARD MECHANICALPERMI'r
DEVELOPMENT SERVICES PERMIT#: MEC2003-00726
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-410 DATE ISSUED: 12/23/03
PA'2CEL: 1 S 136DC-03510
SITE ADDRESS: 07045 SW Cl INTON ST
SUBDIVISION: ELNOLA HEIGHTS ZONING: MUE
BLOCK: LOT:015 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FAN :
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COM?RESSORS HCODS-
F_UEL TYPES 0 - 3 HP: DOMES, INCIN:
LPG 3 - 15 HP: COMMI . INCIN:
MAX INPUT: BTU 15 -30 HP: REPAIR UNITS:
FIc'E DAMPERS?: 30 -50 HP: WOODSTOVES:
GAS PRESSURE: 50+ HP: CLO DRYERS:
FURN < 100K BTU: 1 AiR HANDLING UNITS OTHER UNITS:
FURN >=100K BTU: '= 10000 cfm: GAS OUTL�--TS: 1
> 10000 cfm:
Remarks: Install furnace.
Owner: _ FEES
JACKSON, GENE E + CAROLYN P^AE Description Date, Amount
7045 SW CLINTCN ST
TIGARD, OR 97223 �1liC'll1 Permit Pee 12/23/03 $72.50
I I'AX1 8"b Slate 12/23/03 $5.80
Phone: Total $78.30
Contractor:
SPECIALTY HEATING & COOLING
1601 SE RIVER RD
H:LLSBORO, OR 97123 REQUIRED INSI'ECTIONS
Phone: 503-640-3607 Heating Unt Insp
Final Inspection
Reg#: LIU 66578
This permit is issued subject to the regulations cor,tained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notificaticn Center. Those rules are set forth in OAR 952-001-001 C through OAR
952-001-0100. You may obtain copies of these rules or direct que"cions to OUNC by calling
(503)246-6699.
Issued By: 41 t f Permittee Signature
Call (503) 639-4175 by 7:00 P.M. for inspet dons needed the next business day
Ir* i�in. a e>rmit A plication
lP Rccefved Mechanical
{t DUN . 1 Permit Na:I � 4 a•� - Q 7p(v
CI .. Planning Ap rove Building
�. Cd DateB : Permit No.:
131 S�V��I T- 1 9lvd. Plan Review Other
'Tiga .b�l'ellon 97223 Dat eB Permit No.:
Phone: 503,039-41 it Fay. 598 1960 Post-Rc� gc�v Land Un.
Dnte/fly_ Case No.:
Interact: an rw.ci.tianrrt nr.us Conmot Jyri..: seepage 2 far+
24-hour Incl ection Request: 503-u39-4173 Name/Methud; Su Inrncnts l inforraotlon.
TYPE OF WORX COHMERaXL,rXT.-:SCIiEDULE -USE CAECKWS
New co'lstruction Demolition Mechanical pemur fees*arc based on the total value of the work
performed. Indicate the value rounded to the nearest dollar)of all
Acditia:t/:titcration/replticemerlt Other: p (
_ yCA)CEGO Y Ok CON`�TRRCThON "a. mechanical materials,equipment,labor,ove:head and profit.
fA,
i 2-F amil dwellin Comirtcrcial/Industrial value: SSee Page 2 for Fee Schedule
cos:tt,ry$uildiri f Multi•Fatnil RESIDEMAU-E ViYMENT/SYSTEMS FEE+SCMULt»tstrr Builder Other: Descrl don j Fee(ea. Total
_ Heatln Caolin
_ JOEIStrt-.'INlORN.V TlOri'r d. ' A'TION Furnace•add-on air conditioning** 1 114.00
tub�ii,e ath lrc3s: 3� .� _-�tu.7 Gaa heat pump 14.00
Suite it: _ Bldg./AEt.#: Duct work 14.00
Prt c t Ntu ne: Hydronic hot water system 14,00 —
—o� _y Residential boiler
Cross stree JDirections to job site: for radiator or lidron,c s stem 14.00
Unit heaters(fuel,not electric)
in wall,in-duct cup t.ndod etc. 14.00
F ue vent 'or an of ab eve) I U.UU 1
Subdi visiu t: Lot#:
Repair units ±-- t 2.15
Other Fuel Appliances
Tax Ina /k trcel#: _ —T—
.��_ Wntcr heater 16 Cn
DESOWTION;UF_WbYtK Gas fire lace lt'A0
Flue vent(-water heatedgm fire lace) 10.( ) _
Log li hter( a _ 10.0
--� - Wood/Pellet stove 10.00
Wood fr lace/insvt 10.00 i
_ Chi nine /linet/fl UO/Vent 10.00
t)PEF .OWNB� ITIVENANT I Other: _L 10.00 I --
Nlllrtlf'_ �G� kit . EnviranmentAl Exhaust h ventilation
Addr,ses:
Range hood/other kitchen equipment 10.00
��a,r.� —
Clothes Iyer exhaust
/ I u.UU
Cit >t;1te�Zip:
Single duct exhaust
Phone.Z - 3 q b( Fax: (bathrooms,toilet oompartments,
AX': G' lQ0 At✓T P i,",`t+' uhlr roomy _ 6.80
Nanit:: Attic/crawl spa"fans
Addr-s5: Other:
_ _Fuel Piping
lt /,tate/Zl **($3.40 rot first A._1.00 each additional
s �--
—��— Furnace,etc. ••
Phone: _rax: T Oas heat Pump_`—E-mail: _ Wal;!rus ended/unit heater
COKCRACTORW• Water heater _
QI1Sirtcss 1aIT1C.._.� r?�C <� ����
Fireplace
Address: �lr o L St_ !_;_yt. flan c •'
ee
Clothes dryer as
Other. r
CCB_ Lic. #: .L•s- } Total:
Mec anieal Permit Fees`
Autho,i7.ed
Signature, SubtOrnl: S _
Minimum ermit Fee 572. 0
t��• t'` L7 t Plan Review Fee of Permit Fee S
(Please print name) State Surch4W(8%o;Petmit-lee)_ S 'O
TOTAL FERMIT FEE S
,Not(,e; This termit application expiry Ira permit is no,obtained within 'Fee methodology tet by Tri-County Building Industry$crvice Board.
180 dr,s afle It has been accepted as Complete. `"Sitp plan required for exterior NC units.
i;\r>eu\2ermit Pn,ma\MacParmirApp.da_ 01/03
CBlLD 865 FOS 2UT%WOH - oTecoodS Qlltso ED Eu o,o
t
CITY OF TIGARD 24-Hour
BUILDING Inspcction Line: (503)639-6175
INSPECTION DIVISION Business Line: (503)639-417110 MST
BUP
Received __?13 1 C/' r Date R u stet _ AM_______ PM_ —__ BLIP
Location rZ Suite -M
' Z -
Contact Person Ph( _) PLM
Contractor .. _ Ph( ) SWR _
BUILDING — 4 Tena One` — [1 -4,�1 Lt d �.�— ELC _
Footing 0 U ELC
Foundation -- -- 1
Access:
Ftg Drain ELF! 1
Crawl Drain _
Slab !nsaection Notes: // _` SIT
Post&Beam _-- 4 (.0 (gyp C / -t7j
Shear Anchors —
Ext Sheath/Shear
Int Sheath/Shear —�
Framing -- — --- — — — --- — --- ---
Insulation
nrywall Nailing — -- -- —
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling — _ --_—
Roof
Other: --
Final
PASS PART FAIL
PLUMBING
Post 6 Beam — —
Slab
Rough-in
— COM-, i —�--_
Rough-In
Water Service _
Sanitary Sewer i -- —
Rain Drains .L---
Catch Basin/Manhole
Storm Drain
Shower Pan
Other: -- — — -- —
Final -�----�—
PASS PART FAIL -------- ——' — — —
M_EC_HANICAL
Post&Beam � — -- -- ---_._-- -- —
Rough-In
Gas Liiie —
ampers
PA PART FAIL ------ — — — _
ti CTRICAL —
Rough-In
UG/Slab
Low Voltage —_ —
Fire Alarm — -`—
Final Reinspection fee of$ required before next ins
PASS PART FAR. � p -- � Inspection. Pay at City Hall, 13125 SW Hell Blvd.
SITE Please call for reinspection FE.
_ ---_ _ _ -� � Unable to inspect—no access
Fire Supply Line
ADA
Approach/Sidewalk Date_ Inspector _ _—_ ffXt _
Other: _
Final DO NOT REMOVE this Inspection record frol:�the,job site.
PASS PART IF 1