7151 SW BARBARA LANE VI
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MECHANICAL PERMIT
CITY O P T I GA R D
UEVELOPMEN i SERVICES PERMIT#: NIEC2004-00385
13125 SW Hall Bled., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: E3/18/2004
PARCEL: 1 S125DC_03100
SITE ADDRESS. 07151 'WV BARBARA t_N
SUBDIVISION: THE RAZBE=RRY PATCH ZONING: R-4.5
BLOCK: LOT: 024 JURISDICTION: TIG
CLASS OF WORK: 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 PRESSURL: 50 + HP CLO DRYERS:
FURN < 100K BTU: 1 AIR_HANDLING UNITS OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfrn:
Remarks: In,tnll :iuna _ ;nul a i
Owner: _ FEES_ _
DOW, DARRIN M + KAREN S Description Date Amount
7151 SW BARBARA LN [MFCHI Permit Fee 6/18/2002 $72.50
TIGARD, OR 97223 [TAXI tt State Surchart 6/18/200,c $5.80
Phone: Total $78.30
Contractor:
JACOBS HEATING + A/C
4474 SE KilLWAUKIE AVE
PORTLAND, OR 97202 REQUIRED INSPECTIONS_ .._____
Phone: 503-234-7331 Heating Unt Insp
Cooling Unt Insp
Reg#: LIC 1441 Final Inspection
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 C.en'er. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0100. You may obtain copies of tnese rules or direct questions to OUNC by calling
(503)24ti-
C_
Issued __L__ Permittee Signahire
Call (503) 639-4175 by 7:00 P.M. for inspections heeded the next business day
.''I -,At r r .a FAX NO. r . i r. . I u I•J I _.0AM P2
N� iC� $
Building
r rt, Yiinn'ln�APlrmval
Clay Ul 1 i �d Ua� t'errtTitNo.:
Plan Review r�thm
13125 M Hall Blvd, t�to/F3y:
'Tigard,Oregou 97723 Post-Review -frond lige
Plione: 503-639-4171 Fax: 503-598-1960 Int - Caw,No..
See Paan 2 for
Internet: ,vww,ci.tigard-or-us Cantaol 1y
' // gup It�emcntaInformation.-
Inforation.
24-hunt•Inspection Request: 503-639 ,175 NarnelMethod: —
1. .. Mechanical ertrrit foes°are based on the total value ro" ork
New ctmstructiot, • _ Demol{tion p
performed, Indicate the valuo(rounded to the nearest dollar)of all
A�iriltlOtt Rltera:iunhv lacenient other: mechanical materials,tquiptnent,labor,overhead and profit
See Page 2 for Fee Schedule
Value: 5 _
I 2-Family dwelljna riunercial/Industrial t
Accessory Building _ Multi-Family _ _ Description 1? .a. Tett
Master Builder Other: un Coon
r l Furnace•add-on air conditionin "• 14.00 _
_ Gas heat i mm 14'0[1
Job site address: �'� Duct work __ _- 14.00 _-- -
Suite#: B d_ A t—#'' — -- H tunic hot water system
_ 1 .00
Pro'ect Name: __-__-_ . Residential boiler
Cross street/Directions to job site: for radiatot or h dronic system)
14 00
Unit hooters(Atcl,riot electric)
in wall,In-duct,suspended,etc.) _ _ 14,011
Fluelvent for an of above _ 10.00
Repair units 12.15 _
Subdivision: el w ' a
Tax ma tarcel N' Water heater _ 10-UO
l/
M �X Das tine lace 10.00
", 10.00 -
F1Uo vetil water hector/gas fr Isco
-- t.o Ii ter �as� 10.00 _—
_ - - Wood/Pellet r,(ove 10,00 _
lite Ip acdineett 10.00 ---
- --'- -- Chhriney/liner%(lue/vent10.00
Others 10 00 -
_�- vlro_nii�lii�1�U-h •
N;u1te: /r. Range hood/other kitchen equipment 10.00'
_ _
Address: 1- � -- C other dryer ex Dust 10.00 -.
City/state/zip:
t Q. . -��?;r Single duct exhaust
1'I 1C' Fax: (bathrooms,toilet compartments,
,I, ..•�"r"'• t«., r� _Unhty ro2ma 6,60
Attic/crxwl space fans _ _.. 10.00
10.00
Address: --
Cit /state/Zi •• 5.40 lhr er.e�,SI.00 eh ad onal
Furneco etc. $0
Phone:_ Pte-- - oils host pump "
all/suspertded/unit hes a"
W
E-mail: W_ _
ater Fleater ••
Fireplace ••
Business Name: c - `� , -,
ti 11)C-1,&K K.I- Range-
rlN/State/Z{ - .tc� _ B-�
Ci --- ,�
Clothes drycrAS$AL_,,, —
Phone:) I Fax: I X12�. � other: --- -
- Total:
CCB Lic. #
Authorized _ - Subtotal: S
Signature: _ ",Y 1�- t
Irm J Minifuum Permit Fco 572.50 S
Plan Review Foe 25%of Pcrtttit Fee)- S
�- ---.--- e(8%of Permit Fee
(Plcttne print nnntc) -` .. tate urchargS
_ TOTAL PERMIT FFE S,
Notice; rhts Permit application exPirer If a permit le riot obtnine.1 wIthlo *Fee methodology set by TM-Cauntr nulldln`t•dunry lee ord.
I90 days after It has been accepted as enrnpler. •'Site plan required for eVerlor A/C units.
is\IhrlatPelrnit FomtarMecPor*nitAPP d•c it nr I �
FROM :j rahsii�a`i ng FAX N0.
Jun. 15 2204 O7:5OAM P.'
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CITY OF TIG.ARD 24-Hour
BUILDING Inspection Line: (503)633-4175
MST _
INSPECTION DIVISION Business Line: (503)639-4171 BUP
Received Date eques d__ �� .-_ AM_—_-. _ PM ____ -- BUP
ke
Location -- 74
��� � Suite MEC
Contact Person _— — — Ph(—) — PLM
Contractor _ Ph( ) —_ SWR
BUILDING — Tenant/Owner ELC --
Footing 4rT'�%� ELC
Foundation Access:
Ftg Drain ELR
Cra-I Drain --
Slab Inspection Notns: 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 /r
Rain Drains - -- ---
c
Catch Basin/Manhole _
Storm Drain —
Shower Pan
Other. — - ------------ -- - �— _
Final
PA T FAIL ------ _— —� _-- ---
CHANICA -----
Pos eam
Rough-In -- - -- - -- ----
Gas Line
Smoke Dampers __ _—_—.___ -- --- — ---------- ----
PAW PART FAIL ------
CTMCAL
Service
Rough-In
IJGISIab ------ --- �---
Low Voltage ___ _ — •—--- -----------
Fire Alarm -
Final Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE _ F] Please call for r inspection HE: __-______—____— L Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk InspectorL�` Il--- Ext -
---—
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL l