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10405 SW Grant Court
�ITY OF T I G A R D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2002-00462
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/17/02
PARCEL: 2S 102CB-05900
SITE ADDRESS: 1040:; SW GRANT CT
SUBDIVISION: WINSOME TERRACE ZONING: R-4.5
BLOCK: LOT: 003 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O ADPL: VENT SYSTEMS:
STOR!ES: BOILERS/COMPRESSORS _ HOODS:
FUEL TYPES _ 0 - 3 HP. DOMES. INCIN:
3 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
REPAIR UNITS:
FIRE= DAMPERS?: 30 - 50 HP:
WOOD
STOVES:
PRESSURE: 50 + HP: CLO DRYERS:YERS:
FORA < 100K BTU: 1 AIR HANDLING UNITS NIT
FUR14 —100K BTU: — 10000 Cfm: OTHER LETS:
S:
GAS OUTLET
> 10000 cfrn:
Remarks: Furnace replacement.
Owner: _ FEES _
SHE:A, JAMES C JR + SUSAN K + Description Date Amount
SHEA, JAMES P SR + CATHERINE A [;,nr,t 1II Permit Fcc 10/17/02 $72.50
10405 SW GRANT CT
TIGARD, OR 97223 [MLe'IlJ Permit Fee 10/17/02 $0.00
[TAN J 8°„Sfate'Fnx 10/17/02 $5.80
Phone: [TA\I SIM('.1,1\ 10/17/02 $0.00
Contractor: Total $78.30
JACOBS HEATING +A/C
4474 SE MILWAUKIE AVE
PORTLAND. OR 97202 REQUIRED INSPECTIONS
Phone: 503-234-7331 Heating Unt Insp
Final Inspection
Reg #- 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
Utilit�� Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR
95"_'-001-0100. You may ohtain copies of these rules ur direct questions to OUNC by calling
(50:)2.46-6699.
Issued By: �/� i2 Permittee Signature: dye Ct+ (26t I V.
.
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day ✓
Oct 1i�-U7 Wj—. q3A P . O1
Mechanical Pennit Application
— —� 7D.Itc
eived_/Q'/7-GL Permitno.MCity of Tigard ppl.tin.: I,spirednie:
4 )of Tigard Address: 13125 SW Hall Blvd,TiKnrd, OR 9?7?'t
Minnie; (503) b39-4171 ed r __ i3 Ret: . no.:
Fax: (503; 598-1960 1 Casc the no. Payment lypc �—
Land ti,,e approval, -----__.-_ Building lwi mil no..
MjUUjU1
2 family dwelling or accessory U Commercial/industrial U MkIIII-IRmily ❑Tenant improveincrt+
i
U Nr.w consttuctirnt 0 Additiun/altcration/replacement v Other _-
1 I
Job address; L34 Q 5 l,J C%..� _ Indicale equipment quantities in hnxec Iv-low,indicate the dnllar
lildg.no.: Suite nn_.: value of all mechanical ninlerials,equipment,lahor,ove.lhrdd,
Ta<nta t/tax lot/account no.: — prarit. Value S
i)IcBlock Sulsdlvlclo11 �_- $Scc checkllat for Important application inibmiation and
"- jurisdiction's fee schedule rite residential permit (--
Prujct numC:
Cit n:vunt _ 1 'ill': L 1
Ucscnpho nd ILK:a11U11 ur war un prrmisr,;,_ 70tandlingunit.
Via 1I��i1 L 1'ee(e�.l Total
Est datcufcamplrtinn/inslxt Ione - R+r%.only Res.ouly,
Tenant impruvetnenl ur cun);e 1�1 use: 'Is existin s ace heated ur conditioned?U Ycs U Nn -nT- ('F )
F P Ircon Ilion ng(s tc�pnn requil ) _
Is existing space insuiated7 O Yes O No Alteration of raison el VAC.s s'tcm
o cr compressors
Slats IPIOC1'permit nn.
Business name q v �s�.,,c HI' Tons— UTU/14
jNo Addrtss � �"{ it xniu a mnprreJ uctsmn a CtC'il ': ) _ tits eta /_Il���^. i cat pnm (s Ir. an ret Dile. ) _- usta lep ace uumc runner..•. IncludlnrdildWork/ventIlncr�i('('ll n)
.
Cit .
City/ineim lie.no widl,orfloormoumed
o � -�- r � Vent or ap t sauce 01-til t tan furnace
Nano(please nt): -� � ) � r grrsl nn:
A
(.'hbsorpl ion un m RTU/14 _
lllcrs- --- Ht'
rn,;vuu, HI'
�ddres:, — nv ronmenta ex suet and ventilation:
1 ,t� _ Stith•, ZIP; Appliaucrveul
l'hl,nr F;1-f
E-mail. ( crcxhousl
1 -Titn�it s,fiytle I/jr%l e�u•11en%hri.m n
hood fireatppre,stm "'arm
Name.: h0tillst tan with single Duct(both fans) _
Mailink add, y.__J Q �� C, I zhautil syslcm a o, ,from heatingur
ue piping■n a nteon(up to out els)
(:11v SINI ZIP: Tv{,r LPG _ NO CkI
1'hnne Fax: F mail {'Del rtrin t vat h ndilfilonnTov�out�-—
rOM1013nal,c,rmaucrc<pnr�Tr ►" _ _
Miniber otrnulcls ---.---
Nwne --- - -- Ot r lbW appliance or i j6lj rnrnu
Atltlrn�s _ Ikcnrahvclrrc Jar.r. - _
City State: lnscnWoud .y c
t�x— _ E-mail: - 1� store pr et stove ----- --
Ciihrr.
Applicant's sig a ur �y _ 111 _ _ __
Nano (Print - V )
_�.— 1'runit Itc
Na All InrindlcH,ms accetM ends ewas., Notice This rwrmil a ik.111Un -
J vn;, u Maocr<'ard no (1'lirhr111.11}:LCC......
cspUta if a permit is not uhwinrd Pl;irl raaleW(nl __ 9f1 $
r.ud emnhex --- within I RO Jays after k hm been
Slaw KIIrglttltrr(1�)
Num ru w ,as r wwn uu crc 1 c-rTl--- accepted ib uutupirtr. T OTAI, _—//7[�J�
cutl,d&,uRnHurt S Amuuut t/11'Of�17r C11
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175
MST
INSPECTION DIVISION Busine•3s Line: 1503)639-4171
BUP
Received Date Requested— AM PM BLIP
Locationom,–,�/0 SDs w—SuiteMEC .2
Co(tact PeF�ali-� _------ Ph(— ) 2wl g- ���•S Q PLM ------ -----
Contructor---- Ph ) — SWR ---
BUILDING ienint/Owner
Footing
Foundation � ELC —
Access:
Fig Drain ELR
Crawl Drain _ -
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors --
Ext Sheath/Shear
Int Sheath/Shear
Framing -
Insulation
Drywall Nailinit �/�4�� Es` `3 5�36 _
Firewall � ...tC�• Vie'/1 G'✓�7`
Fire Sprinkler - - -
Fire Alarm
Susp'd Ceiling - ---- -
Roof
Other: - -- --
Final -- - -----
PASS PARTFAIL - -. -
PLUMBING _
Post 8 Beam _--- -- --- ---
Under Slab
Rough-In
Water Service -- --- - --
Sanitary Sewer
Rain Drains - — -- — —
Catch Basin/Manhole
Storm Drain ------- - - -- -
Shower Pan
Other: --
Final
PASS PART FAi4 -------`"_ •..___-. ---- -- ------
---------------
MECHANICAL
Post& Beam _ - -------- _--
Rough-In --
Gas Line
Smoke Damp rs -_ -.-_._ --- ---- ------- --
CSaT.'
.1 0 PART FAIL
ELECTRICAL
Service ------__--
Rough-In ------------- — -- - - -- _.-_ -- ----
UG/Slab
Low Voltage -,--_- -- --- __
Fire Alarm
Final n Reinspertic i fee of$-_, required before next inspection. Flay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Pleaso call for reinspection RE: .__ Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Daft - -- Inspodet e -_ _ -Ext __--
Other:
Final — DO NOT REMOVE this Inspectlon record from the job site.
LPASS PART FAIL