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9465 SW INEZ STREET
CITY OF
TIG /� R D i MECHANICAL PERMIT
DEVELOPMFNY SERVICES PERMIT 4: MEt.;2003-00631
13125 SW Hall Eivd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/28/03
ARC EL: 25111 BA-07100
SITE ADDRESS: 0.465 SW INEZ ST
SUBDIVISION: BUTLERTERRACE ZONING: R-45
BLOCK: LOT: 005 JURISDICTION: TIG
rLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATEPS: VENT FANS-
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
_ FUEL TYPES _ 0 - 3 HP: DOMES. INCIN:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP:
OD
GAS PRESSURE: 50 + HP: CLO DRYERS:
YERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS C
FURN >=100K BTU: <= 10000 cfm: OTHER UNITS: I
> 10000 cfm:
GAS OUTLETS:
Remarks: Replace gas furnace and wafer heater.
Owner: FEES
SCHOENBRUN,STEVEN J/KAREN Description Date _ Amount
9465 SW INEZ ST I MLt_'IIJ I'CfllllI 1 ci 10/28/03 $72.50
TIGARD, OR 97224
i l'AX]8'%.tilair 10/28/03 $5.80
Phone:
Total $78.30
- —
Contractor:
TRI-COUNTY TEMP CONTROL.
13150 S CLACKAMAS RIVER DR
OREGON CITY, OR 97045 REQUIRED INSPECTIONS
Phone: 503-557-2220 Mechanical Insp
Heating lJnt Insp
Reg#: LIC 72.623 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 Gregon
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)246-6699..-• /
Issued By: [� -�� Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)039-4175
MST --- ---------
INSPECTION DIVISION Business Line: (503)639-4171 BUP
Received __ —_�___Date Requested �'_6- a'G+ - AM_ �'_ PM BLIP _—
Location Suite —.__— MEC
Contact Person Pik' --
Conti actor--_.-- __._ - ------_.._ Ph( -) -- - _-- -_-- SWR
BUILDING Tenant/Owner _ ___.—_ __ ___ ELC
Footing ---- - - ELC —
Foundation AccP,ss:
Ftg Drain ELIR -
Crawl Drain
Slab Inspection Notes: SIT
Post& Beam --- - - _
Shear Anchors
Ext Sheath/Shear -.
Int Sheath/Shear /,
Framing !�✓ F..L�sc 'r��c. �-t t A-1e S
Insulation r 4.-/- 0' 7 4f-
-
Drywall Nailing 14
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 PART FAIL - -- - -- - - - - -
MECHANICAL ---
Post& Beam
Rough-In -- - -
Gas Line
Smoke Dampers -
i
j(—PAJ PART _FAIL_ I -
_'FLIMTRUCAL
Service — - -
Rough-In _ -
UG/Slab
Low Voltage _
Fire Alarm
Final Reinspection fee of$ ___.__. required before next inspection. Pay at City Hal', 13125 SW Hall Blvd.
PASS PART _FAIL
SITE _ F1 Please call for reinspection RE __ _ _ __—_ F] Unable to inspect- no access
Fire Supply Line
ADA
Approach/Sidewalk Data,Z-e- 3 Inspector._ Ext _
Other:
Final DO NOT REMOVE this inspection record from the Jolt* site.
PASS PART FAIL
Oct 28 03 09: 19a `P. 1 P. 1
— -
Meebanical Pefii&,Xp
Peter No.;4;1'/_
Sul,,
Pe"r
City of Tigard Platming A00r0V& Suilding
05"r- Perrrvit No.;
131"SW HsD BF,d, Man Pcview 001cr
'Tigard,Ongon 97223 Dar. y __ --— v"mit No.:
Pbone: 503-639A 171 F= 50349g�;jq" Pam-rrvicW I-am Use
laterner wvsv.ci.tiprdcir.us-'i' CaseNo,.
24-hota inspection Request: 503-639-4175 T9—Comate s-.Ff as z(at
----------
1. ,I T.TEWWOM 7iiC XTr-
[J New construction Demolition Mechanical permit feet"are based on the total visluz of the work
AdditioWz1Wmfivn/rS2Ficemcnt I U Other- performed. Indicate the v"Jue troundcd to the neatest dollar)oral
mechanic:41 mutuals,equipment,labor,overhead and profit.
Corrimerci.al/Industrial value. S See Page I for Fva Schedule
Accessory Building Multi-FwWy R�VnM- §F!Ew- LUE-
Master Builder odwr
Furnace-add-on air candidoning"
—-L.00 --1
lob site a Lk
Gas heat 14.00
Sulte
- #- #: Duct work 14.00
Project Narre: Hvd,-oni bol-water IYUM 14.00
L)t,%A Residential boiler
Crov-,street/Directions to job site: (fo)-irliatororh ionicsvvern) 14.00
Unit heafm(f6el,not ole ctrir)
(in will,in-di ,ntsPc*dqEJ-- 14.00
FluuYrnc ut) I —+ 10.00
Subdivision: LLot ReHir units 12.15
Other Fud Avi eft
Tax mav/pariml Water he2ter 10.00
;-Di.5C7[tPI70Pt WORK Gas fireplace 10.00
If-0 L V- is I e.1Ij Flue Vent(water bruicTIPsfr
v2vel— 10.00
-128 UAW(las) 10.UO
Wood/Pellet stove MOO
Wood fireplact:Anwt 10.00
Chimnniner/0ue/vent 10.00
Other; 10.00
Fieviravinestid Witaw A Vesidilladev
Address: Range hoodlou or kitchen equipment_ 10.00
Clotlies dryer exhaust 10.00'
civ/statdZip: Single duct exl=st
Phone 51 Fax: (bathrooms,toilet cornpartrnmts,
N=e: Attic/crawl sWA few
10.00
±�
- 13150-S-CLACKAMASAMR DR— Other 10.D0
Address: — 08 GON-CIM.Y.-OB-97-05 Fuel 1phibes : .. . I
OpL/5tate/Zip: PHONE:(503)557-2220 -"*M.40for Gest 4.$l. sachaddideat.11 I
Phone: !! FJW3)557-0919 _
furnace,etc. ON
— Gashem purnly
Wall/suspended/unit heater
Water heater *a
Business Name: rri County Temp Control Firclylace
Addrfts: 13150 S. Q1ag1k-,a=s River Range
Ci /Sestet : It 13BQ
_Oregon C OR, 97045 Clothes d er(gat)
'Ti�o-ne: qc;7-29,20 - %-X:557-091 Other.
CCB Lie.#: 72623 Total:
Authori2ed mothavilesal lit rem*
sipature: Date %'--T�, Subtutal. S
U MhsimumPmWtFee 572.50 9 aWL-15c,
Giesele Sahag2n Pla-h-Review Fee(254/.
(Ftease print new.) Pena-tit Fee)
TOTAL PERM Y Ftt
Noises: This pe-ndeapplicntive expirmirs permit is not obvilreed-rithin 'Pit norhWelogy set byTA-County-de—a-11dingfiffid r1f5c"itc1loariC
199 dare after it bee been a et"ted as 00*Vi via- -Size pita vtqul red for evirs-dor A/C spits.
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