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10414 SW Kt RI CT
MECHANICAL PERMIT
CITY OF TI GA R
DEVELOPMENT SERVICES PERMIT#: ME;,2ooa 0000s
13125 SW Hall Blvd., Tigard, OR 97223 (50'.) 639-4171 DATE ISSUED: 1/8/04
PARCEL: 2S1 14BB-10900
SITE ADDRESS: 10414 SW KERI CT
SUBDIVISION: SWANSONS GLEN ZONING: R-12
13LCCV: LOT: 050 JURISDICTION: TIG
CLASS O'.=WORy,. OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRF: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
--FUEL TYPES 0 3 HP: DOMES. WCIN:
3 '15 HP: COMML. INCIN:
MAX NPUT: R rU 15 - 30 HP:
FIRE CAMPERS?: 30 - 50 HP: REPAIR UNITS:
G„S PRESSURE: 50 + lip. WOODSTOVES:
FURN < 100K BTU: 1 _AIR HANDLING UNITSCLO DRYERS:
FUR',: >=100K F;TU: <= 10000 cfm: _ OTHER UNITS
> 10000 cfm: GAS OUTLETS:
Remarks: lntitall i'urnace
Owner___ ------— — -- -- —_�_ FEES - -
LARRY W EISGERBER Description Date Amount v
10414 SW ',,,ERI CT — ---
TIGARD, OR 97224 MI11crmit Fee 1/8/04 $72.50
ITAX 1 ,1 State Surchari. 1/8/04 $5.80
Phone: 503-?14-7331 Total $78.30
Contractor:
JACOBS HEATING +AjC
4474 SE MILWAUKIE AVE
POF-'_AND, OR 97202 REQUIRED INSPECTIONS
Heating Unt Insp
Phone: 5,10234_73;1 ,sinal Inspection
Reg #. LIC 1441
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Coder and all other applicable laws. All work will be done io accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is Suspended
for rnore than 130 days. ATTENTION: Oregon law requires you to fodow rules adopted in the Oregon
Utility Notificaticn Center. Those rules are set forth in OAR 952-00.1-0010 through OAR
9b2-0,:)1-0100. You rorty obtain copies of these rules or direct q-Aestions to OUNC by calling
(503}14699,,
Issued 11(y: 7. �a ci_ t+ w�a_ I permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
M, 04 ICA : 34A P.02
1V�echaaica►1I'e><• x -_ ®n ftativW MaFunical ``� /
Rrce' l L" �' PmnitNo.: /7ft� - - ccc CW
Planning Apl'm',al Building
City of Tigard JAN P�MtN-:
Plan l2evkw Other
13125 SW 11811 Blvd. '
hal y P
- emdt No.:
_.
Tigard,Oregon 97223 Y(jFTJI aR1 post-ItevicW land UIC
Phonc: 503-639.4171 Fax; -IiatdU Case Nn.o.
:
Interret' www,ci.tigaid.or,us
Contact Jy�r� peePruel for
24-hour inspection Request; 503-639-4175 Narr,cJl�t�rh xi �'�' Supplamcntrl Iufortnatton.
TYPF',OFWO1tK COMMERCIAL FES;fir9C11EDULF..-USECiIECI{I,T3T�.:
New congtructi[rtl -- [� Ucltioliliotl Mochanical pernlit fees•are based on the tidal value of the work
L] performed. Indicate the value(rounded to the nearest dollar)of all
-P-�
Additiot>/Itltcration/rc►laccmct�t Uther:
_L_ mechanical rnaterial5,eyuipntt nt,labor,overhead and profit.
CATEGORY Ob''.CONSTRR[1('770N See 1'a,e 2 for Fcc Scheduiv
•rantil�dwcliittg C'omltterci;>U[ndustrial value: $_ _ —_ ti'
MuIU-Pantll RES111FNTIAT,titzUIPMENTISY6'I'I?MS FEN;'S[I16DUL1.
Acccssor r Huildink _ ❑___ _y -. oescrl tiun ���T I en e•. oral
Muster Builder —1�1 Other: _ Ite.tln r_noltn
:'..•jOB.SI7'L INF' )[tMATION and OCATION Fumxtx•add-un air conditloninR•` 14 0u
Job site addrosy-=�{L5.� _-_ Gas hent wnp - 14.00
Bl ./A t.tl: - _ Duct work 14 Ull --
State �- �_ 14,00
H drontc hot water 9 stem
Project Natnc. ( -er' _.______ Residential boiler
Cross slreet/Directio a to j h site: (forts flatot or hydronic ttystem� 14.00
Unit heaters(fuel,not electric)
_in wall,in-duct s• , uspended,etch _ _ 14.00
Flue/yent for an of above - 1 .W -_
r
Repair units 122.15 _--
Subdivision: _ __ _ _L�t --- _ Other Fuel A Itanccs
Tax nia arccl M - _ I Water heater _ 10.00
S R1fTION OF WORK' +. 1' -1 Gas fireplace MAO
_ -- 10,00
__ Flue vent(water heater/aas f}repluce)_
_, - ---- - Log lighter(Ras) - 14,00
Woort/pcllet stove _ 10.00
-� Wand fire Ip acelinscrt 10.W _
'�"-- --- Ghinutcy/liner/floc/vent - 10,00 _
R TY 1VNE1t Yui'. TENANT--,,- �tJ M Othcr 10.00 _
r — — Environmental Exhaust dr Veathallon —
anle:_ _ / t Range hood/other kitchen equipment 10.00
Address: Cloth s%dgci-xhaust IUUU
C /S ate Zi /' '�-� - Single duct exhaust
PhPo Fnx: (bathrooms,toilet compartrncnt,;.
I'PJ.1C T CONT,t,CT PERSON _ uti:lt-* rtxMms)
Altir ctawl s uce fans IU.UU
Na111C: �.c'`�1_' t",Q0' .�:. _ Other_ --- - �fo.UU -
AlldrCSS •.. _ �_ 1 - _..- — Friel Piping
Cit /jlalC/ZI --)U (,.:�"'i'r`� !!ps,40 for first 4,$I.On each rdJtllnnal
�':�--�--- �— — 60
Furnit C,CIG. _ _ —
Pltone:
.-mail: _ _ ., Wttll/sus ndcd/unit heater __-
1:=;I; CONtRA qR water heatcr 'a �—
_ creplacc ••
Business Name: r' U��':
'1_�._ ►-flan e _ •�
Addmas: �ti)r,,., 4;_ L
CS "Zt _ clothes mer(gas)
"-
11. Fax: rota►.
CC$ lMechanical Permit Fens•
Authorized _ Subtotal: f • -- ��
1':,t
Slgnatura .'�� " . •--- `—._ -� Minimum 1'ctlltit Fee 571.50 S
Plan Rc!ICw Fee 21 5%of hermit Ftp) S
(}'Icaae print nttmel _ State Surch a B%of Permit Fee S
TOTAI.PE''MIT FEE S_ 7
rVotter. Thla permit application erplres it a permit is not eLtalnPd withinTee maodolop d for a to brrAJi flunitsing InduSir S Jct' rr
too days atter It has been accepted as c�mpleoe
Slle plan rrrtuir
r:�IhtsU'ennit FormsVrlaPertmtApp d K
01103 ��1
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST
2r, �-7 BUP _
Received /,L 2Sy gate Requested._ PM— __ BUP_
Location �4 � Suite ( MEC -- � '
```---
Contact Person ( ) PLM
Contractor _ Ph( 6) .3/SWR
BUILDING _ Tenant/Owner _ ____--- ELC /Q
Footing
FoundationELC
Access: �- ELR
Cr Drain �
Crawl Drain �~-_---�
Slab Inspection Notes: SIT
Post&Beam -- - -- - - - - -------
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing ---- - -
Insulation
Drywall Nailing -
Firewall
Fire S i 'er - -- - - - --- - --
Fire/ nr
Susp'dnn, - - - - - - - - -----
- -----
Roof
Final
SS PART_ FAIL -
PL_UMBING
Post& Beam -
Under Slab
Rough-In
Water Service ---
Sanitary Sewer
Rain Drains -- - ----
Catch Basin/Manhole
Storm Drain
Shower Pan
Other. --- - _ - - - -
Final
PASS_ PART FAIL
Post&Beam --(
Rough-In { J _
Gas Line
Smyke)ampers
Final
PART FAIL - — ---
ELECT AL
Service �— -- --
Rough-In
UG/Slab - ��_ - - ------- --
Low Voltage ___ -
Fire Alarm -
t=inal L-J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS__ PART FAIL
SITE _ 1 Please call for reinspection RF __- -_ _ F] Unable to inspect-no access
Fire Supply Line
ADA '� — �/
Approach/Sidewalk — Date c,�,---�--�• Inspect�l./���• �_ - Ext
Other: P
Final DO NOT REMOVE this Iroppectlon record from the Holt site.
PASS PART FAIL