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12360 SW KATHERINE STREET a N W 01 O a N E � d ro M.ro cn ro I 12360 SW Katherine Street CITYOF TIGARD _` MECHANICAL PE^MIT DEVELOPMENT SERVICES PERMIT#: MEC2003-00183 13125 SW Hall Blvd., Tic ard, OR 97223 (503) 639-4171 DATE ISSUED: 4/11/03 PARCEL: 2F 103BB-05000 SITE ADC KESS: 12360 SW KATHERINE ST SUBDIVISION: BROCKWAY ZONIN,,: R-4.5 BLOCK: LOT: 050 jURISDICTION: TIG CLASS OF WORK: ALT 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: DOMES. INCIN: LPG 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYEI-'S: FURN < 100K BTU: 1 _ AIR HANDLING UNITS _ OTHER UNITS: FURN >-100K BTU: _ <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Install gas furnace. Owner: FEES ASHENFELTER, CHARLES G Descrip'.ion Date Amount BEVERLY A - — -- -- 12360 SW KATHERINE ST iii,: !iJ 1'cruut Fcc 4/11/03 $72.50 11GARD, OP 97223 1 [.A X) 9"1,State la\ 4/11/03 $5.80 — Phone: Total $78.30 -- 13ontractor: TRI COUNTY TEMP CONTROL_ 13150 S. ul-ACKAMAS RIVER DR OREGON CITY, OR 97045 REQUIRED INSPECTIONS Phone: 503-557-2220 Heating Unt Insp Final Inspection Reg #: LIC 72623 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be do 'F accordance wit!', approved plans. This permit will expire if work is not started within 180 da\ -suan(.o or if work is suspended for more than 180 days. ATTENTION Oregon law requires you ow rules adopted in the Oregon Utility Notificatior. Center Those rules are set forth in OAR 952-Ou , 0010 through OAR 952.001-0100. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-669 ) �/I Issued By. � 1 J, i1� 1if Permittee Signature: — Call (503` 639-4175 by 7:00 P.M. foi inspections needed the next business day w�. Mechanical Permit Application nn ( Datr,received:i j_.r' J_ Permit no.: 7 j7 City of Tigard F 1 D — Q t Projectlappl.no.: Expire date: C;ry o/Tigord Address 13125 5W Hall 131vIt g OR 97223 --`-- - Phone- (503) 6394171 Date issued: -�- By, N Rtkeipt no_: Pax: (303) 598-1960HPp o 2003 Case 5le no.: Payment type: L"d use approval:. .;` t j)�p�f7 Building permit no.: -- U I Bc 2 family dwelling or accessory 'D S;ommercialhndustrial U Multi-family O Tenant improvement D New construction ;(Additiutt/alteration/rrplacement 13 Other: Job address: ^5 ) J ' J _ Indicate equipment quantities in boxes below.indicate the dollar Bldg.no.: _ I Suite no.:� ' value o,all mechanical materials,equipment,labor.overhead, Du map/tax lot/accouat no.: profit.Value$_ Lot: - Bloc!c: i Subdivision: "see checklist for important applican,on information and Project name- - jurisdiction's fee schedule for residential permit fee. City/countYV scri Ueption and locus n of wur on premises: Fee(t!.) Total Est,date_ufcampletian/inspection: _ _ Deeceiption _ w?ty. Rre.,,,,tr R._fo ly Tenant improvement or change of use: Is existing sprue heated or conditioned'?U Yes U Nu Air handling nmt _ Is existing space insulated'?Ci(Ycs U No !1 Air conditioning(site Ian required) -- s - I A77-1c-tin o exiytyg'(TVAC system_' -- Boiler/compressors ` `- Business flame: Tri CV Ull t Tem State Ixriler permit nn,: Top-. _ BTU/H Address- 1 31 50 _S_1=_C].aek VP Fire/smoke dnmpen/duct amokc rTet tors pity: Orenon Cit State: ZIP: --- .}/ _- _S�rte_ ! cat pump(site plan rcqulrcdj,red),- LP 5 7_2 2 0 fax: E-mail: 7nsta rcplecc tomtit** umer - - CCB_no.: ��- - __ -- -- Including ductwork/vent liner Yes U No 1 ����_---- .re'p a)ccTrelocale fieatenc -suspendcr� City/metro lie.no.: 1 12 6 _ wall,or floor mounted Name(pleas pnnt): Gie-sE:le 5rahar ort `- - --- Vent lhance of er I - tiu — Nerngeration: Absorption nnns _ RTIJ/11 Name: GJ Sahat3c�n _ ChillersM. -- Address: Same-As Above W Compressors kp -7;7 _ Statc: ZIP: :nr rnnmrntsl' tiy�a'or!yen at nm _ 1ppliance vent Phone: 5 5 7-�0 Fax6 5 7 0 91 9 1 E-mail: Ifirer n�xafi gist — -- Huoda,T-yrya f /rcs.kitchen!t(azmal - - —' hood fire suppression system _ 7�iWs: Exhaust fan with site Ie duct thath fans) _ :x Huai a stem n e t from heaun or nc �----�' -I+r$tal - Fuel nlping and dhiri u'rion(up to 4 oullclsl TYPe' LPG NG _ Oilone: Fax: E-mail: - - _ Uel tt!E111 cac. nTi-ddiuonaTover 4 nut cis -�- L rncns pipioR(schematic required) `- Name: Nul .ter of outlets Address: --- --- t rr app nee or equlpetent:-- -- —� - Decnrahve fireplace ity: _ - State:��GIP, Insprt- type - - --- Phone: Fara: "mail: oodstov_/pe Ict stove - Applicant's signature: Date: y n Other: - -"- -- -- f a-fir. - Name(print)` o YI/t% T - __j Nm ull iuri,di.b,.rt••ape"rndi,­da,plate call IurNdictlnn tntvn a inrom,eW,n O Visa U Mastcrf'atd Nati*- This permit application Minimum Fee................ S -�[�.�' I redlt cord number r,r-.c if a permit is ern olrained Plan review(at, %) $ __ r•,p �, within Igo days after it has been Name.�r a. elerr a�hnwrt�m cradp car-ii- accepted its complete. State surcharge(11%)....$ Canlholder d - , ___ TOTAL..................,....., $ - ttltelara "" Amaur,� J - - e 61, 6IXOM) / U Z 'd 61130 LSS IROS) uu�et(pg a1asa19 dg :*,9 EO so odd CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 �jy/ _ � L,� q BLIP _ Received y•D y '� `"___. Date Requ sled r J � ` AM PM____ BLIP p^� Location _ ��'J ��� � '!�p Suite_ MEC 3 l 0 7 Contact Person _-- Ph( ) PLM Contractor .--�. c-r� Ph( ) SWR BUILDING Tenant/Owner 1_© S- P--, _ ELC Footing ------------- - '.� AaILZZl Foundation ELC Access: Ftg Drain EL.R Crawl Drain Slab Inspection Notes: SIT Post& Beam Shear Anchors -- Ext Sheath/Shear Int Sheath/Shear Framirg - ---- -- -- Insulation Drywall Nailing --- -- - -- Firewall Fire Spri -- - -- - - Fire Alanr. Susp'd Ceiling - -- - -- -- -- -- Roof Iz Other: e 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&Eeam — Rough-In _-- --- ----- ------- —__ Gas Line Smo Dampers ---------_ — —_ _ ___--/PS PARTFAIL -- -__ - IV!_ ECTRICAL Setvice Rough-In __-- UG/Slab Low Voltage Fire Alarm - Final Reinspection fee of$ - required before next inspection. Pay at City Hall. 13125 SW Hall Blvd. PASS PART FAIL SITE Please call foi•ref pection RE: _- _ -___-___ Unable to inspect-no access Fire Supply Line ADA // Approach/Sidewalk D��- Gy _ Inspector _ Ext -------- Other Final DO NOT REMOVE this Inspection record from the)nh :site. PASS PART FAIL J