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CITY OF T'GA R D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2004-00671
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/6/2004
PARCEL: 2S1'I'ICA 0100
SITE ADDRESS: 09845 SW KABLE ST
SUBDIVISION: TAMI PARK ZONING: R-7
BLOCK: LOT: 008 JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS`
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCC JPANCY GRP: R3 VENTS W/O ADPL: VENT SYSTEMS:
STORIES: _ BOILERS/COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 15 HP: COMML. INCIN:
MAX INPtiT: BTU 15- 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES:
(IAS FRFSSURE. 50 + HP: CLO DRYERS:
FURN 100K BTU: 1 Al HANDLING UNITS OTHER UNITS:
FURN >---100K BTU: <= 10000 cfm: G
> 10000 cfm: AS OUTLETS:
Remarks: Replace furnace
Owner: _ FEES
JUDITH WOO C,rscription Date Amount
9845 SW KABLE ST Ih1ECIII Permit Pee 10/6/200, $72.50
TIGARD, OR 97224 TAX] 8''/„State Surchart 10/6/2002 $5.80
Phone: 503-620-94.,7 Total $78.30
Contractor:
TRI COUNTY TEMP CONTROL
13150 S. CLACKAMAS RIVER DR
OREGON CITY, OR 97045 REQUIRED INSPECTIONS
Mechanical Insp
sl0-557-2 2u
Phone: 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 wiil be done in accordance .vith approved plans. This permit will expire if work is
not started within 180 days of issuance, or it v;ork is suspended for more than 180 days ATTENTION Oregon •w
requires you to follow rules adopted in the Orecon Utility Notification Center. Those rules are se'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: 7,11)ji (1 ,,f
Call (503) 639-4175 ay 7:00 P.M. for inspections needed the next business day
1()/05/2;')4 15:50 FAX 6035981960 , CITY OF 1IGARD [1002
Oct 04 04 10: 07p Trtrourt5 Temp Cntral 503EF70918 1u• 1
Mech an ical Permit Apglicatia
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Joh site ad '- 9%4r_ij 2p Air muditioning rheat ptirstp
(inqthm size p1gug sew laccmrnt)
t5[y/StatrJ:•1N a t ruaact 100,000 9TU(Buctslvmal - 4.OR -.-
St»rrJbldgJap no.: Prajarcname�- -- Fumntt10 OW+BTU(dlcteeveae' 7.917
Cross screed 4ian5,a job sine: Ductwork - — ' 4.)0 - _--
-W"`----^ FA dreeir ho[wa[G tlyslem _ 4.09 -
Residential boder(ta-diator or - --i
4.00
Unit hewers(fuel-type.nor cle-vie), - —
ip-wo I:in•4uM susptr�ded,dtt. _ 0 00
Fludvent for nyof above 0.00
000
'rax tuap/psrte tw_ et r_trLuji.�ca - —
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rltx., nt Cos . r ps 0.00 _
F'dtk•.vrnt For •..atrt heave:or gas �4i �
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timploec __---- —- ..000
litter(sus) .00 I
W_cor/�elktsttrve— .0Woad fi lace/Insen _- 0--
t.:mss-Q 1R �PEt7 ff Ow1£�• �Wl1E i t}r r :.
Chi mney/linar/flue/yeut 0 UO
Other: � ----�_ .DO
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Name; (� Environmental Wmustand venttlatlnn !r_
Randa flood/^then kitthm
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Photle:( � FIX.( ) ratkt curt netts,unlit rvornsl - ac,
+ . .'r c.•,( ,`' AA!rLI Attic/=uw1Kpao:ans ~I .00
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C17ntactname: --�1 SS.411 for Qrft Cont:51AG for each ni cloogto
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Fume-.c.a4 _---- —-- —I�
Address, -^� �? �:I(�(� ! 1`j rVIJ I <;aslteatputrtp
Ciry/Statd7JY: BI-
1r'L •` - OR- ���` Water haur�>e�:(mo) Z221� ..___ I*a�t: �) 55`7- _ - ---E-mail: Pireohee -- _--
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Fax: -"—'•' PlVlinirnirrrt puerile fee(572.50
(�' Y�� �� "1 y -3 —
an inview Cts%of pctnrit(cc) 1
CCEi IIt.: State surcharge 1891,—01P—it to
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Autbmized cigra � x' Slav pe.adt epVR t[aa n ph•r•n ot�rw+tc a oar ob nen.
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Print smme- Darer Fee mdb+dolaty ret t,r i 6.ron -r lit MI.,a,adrn 9arvia:Mewd
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CITY OF TI(aARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST
INSPECTION DIVISION Business Line: (503)639-4171 ---- --� -
BLIP
Received __._ Date Requested._���� - AM PM -_.-__ BUP _..-
Location __ � Suite — — MLi. , f&Q Ll-6c) 71
Contact Person �F11 —. °h(_ ) � 7 Z Z Z� PLM
Contractor _ - ---_--- PI: SWC,
BUILDING Tenant/Owner _ _— ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab inspection Notes.- SIT
Post& Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath.'Shear
Framing -- -- -- -- -- - - --
Insulation
Drywall NaWng ----
Firewall
Fire SprinklerFire Alarm
Alarm
Susp'd Ceiling
Roof
Other
Final
PASS PART FAIL -------------- - -- -- ----------- -------
PLU_MBING__
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
P _
Vas Line
Smoke Dampen ----
Tinai
ASS ART_ FAIL
— _ CA -.----- --._---
ICAL r
Service
Rough-In
UG/Slab
Low Voltage
Fire Alarm
Final IReinspection fee ofrequired before next inspection. Pa at City Hail, 13125 SW Hall Blvd.
PASS BART FAIL
SITE Please call r reinspe ion RE:.-.... — �� Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date �— - Inspecto _ - ---- Ext _
Other `--_��'
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL