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SW PEAPPLE ST. _
CITY OF TIGARD WILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
l BUP _
- Date requested- AM �- �PM _ BLD
Location Rbr'-4 0,A-AE ,y�" Suite _ MEC •���'� `: '_, 4-152,
Contact Person _- '-f c L L-1 Ph �3 - PLM
ContactorPh SWR
BUILDING _ t/OwnerL. L�-. , -~� ELC ---
Retaining Wall - '--' ELR
Footing --
Foundation ACCPSS' �, FPS _
Ftg Drain --— -- - SGN
Crawl Drain Inspection Notes: ,
Stab �� ;�'•�-��cIZ2 ILI �S1T
Post&Beam % - ,•
Ext Sheath/Shear
Int Sheath/Shear
Framing —
Insulation
Dry,+,all Nailing
Firewall
Fire Sprinkler
Fir, 'farm
Susp'd Ceiling
Roof
Misc:
Final Z -7
PASS PART FAIL L�
PLUMBING
Post& Beam --
Under Slab �, � � —
Top Out
Water Service
Sanitary Sewer _�—
Rain Grains �/�(/[ T '��l •-C' /'�•
Final
PASS PART FAIT. _
MECHANICAL � �—
Pos;&Beam —
Rough In I �'
Iks$tm. -fir
S o Damper(l
?Pt4/' PART FAIL
ECECTRICAL `-
Service --
Rough In
UG/Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill/Grading --
Sanitary Sewer
Storm Drain [ [Reins•pe,.tion fee of E—_ required before next insoection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ Please call for reinspection RE: [ [Unable to inspect-no acc ass
Fire Supply Line j --
ADA Date 2- -+
Other
VI
Approach/Sidewalk ' Inspector__ Ext
---- �•.Y
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TICARD
i-NGJNEEJR1N(3 PERMI I
� ��"��„� �`-�`� «rY -
DEVELOPMENT SERVICES PFRM.17' #. . , . . . . : ENG98—t?t001
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PR I M. 1:,F.--RM IT 0. EN398 -000'
'T F: PDORIESS, 0771115 SW PFAFFI-F FI'T 011”F I 1S
1BD1VfL'i'r0N. HAWIJAGRNE V11-1.0 i4PARTMENTF.. 70NING*.R-
.. . . . . . . . . . . . . . JUR I 5D I C1
RMIT TYPE. . . SOP 1711.1"3LTI, T'1PRV QUANT. (LIN FI )
,FIEEMENT DAI'E: 13RAIYEROIS
,GURANCE EXfjTRf)'rI0N------ 51 REET
PERFORMANCE: SAN SEW
MAINTE NFING'IF: I'M SEW
()THUR
TOTAL. . . . . .. . . . . . . . . . . . . .
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ECIO(.- CONDITIONS%
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CITYOF T I G A R® MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2001-00433
DATE ISSUED: 11/29/01
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639 4171 PARCEL: 1 S136CA-01500
SITE ADDRESS: 07705 SW PFAFFI_E ST OFFIC
SUBDIVISION: HAW1 HORNE VIL.L.A APARTMENTS ZONING: R 1
BLOCK: LOT: JURISDICTION: TIG
`CLASS OF WORK: ALT ^ !'FLOOR FURN: EVAP COOLERS:
TYPE OF USE: rOF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: _ BOILERS/COMPRESSORS HOODS:
FUEL TYPES 0 3 HP: DOMES. INCIN:
l_P�� —_TYPES----
3 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 _ 50 HP: VYOQDSTOVES:
GAS PRESSURE. 50 + HP: GLO DRYERS:
FURN < 100K BTU: _ AIR HANDLING UNITS OTHER UNITS.
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Rj;r-arks: Installation of pas tirnace and piping
Owner: FEES
HAWTHORNE VILLA l:i D PARTNE:RSHI Type By Date Amount Receipt
BY WASHINGTON CAPITAL PRMT CTR 11/29/U1 $72.50 2720010000
ATTN: LOAN SERVICES DEPT 5PCT CTR 11/29101 $5.80 2720010000
ARLINGTON, VA 22209 Total $78.30
Phone: W
Contractor:
JACOBS I IEATING +A/C
4474 SE MILWAUKIE AVE REQUIRED INSPECTIONS
PORTLAND,OR 97202 — --
Gas Line Insp
Phone:503-234-7331 Mechanical Insp
Reg las:LIC 1441 Mechanical Insp
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 I
for more than 180 days. AT'rENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503)246-9189.
Permitteegna
Signature: / L 1-�
Issue By: / � -
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
meell-Mical Permit Application
I)atepeeeivcd: I "I-C' / hermit no..�ti JC,4 )L/-(-C 3
City of Tigard RECEIVED
hrojoeUappl no --� pxpirc dart:
('iryn/Tigurrl Address• 13125 SW Hull Blvd,Tiga:d,OK 1021'; l)ntci%soul By: p Recciptna
Phone: (SU3)G3y�1171 NOV —
Fax: (503) 599.1960 Case f,..no: Ps ymmcnt type:
Land use approval: CIT" OF 11GARL building Ipermii no
riNewamily dwelling or accessory Curnmercialhndustrlal U Mule-famik U Tenant improvement
onstrueion U AddtUr.pn/aUrraUon/retmlace n,en� U Other
1111111
Job address' ,. �1', Indicate equipment quanliirc,In twxcs b6ow, Indicate the dollar
Bldg.no.: Suue nn �_= value of all mechanical materials,cquinment,labor,overhead,
Tax mn /lax lot/account no.: „ — pruGl. Value S
Lot Block: Subdivision: *See checklist fur important application inlormatinn and
Isi(!je(:I nnrni : jurisdiction's fne uhedule for residential permit fee
1 till
tlescridtion and lot tion of work on premises: 1
_ Fee(ea.) 7utal
Est dd a of co m pletionfinapcctiun: bwaiMion Qh• iles•onl Ret.anlL
j
1 errant tmprovernent ne change of use, Au handling unit (:NM
Is cxtsting spu(:e heated or cnndItinned?O Yes U Nu "Airunddroninl(site an reywr ;
is existing space insulated?U Yes O Ni r Alteration oexisting HVAC systeni
of cr compresvpr%
State boiler pertnit no.:
Business name: CA �L �. v --- HP Tun►,,,,,_—,UTUM
Address: �L I ' Fire/smoke nmper uo smo c detectors
City. 7,1t'� Ileatfrump(site anrettun
Phone: PNx E-mail: - Install/replacefurnace/burner-
-
urnac burner -
Including ductwork/vent lincr f Yes U No _
CCB tu:t•, __-__ _-_ - —_ -ins1A rep ace re ovate eater%-%uspen er,
City/met%lit:,mo.: wall,or floor mounted _
cnt or app tanteyi er than turnute
Namc(please riot). Vti' �r t� imton:
Absorption units. _ MUM
HP
Name: ----——-—- ('hitters —
--- --- - — compressors-. -- NP
Address; ,n.rntsnfcntt a tut and vent ton:
City: - Stalci�%I!' �- Applianccvsnt
Phone: Fax I. mail Dryer exhaust _
0o s, I ype /I /res.kite iet✓hacrn.it
hood flue suppression system —
Names L Wtaust fan with single duct(bath fain,)
Mtiilu►g address: nutlets em a an from heating int AC
and u� b on(up u)4 out cis)
City' �.�/C) St C Z �� I.P(i NG ---
I'lumc ( fax Email: at a it one over out cts_
piping schematicrequiree ) -
ets
appfiance or equipment;
Address _ Decorativefimplecc —
City —_Y_----mate — ZIP: — u,etc •t -- _ ---
hax: L' E-mail: — ��'oi%t"v t>c etstovc
Phone- r:
Applicant's sit; a u Dal _ othw. _
Name(print):
- Permil NA!............... ... .$ �
Ntr it juriadktiuna accept prralu cants �leaae call lundictlm for more fnftxr;uun •�
Now-r. Tim permit appllcotion Minimum fee. ..............$ �._—_
Ir,hm,, a MastcrCat w/ Cs3 r%pirrs if a permit is not obteincd Plat+review(at _ %) s
I, d i.era iannhe� kNEMINIP --� � within ISO days after it has been
I,ts q, 1 c tcc a y Sr�te surcharge(910;)-. .E
CanK u r as own w creep car,1 7� D neapted as mmrlete �'Q'tAL S
-- -ardh r r afp,ai ore Htr•M!t A.�LUx'fiM!
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