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10405 SW HILLVIEW ST
� MECHANICAL PE
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V I TY OF T I G A R PERMIT
DEVE'_.OPMENT SERVICES PERMIT#, MEC2004-00458
13125 SW Hall Blvd., 1 igard, OR 972:c3 (503) 639-4171 DATE ISSUED: 12/17101
PARCEL: 2S102CC-07900
SITE ADDRESS. 10405 SW HILLVIEW ST
SUBDIVISION: TONYS PLACE ZONING: R-3.5
BLOCK: L01: 003 JURISDICTION: TIG
CLASS OF WORK: ALTFLOOR FURN: 1::rAP COOLERS:
TYPE OF USE: 2)F UNIT HEATERS: VENT F=AD'S:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: DOILERSICOMPRESSOR S HOOD';:
FUEL TYPES0 - 3 HP-` DOMES. INCIN:
ELE 3 - 15 HP: COMML. INCIN:
MAX INPUT BTU 15 - 30 HP:
REPAIR UNITS:
FIRE DAMPERS?: 30 -50 HP:
WOOD
STOVES:50 + HP: CLO DRYERS:
FURN < 10uK BTU: AIR HANDLING UNITS C
OTHER UNITS: 1
FUR,J >=100 " BTU: <= 10000 cfrn:
>
GAS OUTLETS:
10000 cfm:
Remarks: He',a pump replacement
Owner: FEES
SPENCE, KENNETH J AND 'type By Date amount Receipt
GEORGIA V PRMT CTR 12/17/01 $72.50 272001000C
10405 SW HILLVIEW 5PCT GTR 12/17/01 $5.80 272001000C
TIGARD, OR 97223
Total $78.30
Phone: --
Contractor:
JAC:OBS HEATING 4- A/C
4474 SE MILWAUKIE AVE
PORTLAND, OR 97202 REQUIRED INSPECTIONS
Mechanical Insp
Phone:503-214-7331 Final Inspection
Reg #: LIC 1441
This permit is issued subject to the regulations contained in the Tigard Municipal Crede, 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. AT FENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification tenter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080
You may obtain dupies, of these rules or direct questions to OUNC by calling (503)246,9189.
1 l
Issue 9y: Z. �_ _ Permittee Signature: t
. �
Call (503) 639-4175 by 7.00 P.M. for inspections needed the next business day
--, P . G1
Mechanical Permit m
n
Uatermeived:1.) Permit no.- ) t{
Cit of ,�1 and _ s._
�' �� � ProJcet/appl,no-: Expire daft:
City nf'Titord Address. 13175 SW Nall Blvd,TWA QR49�t Date issued-- � Fry f. <• Receipt nu.:
Mone: (5013)639. I71 ',G --
Fr (: (503) 598-1960 CITY OF M1 Case filen., -+ Payinenttype:
Land use aprroval ,f� building permitno.:
---�OMM r
1�� 1
&i family dwelling of a(-ccssu,y 1.1 Cbrufnt•rc.IaUindustiial (2 Multi fainily U Tenant irnlnovement
'New construction U Ad htlonlaltefaUut/Ieplare n,r.0 U(WW1.
t _ 1
Job address: !-1LJ Indicate equipment quantities in foxes below.indicate the dollar
Bldg.no.: Suite no., value of all mrchami2al materials,equipment,labor,overhead,
Tax map/tax lot/account no.; profiL Value S
hot: BImk: Subdivision: s •SFr checklist for important application infnrmatinn and
Project name: _ juriuiicaion's fee schedule for residential penuii ice
Chylcounty: _ ZIP 1 r
Description and locatjon of work on premises; r- I.;� 1 1 1 1 - « all
LZe,.k_ PU ge
Uc date o(compictior✓insprcdon: lhsrsipdan - Qty, Retort Res.ocd
Tenant improvement or change of use: Airb
is-.xisting space heated or conditioned?t7 Yes LINo Airmocom i un►t _Cuaning site plan rcxluireA.)1 _ -
Is existing space insulalyd r U Yv-% U Noj off di _ -
Alteratlon�'o�cxr un �C system
e obi a/comprrarors _ ___
Business name: �. State boikr pemut no.:
-T�1r '�� If Tons Btl!rH
Address; ^-ts•t r_ Fir ampere%duct:mo a In
City: 'F S e: WIC-)115D- eu ump s tcp an ) Z-, F E4.
Phone Fax: E-mail; insta replacefurnac�u
unnr_,l1 -
---- Including ductworlrJvent linea O Yrr❑No
CCB nn,: _ Instal I/Mpiscelrelocate lcatai_suspended. .
City1mel,c!ic.no.: _ wall,or f1mr moun(ed
Name(please print)., (` Vhc ent or appliance other than furnace -
Atncxptinnunits_-____ PTU/Tf
Name; f:
Dr--c- 12-01 07 : 59A P.O2 '
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503 - Z3,/ 73.3/
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
MST
INSPECTION DIVISION Business Line: (503)639-4171
BUP
Received Date Requested �_L —_ AM --PM BUP
Location ' `� ��_ SOC
� �C �f. Suite—__�.__�_— MEC
Contact Person -__ _ ______ Ph( ) __ PLM
Contractor ---_ .-__ Ph( ) _ SWR - - - -
BUILDING Tenant/Owner_ -- 1�� ELC ------ - -
Footing
Foundation ELI:
Ftg Drain Access: ELR _—_—
Crawl Drain
Slab Inspe tion otos: ,�� SIT
Post&Beam _
IShear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing -- — — --
Firewall
Fire Sprinkler — ----- - ----- -- — —
Fire Alarm
Susp'd Ceiling — -m---- -----._— —
Roof
Other: --- - -- .. ---
Final
PASS PART_FAIL -
PLUMBING
Post&Beam — ~
Under Slab --------_------_�—_,__—_ -- — —_-
Rough-In
Water Service —
Sanitary Sewer
Rain Drains
Catch Basin/Ma-ihole
Storm Drain -- - --- - ------- --
Shower Pan
Other: - —_--•-----.-_..,.------__ — _—
Final
PASS PART FAIL —.— ----__._------_._----___-- ---_--- _---- -
MECHANICAL
Post&Beam -.e
as tin rt)'m
Smoke DampersI -------- — - ------
PART FAIL --_--_--
ELECTRICAL
Service — --� ---Rough-In
UG/Slab —_--
UG/Slab
Low Voltage
Fire Alarm
Final ection fee of$ r
PASS PARI FAIL CJ Reins p equired before next ins pectian. Pay at City Hail, 13125 SW Nail Blvd.
SITE _ � [� Please call for reinspection RE: � Unable to inspect-no access
Fire Supply Line
ADA _�._
Approsch/Sidewalk Date _ _ Inep�t�►r Ext
Other:
Final DO NOT REMOVE this Ilriepeadon meord from the job eke.
PASS PART FAIL