Permit CITY TIGARD MECHANICAL PERMIT
� I I � DEVELOPMENT SERVICES PERMIT #: MEC2003
�� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/28/03
PARCEL: 25111 BA -07100
SITE ADDRESS: 09465 SW INEZ ST
SUBDIVISION: BUTLER TERRACE ZONING: R -4.5
BLOCK: LOT: 005 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:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1
> 10000 cfm: GAS OUTLETS: 1
Remarks: Replace gas furnace and wafer heater.
Owner: FEES
SCHOENBRUN, STEVEN J /KAREN Description Date Amount
9465 SW INEZ ST
TIGARD, OR 97224 [MECH] Permit Fee 10/28/03 $72.50
[TAX] 8% State 10/28/03 $5.80
Phone: Total $78.30
Contractor:
TRI- COUNTY TEMP CONTROL
13150 S CLACKAMAS RIVER DR
OREGON CITY, OR 97045 REQUIRED INSPECTIONS
Phone: 503 Mechanical lnsp
Heating Unt Insp
Reg #: LIC 72623 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
for more than 180 days. ATTENTION: 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 -0100. You may obtain copies of these rules or direct questions to OUNC by calling
(503)246 -6699.
Issued By: i ,�s� 1 G-u. Permittee Signature: ZtY1 C� (CJ C 1" L
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
Oc-•t. 28 03 09: 19a P. 1
.... Ii /
I ' - t 't Yicatiola
�
Mechanical P p Received Mechanical
2 $ 200 Date/8y: lOj • Oj . Permit No.: (/2�% ` .,20)j �D'v. /
City of Tigard ��� Planning A Building
• 13125 SW Hall Blvd. ewer Permit No
e fr Other .
Tigard, Oregon 97223 F TIGARp Daty: Perms
{; Y O tStG mar Permit No.:
Phone: 503 - 6394171 Fax: + �Ig Post Lana Use
vV SIC),)..! • ' um/By: Case No.:
Internet: www.ti.tigard.or.us ' Al Contract J
24 -hots Inspection Request: 503-639-4r75 NatrsdMethod: El sat Pena 2 ter •
� Supplemental Information.
•
, - T :F . i ' :44:1YPE :.OF.;WORK-';:s:: %F:: . . ; 41CO ERClAL FEE °:SCHED II'E=.L7.4E:+ 011.1ST`. : ::E.
❑ New Construction Demolition Mechanical permit fees" are based on the total value of the work
[] Addition /alteration/replacertlent ,, al Other Performed. Indicate the value (rounded to the nearest dollar) of all •
%'i =` ':,: CA3EEGORIt'OR ONSITiTdlCTjay Ir' . , z.`� 'rr" .. mechanical materials, equipment, labor, overhead and profit.
11 1 & 2- Family dwelling . Commercial/Industrial • Va[ute: S See Page 2. for Fee Schedule
❑ Accessory Building Multi- Family '' ` t I Et) T S. 'j' ?_
❑ Master Builder Other: D [ —� Fec(vam:) I Total •
� .
Ir ea ti aPJCooGae •
3OK`S1TEi 'FICRCii dig) OC:ATICi1' i' : - Furnace - add-on air conditioning•• I ■ J 14.00 I
Yob site address: ctA(.e -:- t) �VLC., — L_ . Gas heat pump . 14.00
Suite #: I BldgJApt #: Duct work 14.00 .
Project Name: •: \1 �j� 4 4 - t t Hyd►ottic hot water syste 14.00
Residential boiler
Cross street/Directions to job site: (for radiator orhydronic system) 14.00
Unit heaters (fuel, not electric)
(in wall, in-clitct, suspended, etc.) 14.00
Flue/vent (for any of above) 10.00
R units - 12.15
Subdivision: I Lot #: Other Fuel Appliances •
Tax map /parcel #:
Water heater i 10.00
. .. .- _.. ..,..-.D1:SCS IoP1.` •.WORK` ":... . :-;:::- * ::'.:.'2.:' Gas fireplace 10 -00
1 f • i i _ ,e. II' fi r fe Flue vent (water l,mr /pp
tes fireplace) 10.00 . k
Log lighter (gas)
10.00
Wood/Pellet stove 10.00 •
Wood fireplace/insert 10.00
Chitmey/linerlfluetvent 10,00
:122RoRSRTyzigi1ialt;.. •: :: "GELIA.141 =: -. -.. , , , . :? • .:i Other: 10.00
Name: j c - . (\ r� E' 'h / \- i ti h. ' w
• • •• •• • • Emvismcntal •Esthaast.& Veffiaetioa • •
Rangy: hood/other kitchen equipmen 10.00
Address: - Clothes
City /State/Zip: . • dryer exhaust 10.00
th
Single duct exhaust
Phone :03 ;X-- qZ 51 , Fax: (bathrooms, toilet compartments,
utility moms) 6.80
Name: - Attic/crawl space fans 10.00
131 5- CLACKAMAR P nR Other: 10.00
Address: OREGON CITY. OR 97045 • . • FL aPipiag • "
City/State/Zip: PHONE': (503) 557 -2220 .. --cis'
- (s5.40. for first 4, 51.00 es addhtooel)
Phone: FA$F(503) 557 -0919 • Furnace, etc. •'
E -mail: Gas heat pw p
Wall/suspended/unit heater --
' - ..: COI ERAC O.ft y ~. _. • Water heater / ••
Business Name: Tri County Temp Control • Fireplace
Range .•
Address: 13150 S. Clackamas River Drive 138Q
•
City /StatelZip: Oregon City, OR. 9704 Clothes dryer (gas) .. Phone: x,5 7_2720 I Fax: -0919 Other. . ' '•
CCB Lie. #: 7262-1 Total: .
Authorized lam! (t
Mechanical Permit Fees•
�
Signature: % - • / ' ' •' . 1 �� 1 . 1\-- Datc f / C 7
Z Subtotal: S
Minimums Permit Fte 572.50 S `I. -."
Giesele Sahagon Plan Review Fee (25% of Permit Fee) S
(Please print name) • State Surcharp` (8% of Permit Fee) S - ;`
TOTAL PERMIT PEE S
Notice: This permit application expires Ira permit Is not obtained within 'Fee nmerbudelogy see by Tri- Ceunty Building Industry Service Board.
• 180 days alter it hes beew accepted as complete. '-Sire plea required rote exterior A/C omits
0.13rts1PcrmitFomto\MccPermiLApp .dot 01/03 30
--�.� �_: –. �.. 0 giC � — i --pct 19
CITY OF TIGARD 24 -Hour
BUILDING - Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
/ BUP
Received Date Requested r 6 — 2-- AM PM BUP
Location 9/ .c _ � � Suite MEC 3 -4 6 3/
Contact Person �i�•t� Ph ( ) eD PLM
Contractor Ph ( ) SWR
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 j
Framing �% � L+= ‘r1 A.ze S — too 33 4So µ. A - off - 111/b0
Insulation
Drywall Nailing v� -% II S Al l / k �i
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
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& Beam
Rough -In
Gas Line
Smoke Dampers
PART FAIL
CAL
Service
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 0 Please call for reinspection RE: LI Unable to inspect - no access
Fire Supply Line
ADA f6 - Z 9 --o 3
Approach/Sidewalk Date Insp ec t or Est
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
•