Case File 4b
OD
0
U I
D
r N
TI
O
X
i
II�
1
i
08056 SW ASHFORD ST
CETY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST
INSPECTION DIVISION Business Line: (503) 639 4171
BUP
n�2 /J - //3
b AM— - - PM ..-- BUP
Received/�-_1p1�.1_�__ Date Requested - --, ,c --
Location _ AU S(0_ '� _ �J_ -Suite ,- --- - - M C ���
Contact Person
C�ntractor - - - - Ph(- --) - - SWR
B�UIL::ING Tenan Owner - - - ------ ---- ELC --__--
Footing- - - _ FLC
Foundation Access: ELR
Ftg Drain - - ---
Crawl Drain SIT
Slab inspection Notes' - ---- -"
Post&Beam - - - - -- --- .---- --
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing .-- ---- _-----
Insulation
Drywall Nailing _..-
Firewall �� �iC��-!_ w _-�� -- J - -
Fire Sprinkler J
Fire Alarm d, L 04�
Susp'd Ceiling
Root _--
Other:"--- - ---- --- --- -
FinalPASS PART PART FAIL -
PLUMBING -
i Post&Beam
Under Slab -
Rough-In
Water service -
Sanitary Sewer - J—
Rain Drains — -" -
Catch Basin/Manhole
Storm Drsln ------
Shower ----
Other: - - - -----'
Final ---- --- - - - ----
PASS PART FAIL
MECHANICAL --
Post&Beam
G�LineSpers -- - - --- —
FinUL_
WTPART FAIL
RICAL- -- --
service --- - -- -^ --
Rough-In -- -----
UG/Slab ----T --
Low Voltage _ -- - --- - - -
Fire Alarm
Final Reinspection fee of$ - recuired befors next inspection. Pay at City Hell, 1312.,SW Hall Blvd.
PASS PART' FAIL
SITE _ Please call for reinspection RE:_ _ _____. Unable to inspect-no access
Fire Supply Line
ADA pMeInaperto, -- —Ext--
Approach/Sidewalk
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
/1\ CITY OF T I G A R D __ MECHANICAL PERMIT
DEVELOPMENT SERV+CES PERMIT #: MEC2004-00041
13125 SW Hall Blvd., Tigard, OR 9722.1 (503) 639-4171 DATE ISSUED: 2/3/04
PARCEL: 2S 1 12C13-01900
SITE ADDRESS: 08056 SW ASHFORD ST
SUBDIVISION: ASHFORD OAKS NO 2 ZONING: R-7
BLOCK: LOT: W'3 JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS. VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPI.: VENT SYSTEMS.
STORIES: BOILERS/COMPRESSORS HOODS:
_ _FUEL TYPES _ ! 0 3 HP: w DOhiES. INCIN:
LPC; 3 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS _ OTHER UNITS: 1
FURN —100K BTU: — 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Remarks: Installation of new gas insert, liner&gas line.
Owner: _ FEES _
JACOBS, ROLAND L + KIMBERLY M Description Date Amount
8056 SW ASHFORD ST
TIGARD, OR 97224 i�11111J Yennit Fee 2/3/04 $72.50
1 I AXJ S",4,State Surehaq 2/3/04 $5.80
Phone:
Total $78.30
—� _.
Contractor:
STARDUCT HEATING & COOLING
3 MONROE PARKWAY STE P427
LAKE OSWEGO, OR 97035 REQUIRED INSPECTIONS
Phone: 50;-254-1300 Gas Line Insp
Mechanical Insp
Reg #: LIC 156009 Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR
952-001-0100. You may obtiIin copies of these rules or direct questions to ( UNC by calling
(503)246-6699.
Iisued By: , f, Permittee Signature: _`
—rY—
�_._ ._,_. Call (503)639-4175 by 7:00 P.M. for inspections needed the next business day
Tr
N •�oGMechanical Permit A 't�tion A!!�'` WASHIN t 0l[INT Y hate received: 0 _i Permit nu: g
Address I st AV,Suite 350-12, Hillsboro,OR 9712) PrntecVappl.no.: Expire date:
OREGON Wtert(� 503-840-3470 Fax. 503.846-3993 hate issued: By: Receipt no.
Internet Address www-co.washington.or.us Case file no.: Payment type.
Land use approval: building permit no —`
I Br.2family dwelling oraccessory ❑ Commercial/industrial U Multi-family U fen;mr,mpru,crnent
New construction ❑ Addition/alteration/replacement ❑ odder
Job address 6a56 S2 ar C1ty. Indicate equipment quantities m boxes below. Indicate the dollar
_Bldg no.: Suite no _ value of all mechanical materials, equipment, labor. overhead.
Tax map/tax lot/account no.: profit Value$
Lot: ,— Block: N/A Subdivision: _ ',See rherklist fir intprrrtant uppli,ation tnforniatiort and 1
Project name _ jitrAAirliner'.%fee sc•hedidt- /„r rrcidentiul per•nrit et,
City/county:�h'`1--�-� ZIP: Z
Description and to tion of work on premises:
�- ,r 3 Fee (ea.) Total
E.M. to of complehl o
onhnspecn: — Description Qh. Res.only Res. only
Tenant Improvement or change of use.
Is existing space heated or conditioned?U Yes U No Air handling unit ( FM 8.50
Is existing space insulated" ❑ Yes U Nu Icon thoning(s(sit�un require 1 SO
A aeration o exisun$HVAC'syslnm g.SO ;+
oiler'compressors
Business name Slate holler permit nn —
11A� _ HP _ 7ortc IS I I H N'A
Address: ,resnu_ r ari rs tic►snto cdetectors
City _ tate: 7.IP � scat pump(silc clan reyuire7l _-_ "
Phone: " _ Fax: )Z E-mail Installreplace furnace umer - t/_
CC B no '-- Including ductwork sent liner U l es U No 8.50
nstall rep ace to ocatr teasers suspen e .
Crtyirnetro he no... NiA _ — _ wall,or floor mounted _ 8 50
Name lease rint): b'enl ora Dance other t iar� fur-ace T g <n I
RefriReratinn: i
_ lhsorpumnrn+ts BTUIH N;A
Name l iate
Chillers-- HP NIA
Address Compressors — _ HP N,A_ � — Environmental exhaust and ventilation:
l 7. p 91 G 3 S Appliance vent g 50
Photic y' fa E-n,,ul t)rycr ex attitiist --- - -
- '� 8 0
al� Ho s, ype / res. kitchen ,a/mal_
hood fire suppression system _
�'+.i+c� Fxhausl fan with single duct Ihath fans) _ 8.50
fxL+ilu,it arlJr, I:eI aust systema ap n r'om cann ur A(' 8 51)
Fuel plpine and diciribution i+q+t"4 ootiei%i
�'-- I%Iv LPI, til, X til 850
titin' ! ,i• f in,,i l furl lnpiiicach ndJiti awl o%et a uullcis I UO
Ilrwe%s piping(sc rmatic required)
Name \umhcr .fowlets N ,t,
Address _- ------ -- Other listed appliance or equipment:
_-- eiaroi, C irep ace—1 .� 8 3U
risertype g'
_ _ s n
Cth�..__— -- _ !__ -- TStatc _�7t°— � ��� _sem
Phone Fa mail - on stole pe el stoxe � ill
Applicant's signature: / / � D .c � Ot ter: --- 51,
C)t er:
Namriprmtl:
Permit fee S &VE-AC
1"mire: This premie appUc atinn M,mmum fee. f (04+"—
expires if permit A nor obtained
ommrrcial Platt rex,ctx
within 180 da v after it hot been
acceptedasromplete. (al()5""I ._ S
State surcharge(8"6) S tc
TOTAL . , $ 7.