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10605 SW Cook Lane
ZATY OF T!GAARD 24-Hour
BUILDING Inspection Line: (503)C39-4175
MST
INSPECTION DIVISION Business Line: (503)639-4171
BUP ----- - --
Received Date Requested__ ___ AIN --_— PM _ BUP _
Location.- __ 10 Suite— —_ MEC � .
Contact Person(�"`''�' --y'e-v��_ Ph(. ) 4/ F3 PLM
Contractor _-__-- -- Ph(,—) _ _ - - - - SWR
BUILDING ienant/Owner ELC
-
Footing
E LC
Foundation
Access:
Ftg Drain ELF!
Crawl Drain _
Slab Inspection Note-: SIT
Post& Beam
Shear Anchors --- -
Ext Sheath/Shbar
Int Sheath/Shear ,�
Framing log Li 3ry3 44APt n�Cv,�S 7-0 f1lar504. o5LC,"—
Insulation
Drywall Nailing -- — —��
Firewall
Fire Sprinkler —
Fire Alarm
Susp'd Ceiling r
-- ���
Roof
Other:_FinalPASS FAILPLUM INS -------- --- --- -
Post&Beam
Under Slab -- - - -- ..- - - - - - - --— —
Rough-In
Water Service / --- --- --
Sanitary Sewer
Rain Drains
Catch Basin/Manh e
Storm Drain
Shower Pan
(other.
Final - - - -
PASS PA FAIL
MECHANICAL
Post&Bea
Rough-In --- ----- - —--- —
Gas Line
S mpers —_ ------- -
in�
PART FAIL -- — ---- -- --
c TRICAL
Rough-In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of 14 __—required before next insi-xtion. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE_ Please call for reinspection RE: _ Unable to Inspect-no access
Fire Supply Line
ADA f 4/_ 7__�
Approach/Sidewalk Da � _-- Inspector .- __ Ext ._... ._
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2002-00386
13125 SW Hall Blvd., T;gard, OR 97223 (503) 639-4171 DATE ISSUED: 9/3/02
SITE ADDRESS: 10605 SW COOK LN PARCEL: 2S 103DA-05000
SUBDIVISION: FANTASY HILL ZONING: R-3.5
BLOCi:: LOT: 009 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:
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: AIR HANDLING UNITS CLO DRYERS:
FURN >=100K BTU: <= 10000 cfm: OTHER UNITS: 1
> 10000 cfm: GAS OUTLETS:
Remarks: Installation of heat pump.
Owner: FEES
ROSSBERG, STEPHEN A Type By Date Amount Receipt
10605 SW COOK LN
TIGARD, OR 97223 PRMT CTR 9/3/02 $72.50 2720020000
5PCT CTR 9/3/02 $5.80 272002^000
Phone: Total $78.30
Contractor:
JACOBS HEATING +A/C
4474 SE MILWAUKIE AVE
PORTLAND OR 97202 REQUIRED INSPECTIONS
Mechanical Insp
Phone:503-234-7331 Final Inspection
Reg#:LIC 1441
This permit is issued subject to the regulations contained in the Tigard Municipal 1. ode, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in auc-rdance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 80 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notificat;on Center. Those rules are set forth in OAR 952-001-OI:10 through OAR 952-001-0080.
You may obta n co ies of these rules or direct questions to OUNC by calling (503)246-9189.
Issue By: Permittee Signature: �'_.tJ A ��%'t,� r' ';�7
Call (503) 6394175 by 7:00 P.M. for inspections needed the next business day
r
Auc1-30-02 09: 3:1A P . 02
Mechanical Permit Application
FDaenmxczaivied: Permit nn:: eeUO2_Q?Sfb
City of Tigard I'roject/appl.no., 6xpircdetc: -
C a o TI urd Address: 13125-SW I tall Blvd,Tigard,OR 97221 -
1 R I)netzaued: Dy: Reccipino..
Phone- (S03) 639-4171 �• -�^^ _
Feta: (503) 598-1960 I� Cate.HIC no.: pevmenl lype.
Land usc:' approval- Huildinl;prormitno.: V
1 2lzmllyrlvellin) or accessory UCummcnial/industrial 1Multi-fanuly U'1'cnantimprov.me�l
-1 New coribim..tinn 13 Addition/alteration/re:pl ace ment .J(nit••r
JOB S1 I L INFORMATION 1
Joh address: c �' L^-� Indic air.equipment quantities in boxes helow I,,lists the dcllar
_lildg.no.: Suite no,: value of all mechanical maleriuls,equipment,h.,ur,;overhead,
Tax ma tax Int/account no.; — prulil,Value$
I.ar Blocks tiulidivision: 'See checklist for lmporlant llppliwtion information and
Project narnC _ jurisdiction's fee schedule for residential ,permit fee
C'lty/county:
De ip lY and locate n of winkon
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Est.thnl.ofcomptelion/insfiection; Ulsacripllo _--- Ip Rm-fink tic, unl,
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