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9825 SW Janzen Court
CIYY OF TIGARD _MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MFC2002-00450
DATE ISSUED: 10/14/02
Lon 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 4171 PARCEL: 2S111BA•02900
SITE ADDRESS: 09825 SW JANZEN CT ZONING: R-4.5
.UBDIVISION: MCDONALD ACRES JURISDICTION: TIG
BLOCK: LOT: U04
--
CL ASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
NT FANS:
TYPE OF USE: SF UNIT HEATERS: VENT VENT
FA AS:
OCCUPANCY GRP: VENTS W/O AI PL:
STORIES: BOILERS/COMPRESSORS_ HOODS:
_ FJEL TYPES 0 - 3 HP: DOMES. INCIN:
-- _—� 3 - 15 HP: COMML. INCIN:
MAXA
MINPUT: BI U 15 - 30 HP: REPAIR UNITS'
FIRE DAMPERS?: 30 - 50 HP: WOODSIOVES:
GAS PRESSURE: 50 + tip: CLO DRYERS:
HANDLING UNITS
FURN < 100K BTU: AIR -- — OTHER UNITS: 1
FURN >=100K BTU: <- 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Remarks: Gas insert and gas line
Ownar: �__.___r--- f�D�escription
-_—
FEES
Date Amount
CHRIS GERMANO —'
9825 SW JANTZEN CT i I'crnni I rc 10/14/02 $72.50
TIGARD, OR 97223 I Permit I ec 10/14/02 $0.00
(TAXI 1i'!;.State'I;ix 10/14/02 $5.80
Phone: 501-619-11 I6 JTAX1 8"n StateTax 10/14/02 $0.00
Total $78.30
Contractor:
T + K MECHANICAL
11525 SW CANYON ROAD REQUIRED INSPECTIONS
BEAVERI ON, OR 97005
Gas Line Insp
Phone: 503-626-465-2 Final Inspection
Reg #: 121165
This permit is issued subject to the reo•dations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted in the Oregon Utility Notification Center. Those -ules are set forth in OAR 952-001-00
Issue.i By: _ _ Permittee Signature: tet" ' 1
mall(3031 39-4175 by 7:00 P.M. for inspections needed the next s ess day
FROM : HuT'SPCT F I REPLACE F'H1:IHE t ln. 15036269J38 Oct, 06 2002 10:28AM P1
Mechanical Permit Application IIJJr
e Datcrommived: Pcrmit AP,6 OWL-4 T J D
Y �` Pmjectlappl.no.: Expiredate:
City of 'Tigard
CityofTigard Address: 13125 SW Hall Blvd,Tigard,Oil 97223 Date issued: By: Recciptno.:
Phone: (503) 639-4171
Fax: (503) 598-1960 Cascfilcno.: Payment type; J _
Land use approval: � _ _ Building mrmit no.:
7UNew2 family dwelling or accessory U ConlnicNIKI/Industrial U Multi-family U Tenant improvcmcnt
construction XAddition/alterationhaplacement O Other: _.
FJob address:W9SMW1901V1-Zela Indicate,Gquipinent quantities in boxes below.Indicate the dollar
Bldg.no.: I Suite nom. ` value of all mechanical materials,equipment,labor,overhead,
profit.Valuc$
Tax map/tax 1ot/account no.:
Sulxliviiion: _ aScc checklist for important application Information and
� jurisdiction's fee schedule for residt:ntial permit fee,
Project name,:
City/county i Cl zip: -t / .tea
t 0Namt
Description and to anon of ,rk on cmiscs:
lir VlU isco — rwrra.) �ntAt
— Reg.only Res.tmlvl
date of completion/insper iot• d CP,
Tenant improvement or change of use: Air handling unit .CFM
Is existing space heated or conditioned?O Yes U No -econdiOonin (site plan mqu ru)
Is oxiating space insulated?❑Yes O No A terat on v ex Kling AC system _
Boller/compressors
State txiller pextnit no.:
Business name HP Twat BTU/H
Address: $,A LJ _Lr N-' O✓�- _ rre/smo c ampers/ uct smo a detectors
City: 1---J(t/FCS✓� Stat Z1P: eat pump toile, an required)
� Fax: ( C-mail: asst llreplacefurltac umer
Plume' - ��- Including ductwork/vent liner O Yes U No
CC'B no.' -/ S _ — — — nota replac o Oeste, elttcrs-suspended,
City/meter►lic.no.: wall,or floor mounted
-- - --- p Iae other than furnace
arn
Nc(please print): vt N:_- ant of apgcratplianc
Abscttpuununils_.__ — BTU/H _
t 1lillera_� HP
QS V1 t - —
Name� --•- --_ _- Cotn ressors -- -- ---- HF'
n
Addrdss: I $ l_'Cl t i t r t h�nrontocnla exhaurt anct gent Intron: ---
City: A[[lQ to fiat" ( I T_1R G ", pllancevent
Phone: w t�� - Fax: L•-ltaail r erex oust
s, ypeiI res. tc c azmat
hood fire suppression system -- -
Name: C VIS QY l Y�i"J Exhaust fan with single,duct(bath fans)
rx oust stem a art tom eating or A
Mang address: ( Q Fae1 p ping■a ril on(up to out et-s) 1
City. :iliVC. State / ZIP — rvpc __LPC _ NO Oil � `N
phone: Fax: E-mail- fuj in rat a oua over out cls _
Process p ptrtg(cc emabcrequire )Number of outlets _.—
Name: _ other IcTappliance orequipmest..
Address. _ Decoraiivcftre lace -_
-J ^ State: -. .'LIP: Tnscn-rypc
City; -------- , Wn etove/pe etstove
Phone: 9 -
A plicant's --
Permit fee............ ........$
Not dt)urttdl0iom au opt c�edt duds,plcv4 toll}Mraet4xi ra ante.inforn>ntion. Notice:This permit tapplicatlott Minimum fee...... .........
UY:sa U MasterCard expires it a pet mit is not obtained plata rcvicw(at — %) $
Am�
am
Credit cud vAkt*r'._- -- within 180 days after it has been State nun harge(8%)....S
s t S accepted dv complete. TOTAL
— Ne cwd $
i rij0atlra ..._ _ —Af110Yet 44OA617 t6"WOMM.
CITY OF TIGARDI 24-Hour
BUILDING Inspection Line: (503) 639-4175
INSPECTION DIVISION Business Line: (503) 639-4171 MST
sup -
Received Date uestedAMNO PM — -_ BLIP J
Location 5 - Suite _ MEC
Contact Person _ Ph( ) . PLM
Contractor _- -_-- Ph(—) - / swR
BUILDING Tenant/Owner _ _ _._ ELC _
Footing - - -- FLC
oundation Access:
Ftg Drain ELF!
Crawl Drain _ _ --
Slab Inspection Notes ~ SIT
Post&Beam .-
Shear Anchors -- —
Ext Sheath/Shear
Int Sheath/Shea
Framing j 09 > S,---7-
� __�___.___._���,..�.-- .�_
Insulation
Drywall Nailing -
Firewall
Fire Sprinkler - — --
Fire Arai n
Susp'd Ceiling -
Roof
Othe,:
Final
PASS PART__ FAIL_ -
PLU_M811440 _ ,c
Post&Beam 4
Under Slab
Rough-In
Water Service
Sanitary Sewer /IV-
/
RL.n Drains
Catch Basin/Manhole
Storm Drain - r_.4
—
Shower Pan
Other:._ _
Final
_PASS PART FAIL -`
MECHANICAL
I-lost&Beam _
Rough-JIT)
Srioke Dampers S --
Cf TFW7_7�x
SPART FAL ----- - ----
ICAL
k
Service
Rough-In
UG/Slab
Low Voltage ---
Fire Alarm
Final ❑ Reinspection tee of$__ regrrred before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
!SITE_ [] Please call for ronspection RE: Unviole to inspect-no access
:ire Supply Line
ADA 10�
Approach/Sidewalk n =f-- L� Inspector Ext
Other
Final DO NOT REMOVE this InrtQection record from the job site.
PASS PART FAIL