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9925 SW KABLE ST
CITY OF TIGARD 24-Hour
BUILDING Inspection Lime: (503)639-4175 MST -
INSPECTION DIVISION Business Line: (503)639-4171 --- --
BUP
Received Date Requested -�� AM___-__—_ PM_ BUP
Location ` _ � �' _ � .—Suite--.-- --- �GJ& --
Contact Person — ___— Ph( ) _ PLM
Contractor Ph if SWR
BUILDING_ Tenant/Owner ELC _—
Footing ELC _
Foundation ,'access:
Ftg Drain ELR _
Crawl Drain — - -
Slab Inspection Notes: SIT __---
Post&Beam
Shear Anchors -
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing —
Firewall
Fire Sprinkler - -- — -
Fire Alarm
Susp'd Ceiling ---------- - ---- -------- ---
Roof
Other: -- -- -- -- --
Final
PASS PART FAIL —+ `--�-- `-
PLUMB;NGM -
Post& Beam—
Under Slab
Rough-In
Water Service -- - ------.—
Sanitary Sewer
Rain Drains — -- --- — - ----
Catch Basin/Manhole
Storm Drain -- ------ —
Shower Pen
Other: -- -- --
Final ----__._--._
PASS _ T_FAIL —
V15CHA L _
F_'5`sr9 Bea
Rough-InZ
,iM
1 ne 0
-- - -- -------
4�mpers
ASS ART FAIL — -- ---—-- --- --
1: ECT iCAL
Service -- —
Rough-In —�--
UG/Slab
Lo%,Voltage
Fire Alarm
Final Reinspection fee of$ _required before next Inspection. Pay at City Mall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection HE: u Unable to inspoct-no access
Fire Supply Line
ADA ,/,
Approach/Sidewalk nate __ ..__ C� .- Inspector - ------ - --EM
Other:
Final DO NOT REMOVE this Inspection record front the Job site.
PASS PART FAIT.
CITY OF TIGARD MECHANICAL PERMIT
DE'VELOP'MENT SERVICES PERMIT#: MEC2004-00462
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 7/14/2004
PARCEL: 2S 111 CA-08300
SITE ADDRESS: 09925 SW KABLE ST
SUBDIVISION: G[ILF SIDE ESTATES NO, 2 ZONING: R-7
BLOCK: LOT: 027 JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR TURN: _ EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O AFPL: VENT S"STEMS:
STORIES: BOILERG/COMPRESSORS HOODS:
FUE_LTYPES 0 •• 3 HP: nOMES. 'NCIN:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP: REPAIR UNI rS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN >=100K BTU: <= 10000 cfrn: GAS OUTLETS: 2
> 10000 cfr7:
Remarks: Piping for range and dryer.
Owner: ^^ FEES
KEN HARI Description Date Amount
9925 SW KABLE RD [MECH] Permit Fee 7/14/200, $72.50
TIGARD. OR 97224 [TAX] 8%State Surcharf 7/14/2002 $5 8C
Phone: 503-639-3035 Total-- _30
Contractor:
ROSE HEATING CO
9945 NE 6TH DP.
PORTLA,Nn OR 97211 REQUIRED INSPECTIONS
Phone: `03-283-5183
Mechanical Insp
Final Inspection
Reg #: LIC 2084
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codas
and all other applicable ia\vs All work will he done in accordance with approved plans. This permit w0l expire if work is
not started within 180 days of issuance ,r if work is suspended for more than '180 days. ATTENTION: Om,on law
requires you to follow rules adopted in!ne Oregon Utility Notification Cenier Those rules are Set forth in "AR
952-001-0010 through OAR 952-001-0 i00. You may obtain copies of these rules nr direct questions to OLINC L, ^alling
(503)246-6699.
Issued By: /�� � Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
Jul 09 04 03: 15p p. 1
Mechanical Permit Application RcccivrA l v / f f Mcclwnial
pmeltt t_1 1 Pemut No.:
Cit of IN ar d Plumirl;Ap!eovsl Building
City + Ei3_ 1zLJ _ Kcnrlt N
u
13125 SW Hall,Blvd. Pian Rrvtew other --
Tigard,Oregon 97223 DabSy_ Pemut Nu.: _
Phone: 503-639-4171 Fax: 503 598 1960 Poo`-Rsv!cw Lu,a Um
Internet; www.0.tigarcLor.us onus 13i�y___ Cut.No: - _
as ectlon Request; 503 6394175 C°nlsu i°^' See�■ge x for
24-hour I
P 9 I I+I�mtJMethal_,�^_ -__I._1_�i�Supplcmtatnl Inform,Uar,.
;n' :; ,: T'ln�i.,11.t ''•7: - -- [tHEAlalEia!!Q5E(f4t. ie�r.
New construction _ Demolit_ion Mechanical permii fees*arc based onth'lobd valtr:07thc work
Add1t10r1/3lterAtion/ e�lacetnent Other: performed, Indicale the value(rounded to the newest dollar)of all
_- ., .;i: ' "' ie„flrrtr4�T.r� s i,M.,.I„i; mcch+uriml w[eri9lf,equipment,lobo: ovuhcad mid Profit.
it.
do 2-Farni ly dwcHir, LJ Cornmercial/Induatri5 Value: S See Page 2 fnr Fee Schcdnle
Accessoryl�uildin Multi-Family -' Y
- _—�___— �—� ..— --�- � -Tout;
r�raCri on t F e■.
Master Build_cr Other:_ ae■tt wlia�
. - et!4t Glt�:”- Ftunacc add-on air condidanin •" _ - 14.00 --_--
Jou site sddresti' C _ 1,-,Ak1, Gas heat-lump 14.00
Swic#: _ BldgJA t#: Duct work _ _ 14.00
Pro act Name: : C-lyr)ronir hot w■tritem
---- -- ResAdearial boiler
Cross street/Durctions to job site: for radt■tor or h dromc t ern 14,00
Unit heat-.%(fuel,not electrk)
in wall,induct s, udpwded,etc. 14.00
I - fluelvent f r any of above _ _ 10.00
Subdivision: ~-�I_.ot te: R air units 12.15
Tax Ym / arcel#:
-
_ — 3u fire lace _ IO.t>D
Flue vent water heater/ s fi iace 10.00 v
Lo li ti oe 10 -
-- Wood/Pellet stove _ 10.00
Rrc�l"c/insen 10.00
f tlrmte !liner/thtdvent 10.00
Olhcr: 10.00
Name: l+Cs,v ><-1�+2 f ---.T,-�o�n aul Eeh■ittt e,
Addtcs5: S- w� �/a fl Range hood/otFer kitchen equipment10.00
1
Ci /State/' ' , Clothes dryrer e�hiau j 10.00
I Single duct exhaust
Phone: G - Q F2X: (ludtrotmty,toilet comyattrrcnt3,
t _�__u�l• _
utility rooms -- 6.80
Atti Cmwi cp■cc fane10.00
- -- --- - ocher. 0.00
n
Address: --r--r - itllrt it O
City/State/zip: — •iss.4o�■rrr,s4 :l.oveach.auaenai�.
'.Phone: 1 I ax: Fumacea etc. ••
1-7-mail: -- — — - imhe9t urs
Wall/su nde"flitheater
WatsrheRip. 00 -- - --
Business Name: LLGSrr/J-7 .V!a Fuw;•�c � -- •• .--
Address: _y S' N lv`� L� �` — — f •:- -
Ci /State% i ': / I
YL Clothes dryer(gash ��— ••
Phone:"3- S'3-S/8 �ax:sea- � �� other: _ •__ -
CCB I.iC. ) Y Totu
Authorized . Meea■NealPertnlOFen!'.•' •, ;i
Signature: Date:-7— - —
Mivimurn Procrit FcFcc$72.50
> P_an tteview Fr.e 25Y•of YrrtrUt I ec S/
� rine ar _ - Ste"Sash a 8%ofl'erntit Fee $
(Please print none) _.
TU AL PERMIT�.P $
Nolier. This permit■ppuatloq eupires If a permh IS not obtained within 'Fa methodology tet by Trl-County Raildlag lydue y Senite Board.
1!0 days stair It has barn arcepted at eomplete. ••Site pian required for orterier A/C units.
I:\Dsu\Pcrmit Fmrns%MecPermitApp doe 01,03