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9045 SW Pinebrook St
C11, i O 1 T'G A R MECF jANICAL PERMIT
DEVELOPMEN i SERVICES PERMIT#: MEC2002-00026
13125 SW Hall Blvd., Ti,aard, OR 97223 (503) (,139-4171 DATE ISSUED: 1/16/02
PARCEL: 2S111 AD-04400
SITE ADDRESS: 09045 SW PINEBROOK ST
SUBDIVISION: PINEBROOK TERRACE ZONING: R-4 5
BLOCK: LOT: 041 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:
OTI1 3 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
REPAIR UNITS:
F IkE DAMPERS?: 30 - 50 HP:
OD i
GAS PRESSURE: 50 + HP: C
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
— - OTHER UNITS:
FURN >=10'K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: rstallation of wood br.rrning insert.
Owner: _FEES
KI-1IM, JAMES C + JENNIFER �'iype by Date Amount Receipt
9045 SW PINEBROOK ST PRMT CTR 1/16/02 $72.50 2720020000
TIGARD, OR 97224 5PCT CTR 1/16/02 $5.80 2720020000
Total f $78.30
Phone:
Contractor:
LUDEMAN'S FIREPLACE + PATIO
12675 SW BEAVERDAM RD
BEAVERTON, OR 97005-2129 REQUIRED INSPECTIONS
Woodstove Insp
Phone:646-6409 Final Inspection
Reg#:LIC 51469
This permit is issued subject to the regulations contained i:-. `he Tigard Municipa! 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 Pequires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952.001-0010 through OAR 952-001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503)246-9189.
Issue By: <' 2', Permitt ie Signature: - �' ' _ .r
Call (503) 93'd-4175 by 7:00 P.M. for inspections r.-eded the next business day
Mechanical Permit Application
Date received: � Perrn,t no.
City of Tigard Pro)ectlappl.no.: Expire date: ----P ^-
City ojTigard Address: 13125 SW 11311 Blvd,Tigan;.OR 97223 tno.:
Phone: (503) 639-417 i Date tssuel__ - BY_ TR---,
pt
(503) 598-1960 Case file no.: _ Payment type:
Land Use approval: - - Binding permit no.: -- —�
XI &2 family dwelling or accessory U Cornmercial/industnal U Multi-family 0 Tenant improvement
❑New construction Addiuon/alteration/replacement U Other. _
Job address: 1:711-y-`j 1 /rr� �)1 ,�"/� - F Indicate equipment quantities in boxes below. Indicate the dollar
Bldg.no. Suite no.: value of all mechanical matenals,equipment,labor,ovencc.,d,
Tax mdp/tax lot/account no.: protiL Value S
Lot: _ Block: Subdivision: *See checklist for important application information d
Project name: �, %,m — jurisdiction's fee schedule for residential permit fee.
City/county: �,;�oi% ZIP: 'j �,�.�
Description and location of work on premises:- ;�.%x}LQF. t ter,
F,,e(ea.) ToW
Est.date of completion/inspec — Ili Rim.only Res.00lr
==_ , __I-
Tenant improvement or change of use: Aiih dling unit C iM
Ls existing space heated or conditioned?U Yes ❑NoAu con-1 Toning(�st aTan requi led)
Is existing sparx insulatleV U Yes 0 No A-Iterauon of existing HVAC sy:ram _
10
t er/cornpr xsors
Slate txuler ximit no.:
Business iiatne:44,01=MRN j Ft UPY �No P,!� T-IO .tP Tons ETU/11
Address: / 1 ea v oe'-dalm lam'-)a '1"_/ o1ie-damper Vduct srno e detectors
City: v l State: 2P_ ZIP -eat pump(site plan req;WW)
oe
E-mail: — rep aceta umcr —�/1T
Phone: t� (o Fa - Including ductworUvent liner a Ye��o.CCB no.: g - 533 n _ epp ratxate esuxs-stup
C;'V/metro lic.no.: — wall.or floor mounted
" -� enc or a rano.
Name(pleae print): LLc � otitanftunace
_
Absorption units ___.. BTUIR
Name- M 44"*_, L-L�1'E M IU Grillers ---- --- - HP -
-- _ HP
Address: �ryl, �� zc - r��asol TentiTst oni
City: Stan: 7JP:_,-_ —+ Appliance vent
PhrNah
Fax: F�mail:
-Dryer tut _
---- , .�;r__ __tom..rte sr_ _r�•^et
hr.od flre se pression system jQ1yt,f_S /. (, Exhaust fan with singleductt',ath fart)dtltess: O �L ! ! / <�iL Aust s stlrT, art nom teaun�of A2 ZIP: '�"J�7 Iupwo4outectIi� i Sttur: l T LPG NO _ Oil NID
U >S/ Fax: Email: ue t to e e ition over i oudcu
cempiplift(srhrmaur regcnred?
Number of outlets _
atn l t app Gmv or equ�art:
d ss: Decorativefireplace Lt1n
-,--�-- -----rte- - n t -
E-mail: toV pe rrtis`ove
n
o ''ax: -__.-
Ater
pp Date:/-/2/-6r Z
tie pnn/
_ 1;`-_ - -
. -
mon"credit card,.tAsw call iutldke�la tmrp td •••••-•�. � Permit fee.......... ......
Noti(r.:This permit application Minimum fee............. ..$
U Visa terCwri expires if a permit is not obtained
wNWA _�-- - Plan re clew(at %) s
cnht t.d ro -7
--- within IRO days eller it has tier.
----------- -
accepted es complete. State surcharge(8%) ....S _5,sia—_
_ 4IDst.tns6esantn,nar�s TOTAL. ........ ..............S
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CadAyAa a Powe-- _ — —�t — tizxo.�.. 440-4617(6031COM)
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CITY OF "'CARD 24-Houi
BUILDING, Inspection line: (503)639.4175 L MST
-
INSPECTION DIVISION Business Line: (503)639-1171 (/^
BLIP
Received
Received _—_ Date Requ ted 1 _ AM -_ PM BLIP I�}
Location Shite___ - MECL� C
Contact Person _ -- Ph(—) &DVD f PLM
Contractor_ --_ 'j Ph( -7 ) - SWR
BUILDING Tenanl/OwnerA 41 AIVV. 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
Final --•-------- _� N
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
therFinal
PASS PART FAIL_
MECHANICAL_ .
Post Beam
hough-In
Gas Line
Smoke Damp rs -+-----
(/ ""
f
6SSPART PAtLELWCAL
Service
Rough-In --
UG/Slab
Low Voltage — ----M^—__ �.__ -------------- - --
Fire Alarm
Final Reinspection tee of$ __ required before next it spection. Pay at City Hall, 13125 SW Hall Blvd
PASS PART FALL__
SITE n Please call for reinspection RE: Unable to inspect- no acces-
FireSupply Line
ADA Approach/Sidewalk haste -� Inspecaor __ V�
Other
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL