10805 SW 108TH COURT-1 C)
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10805 SW 108"' Ct
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business line: 63P++-4171 —
_ BUP
Date Requested �' �� AM PM BLD
Location % ` C �c - ` t`L C�' Suite MEC
Contact Person — Ph i PLM —
Con' actor Ph . % ' >S_ SWR
rlVILDING —� Tenanner __ c-.a(.�� c -`� ��•S ELC
Re0ining Wall ELR
Footing
Foundation i AA �G' `� C/ G FPS _
c
Ftg Drain � T /G SGN
Crawl Drain Ins !
ion Notes: —+— —
Slab -- SIT —
Post& Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing _ -
Firewall
Fire Sprinkler —�
Fire Alarm
Susp'd Ceiling — - —
Roof
Final
PASS74RT FAIL -
PLUMBING_
Post&Beam - —
Under Slab
Top Out
Water Service _ _ _—
Sanitary Sewer
Rain Drains —---
Final
PASS PART FAIL
MET
HANI
am --------
Rough In - —
Gas Line
4TSeampersPARt FAIL
RIcaLe -- - ---- —— -
Rough In
UG/Slab
Low Voltage
Fire Alarm -- -
Final
PASS PART FAIL —_ —
Backfill/Grading -
Sanitary Sewer
Storm Drain ( ]Reinspection fee of S required before r•3xt inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin ( )Please call for reinspection RE: ( ]Unable to Inspect-no access
Fire Supply Line
ADA
Approach/SidewaPc Date / Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this Inspection record irom the Job site.
CITYOF T i G /� ® D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT 4: ME02001 00306
131125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 GATE ISSUED: 08/24/2001
PARCEL: 1 S134AD-0.5200
SITE ADDRESS: 10805 SW 1081-H CT
SUBDIVISION: BLACK BULL PARK ZONING: R 4 5
BLOCK: LOT: 027 JURISDICTION: TIG
CLASS OF WORK: ALT F4.00R 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:
GAS 3 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP. REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: _ 50 + FIP: CLO DRYERS:
AI
FURN < 100K BTU: 1 R HAN�HING U_NI1-S OTHER UNITS:
FURN >-100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Installation of pias to gas furnace with vent and gas outlet
Owner: FEES
SAUNDERS, F H AND CONNIE L 1;pe By Date Amount Receipt
10805 SW 108TH CT PRMT CTR 08/24/20( $72.50 2720010000
TIGARD, OR 97223 5PCT CTR 08/24/20( $5.80 2720010000
Total $78.30
Phone: —
Contractor:
GAROKEN ENERGY ;ONIPANY
3565 182ND
BEAVERTON, OR 97007 REQUIRED INSPECTIONS
Mechanical Insp
Phone:848-0197 Heating Unit Insp
Reg #:LIC 00043124 Final Inspection
PLM 34-113pb
This permit is issued subject to the regulations contained it the Tigard Municipal Code State of Ore.
Specialtv Codes and all other applicable laws. All work will he done in accordance with approved
plans. This permit will expi.e if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTtINITION: Orego.l law requires you to follow rui,,?s adopted in the Oregon
Utility Notification Center. Those rule: are sat forth in OAR 952-001-0010 through OAR 952-001-0080.
You may obtain ;opies of these rules or direct questions to OUNC by calling (503)246-9189.
Issue By: t_ .�� t lG .� Permittee Signature: � � L�f
Call (503) 639-4175 t•y 7:00 P.M. for inspections needed the next business day
08/23/2001 15:20 5033569002
GAROKEN PAGE 01
03' 21 • O1. IICD 12- 59 F?.t 303 599 1900 CITY OF TICkRO @10U4
Mechanical Permit kppfte 'on
Date racelved: Permll no.:
Cit of Ti d �'�
y �urProjtxWppl,no,: P..aplredate.
T„4„d Address 13125 SW Hall Blvd,Tig Qq.�223Dltciswed� .� By Rccetptnu
Phone, (501) 09-4171 -
Fax: (503) 9F•1960 Case file no,; t; lair)-manl type,
Land use approval: _ Building permit no
)6-t&2 family dwelling or v��essory ❑Cornmisrm
ciWindustrial O Multi family O Tenenl Improvement
O New ccnstn,r_t:onSKAdditic rValteration/replacemen'. O Othe..
a gra �
Job address Q 00_r�LsJ �� Gt. Indicate equipment quantities In boxes below. Indicate the dollar
f Bldg. no,; Suite no.: - value of all mechanical materials,equlpment,labcr,overhead
Tax mrsplwx lotfecc,unt no. _ —� profit.Value$
I -,t, ylor:k: Subdivision *See checklist for important application information and
Project name: — jurisdiction's fee schedule for residential permit fee.
�_ _
City/count ``
Dcirriprion acid iucation of siork on premm►aes;, __
t>AS rredaS _ C T�tl�3w� — Fee(ew) Tnul
Lit dale of compledonAnspe”, rlpL ' Oserl doo Rn.only Acs urUt
Tenant Improvement or chenite;f use t
Airhendlln unit
Is e,ztsung space heated ur condiiioned'I O Ye O Nosrcon onln (site plan re-u eT)_ -”
l,v existing space insuialer+'O Yes U No AlLerstiontarestiting MYAC sysVam
o er compressors i
w, Sure boiler permlt no.:
Business—name,Gairskim ,.i4 Hp Toris_-_._STU/H
Addrrss �J, 41 X - tr Imo f,dam v uctamoke detecton _
City _ state: i IP:17 O r7c 'u me sheplorimsuiredy
MIR
Phots 6o Q-3�38TFax3' B mail: nut, rep Ica urnlc timer
-includingductwork vent liner_ Yes 0 No
CCB no 1}�1� ____�^____ nsta rep ac re ocue eaters-luspon e , I
City/metrolic tic. Q1555 _ ''�`� wall,or noor mounted
Nana (please pnnU _ l\C ant ora once ot ever enrurnnCe-'—t
e eerie o
f
Absorption uruts_ STUM
f�amc. a e? r►�Ae._ es�?1.IC.r�... Chlllen.— Hp
HP
Address. _ roameotal us[and ventilationt
clty�Phone I'na r Stale:g mit11;;�:
— Aryers eeypviL-Y
hood fUe suptem _
I
Name �5 C.ti1. Blhlust fan wuct(bath fen,tl (, 17616 seem en n or1n teru on up to outlets)
i=i
at�l .. � LPO Nd UII
Fiy E mail us i i etc r additional over outlets
roceasp p ite Ic emit creouire ) —
Number of outlets
Name � w_ ter • app Ince orequpmeMi
—
Arldr.1% _ -_ Decoratirefire
Place
City -- STtote' lip type
Phone —~-� - — E-mail
Woodsto.w etiiov� `�`—
er.
.ippllcart s si n u Qate X O 1 ter: —
Permit fee
ria Wt,' MI&Cilnni r fo".iii awe.pieu� CL unMIKW"10f mon Nntlee:nis permit application Minimum fee
is O ManarC and ex ices ire permit le not obtained
CrrcP sve numttl ��"'1���- _ p ve Plan review(at °t�) f ..._.��
������ Irer within 110 days sAer it hat been State wteharge(1176) S
�d,.y. ru -` ..�a,sr— t"— eccopted ni complete. TOTAL S�� LLZr.1f1
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r �rn-a-war --�anl N)�lel1 �'O�Cf,