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9365 SW MARTHA ST
CITY OFTIGARD N3'
BUILDING DIVISION
PERMIT#: MF f.:7(10ri OO;?i(1
'3125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED: 17113!'1(1C',
Fisc ne. (503) 639-4171 A Wi
Inspection Requests (24 Hrs.): (503) 639-4175 AEJEM
INSPECTION WORKSHEET FOR DATE: I/Q]'?00" TIME: ! 02AM PAGE: h/
SITE ADDRESS: (rl ti+,;:W MAk THA S I /' CLASS OF WORK:
SUBDIVISION: K14L(:1 AND kt (ATF'.No 2 OT#: 1)A TYPE OF USE:
PROJECT NAME: CI IAVL
DESCP!PTION: Rc+*ovefumace
OWNER: CI IAVE, RUTH PHONE #: 50'A-604 001
CONTRACTOR: SUNSEI HEATING R COOLING PHONE #: SOX 2.3.1-(1t:-1 I
Inspection Request scheduled For: Date: IlPour Time:
Code # Inspection Deschr tion Confirm # Contact # Message
"� MHS troll cal ho'Al 0)4824-01 ljO- E eA 103.) IJ
Corrections/Comments/Instructions:
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PASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS
I FAIL n CALL FOR INSPECTION L] ADDITION ,i- FF S ASSESSED
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_ Q Phone 4: (503) 718-
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Insecto . Date . '
CITY OF TIGARD __ MECHANICALPEF;MIT
DEVELOPMENT SERVICES PERMIT#: MEC2005-00818
13125 SW Hall Blvd.,Tigard,OR 97223 503-639-4171 DATE ISSUED: 12/13/2005
PARCEL: 2 S 114AB-12300
SITE ADDRESS: 09365 SW MARTHA ST ZONING: R-4.5
SUBDIVISION: KNEELAND ESTATES NO.2 LOT: 124 JURISDICTION: TIG
Protect Description: Replace tunlace
CLASS OF WORK.-6T_R FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VE.ATS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS.,
_ FUEL TYPES _ 0 - 3 QIP: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: i3TU 15-30 HP:
FIRE DAMPERS: 30-50 HP: REPAIR UNITS:
GAS PRESSURE: 50 4 HP: WOODSTOVES:
FURN< 100K BTU: 1 _ AIR HANDLING UNITSCLO DRYERS:
FURN>=100K BTU: <= 10000 cfm: N OTHER UNITS:
> 10000 cfm: LAS OUTLETS: 1
Owner: FEES
RUTH CHAVE Description Date Amount
9365 SW MARTHA --- _�
TIGARD, OR 97224 [MEC"J Permit Fee 12/13/20( $72.50
[TAX] 8%State SurcharE 12/13120( $5.80
Phone: 503-684.-7082 otal $78.30
Conkractor:
SUNSET HEATING & COOLING
0607 SW IDAHO
PORTLAND, OR 97239 ---REQUIRED ITEMS AND REPORTS
Contact#: PRI 503-234-0611
FAX 503-234-0439
Reg M LIC 161085
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This permit is issued subject to the regulations 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
..t started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires
m you to follow rules adopted in the Oregon Utility Notification Center. Those rules arw set forth in OAR 952-001-0010
through OAR 952-001--0100. You may obtain copies of these rules or direct questions to OUNC by calling 503-246-6699
W or 1-800-332-2344.
osrmed By: L3Rt.1/N (,0GY_-� Permittee Signature: 46-e
Call 503-639-4175 by 7:00 a.m.for inspections that business day. ^'
This permit card shall be kept In a conspicuous place on the Job site until completion of the pmj@ct.
Approved plans are required on the Job site at the time of each Inspection.
Dec 12 05 01 : 19p p• 2
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Mechanical Permit AD*UWm-iv��-
City of'rigard }'IQS pulfth vo.. LACI;- "818
13125 SW Flall Blvd-Tigard,OR 97223
Phone: 503 639 4171 Fax: 503.598.196(1 1�l ( )!'' Duygy�'v OUha Paretic
Inspection Linc 503.639.4175 Date aeadymy twig yen pap 1 r r
Internet: www.ci.ligard.or.us Ptatlfierl/Method�t��� •Qf 11 'I S■rple�e■a1 t■forsatl•■
'rITY tai
❑New construction ®Additior✓alteration/replacement rniechanical
l permit fees*are based on the value orthe worts
Indicate the value(rounded to the ncanest dollar)of ail
❑Demolition []Other: materials,equiprrierit labor,werhesd,anA profit _
Value:S —
I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building
❑Multi-family Q Master builder ❑Other: For sp►clal in ornruaion we C'reckli:r. _
Description y_�y�Es. To171
IleaH cools
Job site address: C �- C r" t Air conditioning or heat r imp
_ I - ��L� ` 11�I-I A-t v `,� uim site showing pbKytn M) 14.00
City/State/21P: � �i ��'�Z�. Furnace 100,000 BTU(duGu/verw) 14.00
Furnace 100,000+BTU(dueis/vents 17.90
Suite/bldg./,rpt.no.; — Project name: C 4 Vt�, _ Gat heat u 14 DO
Cross street directions to job site: !hist work — 14.00
�— H dT!!Lh hot water system 14.00
Residential boiler(radiator or
h dronic — _ 14_00
-- -- — Unit heaters(fuel-tyre,not electric),
in-wall,in-duct,suspended,els__ 10.00
Flue/vent for any of above 10.00 r
-- � —---
-- Other: __ _ 10.00
Subdivision: Lot no.: .
Tax map/parcel no.: Other fuel appliances
Water heater — 10.00 —
Gas Fireplace 10.00
k-k QU:" { Flue vent for water heater or gas
fireplace—_ 10.00
y10.00- -
Wood/pellet stove _M 10.00
Wood frrc_,�Ia_&!.eA... _ — 10.00
Chimrw Ainer/fluely-n __ 10.00
(th,-r:
Environmental exhaust and ventilation
Address:
Ran a hamt/other kitchen
�,a,C t ;rj W (� 11; 8
--_ c ui melu 10.00 _
City/stale/ZIP: Clothes dryer exhaust 10 DO
��- - Single-duct exhaust(bathrooms,
Phone:(�:;L Fax:( ) toilet compartinents,utih y rooms) 6.80
Attic/crawls ace fans
Business name: Ott=— 10.00
Fuel ping
Contact name: 55.40 for Ont four;Sl AO for each additional
Address: Furnace,etc. _
Gas heat pump
City/Statw7lP: Wdusutpendcd/unit beater _
heater
Phone:( ) Fax::( ) Water _..—. _
iE-mail: Range
I � BarSccuc
Business name:Sunset Heating and Cooling Clothes d—
I (kirer:
Address:0607 SHIdaho Street
City/SlatelZIP:Portland,OR 97239 3obtoMl
Minirmnn permit foe($72.50)
Phone:(503)234-0611 Fax:(503) M39 Plan review(25%of permit foe)
CCB lic.:161065 State atrchaEe(,%of permit fee) j 1
L TOTAL PERMIT FEE VK.
Authorized signature: Tbts permit apptkatw npirtsIf F"Wit b not'laimed within Ito
_ days alter it ban Men aecepted an complete
Print name:Shauna D'Arnbinsla Date: I. = ` Fee methodoiotty Ki by Tri-C mty Building Industry service Board
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