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9370 SW MARTHA ST
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)6394175
INSPECTION DIVISION Business Line: (503)639-4171 MST
SUP
Received � � � ate Requested�_ � � AM_!'60 PM BUP
Location _,VkqL a--_ � Suite. MEC
Contact Person Ph( 3 ) 6874 ~ _3-3L'T PLM
WZ
Contractor Ph(—) SWR
BUILDING Tenant/Owner Y_ _ ELC M41 Or ( l
Footinn ELC
Foundation /access: OP-illilrNt. -jr-, MA'enlA x.
Fig Drain ELR
Crawl Drain
--;7b Inspection Notes: SIT _—
Post&Beam _ —,_----
Shear Anchjrs '-
Ext Sheath/Shear
Int Sheath/Shear -
FramingL'N
Insulation
Drywall Nailing -- -----
Firewall
Fire Sprinkler --
Fire Alarm
Susp'd Ceiling -- - ----
Roof
Other:
Final -
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
PASS PART FAIL
MECHANICAL _
Post&Beam
Rough-In
Gas Line
fZ Smoke Dampers
Ir Final
PA PART FAIL
Service LA
m Rough-In —_
(� UG/Slab
W Low Voltage
JFir --- --------_ ____ _----- -
F al 0 Reinspection fee of$__.—_--required before ne spic:tion. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL ,-
i
❑ Please call for reinspection RE:_ __ _ Unable to Inspect-no aocm
Fire Supply Line
ADA
Approach/Sidewalk DAtq.� � " InepeateK `�
Other:
Final DO NOT REMOVE this Inspection record m the ob sib.
PASS PART FAIL
CITY OF T I GA R D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2004-00485
13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 7/21
/2004 PARCEL: 2S114AB14AB-13200
SITE ADDRESS: 09370 SW MARTHA ST
SUBDIVISION: KNEELAND ESTATES NO.2 ZONING: R-4.5
BLOCK: LOT: 115 JURISDICTION: TIG
CLASS OF WORK: OTR 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:
3 - 15 HP: COMML. INCiN:
MAX INPUT: BTU 15-30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 -50 HP:
GAS PRESSURE: 50+ HP: COD
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
S:
OTHER UNITS:
F URN>=100K BTU: <= 10000 cfm:
> GAS OUTLETS:
10000 cfm:
Remarks: Replacement of gas furnace.
Owner: FEES
DOHERTY, MARGARET T Description Date Amount
9370 SW MARTHA ST IMECH] Permit Fee 7/21/2001 $72.50
TIGARD, OR 97224 [TAX]8%State S rchart 7/21/2001 $5.80
Phone: 503-684-5305 Total $78.30
Contractor:
SUNSET FUEL CO
PO BOX 42287
2944 SE POWE.LL BLVD REQUIRED INSPECTIONS
PORTLAND, OR 97242
Phone: 503-234-0611
Reg#: LIC 2374
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This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
.J 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 rules are 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.
Issued By: .� Permittee Signature:
Call (503)639-4175 by 7:00 P.M.for Inspections needed the next b s mess day
117/20/2004 14:40 0600000 ABAB:AAAAAA AA PACE 62/02
,L�vQ $_ aLrernit A 1i i f Q
'City of Timard G ,�
13125 SW Hall Blvd.,Tigard,OR
Phone' 501.639.4171 Fax: 303.5981, �QQ� Plaa Naview
Inspection Line: 503 639.4175 O Other Peri
Internet, www.c(.ttgard.or.us
G �SA far
SAM rest 1
OF
- hM/lesaa►htllnror arias
t KL Ilia aCH6D B IUGE C�—HECKLIST
❑New construcUcn Addit on/alteretlon/replacementEl Mechanical permit Poe.•are basal at[ 11,vaitr, of the
hmolilion []Other: pertnrrmd Indicate tht value(rounded(tt the ncart;it dnilar)r+I'411
-�-" mechanical materials,epiPmAtnt,lmtwr,twcrhead,imd prulii
4111,A , -� Valuc.S
and 2 family dwelling El Commercial/industrialRMDLWIAL EQUIPMENT/SYSTEMS FEES•
❑Accessory building
El Nlulli•lemily []Master builder ❑Other: Pop yxc/ul rr[ puran rine c/wckllar.
JOB SITE INFORMATIO�Y. r• r Ueecri tion
Joh site address: Healer euollit
Air cundi(Cnina or!teat pump
City/State/zIRr #if"site nsllot+t-nteptaccmcnl' _ Id.O'1 T
Furnace ICO.00p 8711 tdKtF+�tn,t I I
Suite/hldg./apt.no.: Project name: ��i t'nmaal IQO,.;-OW+2L3Tll trttrcra„tot„ 17,90
Cross struct/directions to jub site. -- Qu(tett!Dump 14,N) -
-- - Uucl wvrk
"__— -- 1.1.00
H drool:hot water system 14 IN) -
-- --- Residentiia)miler tradiatm p► -
h dru-iic) l4j)0
�~ — •— -`--"— Unit rcalem(tiscl-l%pe.run electric).
in"Al in-dost.su3Demkd.etc I11.(NI
Subdivision, _ Lot no.: y F1nc/vent riff am ttr.bl„C
— -1.(1% MIN)
Tnv 1IMP/parcel nu.. — O&cr: I p 00
Other fuel m lanees
DEKRIPTION for lYtU1tI1( Writer ccatcr _ I 1n.11b
-� (� Gas(its lace _ �_
flue vtnt for wafer fleeter or pas
'-- Ln Ig fighter aK) I U.gt1
�- -�
W920ell!(lllrve I(). I
Wood rireplece/hlsert 1001
f�PROPERTV OWNER AItIS (:himney/lincr/Ilue/ient IO.tNI
Name. Usher - I0.00
Envie nnxnt• t0f uvt and vmtilaNun
Address: U Range httod/Whet I Itchen
-_` __tel
gConloctname:oq
' u1 meat 10.cu -
Clothes drver exhaurt 10,00
.. �� Fax:i i Single-ducieshausttbathrooms -”toilet LonlEf6,APPLICANT C] 4bo' CI' ftWN Attic/crawlspace ringI tl.l'il
Other: 101Nl
Fuel P1D1n` _
S5,1141 for prat filur;11.00 rnr each trddiNunsll
AJdrtys; Furnace.etc. -
C'ih/51a1u/Yll': Gta heat pump
i
Wall/sus landed/unit(scaler
haste:
I 1 1�etcr Itexlcr
I:-mail. - tiro lace
Range —
CONTRACTOR Barbecue
Ilttxtnesstlnlne: �Serawel C'latheidnurt ash — r
Address: �01�4 f�1/1�f.J i ajV (Alter: T
t it>/titgdllP �, � ��V� MECHANICAL PERM11 FEES, I
— — C l-72uZ _ luhratal
Ph,Inc:15031 ,2��{ • { Fax:05p3 2 3N 0 13 Mlnnmmt p.mtit tic 1172 tn,
--- Plan te%ival?i""uiprnnil
-- "late_surchantc I n'!n++r Ire ntt it 1'cc 1
a- f TOT-kI.PtRmi r 1• ,v, J
llthufi%l'd 31�tn:ltlrrC. 'this lrerrttll applicarloo e,piref if a pennlr 11 not nMain,•d Hirhin Iter
I'rlltl ttUlttC j�� day+after It has been accepted ON cnmpltre.
�+'L'ria_1 �OIrDSl Date: D " 6w+melbodolu K.+e lb,Tri
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hutl,tu,y 11—it,ME(-Pe,m1,pp 6 01),
CITY OF TIGARD ;.4-Hour
BUILDING 0 Inspection Line: (503)639-4175 .
MST
INSPECTION DIVISION Business Life: (503)639-4171 _
BUP —
Received -- _ Date Requested_— .~ — AM— _ PM BUP
Location
Contact Person Ph(_ R 9 q— S 310 PLM
Contractor_ __ _ I , Ph(_ ) t -7 776 SWR
BUILDING Tenant/ r, __ _._- ELC
Footing ELC
Foundation Accevs:
Ftg Drain ELR —.
Crawl Drain
Slab Inspection Notes: SIT -
Post&Beam
Shear Anchors -- i---�
EA Sheath/Shear
Int Sheath/Shear VNA�,\ �,� —
Framing — —
Insulation
Drywall Nailing ----- ---
Firewall
Fire Sprinkler - -- -- - —
Fire Alarm
Susp'd Ceiling --
Roof
Other: - -------
Final
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 ------------.------
PASS MT FAIL — —
Post&Beam
Rough In ---- - --— - _.
Gas Line
4. Smoke Dampe. ---- - -- — --- -- --
N PART FAIL --OEDCTFRICAL -
.� Service
m Rough-In
(� UG/Slab
W Low Voltage
Fire Alarm
Final Reinspection fee of$— required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE F1 Please call for reinspection RE:_ -n —7" Unable to inspect--no Ames;
Fire Supply Line
ADA ^�
Approach/Sidewalk
Date Inspector tiltixt
Othor:
Final - DO NOT REMOVE this Inspection recofro the Job a .
PASS PART FAIL