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9415 SW MARTHA STREET-1 IS VHIUVW MS 5 P6 1 1 f 1 p cn a IL = c a 3 m Ln W J" J 9415 SW MARTHA ST CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2005-00169 13125 SW Hall Blvd., Tigard, OR 97223 503-639-4171 DATE ISSUED: 4/14/2005 PARCEL: 2S 114AB-12500 SITE ADDRESS: 09415 SW MARTHA ST ZONING: R-4.5 SUBDIVISION: KNEELAND ESTATES NO.2 LOT: 122 JURISDICTION: TIG Project Description: Furnace replacemem. CLASS OF WORK: ^\LT FLOOR FURN: EVAP COOLERS: r vPE 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: LPG 3 - 15 HP: COMML.. INCIN: MAX INPUT: BTU 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 -50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Owner: _ FEES __—�— LAANDE, RONALD L/LUCILLE I Description Date Amount 9415 SW MARTHA ST IMI:('III Permit Fee 4/14/200E $72.50 TIGARD, OR 97223 ITAX] 9(",Skate Surcharl 4/14/200E $5.80 Phone: 503-670-8141 -- Total _ $78.30 Contractor: THE=RMAL FLO 14865 SW 7aTH AVE. #190 REQUIRED ITEMS AND REPORTS TIGARD, OF. 97224 — — --- Phone: 503-670-8383 Reg#: LIC 151847 Q F— N This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and J all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not m started within 180 days of issuance, or it 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 J through OAR 952-001-0100 You may obtain copies of these rules or direct questions to OUNC by calling 503-246-6699 or 1-800-332-2344. "-7 Issued By: rt.� Cl.4�ca.-Cti[(1C�. , Permittee Signature: Call 503-6394175 by 7:00 a.m.for inspections that business d ly. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each Inspection. I Y1 11-1 :TIrk-PM11L. FL-13 1 NC FAX NO. :5036709064 Apr. 13 2005 11:36AM P2 ;,!echanical Permit AvollutWnn City of Tigard �c .".d o0 1 DatN C Panudt No.: I 1(?5 S W Hal!Blvd-,T faant,OR 7 Plan RevicW Y"�p/1 �( .. Phorr 503.639.4171 Fax: 503.598,1960 + ^005 pa _ OtherPenrit Irbpecrion Line: 503.639.4175 NVR1 L pate Rudy/By; 16 See Pi`e 2 Nr Imrmet. wwtv.ci.t1gard.or.us Notifed/Mathod: 3applementalInformation ST NQ construction Addition alteration/replacement Mechanical.permit fuer"aro basad on the value of the work New constnr [] ernuli nst �]Uthcr: performed.Indicate the value(toundcd to the nearest dollar)of all meth+tnical.*+•r��ltI-aJuipmeot :abcr,ovrrh igtd�rogR Value:f tffl-and 2-family dweiling ❑Cotttmelcial/industrial ❑Accessory building — - -- y [J Multi-famil For special information use checklist. y []Master builder Other Oestri in ---�— L�._nRa Total Heatin /MIN r; Syt� /I/�, Q +`-- Alt condlti�rt[ny or hat puutp Job site address: '`"Te` �naulrea arae Dian aLclWlaa cD 14.00 City/state✓zIP: 1 �l L/ Q Furasoe 100,00Q BTU(due M4_t 14.00 - -`—�"-- `— — Furnace 100000+BTTJ( L teats) — _l_90 Suile/bldg./ipt,no.: Vrolect narnn, (3t1a but pump 14.00 _ - - -- Cross 4trcct/directJons to job site: Duct work 14.00 Hydrunic hot-water system 14.00 —_- Residmdal boiler(radiator of —� hdsomc�__--_- 14.22 - — --- - Unit heaters(fuel-type.not electric.), -- lts-wrll,induct,suspended,etc. ant for an of ver _ 10.00 Subdivision: _—�I of no.: Fludv -� - Other 10.00 Tax trap/parcel no.: Other fact applialaces Waterhester 10.00 _ Gas fiMlace 10.00 - Flue vert fcr water heats or gita Loco 10.00 - - — - - — LOR U to—(WA) 10.00 Wooftmact swve 10.0(` - �- -�- - Wood AMlacatinavit 10.00 ChiMnVjtncrMWvcnt 10.00 10.00 Name L-- 4-4 H 14 Eovir nm artand vRntllation Addrees: Q K(s SW Mango htxWother kitchen equipment 10,00 City/stat¢/z11':�c�U 1(l (� , y Clothes r ext Unt A0,90 S(nooduct exhaust(bedumme, Phonc:45003) 3 g 4,"� 4g Fax:( ) toilet ter.at"*rr>' M 6,80 Aftic/cmwispace funs 10.00 Other 10.00 Business Hume: 1� C lid D1A1nt Contact name: �/ 7 4,- S6.1Q for first four,$1.00 for each additloral Address: /YDS W ` _ `-V C1t7 an beat P-UMP - n, city/state/zip-T 4 r�7 CY 0 1';;� 9 7 a. y Wall/ unit heater Phone;(.�3) Water heater Fireplace fn31 i-R1a1i: Barbecue I3UBiness name: / clothes ED I.L t,V►'1 l� } 1 G1 Other. C7 Address: L�i((., 5 1 Z ,/�`12 W City/Statc/ZIP t 6,C" - ©� I f , �J_y � Subtotal J d==`�-phone:6031 i 7©- V3 Fax:T- 0et Q(�of Minimum petmil fee(V7 50.) ��Z Plan review(25%of t fee) CCB tic.; 5 _ State snreharge(8%of pertrift fee) _ TOTAL PERMIT FEE Authorized 6i g�tl1YE: f�M This permit appolattos mires If a r@re;t h not obtaisetl within ISO YL4 1CJ �e lav 44YO.fMet It has Mice■eW%d■x ao,nptatr. Print name: ��i�(,�� �� NiY�/'Z pate' 1s3 Fee ewtludofep ser by lit Couny Bulldlne Industry 9avic.Hosnf i:�9uldlpxlPer¢YMEC-TE*NitAGO oo� 1203 44o.441 rr(11/n=Mnv1M) CITY OFTIGARD BUILDING DIVISION PERMIT#: ME0005.00164 13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED: 4/14/2()05 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 5/2/2005 TIME: T IOAM PAGE: 87 SITE ADDRESS: 09415 SW MARTHA ST CLASS OF WORK: SUBDIVISION: KNEELAND ESTATES NO.2 LOT #: 122 TYPE OF USE: PROJECT NAME: LAANDE DESCRIPTION: Furnace replacement. OWNER: LAANDE, RONALD L/LllCILLE I, PHONE #: 503670.8343 CONTRACTOR: THERMAL FLO PHONE #: 503670.8383 Inspection Request Scheduled For: Date: 5/2/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 005728.01 503670.8343 N Corrections/Comments/Instructions: C 9 Ll PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date:5-- 0 -�'� Phone #: (503) 718-