Permit CITY OF TIGARD MECHANICAL
„-x
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT
13126 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171 F'E RM I T # MEC9 (, -0009
. DATE ISSUED: 01/16/96
PARCEL: 2S111AD -04900
SITE ADDRESS...: 08930 SW PINEBROOK ST
SUBDIVISION • PINEBROOK TERRACE ZONING: R -4.5
BLOCK LOT •72
-
ADD FLOOR TURN....: 0 EVAP COOLERS: 0
CLASS OF WORK."
TYPE OF USE "SF UNIT HEATERS..: 0 VENT FANS...: 0 VENT gG �'�31Jl GRP....09 LIRS/COM RESSORS HOODSSYSTEMS: 00
FUEL TYPES--- 0-3 HP : 0 DOMES. I NC I N: 0
: /GAS/ / / 3 -15 HP • 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15 -30 HP • 0 REPAIR UNITS: 0
FIRE DAMPERS ?..: 30 -50 HP : 0 WOODSTOVES..: 0
GAS PRESSURE...: 50+ HP • 0 CLO DRYERS..: 0
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.: 0
FURN ( 100K BTU: 1 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN )=100K BTU: 0 > 10000 cfm: 0 04b)
Remarks: Addition of gas furnace /410
Owner: -- -- FEES
CECIL GREEN type amount by date recpt
8930 SW PINEBROOK PRMT $ 25.00 JDA 01/16/96 96- 274963
SPCT $ 1.25 JDA 01/16/96 96- 274963
TIGARD OR 97224
Phone #:
Contractor: -
SOUTHWEST SHEET METAL
10415 SW 72ND
TIGARD OR 97223 --
Phone #: 246 -6284 $ 26.25 TOTAL
Reg #..: 45089
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Gas Line Insp _
Tioard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp -
applicable laws. All work will be done in accordance with Misc. Inspection
approved plans. This permit will expire if work is not started F i n a l Inspect ion __ _________ _
within 180 days of issuance, or if work is suspended for more - �_
than 180 days.
Permittee Si.anatur•e:
Issued Pv: — - _ - ^—
Call for inspection - 639 -4175
la
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION Permit # nitL=6 - °UO '
Tigard, OR 97223
(503) 639 -4171
Name °' De+abWnenl Descnption
. Table 3A Mechanical Code QTY PRICE AMT
Job 7 [ 51,t) Prwaioe 1) Permit Fee -0- -0- 10.00
Address 4 wsuh I
\( 5 r d (°11---- C? 2 6'1"6/ 2) Supplemental Permit 3.00 , _ _
Name m n e ' bus Furnace to 100,000 BTU �
Cec\ ' e G 1) incl. ducts & vents 6.00 ' '�k
M sdaaa Phone Furnace 100,000 B tU +
Owner T 3D 503 tR,U,ybo k 2) incl. ducts & vents 7.50
_
Floor Fumance
�1 Ct 11' Ok q 1 2, 2 t 3) incl. vent 6.00
NUM (o imne m ea a,aa) Suspended heater, wall heater
n/( e__ 4) or floor mounted heater 6.00
Mming 'ddfee$ Phone Vent not incl. in '
Occupant 5) appliance permit 3.00
°"'S'a1e zv Repair of heating, refng.
6) cooling, absorption unit 6.00
Name Boiler or comp, heat pump, air cond.
5 s e, t 5 ke-el 'le( k 7) to 3 HP; absorp unit to 100K BTU 6.00
Rising Address P"0 Boiler or comp, heat pump, air cond.
Contractor 101/4A1 �('(( �Sw 8) 3-15 HP; absorp unit to 500K BTU 11.00
0dj15iata -/ Boiler or comp, heat pump, air cond.
14 )vc Of '/ , ,223 9) 15-30 HP; absorp unit .5-1 mil BTU 15.00
Stale oor, No. C em. Tax Na. Boiler or comp, heat pump, air cond.
4l &Y1 /r(e/ (U I I I 1 10) 30-50 HP; absorp unit 1 -1.75 mil BTU 22.50
I hereby acknowledge that I have read this application, that the Boiler or comp, heat pump, air cond.
information given is correct, that I am the owner or authorized 11) > 50 HP; absorp unit 1.75 mil BTU 37.50
agent of the owner, that plans submitted are in compliance with Air handling unit to
State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 4.50
Board, that the number given is correct. (If exempt from State Air handling unit
registration, please give reason below.) 13) 10,000 CTM + 7.50
Non portable
14) evaporate cooler 4.50
Vent fan connected
15) to a single duct 3.00
(2 7 , Cw /� / Ventilation system not
}yy� 16) included in appliance permit 4.50
Sv ` mer ° a g e '" ) Oi1e Hood served by
17) mechanical exhaust 4.50
Descnbe work new 0 addition 0 alteration 0 repair 0 Commercial or industnal
to be done residential,.' non - residential 0 18) type incinerator 30.00
Existing use. of Other i.e., woodstove, water
building or property Ze°S 19) heater, solar, clothes dryers. etc. 4.50
Proposed use of 20) Gas piping one to four outlets ( 2.00 z
building or property
21) More than 4 -per outlet (each) 2.00
Type of fuel - oil 0 natural ga LPG 0 electric 0
NOTICE eie
Minimum Fee 525.00 SUBTOTAL i2 ..5 --.
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE I• o.S
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL
AFTER WORK IS COMMENCED. �.-~
TOTAL r J
Special Conditions
•
Date issued by
I1: LLO G I MDS TSIM ECHPMT •
CITY OF TIGARD BUILDING INSPECTION NOTICE
_, Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171 /
Inspection:
Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk
Foundation Plbg. Underslab Rough -in/ Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough -in / FINAL:
Post/Beam Mech. San. Sewer (Gas Line / -Bldg.
Plbg. Underfloor Rain Drain Framing /// - Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. - Elect.
Date Requested: 1 ' 1- l °. 1 Cp Time:)( AM PM
Address: : 30 j/ j,Q_.
Builder: Permit #: R 1 p — •
THE FOLLOWING CORRECTIONS ARE REQUIRED:
6039- /o 9 I ,f,etz._-e0
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0 1 — k k.A.Yr--->L k,--1,--A /Q
�5 S k..)....4._ S 11 kre._ . til - 2.—
( ?.. S ''‘/.i S A L. r.
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Inspector: Date: 1 I -2 / 4,
_APPROVED DISAPPROVED I APPROVED SUBJECT TO ABOVE
all For Reinsp.
•
, Ci....e
N_' CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection:
Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk
Foundation Plbg. Underslab <lech. Rou Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough -in FINAL:
Post/Beam Mech. San. Sewer�i -Bldg.
Plbg. Underfloor Rain Drain Framing - Plumb. /
Alarm Water Line Insulation
Underflr. Insul. Shear Wall Gyp. Bd. - Elect.
Date Requested: 1 `1 1-P Time: AM PM
Address: D
16 `t'-1/ J O - j
Builder: PeOit 4 ‘ ' UQO
E FOLLOWING CORRECTIONS ARE REQUIRED:
T : / o ?i
Te -s-r- ■ 13 9 24
Cz .....____an,__.g g ,, r _A____(... e r.,„ :,,,,
CSa 4.-i-a-- Lb \ . v•..
\ i c e . , 0.' s 0.\ Q J r - 9
S.e_cw -4._- r p .
Inspector: Date: ‘1. - 1 / 51
APPROVED _DISAPPROVED X,APPROVED SUBJECT TO ABOVE
��� _Call For Reinsp. N9c `� 2-.) 11,4---Q
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection:
Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk
Foundation Plbg. Underslab Mech. Rough -in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough -in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing - Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. - Elect.
Date Requested: % - 7 J . Time: AM PM
C1
Address: 3 U VIN.-- \a-4-v* Lt... / �+
Builder: Permit #:rn� � lo - ) o
THE FOLLOWING CORRECTIONS ARE REQUIRED: S ,
Ps) kik.,/z--t-r---& ‘ If 6 ac
n) -A.e.,,c-..,..: c._ 4 Q
r•� ,-S s - N- �
Inspector: L...A.-.A....--/Q Date: V / cp
APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
--k-2\- Call For Reinsp.
--Y'"