Permit MCCI IC IN I CG1L
PERMIT
ICE lY OF TIGARD DATE 11/09E9 21 -433
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171 PARCEL: 2S102AB -01901
SITE ADDRESS...: 09350 SW TIGARD ST
SUBDIVISION • NO.TIGARDVILLE ADDITION AMEND. ZONING: I —P
BLOCK • LOT •55
CLASS OF WORK..:ALT FLOOR FURN • 0 EVAP COOLERS: 0
TYPE OF USE •COM UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:B2 VENTS W/0 APPL: 0 VENT SYSTEMS: 0
STORIES • 2 BOILERS /COMPRESSORS HOODS • 0
FUEL TYPES 0 -3 HP • 0 DOMES. INCIN: 0
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: 0 (= 10000 cfm: 0 GAS OUTLETS.: 3
FURN > =100K BTU: 0 > 10000 cfm: 0
Remarks: Install gas piping
Owner: FEES
L & M DRYWALL type amount by date recpt
9350 SW TIGARD ST. PRMT $ 25.00 JSD 11/09/95 95- 272729
SPCT $ 1.25 JSD 11/09/95 95- 272729
TIGARD OR 97223
Phone #:
Contractor:
ARKEN ENTERPRISES
9140 SW HWY 211
CANBY OR 97013
Phone #: 503 -651 -2137 $ 26.25 TOTAL
Reg #..: 104356
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
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.
Permittee Si •n, ire: fd j/
Issued •
Call for inspection — 639 -4175
City of Tigard MECHANICAL PERMIT . Planck/Rec. #
131t25 SW Hall Blvd. APPLICATION Permit # /46- -0 393
Tigard, OR.97223
(503) 639 -4171
".,n. of Development / Description
,0/ uJ 1A-) / 4 ! Table 3A Mechanical Code QTY PRICE AMT
Add ssa `
Job 5 3 S. (..-cl . ,4 /24' Si. 1) Permit Fee -0- -0- 10.00
Address CdY+Stde ro
-i ,Vg 6 #, X 727-3 2) Supplemental Permit 3.00
-vi name of Isamu)/ Furnace to 100,000 BTU
1) incl. ducts & vents 6.00
Mating Address Phone Furnace 100,000 BTU +
Owner 2) incl. ducts & vents 7.50
Daly/Slate zo Floor Fumance
3) incl. vent 6.00
Name for name of Isamu) Suspended heater, wall heater
L /-/-) a� w 4 /7 4) or floor mounted heater 6.00
M.7ng Address Vent not incl. in
Occupant 5) appliance permit 3.00
CtviState '4, Repair of heating, refng.
6) cooling, absorption unit 6.00
Name Boiler or comp, heat pump, air cond.
94_,(e, ) / ' 71)-7 0J2/57z - 5' 7) to 3 HP; absorp unit to 100K BTU 6.00
°°" g°°° /
Boiler or comp, heat pump, air cond.
/I-/D S_ //c4-' 7 z // 8) 3 -15 HP; absorp unit to 500K BTU 11.00
Contractor Ca,,,,,,. Boiler or comp, heat pump, air cond.
C% , j 7O (J 9) 15 -30 HP; absorp unit .5 -1 mil BTU 15.00
State R.gsOawn Not l Cty Bus. Tax No. Boiler or comp, heat pump, air cond.
/6(3.c.(, 10) 30 -50 HP; absorp unit 1 -1.75 mil BTU 22.50
I hereby acknowledge that I ave 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
Ventilation system not
16) included in appliance permit 4.50
mature owner or agent) Date Hood served by
17) mechanical exhaust 4.50
Describe work new 0 addition 0 alteration repair (� Commercial or industrial
to be done residential 0 non - residential 0 18) type incinerator 30.00
Existing use of Other i.e.. woodstove, water
building or property 19) heater, solar, clothes dryers, etc. 4.50 r /
Proposed use of 20) Gas piping one to four outlets j 2.00
building or property
21) More than 4 -per outlet (each) 2.00
Type of fuel - oil 0 natural gas LPG 0 electric 0
NOTICE=
Minimum Fee $25.00 SUBTOTAL 2G7
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE /, �—
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. r
L
TOTAL C • 2 '
Special Conditions
Date issued by
.:LLOGIMOSTS\MECHPMT
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec- O- Phone): M 639 -4175 Business Phone: 639 -4171
Inspection: r I \(
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 -Bldg.
Plbg. Underfloor Rain Drain Framing - Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall - Elect.
Date Requested: / 1 1/ 7 ( Time: KAM PM
Address: 7(3 S c '
Builder: Permit #401- ' S03 3
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: „ice! Date: /l / 7'2L
PPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line // (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection: C..._' � / V .r
Footing Susp. Ceiling Sk. Rough -in Appr /Sdwlk
Foundation Plbg. Underslab 4 Rough -in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough -in FINAL:
Post/Beam Mech. San. Sewer s ine -Bldg.
Plbg. Underfloor Rain Drain Framing - Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. - Elect.
Date Requested: / / (� �,? Time: C "'M PM
Address: 3
Builder: Permit # S 0 3 g3
THE FOLLOWING CORRECTIONS ARE REQUIRED:
p it.d ..e
Inspector: -0/ Date: ii' / ( ° 9J
APPROVED 4. 51 * APPR / 076 APPROVED SUBJECT TO ABOVE
— Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639-4171
9-4171
� Inspection: k O .rte` • L c1
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 / -Bldg.
Plbg. Underfloor Rain Drain Framing - Plumb.
Alarm Water Line Insulation -Mech�
Underflr. Insul. Shear Wall Gyp. Bd. - Elect.
Date Requested: / / / / 2 (5 S Time: AM PM
Address: // / 3 So ��- 2..
0�L.G� ,3
Builder: t 7 ST — a–( 3 7 (J Permit #: i e3
THE FOLLOWING CORRECTIONS ARE REQUIRED:
//ik ClL ( ■ CZw4-V
MA._./ �) n
F -C.- 1 5z,._ 5 sk si _
1 1
Inspector: "te: l / 3
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
? \ Ck
or Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639 -4175 Business Phone: 639 -4 7
' ! ^
Inspection: L ` l
Footing Susp. Ceiling Sprink. Rough -in Appr/ d
Foundation Plbg. Underslab 411:. 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 - Elect.
Date Requested: / ] / 3 f 5 Time: AM PM
Address: "73,5
Builder: Q ! s-03 O
� 3
THE FOLLOWING CORRECTIONS ARE REQUIRED:
d 4 4- 4 � dip e
wA- y
/1 S re? // l/ All 5 /9 ri /J C?A40 /././-10
( // c
Inspector: C Date: / //6
APPROVED DISAPPROVED ✓ OVED SUBJECT TO ABOVE
For Reinsp.