11380 SW COTTONWOOD LANE ADDRESS:
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection. Line (Rec-O-Phone): 639-4175 Business Phone: 639.4171
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Inspection:
F,oting Susp. Ceiling Sprink. Rough-in Appra9dwlk
Foundation Plbg. Under,lab /Aluch RougTi i�'�ti /Fireplace
Post/Beam Struct. Plbg. Top Out -ec. oug -in FINAL:
Post/Beam Mech. San. Sewer Gas Line %/16/1 -Bldg,
Plbg. Underfloor Rain Drain Framing -Plumb. /
Alarm WeJvr Line �/
Insulation :ech'
Underilr. Insul. �---� 4h r yea 96 Gyp, Bd. Elect.
Date Requested _1:2-0 Time: AM PM
Address: �.L (9
Builder: F ermit q�� cf
THE FOLLOWING CORRECTIONS ARE REQUIRE-D:
Inspector. Date:
"- APPROVED —_DISAPPROVED _APPROVED SUBJECT TO ABOVE
_`Call For Reinsp.
In" ON NOTICE
C?ty of Tigard Building Departma,-.
13125 SW Ball Blvd. Tigard. Oregos ?7223
Inspection Line (ReC-q-phone): 639-4175 Beninese Phone: 639-4171
Inspections
Footing Plbg. Underelab Nech. Rough-in Appr/Sdwlk
Found. Plbg. Top out Cas Llns�� FINAL:
Post/Beam Struct. San. Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. P:. -Nech. ♦
Date Requested.__ p Time: WI PN
Permit
Builder:
THE FOLLOWING OORRECTTONS ARIS RRQUIRED:
I
— I
—
_ -----_—�. __ -- Date. iJ /CJ- 93-.
APPROVED DISAPPROVED
_- APPROVRn SUR.TPCT TO ABOVE
Cell For Reinep.
CITY OF T I PARD MECHANICAL
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT
13126 SW Hall Blvd.Tigard,Argon 97223e8199 (503)639-4171 PERM lT #. . . . . . . : MEC95-0009
639 -41 /1 DATE 01/09/95
PARCEL: IS134BD-07006
SITE ADDRESS. . . : 11--W SW COTTONWOOD L1q
SUBDII)ISION. . . . . ENUL.EW0OD NO. 3 ZONIN3: R-4. 5
BLOCK. . . . . . . . . . OT. . . . . . . . . . . . . :23_3
CLPSS OF WORK. . :ALT FLOOR FURN. . . . : EVAP COOLERSi
] YPL OF USE. . . . !FjP UNIT HEATERS— i VENT FANS. . . :
OCCUPANCY GRP. . :R3 VENTS W/O APPIL: VENT SYSTEMS:
SJORIES. . . . . . . . 11A BOILERS/COMPkESSORG HOODS. . . . . . . :
FUEL TYPES-------- ------ 0-3 HP. . . . : DOMES. INCIN:
/GAS/ 3-15 1AP. COMML. INCINe
MAX INPUT: BTU 15-30 REPAIR UNITSo
F RF DAMPERS?. . 30-50 HP. . . . : WOODSTOVES. . 3
GAS PRESSURE— : 50+ HP. . . . : CLO DRYERS. . .
NO. OF AIRWHANDLlNG UNITS OTHER UNITS. i
FURN ( 100K BTU: 1 < 10000 cfm : GAS OUTLETS. -. 1.
FURN ) =100K BTU: > 10000 cfln :
Remar,ks : ELECTRIC TO GAS CONVERSION FUIRNOCL
Ownet-. FEES
JANE CORINGTON tvr.o amoi.Ant- by date V'@Cpt
11580 SW LOTTUNI-Jr--29 PROT t 25. 00 JF 01/219/95
1. .--'5 JF 01/09/05
TIGARD OR 97,-223
Phone #:
Coat raLt Ut"I
SYSTEM-PI
14444 SW FERN ST
TIGPRI) OR 97223
Phone #: 5036E69780 t 26. 25 TOTAL
Rep 4. . - 3806L
REQUIRED INSPEC41ONS
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 Mechanical I n s p
applicable laws. All work will be done in accordance with Final Inspection
approved plans. This permit will expire if work is not started
within IRI days of issuance, or if work is suspended for more
than 180 days,
Pet-mittee Signat .it,e :
I sist-ted By :
Call for- inspection 639--4175
City of 1igard MECHANICAL PERMIT Planck/Rec. #
13125 sw Ball Blvd. APPLICATION., Permit #
Tigard, OR 97223 -7
(503) 639-4171 �� 2�''
_ I y"e
•^� -- axiphon --- -- --
Table 3A Meat �_'C.xin CITY PRICE AMT
Job _1)=_1_1n111_1
. X 1) P_.,.eit Fee -0- •o• 10.00
Address O l�>ti 1Nr� 2) Supplemental Permit 3.0t.
st---- -- -- umace to 101:1,13M BTU--
o
TU-I) ir:l.ducts A vents 6.00 (p -
OEM Furnace +
(rarer 1 7 SLA_) 2) incl.ducts&vents 7.50
— —F oT-or umance -
"T i C-_IPQ (� ,CYC'_ -12 l j 3) incl. vent 6.00
-- ^•�• ---- spe ser,wrier--- -
S 4) or floor nauntee Laater 6.00
- ---` -- en no incl.in
Occupant5) appliance permit 3.00
-'—� epair oheating,re --
6) cooling, absorption unit E.00
" Hailer or comp,visat pump,air co . -
Sy STt._ry1 V"}-t tQ ( � - 7) to 3 HP;ahsorp unit to 100K BTU - 6.00
� --- ter orr pomp, en pump,air co
Contractor u t{c•j Lj �} C-1�V 11Q ;�i 8) 3.15 HP;absorp unit to 50oK EITU -- 11.00 -
uqom� 1357R- or comp,Niffpump,air&)-r-,-A -
_T_e^V2 iQ OQ C-?-JZZ 3 9) 15-30 fIP;absorp unit.5.1 m;i tirU 15.00
• u °- Boiler or comp, e_a puma,air con - `
-�Z_ 10) 30.50 HP;abs(xp unit 1-1.75 mil BTII_ 22 Pl I
e>�ac iow ge a. nave read its app ica ion, at the �HaTer c:comp, ea pump,ai- .....con - ----tFF
iniunr.ation given is correct, Lhat I am 'he owner or authc.irF i agent 11) >50 HP;absorp unit 1.75 mii BTU 37.50
of the owner,that plans submitted 3Rd In compliance with Stats t�anndling urnt to -
laws, that I am registered with the Construction Contractor's Board, 12) 10,000 CFkI. 4.50
that tha number given is correct. (If exempt from State registration, -.lilt-anrAing urnr------
pirmso give reason bolow.) 13) 10,000 CTM 7.50
- -- --- - -- - an portable ..-
14) evaporate cooler 4.50
--- - -- �'- Vent tan conn
15) to a single duct 3.00
Ventilation
sY,rem nn►_- _-- M
19) includer';,,appliance permit 4.50
Hood served oy --
17) mechanical exhaust 4.50
escrt worTc- new addlmon aeration reps r U _76m—mer6itill or inclustnal
to be done residential Q non-r--'_Ilntial Q 18) type incinerator 10 P1
ME
ng useOf
building or property _ 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 -)r outlet
Type of fuel - ail Q natural gas Q LPG Q electric Q -------- ---
Minimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION --
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR - -
ABANDONE ' "JR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORE;IS COMMENCED, ------ - --
TOTAL
Special Conditions t J
Date issued by
M�YiCHMIT
�aidbaMw
CITY UF TIWARD NK-CFIP'l' UV PAYMENJ HELF'-IPT NO.
CHECK AMOUN"I
NAME x SYSTEM—AIRE INC CA9H AMUL)NI
ADDRESS a Pt4YMF..Nl DATF. ti 011/09/9b
SUBI)I V I'S 1 ON
PURPOSE OF PAYMk-.NT AMOUNT PA 10 PLJRPOSF OF PAYMEN*r AMUUNT PA 11)
Er WANICAL PE!, 25. 00 ST. BUILD 25
11-380 SW CUITUNWO01) LN
TOTAL. AMOUNT PAID