12994 SW CARMEL STREET ADDRESS:
12 29'Y
c\records\microfilm\targets\building.doc
CITY OF TIGARD BUILDING INSPECTION
ND'Re@=k
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: _
Footing ST,p. Ceiling Sprink. u .in /Appr/Sdwlk
Foundation Plbg. Underslab n Fireplace
Post/Beam Struct. Plbg. Top Out ugh inFINAL:
Post/Beam Mech. San. Sewer -Gas—Line-I -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation (— -Mech,]
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:_ ,A 1 e5-O 5 __Time: _AM PM
Add ress:AZg9 y
Builder:ffi,%APermit C M,q P0 W-3
THE FOLLOWING CORRECTIONS E REQUIRED:
T�—:3
Inspector. Date:
_ FP ED _DISAPPROVED _APPROVED SIJBJE T TO ABOVE
_Call For Reinsp.
1
I
MECHANICAL
CITY OF TIGARD PERMIT #. PERMIT; MEC95--008",,
COMMUNITY DEVELOPMENT08PARTMENT , DATC ISSUED: 04/04/95
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171 %
PARCEL: ES116AD--2: 700
SITE ADDRESS. . . . 1c994 3W CARMEL ::)T �
SUBDIVISION. . . . : ZONING:
BLOCK.. . . . . . . . . . . LOT. . . . . . . . . . . . . .
CLASS OF WORK. . :ADD FLOOR FURN. . . . : GVAP COOLERS:
TYPE OF USE. . . . :SF UNIT HEATERS. . : VENT FANS. . . :
OCCUPANCY GRP. . :R'7 VENTS W/O AF'PL: VENT SYSTEMS:
STORIES. . . . . . . . : 1 BOILERS/COMPRESSORS HOODS. . . . . . . :
FUEL TYPCr___...____._._.-.__.__...._.._ IZI-=3 HP. . . . : 1 DOMES. INCIN:
: /GAS/ / / 3-15 HP. . . . : COMML. INCIN:
MAX INPUT: BTU 15--30 HP. . . . : REPAIR UNITS:
r- IRE DAMPERS' 30-50 HP. . . . : WOODSTOVES. . :
GAG PRESSURE. . . : 50-1- HP. . . . : CLO DRYERS. . :
NO. OF UN1TS------ _ AIR HANDLING UNITS OTHER UNITS. :
FURN ( 100K BTU: 1 ( 1,0000 c f m : GAS OUTLET"-.:I
FURN ) =100K BTU: ) 10000 cfm :
Remar^ks : INSTALL_ NATURAL GAS HVAC
Owner-: __ -- ___._... _ _ ____ - --- .._ _.. --- - - ---- -- --- - - - -___ FEEc; -
LOUISE COX type amot.rnt by nate recpt
12994 SW CARMEL PRMT $ 25. 00 SW 04/04/90 _
5PCT $ 1. 25 SW 04/04/95
KING CITY OR 97E24
Phone #:
Contractor=
MIDWAY HEATING CO
126 :5 BE SHERMAN
PORTLAND OR 97233
Phone #: 252-4003 f 26. 25 TOTAL
Rey 4. . : 24044
------- REQUIRED INSPECTIONS --- --
'his permit is issued subject to the regulations contained in the Gas Line Insp
Tiqard Municipal Code, State of Ore. Specialty Codes and all other Mechanical I ns p
applicable laws. All work will be done in accordance with Final InE�pection
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work i, suspended for more
than 181? days.
Permitters
I s s 1_r a r.l By
Call for- inspection - 639--4175
MOP-27-'00 TL'E 12:05 ID: FAX N0: 6132 P02
City of Tigard MECHANICAL PERMIT PlancwRec. x
13125 SW Hall Blvd. APPLICATION Permit #I(Y�('.q - �
Tigard, OR 97223
(503) 639-4171
scrip
.lob �
Table 3A Muir l Coda OTY PRICE AMT
-
Address c -CX4A M14' 1) Permit Fee
-a- -0- 1o.oa
Li 2) Supplanantal Pomslow 3.00
• -Fume`te --
t l incl.ducts i vents 6.00
Owner
< 2) kid.ducts A vents 7.50
7 Z `t 3) vd. vent
- 6-00
4) Moor mounted heater 6.00
Occupant n no win —`-----
�'L`�� 5) appliance permit 3.00
epatr a ea g;mTrg:
6)-. cooling.absorption unit 6.00
4 Oc. fin or Or -r cxnp.No—ppUM- aK—Bora.-
7)
oir7) M 3 HP;absorp unit to 100K BTU 6,00
c _ -' ----- _Ww'—w or ccxnp, a pump. 00 , b
Contractor 1 E J 9) 3-15 HP;absorp unit w 500K 87L'
11.00
� b �
3 3 9)
3. 1530 HP:absorp unit.S 1 mil STU 15.00
� ` _ gel o�camp Meat FwmP,ew
'i fare a as to l A 10) 30-50 HP;absorp unit 1-1.75 mg BTU 22.50
Y A vw reatJ 011e appTiCaf►pn t�jll�i —
informalion given Is correct,that 1 rrrr the owner or authorized ant 1 or or MP, a pump,aw ao ,
of the owner, that plans submitted are in compliance with Stat a9 11) >50 HP: glu-n-p ural 1,76 mN BTU 37.50
laws,that I am mg)stArad with the Construction Contraciors Bond, Air an Ing un -
that the number given Is rAwWt. (It exempt from Stam registration, 12) 10,000 CFM 4.50
Please give reason below.) a an wig urn --
--�—_ 13) 10,000 CTM / 7.50
an porta -—
1 a) evaporate coder 4.50
-= J 104
0 J -n77Rn«�nnrK,iwT
16) to a single duct 3,00
enu anon sysmm not' "--- "� ` '-
- 16) Included In appliance permit 4.50
serve
-day
PACS w n ---�.- ` �`s ?>) mechanical exhaust 4.50
'1On ar ration F404-Ir ommarcra arm ttn'aT to be dons rasidenthal 0 non-residential 0 1A —
tilsting U6R 0�- 1 type incinsraw( 30,00
building or property _ i >3tFar�•e•,wo a ve,wTi -- —
19) hearer, solar, dothas dryers,etc. 4.50
Proposed use of
building or proparry- � �� 20) Gas piping one to four outlets I ?,r,a a 00
T-Ype of fuel• oil 0 natural gas (k LPO alartric 0 21) More than 4-par outiat
PEPMITS BECOME VOID IF WORK OR CONSTRUCTION Minimum Fee(25.00 SUBTOTAL
AUTHORIZED IS NOT COMMENCFD WITHIN 1130 UAY9.OR M T
IF CONSTRUCTION OR WORK IS gU3PFNDED OR 6%SURCHARGE
ABANDONFD FOR A PERIOD OF 180 DAYS AT,ANY TIME cX
AFTER WORK IS COMMENCED. PLAN REVIEW 2S%OF SUBTOTAL
Spoodal Conditions TOTAL
Oris Issued ��y �(� ^by D H,
wrscwvr -----
MHP-21700 fll 1' 04 ID: FAX NO: t3�32 P01
Pool-It'"brand fax transmittal memo 7671 Nor 7", ►
rom
KING0-1 j:�
Dept, na
153 0 -W 116th evrnnua Ki: ix N � _ L a:w - 37-7/3-7
, 32
MECHAN 14c"AT- PERM > T PiF'PI, i CA'I" 2 C: iw
DATE !4- 4A- Q-'5 KING CITY BUSTNESS LICENSE NO- �i c4a_
NAME OF APPLICAhT ;1n1d.W"-A �-�T (� PHONE :-
ADD RES S
NAME AND ADDRESS OF PROPOSED JOB:
_C�'�-�onzL P%iONE:
NAME OF CONTRACTOR:
ADDRESS._� � VQf-A Vy CCB LICENSE.
DE'SCRIP^.'ION OF WORK TO BE DONE:
FOR INSTALLATION OF AIR CONDITIONERS PLEASE FUL OUT THE FOLLOWING
AND ATTACH TO THE APPLICATION P_ DTAGRAM OF W>;:ERE THE COMPRESSOR IS
SITUATED ON -THE PROPERTY
.BRAND Old' ;AIR ,CONDITIONER:
BTU's: ;xw ---� --_.—.
_ - -- NO. OF DECIBELS (BELLS) ,- --
SrONAT ViZ$ OF APPL1�Cf1NTrb
**APPROVED APpL*8TIOHS 'ARE .VALID FOR SIX MONTHS ONLY**
NOTE_ Oregon Hemebuilders Lail requires that all persons wf?o' contract for work
, on a residence be registered with the Builders Board which means tho
contractor is 'bonded and insured on the job sit. For your protection,
be Certain your contractor is registereLi by calling the Construction
Contractors Board at 1-503-378-4621 E.Ttension 5000.
OR o P I C> Sito.Ny.
APPLICATION RECEIVED BY _
DATE _
APPLICAHLS FEE RECEIVEn $_ CONDTTIONS/COMMENTS—
�_�
APPROVED BY ..-- � DATE_ — -
Note: A permit M�,.si o a obtained from the City of Tigard Department of
Corenlnity DevelopMent YssNo__
CITY OF TiQAW jMC DA-REPO T
Thi-s project has been inspected and Approved Denied,
COr!VT1l►I1t S
_ •-- ~—. Date
(City of Tigard please return one copy to X;ng city)