InitiallyGood ADDRESS:
S 3W �, nmo�*Zo& Place
is\records\microflm\targets\building.doc
CITY OF TIGARD MECHANICAL
FERMI f `"�•
PERMIT #. . . . . . . : MGC93-- 0,
COMMUNITY DEVELOPMENT DEPARTMENT DATE I,135UED: 09/06/93
13125 SW Hall Blvd.Tigard,Oregon 07223+81dO '(503)'030-4171
PARCEL: 2S i 02BB-00817
S I T'F" ADDRL:513. . , 1+D�:'45 5W BROOKS I DE PI_
SUBDIVISION— . : BROOKSIDE: PARI'. 7.ONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .
-------------------------------------------
CLASS OF WORK. . :ADD FLOOR FURN. . . . : EVAP COOLERS:
TYPE OF USE. . . . .5F UNIT HEATERS. . : VENT FANS- -
OCCUPANCY
ANS. . . :OCCUPANCY GRP. . :R3 VENTS W/0 APPL: VENT SYSTEMS:
STORIES. . . . , . . . : SCJILE:RS/COMPRESSORS HOODS. . . . . . . .
FUEL TYPES _._ __....__.__ 0--3 HP. . . . DOMES. I NC I N:
/GAS/ / / 3-15 HP. . . . : COMML. INCIN:
MAX INPUT: Lrru 15-30 HP. . . . : RPAIR UNITS:
FIRE DAMPE:RS?. . : 30-50 HP. . . . WOODS•TOVES. . :
GAS PRESSURE. . . : 50+ HP. . . . : CLO DRYERS. . .-
NO.
RYERS. . :NCI. OF UNITS------ - --- AIR HANDLING UNITS OTHER UNITS. :
TURN ( 1001-', BTU: 1. ( 1001210 cfm : GAS OUTLETS. . 1
F'URN )-100K STU: > 10000 cfm :
Remarks : GAS rlJRNfaL:r
Owner- -____.___----•.•--.-___..________._._____.__._._____ --•--__.______.____ FEES
I...LOYD MASONIC typV amoLlnt by date recpt
1.0245 SW BROOKSIDE PL FRMT $ 25. 00 JH 09/06/93 -
PLCK E 6. 25 JH 013/06/93 -
i 1.GARD OR 97223 5PCT• E 1. 25 JH 1219/4.46/93 -
Phone #:
Contractor : _-.____--__--_ -____-_--_.-_____..-
C:iUNSET FUEL. CO
PO BOX 42287
PORTLAND OR 9724:
Phone #: 234-0611 50 TOTAL
F?,, 1R- : 02:.374
- --_- RE:QU I RLD 1 iySPE CT I ONS -----This permit is issued subject to the regulations contained in the Gas Line I n s p ,_
Tigard Municipal Cade, State of Ore. Specialty Codes and all other Final Inspection _... _�•_�____._
applicable laws. All work will be none in accordance with
approved plans. This oereit will expire if work is not started
within i38 days of issuance, or if work is suspended for more
than 180 days.
Permittee Signati-ire :
I s s ui e d By :
Call for inspection - 639-4175
CITY OF TIGARD RECEIPT OF P(LiYMENT RECEIPT NO. :93-2.43918
CHECK AMOUNT a 32. 50
NAME : SUNSET FUEL C' CASH AMOUNT 0. 00
ADDRE-SS : PO BOX 42P87 PAYMENT DATE 09,/06/93
SURD I V 1 131 ON
PORTLAND, OR 97242-0287
PURPOSE OF PAYMENT AMOUNT t:,A I D PURPOSE OF PAYMENT AMOUNT VIA I D
MECHANICAL PE 25. 00 PLAN CHECK FE 6. 2.5
.,T. SUILD PER 1. L.5
t 024 SW BROOKS IDE Pl—
TOTAL.. AMOUNT PAID 50
City of Tigard MECHANICAL PERMIT PlarcWRec. #
6125 sw Hall Blvd. APPLICATION Permit #—
Tigard, OR 97223
(503) 639-4171
nom"'— escnpnon
Table 3A Mechanical Code QTY PRICE AMT
�M ^
Job - ( atA 1) Permit Fee _ -0- -0- 10.00
Address w
Ci-7,—Z-1 2) Supplemental Permit 3.00
(10-39_ Furnace to 100,000
tQSGt11 L 1) ind.ducts b vents _ 6.00 x-.00
Ad"""BFurnace 100,000 S U+
Owner �L-i ` W I k` ( 2) incl.duos a vu�S _ _50
V0010"M 010 Floor umanoe
iW q-LA73 3) incl.vent 6.00
wire.at C"W" SuspeiWa heater,wall heatgr „
4) or floor mounted heater 6.00
NAM Vent not ind.in
Occupant 5) appliance permit 3.00
epair of heating,re ng.
6) cooling,absorption unit 6.00
.. _ Boiler or comp,heat punp,air cond.
c
7) to 3 NP absorp unit to 100!C BTU 13.00
+.: oiler or comp, eat pump,air
con -
,;nL*- ���� 8) 3.15 HP absorp unit to 500K BTU 11.00
Contractor of er or comp, at pump,air cond.
,,14 lou )C�I ��Gvl 9) 15.30 HP absorp unit.5.1 mil BTU 15.00
or comp,Feat pump,air Gond.
,4A((0(.QJ)S$'zl'#X3.1 y 10) 30.50 HP absorp unit 1••1.75 mil BTU 22.50
-rFG-r-e;3yi ow ge atave read this app rcatwn,that ffia Boiler or comp, eat pump,air cond.
information given Is correct,that I am the owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU L 31.50
of the uwner,that plans submitted are in compliance with State Air handing unit to
laws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50
that the number given Is corroct (If exempt from State registration, Ai—rh—andling unit
please give reason below.) 13) 10,000 CTM+ 7.50
Non portable
14) evaporate cooler 4.50
Von(fan connecFed
15) to a single dict 3.00
ern anon system not -
` 16) included in appliance permit 4.50
., um -Tiood served by
17) rmechanical exhaust _ 4,.50scot w new a alteration caper mmenFindustrial
to be done non-residential 0 18) type incinerator 30.00
Existing use of �(�•• er i.e.,w stove,wafer
building or property! _ 19) heater,solar,clothes dryers,etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
building or property
21) More than 4-per outlet
Type of foal oilQ natural gas/ LPG Q electric Q
— NOTICE
Minimum Fee E25.00 SUBTOTAL d�•�•t_
PERMITS BECOME VOID IF WORM:OR CONSTRUCTION
AUTHORIZED IS NOT CCMMENCFD WITHIN 180 DAYS,OR 5%SURCHARGE I• �`�
IF CONSTRUCTION OR WORK IS SUSPENDED OR -
ABANDONED FOR A PERIOD OF: 180 DAYS A r ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED
TOTAL
Spacial Conditions C--5e, ` GL.2 A Lc-
` -`'ug11 rl.0 k Date issued --by_
l7
INSPECTION NOTICE.
City of Tigard Building Department
13125 ON Ball Blvd. Tigard.- Oregon 97223
Inspection Line (Rec-O-Phone): 1639-4175 Business Pho a: 639-4171
Inspection:�� \ (' C u IL���✓
Footing Plbg. Underelab Hoch. Roagh-in Appr/Sdwlk
Found. Plbg. Top Cut gas Line (-FINAL.
Poet/Beam Scruct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor hater Line [� Gyp. Rd. -Nech.
Date Requented:l ff ll--7 - '��1 Ll 1 rvl Tim*: (� z PM j
Address: `-f �JC)V�J�Gl \ Permit f 1
nuil.der: ��1� ��.J Q_s�_ c� u
f
THE FOLLOWING CORRECTIONS ARE REQUIRED:
InspectV-^ "� --- ------ Datec
APPROVED DISAPPROVED __-- APPROVED SUBJECT TO ABOVE
Call Fur Reinsp.