InitiallyGood ADDRESS:
i:\records\mlcroflm\targets\building.doc
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CITY OF TIGARD BUILDING INSPECTION NOT
Inspection Line (Rec-O-Phona):639-4175 Business Ph ne: 639 4171
Inspection: I
Footing Susp. Ceiling Sprink. Rough-in ,,/Appr/Sdwlk
Foundation Plbg. Underslab oug -iFireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough in FINAL:
Post/Beam Mech. San. Sewerash -Bldg.
Plbg. Underfloor Rail Drain Framing -Plumb.
Alarm Water Line InsLIlation ec .
Underflr. Instil. Shear Wall Gyp. Bd. -Elect.
Date Requested: _Time.
_KAM PM
Address: _
Builder: Permit #: /t 4�S 3Sr
T E FOLLOWING CORRECTIONS ARE REQUIRED:
CSU
o 'An
-eye) - :
Inspector: _ Da�IZ2__ 7
_APPROVED _DISAPPROVED &PPrIOVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD MECHANICAL
PERMIT
PERI�Ii-f #. . . . . . . : MGC95--04?�5
' COMMUNITY DEVELOPMENT DEPARTMENT PILRM ISSUED: i?,: iMEC9
13125 SW Hall Blvd.Tloud,Oregon 97223.0199 (503)R'.-41'71 DriTE
5/95
PARCEL: 1S134CA-07100
SITE ADDRESS. . . : 11690 SW BURI-C �1_`> 1 UF:
SUBDIVISION. . . . : BUURLWOOD N0. 2 ZONING: R---4. 5
BLOCK. . . . . . . .. . . . LOT. . . . . . . . . . . . . : 11
----------------------------------------------------------------------------------
CLASS OF WORK. . :ALT '1-DOR TURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :Sr- UNIT HEATERS. . : 0 VENT FANS. . . : 0
JCCUPANCY GRP. . :R3 VENTS W/O APPL: 1 VENT SYSTEMS: Of
STORIES. . . . . . . . : 1 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES-------------- 0--3 HP. . . . : 0 DOMES. INCIN: 0
: /GAS/ / / 3-15 HP. . . . : 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0
FIRE OAMDERa?. . s 30-50 HP. . . . : 0 WOODSTOVES. . : 0
� GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0
NO. OF UNITS---------- AIR HANDLING UNITS GTHER UNITS. : 0
FURN ( 100K BTU: 1 (= 10000 cfm: 0 GAS OUTLETS. : 1
FURN >=100K BTU: 0 > 10000 cfm: 0
Remarl4s : MECHANICAL PERMIT FOR GAS STOVE INSERT/INSPECTIONS
MECHANICAL PERMIT FOR GAS STOVE INSERT, INSERT
MECHANICAL PERMIT FOR NATURAL GAS STOVE INSERT
Owners — - ___.__.__---._._______-----.__---_____..__.________.__.____ FEES
RILE CHARLES type amcr_►nt by date recut
11690 SW BURLCREST DR PRMT E 25. 00 JMH 12./15/95 95-27:::986
CT 1. 25 JMH 1;:--,/17j/95 95-273986
i IGARD OR 97283
Phone #s 503-590-0792
Contract or:
HOMESTEAD STOVE: COMPANY
2729 NE BROADWAY
PORTLAND OR 97232 ------•-------_______________________...
Phone #: 503-282-3615 $ 26. 25 TOTAL
Req #. . : 085707
------- REQUIRED INSPECTIONS
This permit is issued subject to tS@ regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. bocialty Codes and all other Mechr-►n i ca l I n s p _.
applicable laws. All Mork will be done i„ accordance with Mi sc. Inspection
approved plans. This permit will expire it 4ork is not started F-inAl Inspection
within 180 days of issuance, or if work is suspended for more
than 180 days.
Permittee Siq'tatr.rra :
r
Issued By:
Call for inspection - 639-4175
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 sw Hall Blvd. APPLICATION Permit #
Tigard, OR 97223
(503) 639-4171
FTableMechanical Code OTY PRICE AMT -
Job in j GJ �V"w►C V s'1- y 1) Permit Fee -0- .0- 10.00-
Address —zio— ----- —
2) Supplemental Permit 3.00
--- •^^T �` _ umace`toT(RfcRRiB1lT
7�2 1) incl. ducts d veW, 6.01) �
••• --Pomace iBfU
Owner W At,44 C-e_j> "01- 2) incl.duds 8 vents 7.50
Floor ance-- —— - --
--
22.7 3) incl. ver, -6.00
—+ Su span mater;wallTieater
4) or floor mounted heater 6.00
'4'-t� ' en nor in
Occupant ' 5) appliance permit 3.00
-- Repair o eating,r- re rri - --
6) cooling,ab,orption unit 6.00
i er or c.v np,heat pump, air co
7) to 3 HP rbsorp unit to 100K BTU 6.00 —
ri er-ir comp,heat pump,au con -
COr;tf$CIOr 8) 3-15 HP absorp unit to 500K BTU 11.00
--/—T�— d er or comp,-Tat pump,air
O YEA--�� 9) 15-30 HP absorp unit.5-1 mil BTU 15.00
'•"^ •� Boiler or comip, feat pump,as r co
lob 1(1) 30"50 HP absorp unit 1-1.75 mil BTU 22.50
Tier- y ac ow e that I this applicatan,that the Wi er or comp,heat pump,air cond.
information giver is correct,that I am the owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 31.50
of the owner,that plans submitted are in compliance with Stateit and ng unit W — -- —
laws,that I am registered with the Construction Cootractor's Board, 12) 10,000 CFM 4.50
that the number given is correct (If exempt from State registration Air handling—unit -- —
please give reason below.) 13) 10,000 CTM+ 7.50
—---- -- on por a -- —
14) evaporate cooler 4.50
-` en an connec ----� --
15) to a single dud 3.00
Ventilation on system sof— - --
16) included in appliance permit -_ 4.50
—�- oo`fc server by _
17) mechanical eyhoust 4.50
a i xxi a ra repa mmerraa or in istna
to be done residential non residential Q 18) type incinerator 30.00
xis ng use o ---moi-i T .,wo--odstove--wa-er —
building or property e C j ( Y�'E"L — 19, hent ,,solar,clothes dryers,etc. 4.50 /t7�
Proposed use of 20) Gas piping one to bur outlets If 2.00
building or propert;
21) More than 4•per outlet
Type of fuel - of O natural gas]� LPG O electric Q
_ — -- � •�-�
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Minimum Fe-$25.00 SUBTOTAL—
AUTHORIZED IS NOT COMMENCED WITr11N 180 DAYS,OR 5%SURCHARGE �t
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 13z.b
Special Conditions -_-- --=-- ---
-- Date issued by._. — -
wrsorwwr
.war..rrr
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1
UXTY OF 110"R1► - k1- -1— IPT OF PiIYMI- Nl RE:CEAPT Nut aw;`a-r'I.3!1tlf+
C:HL (K AM(:)(1Nf i -b, H3
NAME: 4 HOMESTF'AD STOVE CA MPANY LP9H AMOUNT a 0. 00
ADDRESS i 27P9 NF: BROODWAY Pf4YMI-N C W4111. a I► / D �1'y:''i
3119C1Tv143X1:114 a
PJRTLAND, OR 9 7P3P---
i
PUF2F'Mf= OF" AAYME:NI AMOUNT PIM D F=URPClW Cll= PAYMF-''r4I AMOUNT PAI L)
ME:C'HAN I C.:AL_ FBF: PS. 00 ST. BL!.f 1_f► VIER
MF.'C'45--043;`-5 FOR liAS yi f l.)vf: 1 N lf-m f ('1 f tV)tPOik App/o,-
11690 SW I ORO. f..01; H'I l wj VF•, ( I l4F1Rf:� l R f C:F )
1'OTAL_ AM(lUN r PH I l)