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CITY OF TIGARD BUILDING INSPECTION NOTICE
Irspection Line (Rec-O Phone: 639-4175 Business Phone: 639-4171
Inspection: C)i '
Footing Susp. Ceiling Sprink. Hough-in App Ik
Foundation Plbg. Underslabec oug iry F ire c
Post/Beam Struct. Plbg. Top Out Elec. Rough-in
Post/Beam Mech. San. Sewer Gas Line
Plbg. Underfloor Hain Drain Framing -Plumb.
Alarm Water Line InsulationMec
Underfir. Insul. Shear Wall Gyp. Bd. -Elect.
Da', Requested:_ Ze Time:__AM PM
Address. L/cc) ����
Builder: 112 3 7c[ Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspect TDate: /O --,
PPROVED
_DISAPPROVED —APPROVED Sr IBJECT TO ABOVE
Call For Reinsp.
MECHANICAL
CITY OF TIGARDPERMIT
COMMUNITY DEVELOPMENT TNT PERMIT #. . . . . . . i MEC95—Q�355
DATE ISSUED: 10. 11!95
13125 SW Holl Blvd.Tigard,Oroaon 07223.01 503 9
-4171
PARCEL: 2SIllDC-073010
SITE ADDRESS. . . : 09400 SW BRENTWOOD PL
SUBDIVISION. . . . : SUMMERFIELD NO. 9 ZONING: R-7
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :491
CLASS OF WORK. . :ALT FLOOR FURN. . . . : EVAP COOLERS:
TYPE OF USE. . . . :SF UNIT HEATERS. . : 1 VENT FANS. . . :
OCCUPANCY GRP. . :R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES. . . . . . . . : BOILERS/COMPRESSORS HOODS. . . . . ,. . :
FUEL TYPES------------ 0-3 HP. . . . : DOMES. INCIW:
:/GAS/ / 1 3-15 HP. . . . : COMML. INCIN:
MAX INPUT: BTU 15-30 HP. . . . : REPAIR UNITS:
FIRE DAMPERS?. . : 30-50 HP. . . . : WOODSTOVES. . :
GAS PRESSURE. . . s 50+ HP. . . . : CLO DRYERS. . :
NO. OF UNITS---------- AIR HANDLING UNITS OTHER UNITS. :
TURN ( 100K BTUs 1 <= 10000 cfo: GAS OUTL.ETS. : 1
FURN )=100K BTU: > 10000 cfms:
Remarks: One residential alteration of a furnance to 100K , water heater and gas
piping to four outlets.
Owner: ---------------------------------------------------- FEES --------------
BAUERS ARLENE type amount by date reept
9400 SW BRENTWOOD PL PRMT $ 25. 00 CJS 10/11/95 95-271489
5PCT t 1. 25 CJS 10/11/95 95-271489
TIGARD OR 97223
Phone #:
Contractors ---..-.--------------------------
C'LIMATE CONTROL HTG & A-C
3315 NW 26TH AVE
PORTLAND OR 97210 ---------------------------------------
Phone #: 223-4393 $ 26. 25 TOTAL
Reg #— : 62196
-- ----- REQUIRED INSPECTIONS -------
This l.armit is issued subject to the regulations contained in the Gas Line Ins p
Tigard Municipal Code, State of Ore. Specialty Codes and all other A e c h an i c a 1 I n s p
applicable laws. All work still be done in accordance with Misc. Inspection _
approved plans. This permit will expire if work is not started Final Inspection
within 1118 days of issuance, cr if work is suspended for mo.e
than IN days.
Permittee Signat.sr-e:
Issued B y: - -r GL..' / ......__.._....
Call for inspection - 639---4175
G I I I it I IAMO 10 1 1 11 1 l IV P(o 141.-ti( Ht J .11 1 114(1. :9b... I 40,f
1.11 it.1 11. Oft ION 1 4 e6. d5
N IL)M E 11,I)NIHIlt ',W-3fl (IMI JUNI a it). ota
-,(.I Y lylF N I D f 1.4, I 1/95
ADDRIt"SS s 3315 NW W*
PORTLHND ON Yl I.i I ON
97P10
PURPOSE CW PAVIVIVINIT 1-111011141 PAID PtJNPC..)S[-- OF PJAYMI-nWl AMC UNJ PAID
—CH i_4 N-1-C—AL—'P-'� P1510 00 S1 . BUILD PFIR 1, P5
MV,C,1-19'i 035-5
IJ400 SW SM-141WO1.11)
10101- (41VIOUNI Pf-ilD
City of Tigard MECHANICAL PERMIT Planck/Rec. # ,?5-,;t?/Nf :.
13125 SW Hall Blvd. APPLICATION Permit #
PO Box 23397
Tigard, OR 97223 �� \
(503) 639-4171
esrnpuon
�U u Table 3A Mechanical Code QTY PRICE AMT
Job 1) Permit Fee -0- -0• 10.00
AddrossW,
r ,L,Z
1 2) Supplemental Permit 3.00
,.�. .«... Furnace to 100.000 BTU
1) incl,ducts 6 vents 6.00 ,
... n«» Furnace 100,000 BTU+
Owner 2) Incl.ducts 6 vents 7.50
.» LP Floor Fumanoo
3) incl.vent6.00
.T.«�... «. uspenaocl heater,
wall heater
4) or floor mounted heater 6.00
«. Vent not inci.in
Occupant 5) appliance permit 3.00
.,. o epair of heating,re ng.
6) cooling,absorption unit 6.00
of er or comp,heat pump,air cond.
7) to 3 HP absorp unit to 100K BTU 6.00
UWM Ad*— Boiler or comp,heat pump,air cond.
C 8) 3.15 HP absorp unit to 500K BTU 11.00
Contractor Boiler or comp,heat pump,air con X
Df ttj�jQ�.,. .. .. .. er or comp, at9) 15-30 HP absorp it mil 15.00
p. pump, ir coFO.
10) 30.50 HP absorp unit 1-1.75 mil BTU 22.50
hereby acknowlfw Igo that I have read this application, that the Boiler or comp,heat pump,air cond.
information given Is correct,that I am the owner or authudzed agent 11) >50 HP absorp unit 1.75 mil BTU 31.50
of the owner,that plans submitted are in compliance with State Air handling-unit to
laws,that I am registered with the Construction Contractors Board, 12) 10,000 CFM 4.50
that the number given is correct. (I(exempt from State registration, Air handling unit
please give reason below.) 13) 10,000 CTM+ 7.50
Non portable
14) evaporrte cooler 4.50
ant fan connected
15) to a single duct 3.00
GenU a,ion system not
16) included in appliance permit 4.50
I un- Hood served y
17) mechanical exhaust 4.50
Uescn wo new itwn a teration repatt Commercial or industna
to be eic:ae residential non-residential Q 18) type incinerator 30.00
xtsting use at er i.e..woodslove,waia +
building or property O � 19) hfat.t, solar,clothes dryers,etc. I 4.50 ,
Proposed use of 20) Gas piping one to four outlets 2.00
building or property
21) More than 4-per outlet -50
Type of fuel-oil O natural gas LPG O electric O
NOTME 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
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK 1S COMMENCED. n
TOTAL 12b
�L.
Special Conditions
Date Issued by
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