10296 SW ELISE COURT i:\records\microflm\targets\building.doc
e.
City of TMW d Suilding Depa tAmt_
13126 OW Ball Blvd. Tigard, Oregon 9.1227
Inspection Line (Roc-o-Phona;i 639-4175 Businsua Pho es 639-4171
Inspoctions_
Tooting Plbg. Underslab Mach. Rough-in Appr//dwlk
Found. Plbg. Top Out Gas Line FIBALs
Post/Beam Struct. San. Reeser F.-aming -Bldg.
Post/Roam Mech. Rain DraLi Insulation -Plawks.
Pl.bg. Underfloor Nater LLM Gyp. ad. _Nwh.
Date Requestedi 11 -23-93 _Times (01 —o '. PH
Address s C) l— \( C' Permit #s
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRF_P: `
d
" _rte w.vw do vim,. v4
\AJ can -5 _
Inspectors_ — Date t. / 1 _ 3
APPROVED DISAPPROVED APPRUVEn SUBJECT To ABOVE
Call For Reinsp.
MECHANICAL
CITY OF TIGARD PERMIT #. . .PRMIT
. . . . : MEC93-•0326
COMMUNITY DEVELOPMENT DIEAR JT DATE ISSUED: 11/17/9y
1312E SW Hail Blvd.Tigard,Oregon 07223.8199 (503)839.4171
PARCEL: 2S114BB•-19400
SITE ADDRESS. . . : 102.36 SW ELISE CT
SUBDIVISION. . . . : RIVERVIEW ESTATES TONING: R-•7 PD
131-OCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :40
CLASS OF WORK. , :NEW FLOOR FURN. . . . : EVAP COOLERS:
TYPE OF USE. . . . :SF UNIT HEATERS. . s VENT FANS. . . :
OCCUPANCY GRP. . .-R3 VENTS W/0 APPL: VENT SYSTEMS:
STORIES. . . . . . . . :2 BOILERS/COMPRESSORS HOODS. . . . . . . :
FUEL TYPES------------- 0-3 HP. . . . : DOMES. I NC I N:
. /WOO/D / / 3--15 HP. . . . : COMML. INCIN:
MAX INPUT: BTU 15-30 HP. . . . : REPAIR UNITS-
FIRE DAMPERS?. . : 30-50 HP. . . . : WOODSTOVES. . : i
GAS PRESSURE. . . : 50+ HP. . . . . CLO DRYERS. . -
NO.
RYERS. . :NO. OF UNITS---------- AIR HANDLING UNITS OTHER UNITS. :
FURN ( f OOK BTU: (= 10000 cf m: GAS OUTLETS. :
FURN ) =100K BTU: > 10000 cfm:
Remarks : WOOD STOVE
Owner-: ----- -__________.____--•--____________.__.____-_ FEES
GARY DOUGHTY type amount by date recpt
PRMT f 25. 00 BLT 11/17/93 .
SPCT t 1. 25 BLT 11/17/93
Phone #:
Contractor: -------__--_-.-----------------
CONT RAC:TOR NOT ON FILE
-----------------------------------------
Phnne #: f 26. 25 TOTAL
Reg #. . .
-------- REQUIRED INSPECTIONS -------
This permit is issued subjict to the regulations contained in the Final Inspection
Tigard Municipal Code, State of Ore. Specialty Codes aid all other
applicable laws. All work will be done in accordan^e with _
approved plans. This permit will expire if Mork is not ;tarted
within 180 days of issuance, or if work is suspended for more
thin t88 days.
permittee Si gnatur^e :
I s s 1.-i e d B y : ---- --- -- -_
Call for inspection - 639-4175
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 sw Han Blvd. APPLICATION Permit #
Tigard, OR'97223 -�– —
(503) 639-4171
/oo
Table 3A Mechanical Code QTY PRICE AK1T
Job I ,S(A) "I 1 ' 1) Permit F90 -0• 0- 10.00
Address .- -----
i (a(firopq7Z q 2) Supplemental Permit 3.00 -
LU "I O 1) irKA.ducts d vents 6.00
-` uniT-ace--ii1Z3 ,5i
Owner SAmc C6 (Ah-ij( f, 2) incl.ducts 6 vents 7.50
Do --" ---F ol`orFumanoe ---- _
3) incl. vent 6.00
"�""�• �`-iuspo-n3ca3Fieater,w ea er - ""
4) or floor mounted heater 6.00
Occupant ^^ _— Writ not mnc'T in
_ 5) appliance permit300
y —`T�irorTiearng,rung:—
6) cooling,absorption unit 6.00
--510-ier►-or comp-,F;a l5U-a p, .-
7) to 3 HP absorp unit to 100K RTU 6.00
B00W Or jm-np, i-7 eaTpump,air ca
riorltraCtOf ___ �_____ 8) 3-15 HP absorp unit to 500K BTU 11,00
--' — Boger or comp,beat pump,are co
----- 9) 1530 Hill absurp unit.5-1 mil BTU 15.00
- _-- r -T --���r oncomp, eat pump;au cor3 ------
10) 30-50 HP absofp unit 1.1.75 mil BTU 22.50
ZTiHrwby a�riiiwT e a va read�iis op uca �, a --- comp }T--,�, con3--
information geven is cxrrect,that I am the owner ur atmthorized agent 11) >50 Hp absorp unit 1.75 mil BT'1 31.50
of the owner,that plans V-6mitted are in compliance with State —WWa—ali56-un' miT- —'
laws,that I am register(xf with the Construction ContracWs Board. 12) 10,000 CFM 4.50
that the number given is correct. (lf exempt from State registration, Aif —r
please give reason below.) Y _ 13) 10,OW CTM+ 7.50
on poriaTi aT— '— —
14) evaporate coder 4.50
en an ccxmnec "----
— -- -----.-----____— 15) to a single dud 3.00
----- --- en Talion system not -
-__ - - 16) irxckded in appliance permit 4.50
17) rmchank At exhaust 4.50
Describe wor newX_l a Ion a teralrOn — rPpah omrnBrrla or to rstik]T—�."�"—
to be done residential( non-rusidential O 18) type incinerator 30.00
�
T7X 3Ting USS Of --- ----__- -
er m.e.,YYu __+omfg,wa ar
building or property 19 heater,srAar,clothes
) dryers,etc. 4.50
eo"sed use of 20) Lias piping one to tour outlets 2.00 _
but"-property --- --
Type Of fuel-of O natural gas® LPG O el Kft O 21)_Mane than 4-per outlet _
Minimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION - ----
AUTHORIZEDIS NOT COMMENCED WITHIN 180 DI,YS.OR 5%SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR -- -- t
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME _ pip REVIEW 25%OFSUBTOTAL
AFTER WORK IS COMMENCED. - - _
Special Conditions - TOTAL t
— _ Date issued by
wwEasrrr
CITY OF TIGARD RECEIPT OF PAYMENJ RECEIPT NO. o93-246011
CtAFCK AMOUNT 26. 25
NAME s DOUGHTY, Kill CASH AMOUNT a 0. 00
ADDRESS a 10296 SW FT.I�W C PAYMENT DATE A 11/17/93
97224-T WARD, OR SUB061SION
-
PURPOSE OF PAYMENT' AMOUNT PAID PURPOSE OF PAYMENT HMOUN T PA 11)
M L.-C—HA—N—I CAL PF. W-i-F93-03216
'11TAL AMOUNT PAID P6. 25