8878 SW EDGEWOOD STREET ADDRESS:
son-
"P-
i \records\microflm\targets\building.doc
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: C �l
Footing Susp. Ceili g Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg,
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulationeco)
Underflr, Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested; �� ,!Z 2,, -�--1•L_Time: AM M
Address:
Builder: Permit q: ` S C '4
1 HE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Data:
Pf30VED _DISAPPROVED _APPROVED SUBJECT TO AEOVE
—Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-0-Phone): 639-4175 Business Phone: 639-4 1
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr
Foundation Plbg. Underslab f�lectf"�iou Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer as Line gld
9•
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Meeh.
Underllr. Insul. Shear Wall Gyp. Bd. 61 -Elect.
Date Reye )sied: _ 1 TimeJ!:�-- M PM
Address: e4-C` (-k.,-C�-_C!-1[fj �I—Builder: �n C - _i1 Z 2� J Permit - s -C) y`'i�/
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Dater
OVED T_DISAPPRUVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
�� V
CITYOF TiCARD Mt PERMICAL
1='ERM
IT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : MEC95-0441
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (563)839.4171 DATE ISSUED: 12/20/95
PARCEL: 2SI02DD-00902
SITE ADDRESS. . . : 06878 SW 1=DG1_WOGD ST I I
SUBDIVISION. . . . . EDGEWOOD ZONING: R-4. 5
BLOCK. . . . . . . . . . . !_OT. . . . . . . . . . . . . :e.
— — —_--_---' —� EVAP
_ .,__ ~
CLASS OFWORK. . :ALTFLOOR FURN. . . . : COOLERS: Q1
TLFPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0 --
OCC:UPANCY GRP. . :R3 VENTS W/O APDL: 0 VEN? SYSTEMS: 0 �
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES-------------- 0-3 HP. . . . : 0 DOMES. INC.'1 N: 0
: /GAS/ / / 3-15 HP. . . . : 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 13-30 HP. . . . .. 0 REPAIR UNITS: 0
FIRE DAMPERS?— : 30-50 HP. . . . : 0 WOODSTOVES. . s 0
GAS PP.ES5URE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0
N0, OF UNITS------------ AIR HANDLING UNITS OTHER UNITS. : 0
FURN ( 1O0K BTU: 0 (= 10000 cfm: 0 GAS OUTLETS. : 1
FURN > =1O0K BTU: 0 > 10000 cfm: 0
Remarks: Install gas piping
Owner: -----------------------------------------------------• FEES
MIKE BANTER type amount by date recpt
8876 SW EDGEWOOD PRMT $ 25. 00 JSD 12/20/95 95-274106
5PCT $ 1. 25 JSD 12/20/95 95-2741O6
TIGARD OR 9723
Phone #: I
Contractar: -----------------------------
FIRESIDE CONTRACTORS
18389 SW BOONES FERRY RD
PORTLAND OR 97224 ----------------------------.------_--
Phone #: 684-8535 26. 25 TOTAL
Reg #. . s 40979
REQUIF!,.D INSPECTIONS
This pereit is issued subject to the regulations contained in the Gas Line Insp
'hoard Municipal Code, State of Ore. Specialty Codes and all other Mechanical I n s p
applicable lavas. All work will be done in accordance with Final Tnspeci. .i on
approved plans. This permit will expire if work is not started
within IBB days of issuance, or if work is suspoWed for more
than 188 days.
Permittee Signature:
._..4. _....._ .L...__. ....._ _ ..
4�
Call for inspection - 639--4175
City -)f•Tigav� MECHANICAL PERMIT Planck/Rec. #
13125 SW Nall Blvd. APPLICATION Permit # Hyl
Tigard, OR 97223
(503) 639.4171
F - -— -- --
"-'i=-- `�- esc nptari
Table :,A Mechanical C(xJr OTY PRICE AMT
Job I 'Z C �, _ . 1) Permit Fee 0• -0- 10.00
Address
,�. 2) Supplernwital Permit 3.00
Furnace to ,=3-rCT -
ti1 1) incl, ducts &vents 6.00
OWwner --15 `^�� 2) incl. duds R vents 7.50
+ Floor urnance
3) incl. vent 6.00
-W^11112r «I - guspen eater, wa eater -
,�, -- 4) or floor mounted heater 6.00
• w •+ Vent not me. in—`--
Occupant 5) appliance permit 3.00
' --" Repair o nee ing, 01 -
6) cooling, absorption unit 6.00
a� m•
Poiler or camp, heat pump, air cond. -�
7) to 3 HP, aber•o unit to 100K BTU 6.00
Bailer or romp. eat pump.air cone
� � -� �,� ' z 8) 3-15 HP: absorp unit to 500K BTU 11.00
Contractor r - -
^ _ u•
Boiler or comp, ea pump, air mon I
9) 15-30 HP; absorp unit 5"1 mil 61TJ 15.00
"•^ ^a'' - A •^ - of er or ompTiea pump, air c"'" onr�
yp� Jr� 10) 30-50 HP; absorp unit 1-1.75 roil BTU 22.50
T hereny acKnow ge that ave rea
this applicattion,� a the of er or comp, eat pump, air concr
information nrven is correct, that I am the owner or authorized 11) %50 HP, absorp unit 1.75 mil BT1J 37 50
agent of the owner, that plans submitted are in compliance with it an rng u d o
State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 4.50
Board, that the number given is correct. (if exempt from State it an ing umi-
registration, please give reason below) -� 13) 10,000 CTM + �^ 7.50
Non portable
14) evaporate cooler 4.50
- Vent anIconneciea---
15) to a single duct 3300
en i Ghon sys em not _
16) included in appliance permit 450
Hood seerv;. Tiy
new addition aerabo 17) mectianical exhaust _ 4 50
Describe wan �� Commercial or inustn'T----
to be done residential LE4-,,non-residential (J 18) type incinerator 30.00
Existing use at (' — Other i a. woo stove,water
budding or property _ 19) heater, solar, clothes dryers, etc. 450 r
Proposed use of 201, Gas piginq one to four outlets 2.00
building or propel ry
21) More than 4-per nutlet (each) 2.00
Type of fuel -oil Q natural gas LFG U electric Q-
----NOTICE--p
Minimum Fee 525.00 SUBTOTAL �7
PERMIT'S 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
I TOTAL
Special onditions
Date issued by
WILD71MD9TSMEC/W11�
ti
Uly OF "110i1m) — H1-1.:Fn1P1 (if. PAYM.".141 I N(J. c1/41vlb
V34ECK V4,100W y ;;ell. ;-")
N14ME. a FIRESIDE DIS[HIBI.M.Mli OF U-1144 Wut)rll 0. Wo
ADDHLBS A ORLUUN INC PHYMfg: 41 Df-flf- z I c/�.V 4
113389 SW BOUNES FERRY RD )-il 1W)I V 1'-.1. N
PCIRIIJ4Z oR q7pe',
wl WPOSE. OF PAYMENT AMMIN] P010 PUW,t1b*V.-. Lil- PHYMEN1 60101.NH 1'1?1
WFLrliiWIT'i-1l OF MFf5--01441 IAIA S1 . F11111 1) 11VU
OR 78 SW FMOEWOOD
11-1101- 14MILINI 1-4)ID