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CITY OF TIGARD UILDING INSPECTION NOTICE
Inspection Line 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Calling . Urn
Post/Beam Mech. Shear/Sheath Framing •Mech
Plbg.Und/Flr/Slab Pgech
Out Insulation -Elect.
Post/Beam Struct. ug -i Gyp. Bd. -Bid .
9San. Sewer Appr/Sdwlk Reins.
Other: _ _
Date: A M _ .M. Entry:
` ---
Address: O
Tenant: Ste: _.. ST -_—
(00wn: � .. - - ---- MEC:
PLM: _
THE FOLLOWING CORRECTIONS ARE REQUIRED- ELR
Inspector:
`APPROVEDDISAPPROVED/CALL FOR REINSP CF CO
CITY O F T I O A R D MECHANICAL
DEVELOPMENT SERVICES PERMIT #. PERMIT: MEC96-0/4754
13125 SW Hall Blvd.,Loard,OR 97223 (503)639-4171
DATE ISSUED: 12/23/96
PARCEL: IS135DC-06BIZIO
SITE ADDRESS. . . : 11630 SW GREENBURG RD
SUBDIVISION. . . . : ZONING: R-4. 5
BLOCK.. . . . . . . . . . : L..0T. . . . . . . . . . . . . ..
---------------------------------- -------------------------------------------------
CLASS OF WORK. . :ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :R3 VENTS W/O APPL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES------ —_-- 0-3 HP. . . . , I DOMES. INCIN: 0
., /GAS/ 3-15 HP. . . . .- 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 19-30 litD. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE— : 504- HP. . . . : 0 CLO DRYERS. . i 0
NO. OF UNITS------------- AIR HANDI...INB UNITS OTHER UNITS. : 0
FURN ( tOOK BTU: 0 (= 1.0000 cfm : 0 GAS OUTLETS. : I
FURN ) =100K BTU: 0 > 10000 cfm: 0
Remar-14s : Replace heat pi-imp
Ownera --------------------------------------------------------- FEES -----___--__
VI WILKINSON type amoktnt by date V,ecpt
11630 SW GREENBURG RD PRMT $ 25. 00 JSD IF-1/23/96 96-288103
5PCT $ 1. 25 JSD 12/23/96 96-2881, 171-,
TIGARD OR 97223
Phone #:
Contractor-:
ARROW MECHANICAL
10330 SW TUALAIIN RD
TUALATIN OR 97062
Phone #: E6. 25 TOTAL
Reg #. . : 005193
REQUIRED INSPECTIONS
This permit )s issued subject to the regulations contained in the Mechanical Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not startee
within 18@ days of issuance, or if work is suspended for more
than 180 days.
Per-mittee,
I s s i j P d v-j-
Call for inspectinn 639-41'75
CITY OF TIGARD MePlan Chec'-N
Mechanical Permit Application Recd By_- ' ""
13125 SW HALL BLVD. Commercial and Residential Date Recd ^(
TIGiARD, OR 97223 Date to P E
(503) 639-4171, x304 Date to DST.
Print or Type Permit
__ Incomplete or illegible applications will not be accepted Called r_M
—Name of Devet Pmenvjro en r____—iTo i -- — _
�� Descnpuon
f �4 r- Table 1A Mechanical Code Qry PRICE AMT
Job �I Bet dd a S-- Ar Permit Fee -
Address �� 4&ex_ ou?"'re 0 0- 10.00
E31UQN CayiSlate B) Supplemental —
upplemental Permit 3,00
Name lar name of busnessi / 1 I Furnace to 100.000 BTU
F 0600
%4 ���� {k o� ��J Incl ducts 3 vents 6 00
Matting Address 2) Furnace 100000 BTU+ 7.50
{`•f incl ducts&vents
CayiSiaie `Zip Phone 3 I Floor Furnace 6.00
_ incl vent
Ncme for name or busness) 4 ) Suspended heater,wall heater —6CO
='-AVKf
_ or.".00r mounted heater
Occupant Aainng Address — 5) Vtent not incl in
3.00 i
_ applia,ice permit
GayiS+.ate Zip Pnone 6) Boder or comp,heal pump.air Gond 600 +
to 3 HP absorp unit to t00K BTU
�1iP"° /►� 7) Boder or coin
P.heat pump.p.wr cond. 11 00
3-15 HP,absorp unit to 500K BTU
Contractor Mating Address 8 1 Boder or comp,heat pump, air rAnd 15 00
�..
15-30 HP absorp unit 5-1 and BTU
(Prior to City ZAP Phone 9) Boder or comp,heat pump.air Gond 2250
issuance a ropy 11) �7't '4� 30-50 HP, osorp unit 1-1 75 mil BTU
of all licenses are Oregon Cann.Cont.Board Lic N Exp Date 10) Boiler or comp,heat pump,air Gond. t- 37 50
required If -rt^�d >50 HP,absorp unit 1 75 and BTU
expired in C O T COT Busnaas tax or Metm a Exp Date 11 ) Air handling unit tt; 4.50
data base) r{ )✓ o,ti Irl ) _ 10.000 CFM _
Architect NaR1e 12 1 Air handling unit — 7 50
r
)Iw 10,000_CTM+
or Mailing Address 13) Non portable 4 50
evaporate cooler
Engineer Cay+stale Zip Phone 14) Vent fan connected —'
3.00
to a single duct
fa4suibe work New O Agdihon O Alteration O Repair O 15) Ventilation system not 4 50
to be done Residential Non-residential O included in appliance permit
Additional Description of work 16) Hood served by mechanical exhaust 450
_ 17) Domestic incinerators 7.50 _
Existing t8) Commercial or indu3tnaltype 30,10
building or property —_ incinerator
19) Repairunits _ 4 50
Proposed use of 20) Wood stove — 450
building or property
21) Clothes dryer.etc 4 50
Type of fuel-oil O natural gaV LPG O electric O 22) Other units 4 50
I hereby acknowledge that 1 have read this application that the 231 Gas piping one to four outlets /% 2.00
information givens correct.that I am the owner or authorized agent cf
the owner,that plans submitted are in coJnod"114 with Dregon State 24) More than 4-per outlet (eachl 50
laws
Signature 0 �
g ep geht Date QTY.SUB70TAL
'
Contact Person Na a Phone 5%SURCHARGE
11 VF-
PLAN REVIEW 25%OF SUBTOTAL
TOTALT-1
i`dstWechpmt doc (rev 7196) �— �� 'Minimum permit fee is 525+5%surcharge