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LNSPECTION NOTICE /
City of Tigard Building Department
13125 Sq Hall Blvd. Tigard, Oregon 97223
Inst,ection Lice (Rec-o-Phone)s 639-4175 Business Phone: 639-4111
Inspection:_ c` ?,i A/ �� 1 U7'7 G-/"
Footing P1bg. Underalab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line rIFINALD
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
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Plbg. Underfloor water Line Gyp. Bd. H4 ,=,h
Date Requested: _ `' (/ °Time: AH r_-PH
Addresst C�O rt J u �'1�F//✓l _.�• Permitcic, �J
Builder: C /'7C_'v'c-r(-/ �7 )c,5 L,O 4cn, /1 �C� aIKY0 �
THE FOLLOWING CORRECTIONS ARE REQUIRED?
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I napector: _ _ Data k
- APPROVED _^ DISAPPROVED APPROVED SUBJECT TO ABOVE
! Call For Reinap.
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CITY 4F TIGARD nlcPERMIL.;HL �
FERMI-C
COMMUNITY DEVELOPMENT DEPARTMENT DA]"LI l' #. . . . . . ME01'Sc;
13126 3W Hall Blvd.Tigard,Oregon 97223.9196 (503)639-4171 DATE I,�` Uk1i: 06/ 17/94
PARCEL r. .'S 1 I 1 LSA-029 00
SITE ADDRLSS. . . : 09825 aW JANZLN l--'C
SUBDIVISION. . . . : MCDONALU ACRES ZONING: R-4- 5 '
13LFJCK L.OT'. . . . . . . . . . . . . . f
CLASS OF WORK. . :A..I) FLOOR FURN. . . . : EVAP COOLERS: �
`I YPL OF USE. . . . :SF UNIT HLHTERS. . : VENT FHNS. . . : I OCCUPANCY ORP- 03 VENTS W/O (-PPL: VLNT SYSTEMS:
:JTORIES. . . . . . . . s BOILERS/COMPRESSORS HOODS. . . . . . .
FUEL TYf'L-c�� .._ __ _____...__. y?�-" hIF.. . . . . '1 DOMES. I IVC I N: �
/EL.E/ / / 3-15 HP. . . . : (;C1MIhL. INC:T.N
N(I Y, I NPU•I-: B I'J 15-•-?30 HP. . . . REPA I R UNi 11 S
FIRE DAMPERS'?. . : 30-50 HP. . , . : WOODSTOJES. .
GAS, PRESSURE. . . : .JO+ HP. . . . a CLO DRYERS. . ■
NO. OF UN l i'S-_.__..____.._.___ O i R HHNUL L NC UNITS OTHER UNIT'S.
F URN ( 11110K. BTU- <_4, 10000 c f m : GAS OlJ•TL_E1'S.
F'LJ RN )=100K BTU: > 10000 c f m
Remarks :
Owner. _._.______._.._.._._..___.__.____ _____.__.____.__________.____._..__...._... _._ FECES
JEJ-r MC'WTLI_.If11F) tYPe amot(nt by date V. ec-pt
9825 SW JANZ.EN CT PRMT $ 25. 00 SW 06/17/94 -
bWC1 t .1. i"J bW 06/17/94 - I
f IC:i{ IBD ON 972,:4
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Phone 4:
Lont ract or:
ENERGY MAST'E.RS INC
i4"rr_1 ;;W ?61'F1
I-'URI'LHND OR 97t2:
Phone #: 244-8880 12..6 . 215 TOTAL_
Zer;I #. . : 58556
- _ _---- REQUIRED I NSPECT I OPTS -_- --- _
This oermit is issued subject to the regulations contained in the MechantCcli Insp _,_•__•.._�,__�________
?agard Municipal Code, Stata of Ore, sperl—v Lode? s^d all othe, Final Inspection
applicable laws. All work will be done in accordance with
approved plans, This permit will expire if wnrk is not started
within 180 days of issuance, or if work is suspended for more
than 180 darvs.
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I-m i t't e 1' ca 1 w r. .... .... ._...._____._..___._....._....
Issued B y :
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City.of Tigard MECHANICAL PERMIT Planck/Rec.
13125 sw Hall Blvd. APPLICATION Perfnit # _
Tigard, OR 97223 i
(503) 639-4171 t
escnot10n
Table 3A Mechanical Code OTY PRICE AMT
1 �t
Job �ij sem(// / 7k (1 JC 1) Permit Fee il- 0 1000
Address •. Zo
2) Supplemental Pe„nit _ 300
.,M ..,... Furnace o 00,000
J�_1-�- (l•t LfJ, L L i t 1) incl. ducts &vents 600
Furnace 106,000 BTO +
r c�� `� <> LU INV VOL-' 2) incl. ducts &vents 7.50
OWr ■
'TdFloor Furnance
c5i-z-z ( 3) incl, vent 600
GL ipen a ea er,-wafr�a e�-
4) or floor mounted heater 6,Vj
.,. «• -`T'en not inc. in
FOcvipant 5) appliance permit 3 '
Y .. Repair of heating, re ng.
6) cooling, absorption unit 6.00
Boiler or comp, hepl, pump au cond.
7) to 3 HP, absorp unit to 100K BTU V 600
u ... T •^• f3oiler or comp, heat pump, air cond.
77g7J --,.LA-) 7(� 8) 3-15 HP, absorp unit to 500K BTU 11 00
Contractor V,•, ZV Boiler or comp, heat pump, air cond.
li-TL0 bot c727_7, 9) 15-30 HP; absorp unit .5-1 mil BTU 1500
.w,.a„ o - r • offer or comp, eat pump, air con .
"iS L 10) 30-50 HP; absorp unit 1-1.75 mil BTU 22.50
hereby acknowledge that ave read is application, that the Boiler or comp, hFat pump, air cond.
information given is correct, that I am the owner or authorized 11) >50 HP; absorp unit 1.75 mil BTU 3750
agent of the owner, that plans submitted are in compliance with it handling unif to
State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 450
Board, that the number given is correct. of exempt from State Air handling unit
registration, please give reason below.) 13) 10,000 CTM + 750
- on able
14) evaporate cooler 4.50
`— en an connec e
15) to a single: duct 300
'huen i ed n system not
y�� � -(-�-��f 16) included in appliance permit - _ 4.50
.o., �,�a.�« •• Hood serve y-
17) mechanical exhaust 4.50 _
escrow- new a itior'i t
alteration�-repair omrnerc.a or industrial
to be done residential ;) non-residential O 18) type incinerator _ 30.00
x s ing use of w s ove, water
building or property _ 19) he solar, clothes dryers, etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
buildino or property
21) More than 4-per outlet
Type of fuel -oil Q natural gas Q LPG (_) electric O
-� Minimum Fee $25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION _
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE L r�
IF CONSTRUCTION OR WORK IS SUSPENDED OR -`
ABANDONED FOR A PERIOD Oc 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED.
TOTAL
Special Conditions
Date issued ----- ------ by-- - - -----
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