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CITY OF TIGARD BUILDING INSPECTION NOTICE 1
Inspection Line (Rec-O-Phone): 639-4175 Business F hone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Ream Struct. Plbg. Top Out
Elec. Rough-in <<-Fw&--;•
Post/Beam Mech. oan. Sewer
Gas Line -Bldg.
Plbg. Underfloor Rain Drain
Framing -Plumb.
Alarm Water Line
Insulation
Underflr. Insul. Shear V,all
-Elect.
Date Requested: _ c-, -_ c/S
Time; AM PM
Address:�2`I Z K
Bi6der, /a c c �z o 6
ermit #��cG
THE FOLLOWING CORRECTIONS ARE REQUIRFD: �Z" 7�(�L-
------
1 I
Inspector: "
��JJ - Date: _J_
_ APPROVED 4DISAPPROVED __APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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C17YOF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT r"-CHAN I CAL,
13125 SW Hdl Blvd.Tigard,Oregon 97223-9199 (503)639.4171 PERMIT
PERMIT #_ . : MEC94-0304
G39-41'71 L,-1`TE ISS3UL:D: 11/08/94
SITE ADDRESS. . . : 1 41 SW K ANG GEORGE DR
PARCEL_: 2-5110CC--19500 *'
SUBDIVI' . ')N. . . . .
BLOC:K. . . . . ZONING:
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. . L..OT. . . . . . . . . . . . . . r'
CLASS OF WORK. . :ALT F=1_OOR TURN. . . . : E'JAP COOLERS: a
TYPE OF USE. . . . :SF UNIT HEATERS. . : VENT FANS. . . :
[OCCUPANCY GRP. . -R?, VENTS W/O APDL: VENT SYSTEMS: 1
STORIES. . . . . . . . s 2 BOILERS/COMPRESSORS HOODS. . . . . . . : '
FUEL_ TYPES- _.__.__.___..__._.._ 0_3, HP. . . . : DOMES. INCIN:
-/GAS/ / / 3-15 HP. . . . : COMML. INCIN:
MAX INPUT : BTLJ 1 a-3,0 HFA, . . . : REPAIR UNITS;:
FIRE DAMPERS". . : 30-50 HP. . . . : WOODSTOVES. . : I
GAS PRESSURE. . . : 50.0- FFP. . . . s '
NO. OF UNIT' ----
S-- -__-----— CLO DRYERS. . .-
AIR HANDLING UNITS OTHER UNITS. :
F'URN ( 100K B1•U: l <= 1000+ cfm : GAS OUTLETS. -.
F'UNN )m'100K BTU: > 10000 cfm:
Remarks : REf-"LACE GAS FURNACE
g � Owners ...
HOWARD WESTOVER _______ FEES ---------------
y type amaUnt by date
1c41 c' SW KING GEORGE UR r^ecpt
PRMT f 0'5- 00 JF 11-1q8/94 -
KING CITY OR `IF'C1` f 1- 25 ,JF 11/08/'34 --
Phane #:
Contractor:
A•-ACCURATE 01L CO
6732 NE: 47TH
PORTLAND OR 97218
P •lane
Reg #. . : ::3391 26. ,.5 TOTAI-
_-___.___.. RE;UU I RE D INSPECTIONS
'
This pewit is issued subject to the requ)ati�ns contained ;n the Mechanical Insp
Tiqard Municipal Code, State of (Ire. Specialty Cede, and all other F"final Insper ion __.__._.__-._._.•__ __.
apn,icable laws. All work w 11 be dune in accordance with "�- ---- ---
acorcyed plans, This pewit will expire rf work is not started _�__.- -------- --_
within 188 days of issuance, or if work is suspended for more �� --- -than 180+ days.
!-'e r•m i.t t e e S i y n a t�.I r e . l G�__ _.._.._._._.. �w__.__�....___.__ _ ____..____ �._
ISS 1.r e rd 13y;
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Call for' inspection - 639--417 ;
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! � NOU-07-'94 MON 15:28 IU:CITY OF KING CITY FAX NO:503 639-3771 13733 P02
I
A.1 (per
��..1 igard rv1�CHjA1! ) I' L-RMIT Plan&.)Rec. W
3W Hall Blvd. APP' ON r ermil 4
UR 97223 GIC �i 5 r-n <��I i' ;
(503) 639-4171
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Table 3A Mechanical Coda QTY PRICE nr�'
Job e t1 1) Permit Fee -0- -0- t n ul
Address
2) Supplemental Permit 3.00
a°11• umaca 10
l+l 1) inu ducts d vents 6.00
'" u"�maoe 100,0 0-M
Owner za� / nr 2) Incl. ducts&vents 7-50
ap Z4 trmanon ■
KrN��r-•(�G 17 y _ 3) Incl. vent 6.W
NY «I1Yw�cal
_Zus—p--p-ndidstar,w w-
4) or Noor mounted hoator 6.00
en�lirr=
Occupant5) appliance permit 3.017
Repair of satiny,refrig. -�
_ 6) wuling,absorption unit 600
Goilor or comp r
7) absorp, unit to loo,000 81 U 6.00
M I or or p to 1�1
Contractor -4 - �JC - Q) absorp.unitcomo 500.000 BTU 11 W
`yZVBoI e o comp to 15-30 UP '
- t J_ (7-)c) 9) absorp,unci.5. 1 million BTU 15.W
e1 •r"'" -I3ol or or oomp to 3o w NIP t
15 3 / 5 -70 10) absorp.unit i - 1,75 million BTU 22,50
re y adowwlaiclga inathave ro2d Vitc app mtoon that tne ---S6TG`ier comp t6-0T 1s-
information given is correct,that I am the owner or authorized ugant 1 1) absorp, unit 1,750,000 BTU 31.W
31 the owner,that plans submitted aro in compliance with State Air handing unit to
laws,that I am registered wish the S fn Fltjkl rrs'Board,that the 12) 10,000 CFM 4.50
number given is oorract (It etrampt from State reglstration, please Air Fanclliig unit
give reason below.) 13) 10,000 CTM 4 7.50
ua portable
14) evaporate cooler 4.50
Vent an conrw -' �-
15) to a singly scud 3.00
nn6'a on system not
16) included in appliance permit 4,50
Hood serve 11r)Q -
17) mechanical exhaust 4.50
s new a Iden a tela repelr nsyp type -- --- --- ---—
to be done raaidendar 19non-rosidenhid 0 18) lndnaretor � 750
Existing use o orr:ry or rn ustna '� -
Wlding or property_
—- 19) type Incinorator 30.00
Other i.e.,w stove,water
building or property^
Proposed use
hontor,solar clothe.dryors,etc. 4.50
_ _
Type of fuer-ON Q natural gasi LPG()a electric O 21j Car.piping one to lour outlets 2.00
jj rr`
F rrE 22) More Man 4 per uudet
Minimum Fee Oe&- 0 SUBTOTAL
I
PERMITS BECOME NULL AND VOID IF WORK OR
CONSTRUCTION AUTHORIZEt?IS NOT COMMENCED 5%SURCHARGE
WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS -
SUSPENDED OR ABANDONED FOR A PERIW OF leo
DAYS AT ANY TIME AFTER 1hORK IS COMMFNCFD PLAN REVIEW25%fG OF SUBTOTAL
TOTAL
Special Conditions
4iod�...� by-- --
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NOU-a7-'94 94 h10N 15:27 I D:C 17Y OF KING C 17 —M— 1010:5o _- 771��_�.~q 733 P01
]KING CITY
s 15300 S.W.116th Avenue,King City,Oregon 97224 Phone:639-4082
AiECM2%M I C113L PMnm I T P_PP1�
DATE 7— 9 y King City Business License
NAME OF APPLICANT: PHONE :
-_ .......ADDRESS: — _..-- ------ _.� - - ---
NAME AND ADDRESS OF PROPOSED Jng:
PHONE. -
NAME OF CONTRACTOR : ff /}`' _u v �� 7�, PHONE. G_2-
ADDRESS,
_ADDRESS;
�.7 3.•� /S7G- �f 7 r�' _J1d �'�Z�`, LICENSE N O. ._ 5--33 �
DESCR 1 PT I ON OF WORK TO BE DOPE:�5L /-04//
s_
FOR INSTALLATION OF AIR CONDITIONERS PLEASE FILL OUT THE FOLLOWING
AND F,TTACH TO THE APPLICATION A DIAGRAM OF WHERE THE COMPRESSOR IS
€I TUATED ON THE PROPERTY.
BRAND OF AIR CONDITIONE
BTU'S , - -- 0. 0 LS
SIGNATURE OF APPLICANT:
"APPROVED APPLICATIONS ARE VALID FOR SIX MONTHS ONLY**
NOTE: Oregon Homebuilders Law requires that all persons who contract for work
on a resid.er.ee be registered with the Builders Board which means the
contractor is bonded and insured on the job sit. For your protection,
be certain your contractor is registered by calling the Construction
Contractors Board at 1-503-378-4621.
--
—FOR OFFICE _USE_ONLY __ I
APPLICATION RECEIVED BY C,;:t \j�;�� . ?� _ DATE_ �I 7-
APrLICABLE FEE RECEIVED .C� CONL�-,TIO n E
__.�_.s�._ TIONS/C_MM�N'f$
APPROVED BY - DATE _
NotQ: A permit must alse be obtained from the City of Tigard Department of
Community Development Yes
This CITY OF TIGARD INSPECTI.ON REPORT __-
project hag een inspected and Approved Denied
Comments -
Signature
Date--
(City
ate _(City if Tigard please return one copy to King City)
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