17019 SW VERSEILLES LANE D ,
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i:\records\microtim\targets\building.doc
LNv�CIIOK NOTICE
city of Tigard Building Department:
13125 B7s Ball Bled. Tigard, Oregon 97223
Inspection Linn (Rec-O-Phone)s 639-4175 Business Phonet 639-4171
inspections
Footing Plbg. Underal.ab Mach. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Lina FINAL:
Post/Beam strract. San. Rawer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Pl.bg. Underfloor Naterina Gyp. Bd. -Mach.
Data Asiquestods � Timis `AM PH
Addresr s 1 � 1Pernit
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Builder:
THR FOLLOWING CORRECTIONS AM I1WI t
Ine>>ec;tort n�7•,Xr" �,__ Detas
APPIIOV=D _T_ DISAPPROVRD __ APPROVED SL78JRCT TO Alkria
Ca11
For F.ainrp.
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- -------- ---- — —-— -- MECHANICAL
CITY CSF TIGARD PERMIT
PERMIT T #. . . . . . . : MEC94-003
COMMUNITY DEVELOPMENT DEPARTMENT DATE: I G SUED: 01./31/94
13125 SW Hall Blvd.Tigard,Otagon 97223.8199 (503)839.4171
PARCEL: :-'-S i 15C5-9008r-'
SITE ADDRESS. . . : 1701.9 SW VERSEILLES LN
ZONING:
SUBUI V ISI UN. . . . :
LOT. . . . . . . . . . . . . ..
CLASS OF WORK. . =NEWFLOOR—FURN. . . . :+ EVAP VENTCOOLERS:
TYPE OF USE. . . . :SF UNIT' HE'.ATERS. .
OCCUPANCY GRP. . :R3 7 VENTS W/O APDL: VENT SYSTEMS:
STORIES. . . . . . . . :P BOILERS/COMPRESSORS HOODS. . . . . . . •
0-3 HP. . . . : DOME" I t\!C I N
FUEL *TYPES--------- COMML. I NC I N:
: /GAS/ / / --- - 3-15 HF'. . . . :
MAX INPUT: I3TU 15-30 HF'. . . .
r;CF'
AIR UNITS:
F I I2E DAMPERS?— :
:0--50 HP. . . . : Wt7ODSTUVES. . :
GAS PRESSURE. . .SS . . . . 50+- tip'. . . .. : CLU DRYERS. . :
� .
AIR HANDLING UNITS OTHER UNITS. : i
NO. OF UNITS- ----
(- 10000 cfm : GAS OUTLETS.
F"UPN ( 100K BTU:
FURN ) -1001'. BTU: > 10000 cfm
Remarks : INSTALLTNG GAS LUG
FEES ---•---•--___..__—._
Owner-,: -__.___._.-_.__._.—_.-.-_---_._._..____.__.__________. date r'Cpt
DOROTHY DOI-BEER type amount hY
17019 SW VERSAILLES LN F'RM•T $ 45. Q�0 BLT 01/31/94
PCT $ 1 . 25 BLT 01 /31/94 .
i,ING CITY OR 97224
i,hone #.-
Contractor:
:Contractor.
F101' SPOT FIREPLACE & PATIO
11525 SW CANYON RD
FIEAVE.R ON OR 97005 2
6
25 TOTAL. _
Phone #: 6x6 -4652'
(leg #. . : 7178 REQUIRED INSPECTIONS
---This pereit is issued subject to the regulations contained in the Final Inspection
Tiga^d Municipal Code, State of Or•e. Specialty Codes and all other
applicable laws. All work will be done in accordance with
approved plans. This pewit will expire if work is not started — --- _-
within 180 days of issuance, or 1f work 1�• suspended for more -
than IBP, days.
i ermi.ttee Signature :
d By
G' Call for inspection — 639--4175
I
1
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 sw Hall Blvd. APPLICATION Permit #
Tigard, OR 97223 _
(503) 639-4171 5 -I 7 C_ _ MoD y z,
scnpuon _ _
Table 3A Mechanical Code QTY PRICE AMT
Job T•`-; �. 1) Permit Fee -o` -0 10.00
z7
Addresses -- 300
2) Supplement•�f Permit
1) incl. duds d vents _ _ Boo
Furnace 100,000 B I U +
C ` " ` '�' ` 2) incl. duds E vents 7.50
Owner lip Floor Furnance
3) incl. vent 6.00
alar,Wa�l�@at@r
4) or floor mounted heater - - 6.00
Vent not i .in
Occupant 5) appliance permit 300
-- oRepair o hi; bng,renT g
6) cooling,absorption unit -_ 6.00
ororcomp,�aT'pump,air con .
v, .c,' 7) to 3 HP absorp unit to 100K BTU 6.00
Boiler or comp,beat pump,ev con .
8) �A 15 HP absorp unit to 500K DTU 11.00
Contractor ----- -- Boiler or comp, a pump,air con .
91, 15-30 HP absorp unit.5-1 mil BTU 15.00
amu- CRY P.. .• i er or comp,Fi5at Pump,air cond.
10) 3050 HP absorp unit 1.1.75 mil BTU 2250
r@ y-..Wo-,4ge oa ve re is ap -,,M.W- ie r er or comp, a pump,air -.
information given is a ffect,that I am the owner or authorized agent 1 1) >r n mabsorp unit 1.75 mil BTU 31.50 _
of the owner,that plans suo mitted are in compliance with State r ing unit 450
laws,that I am registered with the Construction Contractor's Board, 12) 1Q000 CFM
that the number given is correct. (If exempt from State registration, rr" h�anc7Ingg un7i--^
p!ease give reason below.) 13) 10,000 CTM+ 7.50
- ---- -__ �-T�fon poo
14) evaporate coder 4.50
-- -- Vent tan c=necled
15) to a single duct 3.OU -`
emu aeon system not--
16) included in appliance permit - 4.50
v �w se, y
17) mechanical exhaust 4.50
scnFie w rev a ran alteration 0 repair mer or rn s na
18 incinerator 30.00
to be done residential Q non-residential Q ) type _ --
(Mar
-
xrs ng us-a ot- - - her i.e.,w000c ve,wa W
19) heater,solar,dAws dryers,etc. 4.50building or property - _
Proposed use of 20) Gas piping one to four outlets 2.00
building or property --
21) M,xe than 4-per outlot
Type of fuel - oil Q natural gas
-- ti{rhimum Foe$25 00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION !� -
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,0 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 IS COMMENCED.
TOTAL
Special Conditions
Data issued __by _
WMVMPW