10735 SW PARK STREET-1 ADDRESS:
i:\records\microtlm\targets\building.doc
INSPECTION NOTICF.
City of Tigard Building Departwzt
13125 8V Ball Blvd. Tigard, Oregon 9127.i
Inspection Line (Roc-O-Phone): 639-4175 Bosinese Phono: 639-4171
Inspection:
Footing Plby. Underslab (knct. Rough-in,-' Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL-
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -.Plumb.
P.bg. Underfloor Mater Line Gyp. Bd. -N*ch.
Date Requesteds - _Time:
Address:,/Z)
Builders � 13
Tag FOLIIAMING CORR$CTIONS ARE REQUIRED:
' U
-�- -- -�
Inspector: i `�'�----' Date: ?"
_ APPROVED DISAPPROVRD APPROVED SUBJ]cf-- TO ABOVE
\ C f/l Call For. Retnep.
s
INSPECTION NOTI�'E
City of Tigard Building Deper`arnt
13125 SW Hall Blvd. Tigard, Cregon 072,23
Inspection Lire (Rec-O-Phone)s 639-4175 Buninaos Phone: 639-4171
Inepectiont !_
Footing Plbg. Uuderelab-� Appr/Sdwlk
Found. Plbg. Top Out Oaa Line i FINAI.t
" Post/Beam .;_:7UCt. San. Sewer Framing -Bldg.
I
Poet/Beam Mech. Rain Drain Insulation --Plumb.
Plbg. Underfloor Mater Line Gyp. Rd. -Mach.
Date Requested, T!me s [ AM "TN
Addraeet 1 J Pet+a it
Builder: d` ...., a.. /2J'♦""�
THE FOLLOWING CORM-TTONS AM REQGIRRDt
L"r„'¢art_
_ZX CA
1
Ll- L4
L c � �....
Inspectors Datat_ -
_APPROVED V IISAPPROXID APPROVED SUBJECT TO ABOVE
J �� Call For Reinnp.
-.--- -- -_- _ -_ - I+II�C,HAhI
HAICOL
CITY OF TIGARD PERM T
PERMIT #. . . . . . . . MEC:9/+•--,-,h07
COMMUNITY DEVELOPMENT DErPP IT,NNT 1E03/1C./y4 3
13125 SW"o':dlvd.Tigard,Oregon 97223.8100 1503)830-4171
PARCEL: 2151 iO3,DA--03400
SITE ADDRESS. . . : 107 ; W I-'t=IRK ST
SUBDIVISION. . . . .. DERRY DELL FLAT c ZONING: FT-3. 5
I)LOCK. . . . . . . . . , LOT. . . . . . . . . . . . :37
CLASS GF WORK. . :ALT FLOOR TURN. . . . ; EVAP COOLERS:
TYRE OF USE. . . . ..SF• UNIT HEATERS— : VENT FANS- -.
:
OCCUPANCY GRP. . : R3 VENTS W/O ()PPI_: VENT SYSTI'MS:
STORIES. . . . . . . . :2 BOILERS/COMPRESSORS HOGJS. . . . . . . .
FUEL TYPES----- -------- 0-3 HP. . . . : DOMES. I NC I N:
: /GAS/ / 3-15 HP. . . . : COMML. I NC I N:
MAX I NPL!1 ETU 1530 HP. . . . : REPAIR UNITS:
FIRE: DAMPERS?. . : 30-50 HP. . . . : WOCIDSTOVES. . :
GAS PRESSURE. . . : 50+ HP. . . . : C:LO DRYERS. . :
NO. OF UNITS- ---- - -- AIR HANDLING UN 1'T S OTHER UN I T5. :
FURN ' 1001; BTU: (= 10000 cfm : GAS OUTLETS. : 1
TURN ) =100K SrU: l > 10000 cfm :
Remarl(s : OIL TO GAS CONVERSION
Owner: FEES
MCGRIFF type amok_(nt by date r^eept;
10735 SW PARK PRMT $ 25. 00 JG 03/16/94
5PCT 1. 25 JU 03/16/94 -
TIGORD OR 972213
Phone #:
Contra.2tor;
I:OLUMBIA HEATING
°90'0 SW PURNHAM
GPFCE E- 110
T iG aRD OR 97223 -----------------._...__.
Dhon!� #: 624--2704 $ 26. 25 TOTAL
Req #. . : '76359
----- REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Gas; Line Insp _ _
Tigard Municipa: Code. State of Dre. Specialty Codes and all other Final Insperticn
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if wort( is suspended for more
than 18N days.
I"er•mittee Si n:at .ir r :
lssi.(ed Sy :
Call 'For inspection 639-4175
City of Tigard MECHANICAL_ PERMIT Planck/Rec. # _
13125 ser Hail Blvd. APPLICATION Permit #
Tigard, OR 97223
(503) 639-4171
•• — escnpbon
J� Table 3A Mechanical Code QTY PRICE AMT
Job r��j�,_ �,� 6—#L - 1) Permit Fop -0- -0 10.00
Address ■r✓moij - -i
2) Sr-pplementr3l Permit 3.00
••• --Furnace to IW'of j GIU---
1) incl. ducts 8 vents 6.00
Furnace 100, I LI 4 - -- -
+ Owner 2) incl. ducts R vents - -7.50 -
- orx urnan,a
3) incl. vent 6.00
ra -----'75spended heater,wall eater
-�Z 4) or floor mounted heater 6.00
�� ••• �' en noTinc.—in
Occupant P 5) appliance permit 3.00
—T-- Repair of heating, reng. v-
6) cooling, absorption unit 6.00
--- -1i57io-r or comp,Fea pump,aV Tr co id
7) to 3 HP absorp unit to 100K BTU 1.00
Miler or comp-beat pump,air coi
2 J6(� 8) 3 15 1-1?absorp unit to SOUK BTU 11.00
Contractor
Bo-(Ter or comp,heal pump,air co
l � 43 9) 1530 HP absurp unit.5-1 mil BTU 15.00
_ •• w u Boiler or comp,heat pump,air co
10) 3050 HP absorp unit 1-1.75 mil BTU 22.50
hereby ac ow ge that I have read is ap ica an, a hei er or comp, ea pump,air cond
information given is correct,that I am the owner or authorized agent 1 1) >50 HP absorp unit 1.75 mil BTU 37.50
of the owner,that plans submitted are in compliance with State —khan handling unit to
laws,that I am registered with the Construction Contractors Board, 12) 10,000 CFM 4.50
that the number given is correct. (If exempt from State registration, tr an3fin`g un7----
please give reason below.) 13) 10,000 CTM 7.50
-bion porta e
�U - J Cc�QN t A) evaporate cooler 4.50
Vent an connecT53--
-`
15) to a single duct 3.00
-` -
Ventilation system not -
16) included in .-on.liance permit I 4.50
y >' L�'-t -- ' r'•y 17) mechanical exhaust - 4.50
Ubscribe work new a rtron a leratan repair - OmmefCra or m stfiaTT-
to be done residential O non-residential O 18) type incinerator 30.00
_NIS ng Use o —��! — -- t ler i.e.,wo s OVe,wera e�r—�— --
building or property U�- = 19) heater,solar,clothes dryers,etc. 4.50
Proposed use of 2i,) Gas piping one to four outlets 2.00
building or property --
T )of fuel -oil natural a� LPG 2'i-Mare than 4-per outlet -
rly O f1 \ O electric(�
Minimu,n Fee$25.00 SUBTOTAL
PERMITS BECOME VOID 1F WORK OR CONST RUCTION -
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 6%SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME F LAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED —
TOTAL
Special Condtions —- -- ---- --
-_ Date issa,ad -- -by�-
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