12160 SW PAR 4 DRIVE ADDRESS:
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Lino: 639-4175 Business Phone: 639.4171
Footing Rain Drain Cover/Service AI_:
Foundation Water Line Ceiling Plumb.
Post/Beam Mach. Shear/Shanth Framing -Mach.
Plbg.Und/Flr/Slab Plbg. Top Out Insolation -Elect.
Post/Beam Struct. ou h- Gyp. Bd. -Bldg.
San. Seweras LiAppr/Sdwlk Reins.
Other: `��
Date: . — A.M. _P.M. _ Entry;
Address: _ / -)-1(0
Tenant:_ _ Ste:_ MST:
Con/Own: BOP:
MECr
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
I
Inspector: — _ Date:
j!!�APPROVED __DISAPPROVED/CALL FOR REINSP. CF C ,
MECHANICAL
PE
CITY OF TIGARD PERAiT #. . . RMI. . . .T. MEC96-0c...
COMMUNITY DEVELOPMEN r DEPARTMENT DA17- 15)GUED: 08/09/96
13125 SW Wtil Blvd.Ti,ard,Oregun 97223.8199 (503)639-4171
PAPCEL- 2'_:,11lZlCB--02400
SITE ADDRESS. . . : 1 1.60 SW PAR 4 DR
SUBDIVISION. . . . : ZONING:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . .
CLASS OF WORK. AL T FLOOR PURN. . . . IZI EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP,. . :IR3 VENTS W10 AP,PL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 9OILERS/COMV,RE5SORS HOODS. . . . . . . : 0
FUEL TYPES---- 03 I-AP). 10 DOMES. INCIN: 0
: /GAS/ 3—1.3 HP., 0 COMML. INCIN- 0
MAX INPUT: 0 B T U 15--.30 1-11:.. . . . . 0 REPAIR UNITS: CA
FIRE DAMPERS?. . : _3050 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . 504- HP. . . . : 10 CLO DRY1_:".I:RS. . : 0
NO. OF AIR HANDLIN1"3' UNITS OTHLR UNITS. C
FURN ( 100K, BTU- I (=- 10000 C-fin : 0 GAS OUTLETS.
FURN ) =100K BTU: 0 > 10000 cf. : 0
Remar-ks: A I t et,at j.on of a fi.tin ace to 100t', FTUs and gas Iji p i in g to -Fo 1-ti- o .it I et s
uwnerl: ———————————————--—- ——— FEES
JAMES SIMONS type amoi..rnt by date ir-eclot
12160 SW PAR 4 PRMT $ 25. 00 CJS 08/09/96 KING Clif
SPCT $ 1. 25 CJS3 08/09/96 KING C IT
KING CITY OR 9*7224
Phone #:
Contr-actor.:
ROTH HEATING
ROTH ZACHERY HEATING INC,
PO BOX 1265
CANNY OR 9701
Phone #; 26. E1.5 TOTAL
Rep #. . .- 014008
REUUIRE'D INSPECTIONS
This permit is issued subject to the regulations contained in the Ga-, Line Inst)
Tigard Monicipal Code, State of Ore. Specialty Code, and all other Mcthan ical Inspi
applicable laws. All work will be done in accordance with F- j.nal Inspection
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for mor!
than 186 days.
——--
------
Issi.ted By: .......................
,all fov- inspection 639-4175
-�--- -MAR-05-100 MON 05:59 I D: FAX t 4l]: 179 P02
City of Tigard MECHANICAL PERMIT Piant;QRec. #
13125 SW Hall Blvd. APPLICATION Permit # ;Y^!'e,915 C7a-'E
Tigard, OR 97223
(533) 639-4171
-lferatpdon
Table 3A Mechanical Code OTY PRICE I AMT
Job /z /� C iL- /nCr 1) Permit Few - - �. 0• 10.rx�
Aadress -
G. QY_ -�71.� r 2) Supplemr+ntat Permit 3.00
BTU-`..
1) Incl. ducts+I vorim 6.00
Owner2) triol.duals e>;vents 7.50
-rte- ---__.--.. - - ____�•-. - -__----__--
'�Toa Fur�oneo
T) Incl utnt 6,00
feaw'r,
t) or floor mounted heamr 6.00
o-7-670 5 .in _-
Occupant 5 appliance permit 3.0n
T3•epair nT eaTi—un-y-ivTrg.— --- -- _.__ ____.
6) a.aoling,absorption unit 6.00
TW or comp,hoat pump,au c zn . — ^p
d 6'/•� `I 7) to 3 HP;abrorp unit to 100K BTU A 00 -
" +-ZI-—01COMP, til pump.air cnrKI - -
X/0 f�&J' t50
H) 3.15 HP;absorp unit to 5K 81 IJ 11.00
Gnntractnr s
Bode(or oamq. pump,air ca -'—
°l h [�? � 9) 15.30 HP:absorp unit.S I mil M 15.00 -
er or ownp, eat pump,atr ao
1 t aye 10) 30-60 HP;abaorp unit 1 1.75 mill BTU 22.%
TTier"oSy ac ow ge 8 Y9�F f1Q�C8 On, 18 e - +er or eomp,`9-a pum("-'p air corgi
information gtven Is cort•ecl,that I sim the owner or authorized agent 11) >60 HP;absorp unit 1 75 mW BTU 37.50
nt tha owner, that plans suhmitted are In complianaH with State +r nn rg-5nTS - -- -
laws,dial I am rvgisumvd with the Construction Contractors Board, 12) 10,000 CFM 4.54
that the number gtvon is correct. (If exempt from State registratiun, +rh� r1g un
please give reason below.) 13) 10,000 CTM+ 7.50
141 evaporate cooler 4.50
- eent nactod
15) to a tingto dud 3.00
16) ut.0d in Baru a� a+lianpermit -- -- a.50
W -
17) mechanlcW exhaust 450
MvicriEZ w6r1i n w-U '&WIN55 C1 a era or repairomme- ru- or"Z + a' -binaT
to be done rmsidontin)Q non rasidentkt O 10) type incinerator 1000
'-xls t1q us - ---- --- -- er t.e..w s ve;wT`_._ --
building or proporty_-r F x') 19) neater, solar,dctrIms dryers, etc. 4.50
Propasrxl use of 20) Gras piping one to four outiats 2.00
hullding or property `
?1) Marr,lhAn 4,por euidat
Type of fuel-oil Q natural qac LPO Q electric Q
NOTICE
Minimum Fee$25.00 SUBTi AAL 0
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHOnIZED IS NOT COI,4MENCED WITHIN 160 DAYS,OR 5%SURCHARGE �.1S
IF CONSTRUC11ON OR WC)RK IS SUSPENDED OR
ABANDONED FOP.A PERIOD^r 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED.
toTAl
Spe tai Conditions i„ -_ - � -
_ Darn+seurxt 64"C-1— /W by_� �-