13015 SW PACIFIC HIGHWAY-1 ADDRESS:
fic, i
hrecords\microflm\targets\building.doc
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing CRIMEV
Plbg.Und/Fir/Slab Plbg, Top Out Insulation -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: _
Date: ._!sZ/ ? �F' A.M. �U RM./'3` Entry:_
Address: 1 _320/.52-�— '
Tenant: _ Ste:—_._._ MST: —
_
Con/Own: (o 3�t -Z 2-4 Ce /�.[_-�� MEC:
PLM:
ELC: -THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
Inspector: � — ____ ___.__ _ Date:
_(_Pfl'PROVED _DISAPPROVED/CALL FOR REINSP. CF CO
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT MECHANICAL
13125 SN Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171 PERIh I T
i-m'EHMIT #. . . . . . . . MEC94--036
L 3,1 -4i i 1 DATE ISSUED: 12/.: 1/94
PARCEL:
: c�i�411I)—IGi 900
SITE ADDRESS. . . : 13015 SW PAC I f I C; HWY
SUBDIVISION. . . . : NORTH TIGARDVILLE: ADDITION ZONING: C--G
BLOCK. . . . . . . . . . . 1_0T., . . . . . . . . . . . . .36
CLASU OF WORI-S. . :ALT F'L.00R FURN. . . . : C'Vi IP COOLERS:
TYPE. OP USE. . . . a CON UNI"f HEATERS. . : VENT F-ANS. . . :
OCCUf"'ANCY GRP. . :BE VENTS W/O APPIL: VENT 5YtSTCMS:
STORIES. . . . . . . . : BOILERS/COMPRESSORS HOODS. . . . . . . :
FUEL 0--; 1 i '. . . . : 1 DOMES. I NC I N:
: /UIL/ELE:/ / 3-10 HP. . . . : COMML. INCIN:
MAX INPUT. DTU 15-30 HP. . . . : REPAIR UNITS:
FIRL• DAMPERS?, . : 30--50 HP. . . . : WOODSTOVES. . :
GAS I RESSURE. . . : 50 Hf'. . . . (.;LO DRYERS. . .-
NO.
RYERS. . :NO. OF UNT"f'S- -_..__._.______ AIR 11ANDLING UNITS OTHER UNITS. :
1:-UI'1N ( 100K LTU: 1 ( = 17000 cfm : UAS OUTLETS. :
FURN ) =100K BTU: > 1O000 cfm:
Remat,ks : RCF='L.ACE OIL FURNACE AND AIR CONDITIONER
Uwner: ___...________._._._.________..__________._.______. ...___.______.__._ FEES
PHOTOGRAPHY type amount by date recpt
13011, SW PACIFIC HWY PRMT $ 25. 00 JF 12/21/94 -
5PLI 1. 1. 2b JF 12/21/94 -
TIGARD OR
G'hone #:
JACOBS HEATING
1421 SE HOLGATE BLVD
f-'ORT'LAND OR 97202
Phone #: ..2134 -7331. 8 2G. " TOTAL_
Reg #. . : 01441
REOUI RED 1NSF'ECT IONS
This perait is issued subject to the regulations contained in the Mer_tlanical Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in accordance with
approved pians, This perait will expire if work is not started
within 180 days of issaance, or if work is suspended fir tore
than 180 days.
Permittee Signati_rr e
I ssr..ted Dv : -4,,� _ _
Call 'for inspec=t ion 639--4175
City of Tigard MECHANICAL PERMIT Planck/Rec. #
1312.5 SW Hall Blvd. APPLICATION Permit # —
PO Box 23397 - -119
9 r # � -�
Tigard, OR 97223 - �l�C� ���, �� 1�, 1�Ctc(� /�; I
(503) 639-4171
esoltptlon
Table 3A Mechanical Code OTY PRICE AMT
.M
Job tF'1���i� % 1) Permit Fee 0- -0 10.00
,Address •w �� 'r-
2) Supplemental Permit 3.00
•�«^�»� Furnace to 100,000 BTU
t 1) incl.ducts&vents I 6,00
MWWV Furnace 100,000 9TU+
Owner c 2) incl.ducts&vents 7.50
J J iV Floor Fumance
- r
(Ija3) incl.vent 6.00
« »� Suspended eater,wa .eater
c ,, - G r 4) or floor mounted heater 6.00
« `' Vent not inc' ��
uccupant 1' t_. Y ( I 5) appliance permit 3.00 J
•» nRepair of heating,reng. I
6) cooling,absorption unit 6.00
i er or comp,heat pump,a r oo
7) to 3 HP absorp unit to 100K BTU 6.00
Boiler ur comp, eat pump,air con .
L- `` ?j 8) Boiler or comp, eat pump,au co 3-15 HP absorp unit to 500K BTU 11.00
Contractor --
_
( '( I ( )� L�' j 7(' ,}_ 9) 1530 HP absorp unit.5.1 mil BTU 15.00 —
•» O"- .. -- Alilka.Tax1r. Boiler or comp,heat pump,air Ce
( - G 10) 30-50 HP absorp unit 1.1.75 mil BTU 2250
hereby acknowledge e!I have read Is application,that the Boiler or comp,heat pump,air W
Information given is correct,that 1 am the owner or authorized agent 1 t) >50 HP absorp unit 1.75 mil B-., 31.50
of the owner,that plans submitted are in compliance with State 1,ir handling unit to
laws,that I am registered with the Constructiol.Contractors Board, 12) 10,000 CFM 4.50
that the number given is correct. (If exempt from State registration, Air handling unit
please give reason below.) 13) 10,000 CTM+ 7.50
Non portable
14) evaporate cooler 4.50
Vent fan connected
15) to a single duct 3.00
Ventilation system not
16) included in appliance permit 4.50
......M., o seryy -
17) mechanical exhaust 4.50
Dosaibe work new addition alteration repair Commercialor industrial
+a be d e r9sidential C nen-residential 0� 13) type inclnorc!c: ^0 no
Existing use o (y r_ /.{ er .e.,wo stove,water
building or property I 1�uJ���. , (-(l„l 19) heater,solar,clothes dryers,etc. 4.50
Proposed use of20) teas piping one to four outlets 200
building or property J��I�1
Type of fuel -oil as Q 1-PG electric, tV' natural 21) More than 4-per outlet
g (� �'
--
NOTICE
Minimum Fee$25.00 SUBTOTAL
PERMITS nFCOME VOID IF WORK OR CONSTRUCTION r
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR - c-
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED.
TOTAL rt
Special Conditions
r
Date issued by 1 .5
11.1 1 Rl-.- 1 .11-, 1 1'1 1 y 11r I'l I 11 1 .1 J I I 1N111. g9l)
JOCUIAS I IL;'A r o,NW I V.:)f I Hlyll A JN I 1A vi
IDURL.SS 14ir11 bF HOI LJ P 1 F. H I VD 110"(W-441 0HIt-,
P1.11RILAND, OR
lOW)WIF OF P(I'MI-NI 14M.A.1114f Pi-ifo I'll W1 11 1�0 (,I 1 10 rll t"I 1 01111111111 1 'h(.11:
Ovi 1 . 111 I I t.1) 11 k
MVI.C94-0364
134"115 IN PACJl` JC HVI'f
J(*;ff-)I.- AMOIINF U-10ti) P6. ;:'To