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CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Linc: 639-4175 Business Phone: 6394171
Date Requested: �� A. P.M. _ ST:
Tenant:_ _• Sul �, MEC: 7--0-5-&J,--
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Contractor: �[��]'hone: � ^,.�� PLM:
Owner: Phone: I ELC:
ELR:
_ STI': _
BUILDING BLDG(con't) PLUMBING MECHANICAL ELECTRICAI SITE
Site Post/Bcam PosUHeam Covt�r/Service Sewer/Stone
Footing Roof I1n(flFI/Slab Rough-In Ceiling Water line
51s`) Frarning 'Top Out Gas line Rough-ip (1G Sprinkler
Foundation Insulation Sewer Ilrxxt/Duct Zeconnecl Vault
Bsmt Damp Drywall Storm Furnace i-mp Service MISC.
Masonry Ceiling Rain Drain A/C 1lG Slab
Shcar/Sheath Fire Spklr/Alyn Crawl/Found 11 l lean Plunp low Volt
Approved Approved prove Approval Approved
Appr/Sdwlk Not Approved Not Approved Non pproved Not Approval Not Approved
FINAL FINAL FINAL FINAL. FINAL
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Call fnr reinspection C1 Reinspection fee.of s ra fired before next inspec(ion ❑I Illable to inspect
Inspector: Dale
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CITY OF T I G A R D MECHANICAL
DEVELOPMENT SERVICES PERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 PERMIT #. . . . . . . .. MEC97-0362
DATE ISSUED: 09/29/97
PARCEL: IS135DB-02900
SITE ADDRESS. . . : 11515 SW 91ST AVE
SUBDIVISION. . . . : CHARBEN ZONING- R-4. 5
BLOCII. . . . . . . . . . : LOT. . . . . . . . . . . . . :01x JURISDICTION: TIG
--------------------------------------------------------------------------------------
CLASS OF WORK. . :ADD FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . .-SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
' OCCUPANCY 6RP. . :R3 VENTS W/O APPL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPFS------------ 0-3 HP. . . . : 0 DOMES. INCIN: 0
:WOD 3-15 HP. . . . : 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS''. . : 30-50 HP. . . . : 0 WOODSTOVES. . : I
H)AS PRESSURE. . . : 50+ 'Ap. . . . : 0 CLO DRYERS. . - 0
NO. OF" UNITS----------- AIR INC UNITS OTHER UNITS. : 0
FURN ( 100K BTU: 0 11'.' d0 cf-m: 0 GAS OUTLETS. : 0
FURN ) =100K BTU: 0 > 000 efin: 0
Remarks - Install wood stove
Owner: ------------------------------------------------------ FEES ---------------
KENNETH B HAMPTON type amount by date reept
11515 SW 91ST PRMT $ 25. 00 JSD 09/26/97 97-299577
TIGARD OR 97223 FfPCT $ 1. 25 J31) 09/26/97 97-299577
Phone #. 639-8471
Contractor: --------------------------------
CASCADE CHIMNEY CARS
POGER MILLER --------------------------------------
PO BOX 775 $ 26. 25 TOTAL
ESTACADA OR 97023
Phone #t 630-3846
R,?q #. . : 115110
REDUIRED INSPECTIONS
------
This permit is issued subject to the regulations contained in the Woodstave 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 plans. This permit will expire if work is not started
within 188 davq of issuance, or if mark is suspended for more
than 180 days, ATTENTION: Oregon law requires you i:o fallow rules
adopted by the Gregqn Viility Notification r,nter. Those rules are
set forth in OAR 952-Ml N10 through r -00140. yeu may
obtain copies of these rules or direct 4- ons to aX by calling
1583)246-9187.
4�Issue B Permittee Signature
...................4............................... -++++++++++++++++++++++-4
Ca I. 1 639-4175 by 6:00 p. m. for inspections needed the next business day
......................................................�4.........4•...............
P'an Check 0
CITY OF TIGARD MechanicalPermit Application Recd By
13125,SW HALL BLVD. Commercial and Residential Date Recd_
TIGARD, OR 97223 Date to P.E.
(503; 639--91;1, x304 Date to DST
Perm.t# 41
Print or Type Called
DevebpIncomplete or illegible applications will not be accepted
Description
Table 1A Mechanical Code QTY PRICE AMT
Job I•ddreu SAW A) Permit Fee -0- -0- 10.00
,address //S_ ,_ $21) i/ `�' Iw
erapa -~i `af° Zp �^ 1.) Furnace to 100,000 BTU 6.00
g ZU including duds&vents
Name for name o"r!ute+s) 2.) Furnace 100,060 BTU+ 7.50
Owner /� ^/�'� / including duds&vents
MadxsAtldreaa ` S�, / L) Floor Fumaai 6.00
fLcl �L including vent
C tate //,� cfp Phone 4) Suspended heater,wall heater 6.00
/L'_ n 0"?- ,- 7,Z � - or floor mounted heater
Nana for narrieof buaneaa -'
/ r 5) Vent not included in appliance permit 3,00
�f /lY�,�� Un>
Occupant r�nw,y Adtlrrta r 6.) Boiler or comp,heat pump,air nand. 6.00
/J /S sij 1" s to 3 HP;absorb unit to 100K BUI-
(_&L�ta1e zip P^O^° T) Boiler or comp,heat pump,air cond. 11.00
t ' 7 3-16 HP:absorb unit to 5WK BTU-
Boiler Nor"° �' Q) Boiler comp,heat pump,air cond. 15.00
(Prior to c/`
a15-30 HP;absorb und.5-1 mil BTU"
4J
issuance adtnq A s 9.) Boiler or comp,heat pump,air Gond. 22.50
applir int 7 Jy r 30.50 HP;absorb unit 1-1.75mil BTU"
must provide n.! (Yistate ) z p Phone 10.) Boiler or comp,heat pump,air cond. 37.50
^•
contractor7k;�" /L Y -,
1 ,� >50 HP;absorb unit 1.75 mil BTU"
licen se Oregon Const.Corn.Boanf L c.0 Exp Dote 11 ) Air handling unit to 10,000 CFM 4.50
information if
expired in ¢ /Lp
Z??
COT COT Busmw Tax or Metro A Exp Dare 12.) Air handling unit 10,000 CFM i 7.50
database).
Architect N""° 13.) Non-portable evaporate cooler 4.50
Or Mailtnq,4tlArss 14) Vent tan connected to a stns le dud 3.00
Engineer Crty/stilte zw Prime 15.) Ventilation system not included in 4.50
_ appliance permit
Describe work New Addition O Alteration O Pepair O 16) Hood served by mechanical exhaust 4.50
to be done Reside ntialo Non-residential O _
Additional Description of work 17) Domestic incinerators /;50
-� 18.; Commercial or industrial ty 30.00
(iV S t Incinerator
Existing use of ` 19) Repair units y 450
building or property_1�/2},C V n.) ,
ood stove 4 50
Proposed use of ,! 21 ► Clothe.dryer,etc 4.50
j building or property_A/LS/
Lr 22) Other units 4.50
Type of fuel-oil O natural gas O LPG O electric O 23) Gas piping one to four outlets 2.00
cIZ I hereby acknowledge that I have read this application,that the 24) Mote than 4-per outlets(ea&) 50
information given is correct,that I am the owner or authorized agent of
the owner !hat plans submitted are in compliance with Oregon State
P e9 CITY SUBTOTAL
laws
Signature of Owner/Agent Date 'SUBTOTAL
Q 5%SURCHARGE -.
Contact erson Name Phone PLAN REVIEW 25%OF SUBTOTAL
7/ ---- _-_-
/� ���� Svs '� y i�19 TOTAL L7
i 1dstVnechpmt don lrev 9 *Minimum permit fee is S25+5%surcharge
"Residential A/C requires site plan showing placement of unit.
INSPECTION NOTICF '��
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Briuineae Phone: 634-4171
Inepec:tion:— ---
Footing Plbg. Underslah <-Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line . [NAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Pont/Beam Mesh. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: '9 Times _ AM _ PM
Address: y_� __Ti�i �/ �r Permit is
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors/' /e C_ _ _ _ _� Oates_- __✓_ / !�
APPROVED DISAPP:IOVED APPROVED SUBJECT TO ABOVE
Call For Relnsp.
MECHAN 1 CAL
CITYOFTIOARD ,� _,
CRY.,.. 11frARD F 1;KM 1 i
COI!l;MUNITY DEVELOPMENT DEPARTMENT oRsloua//I F E FSM 17 #, , , , , , , ; Ml�t'9::— I i e�b
13126 SW Hall Blvd. P.O.Box 2'.1307,11gard,Oregon 97rJ(503)&19-4175
31'TL ADDRF_'SIS_ : 11515 SW 915T AV PARCEL: IS1 5DB-04911,
:RJHDIUISION. . . . -, CHARREN ZONING-, R--4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 12
:LASS OF WORK. . :ADD FLOOR FURN. . . . : EVAP COOLERS:
FYPE OF USE. . „ - -8F UNIT HF0*1 ERS,. . : VENT r-ANG. . . :
JGCUPW,�Y GRP. . :R3 VENTS W/C_' APDL: VENT SYSTEMS:
STORIES. . . . . . . . . BOILERS/C0Mr-*'RES OR"3 HOODS. , . . . . . .
I=UE L I'YF�E S_.___—____.___ 0-3 HG. . . . : DOMES. I NC I N:
: /QAs;/ / / 7-15 19:1. . . . : COMML. INCIN,
IIAX INPUT: 13TU 15--30 HP. . . . : REPAIR UNITS:
1RE DAMPERS!, . : 30-";0 HP. . . . : WOOD5TOVEG. . :
GAS PRESSURE:. . . : 50+ HP. . . . CLO DRYERS. . :
"JO. (Ir 1_INITr-------..----- AIR HANDLING UNITS OTHER UNITS. : 1
URN < 1051-1, BTU: 1 l= 10000 cfm: GAS OUTLETS. :
URN
) =100K LATU: > 1.0000 cm•Fm r
i
Ilemat-ks, FURNNCE_,, WATER HEATER
Ov.,n ar. ______._-------_.___.........._..___.___.____._....__.__ ___._____.______._._ FEES
'A',OTT KO01_ t yr.ae Ammmt 0, date ?-ep 111
1515 SW 9 i f3T PRMT $ 25. 00 JH 07/27/9E: -
rjPC T $ 1. Ed ,JH 07/2i'7/9Z
1 1 CARD 01T 13 7 i::_1t,3
,honer #:
o;ltr,a;ctor: ...t.__--__--_._---.V..____—___�-----___—
OLUMC3I A HEATING
X9 AO SW BURNHAM
-,PACE E-110
IGARD O4i 97223 ---_._..__________________.—_.--__.____._.
1-)h(jre #: 6i'R4 -2704 �;:F, E5 TOTAL
Raq #. . : 76359
----- -- RE:GU I RE D I NSPE CT I ONS -----
This pertit is issued suulect to the regulations contained in the Finial Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with
approved pians, This aerait will expire if work is not started
w within IN days of issuance, or, if work is suspeneed for tore
than 198 days.
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(.all fr.r inspection - 679--4175