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InitiallyGood E Nor F I _ 14630 SW 104th Ave MW PA19 7NSPFgrI0N NOTICE 7)9_�� City of Tigard Building Department 13125 IM Hall Blvd. Tigard, Oregon 97223Inapoati n Line (Roc-O-•^hone): G39-4175 Rueineae Phone: ` 71 Inepection j j.1, Footing Plb"'. J_:derelab Mach. Rough--in Appr/Sdwlk Found. Plbg. Top Out Gan Line FINAL: Dont/Ream Strnct. qan. Sewer Framing -bldg. Poet/Beam Mecn. Rain Drain Ineulatior -Plumb. rl:.g. UnAertlocc Water Line Gyp. Bd. -Koch. ' Date Requested: !t, `y Times 1W PN Addrese:__1� ) Permit #t ( Builder., I THE FOLLOWING CORRECTIONS ARE REQUIRED: a' c� 44 i 01 Inapectort_� Dates APPROVED i - DISAPPROVED APPROVED SUBJr, TO Call For Reinep. �,../ CITYOFTIFARD C ME CHAN I CAL COMMUNITY' DEVELOPKISk VT T DEPARTMENT omPERMIT 13125 SW 14WI Blvd. P.O.boot MW,rp m;:,Oregon 97223(503)f13G 4176 PERMIT fl. . . . « . . : MF C91- 009 0 7 DATE: I SUEDt 06;103/91 ,;ITE ADDRESS. . . : 14830 SW 104TH AV PARCEL: 2S 1 1 1 CB-0130: ;UBDIVISION. . « . ' DEL MONTE SLJBEIIVISION NO. 2 ZC)NING: R _1LULK. . . . . . « . . . LOT. . . . . . . . . . . — :20 c0 ;LASjS OF WORE'.. . :HLT FLOOR F•URN. . . . : E VAP COOLERS: -YPE OF U5E. . . . :�JF UNIT HEATERS. . VENT FANS. . . JCCUPANCY GRP. . :R3 VENTS W/O APDL: VENT SYSTEMSe JORILa. . . . . . . . . BOILERS/COMPRF_SSORS HOODS. . . . . . . e FUEL TYPE S-________.._--.- 0 HI''. . . . : 1 DOMES. T NC I N e 3 -15 HP. . . . : r_OMML. INCIN: MAX INPUT: BTU 15-30 HP. . . . : REPAIR UNIT'S s i` I RE DFihiPERG?. . : 30-50 HP. . . . WOC1DSTJVES. . : C]AS PRES)SURE. . . : 50+ HP. . . . : CLO DRYERS. . s NO. OF UN I i'5---•------•-•-- n I R HANDLING IN I TS OTHER Uf i I T . : 1 C'IJRN ( 100K B"(U: l (C 10000 cfm : GAS OUTLETS. !r t' ) =100K BTU: 10000 cf ll; : �ec��ti� kir NEW GAS FURNACE AND AIR CONDITIO►VC'R NEW GAS HOT WATER HEATER ]wnr�r _-__-_._.._._._____,..---__._-._____....__-._-_ _._..__..._._._...._._____w _..- FEES .___..._..--_----- H. W. F•RY type amount by date recpt 14830 `^IW 104TH PRMT $ 16. 50 5PCT $ 1. 33 1'1;AR[) OF 2-c4 1='hane #: Contr,artore 7 I M RING HEATING, INC R'50"S SE 497H h'UK I LHNO OR 97206 ___ _._.__.._________..._____.... --------- Phone #: $ rJ. HS fIJIHL Req 0. . : 67340 _•___. _- REQUIRED INSPECTIONS This permit is issurd s't�*ct to the regulctian�, rantatned in the Final Inrpectir,ri tiga>•d Muricipal Codo, State of Dre. Specialty .:des and all othe applicable IawS. Ail work will be done in ars^rlance with approved plans. This permit will expire if work is not started within 168 days of issuance, or i; work is suspended for sore than IN days. ro—miI- tee Si•nn.atilre by Call for ins:nection - 639-4175 CITY (.IF' TIGARD - REGEIP7 OF PAYMFN'T RECEIPT NO. :91— i 3858 CHECK AMOUN"r 213. to NAME 0 JIM KING HEATING, INC CASH AMOUNT 1 0. 00 ADI)RESS PAYMFNT DATE 06/02/91 SURD I S I ON PURPOSE 0(::' PAYMENT AllflUNT PAID PURPOSE OF PAYMENT AMOUNT PAID 22. 00 S-f. BUILD PER 1. 10 14830 SW 104TH AVE -1 OTAL AMOUNT PA I D 23. 10 CITY OF TIGARD MECHANICAL PERMIT Receipt#-----------__--. 13125 SW HALL BLVD. Permit# CIS'P. O. BOX ?.3397' Description T I GARD, OR 97223 ,)�� 1 0 Tare 3A Merhanical Code CITY PRICE AMT (503)639-4175 1) Permit Fee -0- -0- 10.00 Name of Development 2) Supplemental Permit 3.00 JobAddress 1 l Furnace to 100,000 BTU r 6.00 Address incl.ducts&vents Tax Lot Map No. 2) Furnace 100,000 BTU + 7.50 incl.ducts&vents Lot Rock Subdlvisbn -- - - Name(or name of business) ) Floor Furnace 3 incl.vent - 6.00 MsJWV Address PhoneSuspended heater,wall heater Owner ,P . _ L-,--) �� t� .� _U c�_X. 4) or floor mounted heater 6.00 estate ZIP I )5 Vent not incl.in 3.00 CWE, ' 7 aprtia_ce permit -- - Name(or name of business) Re pair of P,nating,refrig., 8) cooling,absomtion unit 6.OU Mailing Address Phone7) Boller or c2pp to 3 HP — / r!U Utct,;�ant absorp.un16.00 101,000BTU (� City/State Zip 8) Boiler or comp to 3 HP-15 HP absorp.unit tc .00,000 BTU 11.00 Name9) Boiler or comp 15-30 HP _ 15.00 absorp.unit' -1 million /1 Mailing Addreff t 0h 10) Boiler or comp to 30-50 HP 22.50 •, �. absorp.unit 1 -1.75 million Contractor - r .�1 5 �C". -- - City/;tate Zip 11) Boiler or comp to 50 HP 31.50 f - ._. absorp.unit 1,750,000 BTU Air handling Stain Regintratlor►Nu. City Bus.Tax No. 12) g unit to 4.50 �r 10,000CFM hereby acknowledge Ai;handling unit I y edge that I have read this application that the information given is 13) 10,000 CFM + 7.50 roved,that I am the owner or authorized agent of the owner,that plans submitted ere in --- — -- compliance with State laws,that I am registered with the Statd Ruilrlers'Roard,that theNon portable number giver,is corned14.(if exempt from State registration please give reason below ) evaporate cooler 4.50 15 Vent fan connected to a single duct 3.00 - -- -- - - Ventilation system not _ 16) 4.50 included in appliance permit Hood served 5y _ 1 mechanical exhaust 4.50 Signature(owner or agent) ` -� Oats18) Domestic type 7.50 Describe work ❑ addition ❑ alteration ❑ repair ❑ Incinerator to be donne residentitk; !_1 non-residential ❑ _ 19) Commercial or industrial - type incinerator 30.03 Existing use of - — building or properly_ _ _ 20) Other i.e.,woodstove,water 4.50 Proposed use of heater,solar,clothes dryers, 31c. building or property_ _ - 21) Gas piping one to four outlets 2.00 Type of fuel- oil p natural gas ❑ LPG 1 1 electt:c I 1 - -- 22) More than 4-per outlet NQTL_ — SUB-TOTAL n �L THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 1805%SURCHARGE O - O5% DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25% F SUB-TOTAL ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER - -- - WORK IS COMMENCED. TOTAL Special Conditions - ---- - Date issued_�_ - by_ CITY OF ':71GARD MECHANICAL PERMIT Receipt# 13125 S14 FALL BLVD. Permit # P. Q. BOX 23397 Description Table JA Mechanical Code QTY PRICE AMT T I GARD, OR 97223 (.503)639-4175 1) Permit Fee -0- -0- 10.00 Name of Development 2) Supplemental Permit 3.00 Job Addfess ' ' - 1) Furnace to 100,000 BTU 6.00 Address J incl,ducts&vents �- Furnace 100,000 BTU + Tax Lot Map No. 2) 7.510 Lot Block subdivision incl.ducts&vents Name(or name of business) I 3) Floor Furnace 6.00 incl.vent MaitingAddress Phone v �1 4) Suspended heater,wall heater 6.00 Owner S a L )e u _r j or floor mounted heater City/State Zip 5) Vent not incl.in 3.00 J �1 appliance permit _ — --- Name(or ame obusiness) 6) Repair of heating,reir ig., 6.00 c,)oling,absorption unit Mailing Address Phone 7) Boiler or comp to 3 HP 6.00 Occupant absorp.unit to 100,000 BTU Oty/State Zip 8) Boiler or comp to 3 HP-15 HP 11.00 absorp.unit to 500,000 BTU _ Name 9) Boiler or comp 15-30 HP 15.00 L _ absorp.unit 112-1 million I Mailing Addra Phot,e 10) Boiler . comp to HP 22.50 absorp.unit 1-1.755 million Contractorzip "^ 1 1) Boiler or comp to 50 HP City/State / absorp.unit 1,750,r+003'rU 31.50 State Regisvanon No. lr 7 cl>y Bus.Tat(No 12) Air handling unit to 4.50- 10,000 CFM 13) Air handling unit — 7.50 I hereby acknowledge that I have read this application that the Inlornation given is 10.000 CFM + correct,that I am the owner or authorized agent of the owner,that plans l,ubmitted are in -- comriwince with State laws,that I am registered wit,,the:,tate Builders'Board,that the 14) Non portable 4.50 number given Is wrrect (if exempt from State registration please give reason below) evaporate cooler T— _ 15) Vent fan connected 3.00 to a single duct Ventilation system not 16) 4.50 included in appliance permit 17) Hood served bit 4.50 mechanical exhaust Signature(owner or agent) v _ Date 18) Domestic type - TSO Describe work ❑ addition El alteration ❑ repair ❑ incinerator to be done residential ❑ non-residential ❑ 19) Commercial or industrial 30.00 Existing use of type incinerator building or properly _—___ _ 20) Other i.e.,woodstove,water Proposed use of b=r,solar,clothes�,etc. �.50 -__ building or property - -- 21) Gas piping one to four outlets 2. Type of fuel- oil ❑ natural gas ❑ LPG U electric ❑ 22) More than 4-per outlet NOTICE SUR-TOTAL TtIIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- - — STRUCTION AUT'HORI'ZED IS NOT COMMENCED WITHIN 180 5'Y.SURCHARGE DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. TOTALj 7-5 Special Conditions _ �._ Date issued by_ —