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CITY OF T IG_ _ARD DATE I . 2MEC95-039
'ISSUED •
11/
7/95
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Orogon 97223ediPQ (503)639-4171 PIARCEL: 2S102CD-03300
SITE ADDRESS. . . 138101 SW .00TH AVE
SUBDIVISION. . . . : SHILO ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . .
CLASS OF WORK. . :NEW FLOOR TURN. . . . : 0 EVAP, COOLERS: 0
TYPE OF USE. . , . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP,. . :R3 VENTS 1410 AP'P'L-'. 1 VENT 'SYSTEMS: 12,
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL 0-3 HPI. . . . : Q, DOMES. INCIN: 0
./GAS/ 3-15 HF'. . . . : 0 COMML. INCIN: 0
.
MAX !NP,UT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: Q i
FIRE DAMP,ERS?. . : 30-50 0 WOODSTOVES. . : 0
GAS PRESSURL. . . : 50+ Hi=p. . . . : 0 CLO DRYERS. . : 0
NO. OF UNITS------------ AIR HANDL IKG UNITS OTHER UNITF_ : 0
TURN ( 1.00K BTU: 1 <= 1000121 C-firr 0 GAS OUTL.EiS.
FURN ) =100K BTU. 0 > 10000 cfm : 0
Ramat-i(s : Install fl-0-naCP and ol-ttlets
1',wner,: FEES
PA',11.. CHAMBERS type amol.tnt by date r-ec-pt
13810 SW 100TH (AVE P.,RMT $ 25. 00 JSD 11/27/95 95-27319,:..
15DCT $ 1. 25 JSD 11/27/135 95-27319,
T.G(-)RD OR 97223
Phone #.-
ontr-act or-:
,)P,OLLO PTR, INC
17525 9V OVIATT
ALOHA OR 97007
1--Ihore #: 26. ;F%'5 TOTAL
P P n #. . : 85975 REQUIRED INSF,ECTIONS
--
'his permit is issued sub'iect to the regulations contained in the Gas Line Insip
igard Municipal Code, State of Ore, Specialty Codes and all other Mechanical InSp
applicable laws. All word will be done in ar:Grdince -kith Final Inspection
approved plans. Th;s permit will expire if wor1l, is not started
oiithin 1B8 dais of issuance, or if work ir, suspended for more
than 180 days,
V) pet-mittee I Signat4-trej:
s s 1-ted By I . —'------
Call for inspection 639-4175
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-41 5 Businesj Phone: 639- I
Inspection:
Footing //1
Susp. Ceiling Sprink. Rough-in Appr/Sdw k
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in AL:
Post/Beam Mech. San. Sewer Gas Line Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Watnr Line Insulation �AAdc'
Underflr. Insul, Shear Wall Gyp. Bd.
AM
Date RequrTime
::ed:_ : PM
Address: ?j
Builder:, Permit #:
THE FOLLOWING CORRE'_f IONS ARE REQUIRED:
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F�
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Ins ector _ Date.
APPROVED DISAPPROVED _Fr'PRCVFo CUBJEC;T TO ABOVE
_Call For R. rasp
CITY OF TIGARD BUILDING iNtiPECTION NOTICE
Inspection Line (Rec-U-Phone) 639-4175 Business Mond: 639.4171
Inspection!e,/OT�
Footing Susp. Ceili g Sprink. Rough-in Appr/S
Foundation Plbg. Underslab Rou h Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rouu h-" FINAL:
Post/Beam Mech. San. Sewer -Bldg.
Plbg. Underfloor Rain Drain Fr mins -Plumb.
Alarm Water Line Insulation -Mech.
Underflr, in,nl. Shear Wall Gyp. Bd. -Elect.
(Date Requestud: f oZ �j' Time: AM PM
Address:,
Builder � 1 �, l - 501! Permit#: 011E ..I' 5-U,3 L
THE FOL((OWING E RG CORRECTIONS ARE REQUIRED:J ED. 7
/J1N'T�,� 3',�/cr9�FC� �at?iK►ct/1c�0 �/ryk C'c,�'�
iPGz4e i 1Ae ' r r2uiC,0(raC°C-
co
LO
Inspector: '' — Date:
APPROVED 44%SAPPROVED _APPROVED SUBJECT TO ABOVE
_j&KFor Reinsp.
CITY OF TIGARD BUILDING INSPFC-'SON NOTICE
Inspection Line (Hec-O-Phone): 639 4175 Business Phone: 63�oi 71
Inspection: kll --
Footing Eusp. Ceiling Sprink. Rough-in Appy/Sdwlk
Foundation Plbg. Underslah , . Rough-in Fireplace
Post/Beam Struct. Plbg, Top Out Vic. Rou -in FINAL:
Post/Beam Mech. San. Sewera, s Luta- -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Time: AM PM
Address:
Builder: Permit #:JT F- 1.q_- 0 , R 7
THE FOLLOWING CORRECTIONS ARE REr,iJIREC:
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LDMew
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LLLJ
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1lnsp�or: -- Date: ( /
v APPROVEDi;��insp.
APPPOVED SUBJECT TO ABOVE
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Hec-O-Phone): 635-4175 Busmess Phone: 639-4171
Inspection: '!.
Footing Susp. Ceiling Sprink. Row i-in Appr/Sdwlk
FoundatiGn Plbg Undaarslab Mech. Rot gh-in Fireplace
Post/Beam Struct. Plbg. Top Out Elea Roug)-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Undoriloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation (Me�
Underilr. Insul. Shear Wall Gyp. Bd. F
i
li
Date Requested:___ /� `^ Time- AM PM '
Address:` 3 4 l[)
Builder ; li �2 # _�
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectir:_ �t Date:
—APPROVED ^_DISAPPROVED —APPROVED =SUBJECT TO ABOVE
-4.pe for Reinsp.
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City of Tigard MECHANICAL PERMIT Planck/Rec. # —
13125 sw hall Blvd. APPLICATION Permit # ^'
igard, CR 97223
(503) 639-4171
U escnpbon —
Table 3A Mechanical Code QTY PRICE AMT
Job ,� �% �� 1) Permit Feu - -0- -0- 10.00
Address T'
2) Supplemental Permit 3.G0
.��.5Furnace to M0,000 BTU
� /1) incl. ducts &vents 6.00
.y «. d• Furnace M0,000–BTU + —
Owner 21 incl. duras &vents 7.50
_ _ w oor urnance
/�G '
� � 3) incl. vent 600 i
.m.• ... Suspended a eater, wall eater
4) or floor mounted heater 6 00
... ^• en snot incl. in /
Occupant 5) appliance permit / 3.00
Repair o heating, re ng. —
6) cooling, absorption unit 6.00
l oder or comp, eat pump, air con
7) to 3 HP; absorp unit to 100K BTU 6.00
u �s.
Boiler or comp, heat pump, air con
8) 3-15 HP; absorp unit to 500K BTU 11.00
Contractor . , ,,. w Boiler or comp, heat pump, air cond.
9) 15-30 HP; absorp unit .5-1 mil BTU 15.00
.I. .,}.V. u.Bus Ta• ^ Boiler or comp, heat pump, air cond.
j7� '7t� 10) 30-50 HP; absorp unit 1-1 75 mil BTU 22.50
Hereby ac now a ge t at ave readrcad this app icatta'n, ti at the Boiler or comp, eat pump, air r coni
rformation given is correct, that I am the owner or authorized 11) > 50 HP; absorp unit 1.75 mil BTU 37.50
agent of the owner, that olans submitted are in compliance with Air handling and to
'tate laws, that I am ragistered with the Construction Contractor's 10,000 CFM 4.50
Board, that the number given is correct. (If exempt f.-cm State Air handling unit
registration, please gh a reason below.) 13) 10,000 CTM + 750e
—' — on portable
14) evaporate cooler 4.50
Vent fan connected
15) to a sing300
e duo
—'- enn a tit oon syst6lin not
16) included in appliance p rrnd _ 4.50
Hood s rved by
17) mechanical exhaust a 450
escMbe work new U addition alteration repair U Commercial or industrial
to be done residential Q non-residential Q 18) type incinerator 10.00
Existing use of --Ti they I-e- wwo stovo, water
budding or proparty 19) heater, solar. clothes dryers, etc. - 450
d
rL, Propcsed use of 201 Gas piping one to four outlets 2.00
N building or property _ _-
? 21) More than 4-per outlet (each) 2.00
t- Type of fuel oil O natural gases LPG (j electric (�
J
NOTICE
Ci
Minimum Fee $75 00 SUBT01-AL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS. OR 5% SURCHARG:: —
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 2541. OF SUBTOTAL
AFTER WORk IS COMMENCED
TOTAL �
Soec!a! Conaitions
Date ssued _ _. by _
4 LDOIMDlTTUEGMP�IT
•