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NI SPEC'TION NOTICE. .
city of Tigard Building DePf-t-sant
1:,125 Nw Ball Blvd. Tigard, Oregon 97223
T,aepection Line (Roo-o-Phone)s 639-4175 Bueineen Phones 639-4171
Inupection• — --_—.--- _ --
Footing Plbg. Undersl.ab Mech. Rough-in Appr/Rdwlk -
Found. Plbg. Top Out aae Line ` FINALt
Pc,et/Beam Struct. San. Sewer Framing -Bldg.
•
Post/Beam Hoch. Rain Drain Insulation -Plumb.
^lbg. Underfloor Nater Line Gyp. Bd. -Nech.
Date Regs•esteds ` 1 L Times AM _—PM •
AddresssI�E�X (JL.GtL1 Permit itL1Fl
Builders
THE FOLLOWING CORRECTIONS ARE RMQUIhEDS
Inspectors Date ,�. �
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
�--Call For Reinsp.
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MECHANICAL
CITY GF TIGARD PERMIT L'
COMMUNITY DEVELOPMENT D)FP F AN PERMIT #. . . . . . . . MEC93-0332
13125 SW Hall Blvd.Tigard,Oregon g7223.6!Jti-,T03T838-3171 DATE ISSUED: 11/24/ 93
PARCEL: 25101 AB--01 700
SITE_ ADDRESS. . . .- 074::0 SW HERMOSO WY
SUBDIVISION.. . . . : HERMOSO PARK ZONING: R--3. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 11
CLASS OF WORK. . :ADD FLOOR FURN. . . . : E'VAP COOLERS:
TYPE OF USE. . . . :SF= UNIT HEATERS. . : VENT FANS. . . :
OCCUPAN,-'Y GRP. . : F2,37 VENTS W/O APPI_: VENT SYSTEMS:
STORIES. . . . . . . . : BOILERS/COMPRESSORS HOODS. . . . . . . :
FUEL TYPES-------------- 0-3 HP. . . „ : DOMES. I NC I N:
: /GAS/ / / 3--15 HP. . . . : COMML. I NC I N:
MAX INPUT: BTU 15--30 HP'. . . . : R[=PAIR UNITS: �
FIRF DAMPERS?. . 30--50 HP. . . . : WOODSTOVES. . :
GAS PRESSURE.. . . : 50+ HP. . . . : CLO DRYERS. . .
NO. OF UNITS------------ AIR HANDLING UNITS OTHER UNITS. :
FURN ( 1O0K BTU: (= 10000 cfm : GAS OUTLETS. : 1
FURN > =1O0K BTU: ; 10000 cfm:
Remarl<s : GAS LOG
Owner: ------------------------- -------------------------- FEES -----_---_.--_--
ALAN ROTH type amol.tnt by date recpt
7420 SW HERMOSA PRMT t 25. 00 JH 11/24/93
PI_CK 6. 25 JM 11/24/93
TIGARD OR 97223 JPCT $ 1. 25 JH 11/24/93
Phone #:
Contractor,. ----.------•----•--•--------------
BELL HEATING ;
15550 SE PIAZZA AVE
CLACKAMAS OR 97015
----------
Phone #: 32. 50 TOTAL
Reg #. . : 1?0447
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the 0 a s Line I n s p _
Tigard Municipal Code, State of Ore. Specialty Codes and all other incl Inspection _
applicable iaws. All work will be done in accordance with _
approved plans. This permit will expire if work is not started
within 188 days of issuance, or if work is suspended for more
than 180 days.
Poi,m i.t t e e S i g n a t ia r e .
1 5 s i_l e d B y
/ Call for inspection 639•-4175
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E CITY OF TIGARD MECHANICAL PER1011
`
13125 SW HALL BLVD.
Permit N
l 1. O. BOX 23397 Descrinnon
I TICJU�U, OR 97223 Tfk {lc A Mechanical Code OTY PRICE AMT
fit (503)639-4175 1) Permit Fee -0_ _-0- 10.00
' — Name or Devclo anent i 2) Supplemental Permit 3.00
Job Andress — -- ,n 1) Furnace to 100,000 BTU 6 JO
-,Jy��) S k ���_,C�� td y _ incl.ducts&vents
Address
Furnace 100,000 BTU f
Tax Lot Map No, 2) 7.50
InCI.ducts&vents
Lot Block Sivision _— —
Name(or nano or business) 3) Floor Furnace 6.00
F-0 incl.vent
Mailing Address I` phrxw 4) Suspended heater,wall heater 6.00
Owner •-T-PL, '�(,) 1ASrmQSu �)� — of floor mounted heater !_
utyiSlalu �4 Zip 5) Vent riot incl,in i 3.00—� 3 appliance permit
e�
Name(or name of business) 6) Repair of heating,reft ig., 6.00
l cooling,absorption unit _
Builer or comp to 3 HP
Mailing Address F'Fhonc� 7) 6.00
Occupant — absorp.unit to 100,000 BTU
city stele Zip 6) Boiler or comp to 3 HP-15 HP 11.00
absorp.unit to 500,000 BTU �-
i
Na fl) Boiler or comp 15-30 HP 15.00
riNE /�� absorp.unit 112-1 million
�
Mailing Actress Pthrxhe t 0) Boiler or comp to 30-50 HP 22,50
.5 "Sic r5142"34 �x IA'f 11) absorp.unit 1-1.75 million -- 1
i Contractor Zip Boiler or comp to 50 H P 31.50
City(�tatc
4 � _ absorp.unit 1,750,000 BTU _! l
I Stale nep(stration No City Bus Tax No. t 2) Air handling unit to — 4.50
10,000 CFM
Y Air handling unit
I hereby acknovrledge that I have read this application Out the inlormauon given is 13) 10,000 CFM + 7.50
oorraM:he!I am the owner or aoryrtxed agent of the nwner,that plans wkmitied are in --
cornprianoe with State law!,,that 1 am registered with the State Builders*Board,that tx Non portable
number given is coned.(n exempt from State reyistra!�on please give reason')elow). 14) evaporate oobler — 4.50number
_ — -- 15) Ven(fan connected 3.00
to a single duct
Ventilation system not
v 16 included in appliance permit 4.,.0
— — 17) Hood served by 4.50
mechanical exhaust
lure(owner or agent) Oa'e 18) Domestic type 50
.
7
Incinerator j
Describe work El addition- alteration ❑ repair ❑ — t
to be done residen;.al ITT non-residerhlial ❑ 19) Commercial of industrial 30.00
Existing use o1 — 1•,rpe incinerator
building or property ) Other i.e.,woodstove,water
Proposed use of 20 heater,solar,clothes dryers,etc. 4.50 I
building or property __
21) Gas piping one to four outlets _ �- 2.00 .2 00
Type of fuel- oil ❑ natural ja! ❑ LPG ❑ electric ❑
-- 22) More than 4-per outlet
NOTICE
��� Sulu-TOTALS;r
THIS PERMIT BECOMEn, 7 S NULL ANO YUIU IF WORK OR CON- ---
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 :5%SURCHARGE 1,�5
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR pLaN REVIEW 25%OF SUB-TOTAL (o
ABANDONED FOR A PEZ100 OF 180 DAYS AT ANY LIME AFTER --- --� —
WORK IS COMMENCED TOTAL 3�uS
SFx-aal Cunditicin 5
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tPRODIK,ViM.es IN TcD*!P"M1TDLLFREII-WMEla TECHNICAL SERVICE ORDER
BELL HEATING, INC.
15550 SE Piazza Avenue
CLACKAMAS, OREGON 97015
Clackamas: (503) 656.1184
Portland: (50"s) 243.1184
s
NAW 0117193/'7 93
ADO19E7
�4"0 ,5-� -�"/�lll 5�� (039 JSP 7_
CITY,
STATE A 71P BUSINESS PHONE DATE PROMISCD i
"911�
MOUE: SFRIAL NnDATEORIOINAL INSTALLATION
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MAKE MODEL SERIAL NO 1
El ESTIMATE C]PICK UP V
MAKL MODEL SERIAL NO wARRANTV LJ DELIVER I
t CONTRACT
TPOL111i
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TECHNICAL.SERVICE PERFORMED I
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!MATERIAL AND LABOR RECORD
OTY PART I /DESCRIPTION PRICE AMOUNT TIME DATE
OUT
IN
TOTAL HIS 6,
UBO"TnII
1+
;:1 I MAUL I
MC(j VISAC7 AMEX0 BANK NO TpgVEL I
CASH CHECK ON ACCT. CREDIT
OTHER— —�----
a
CMD I TOTAL I I
AUTHORIZED SIGNATURE CMD EXP.DATE TAX --V
X TOTAL I
Signature above constitutes acceptance ofabove work as being `Than{: CLI
satisfactory—and that equipment has been left In good condition.
! INV'JIVE SEE GUARANTY ON OTHER SIDE
IDENTIFICATION TAG
1967
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(.d J T Y Of 'I'J f;AND fiF._I:F J f' I Of.
CHU.0 k iIMOUN f ?. "JO ,
NAME FxF l..(_ IF.A7 IIJfa CUSH AM1.11JN 1 a Irl, OVA
ADDRESS a 15560 6F. f A77A AVF:. Fi(1YhIk_I'J7 171a'f,F'. a 1i.l
,AJIM)I V 1 X41 ON a
Gl_..F'((. KWMAS, OR 97 0 1`,
C;'LlF7Pf.JHL, OF' FIA YMFiuf FIM1.1(iN F VIA II! PI. RPt"*iF CIi" PlAYMU N1 f-IMCII.IN"f' P"1.11
Ml:t:NF1NlI.AL F''f: r,,b. CAUi 1•'t._ON (:HF.•C;IC Fl-
S f. i11J.LLD PEN
C
7420 SW HERMOSCI WY
'I(:1t AL AMOUNT PAID
V,
WNW
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MECIAN T C,'AL �..�
CIWOF TIGARD 0ERMIT #. PERMIT
. MEC� 1- 0260C&OFTWARD . • • . .
COMMUNITY DEVELOPMENT DEPARTMENT arVOW
13125 SW HWS Blvd. P.O.Box 23397,Tip M,Oregon 9=16O3yOW4176 U A 'E I S S U C O: 11/21/91
SITE ADDRE=SS. . . : 07,420 5W HERMOSA PARCEL; 25101AB-01700
SURD I V 151 ON. . . . : HERMO GO PARK ZONING:
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . : 11
CLASS WORK. . :ADD FLOOR FURN. . . . : E.VAF' COOLERS:
TYPE. OF USE. . . . :SF UNIT HEATER 7. . : VENT FANS. . . :
OCCUPANCY GRF'. . : R3 VENTS W/Cl APGL: VENT SYSTEMS: -
9TORIES. . . . . . . . : SOIL1=RFS/COMPRESSORS HOODS. . . . . . . :
FUEL 1 YGES-_ --- ------ - 0-3 HF'. . . . : 1 DOME'S. JNC'iN:
/GA S/ ! / 3-15 HF'. . . . : COMML.. INCIN:
MAX INPUT: BTU 15-30 HG. . . . RE'PAIR UNITS: �
FIRE DAMPERS?. . : 30-50 HI''. . . . : WOODSTOVES. . :
GAS PRESSURE. . . : 50+ HF'. . . . : CLO DRYERS. . :
NO. OF UNITS- __________ AIR I-IANDI_I NG UN I TS OTHER UNITS. :
TURN < 100K BTU: 1 (= 10000 cfm: GAS OUTLETS. :2
TURN ) =100K BTU: > 10000 c fm :
j
Remar-ks : U_'L TO GAS CONVERSION FURNACE. NEW 2. 5T AIR CONDITIONER
Owner-: --___ ___...._______...._______________. FEES
ALAN ROTH type amount by date rerpt
74::0 SW HERMOSA I-,FRMT $ 25. 00 JI_H 11/21/91
SGCT $ 1. 2S JLH 11/21/91
-
TIGARD OR 97223
Phone #: '
Contractor: _-------------.--._.___------ --_--
BELL HEA-I-I NG INC
155150 BE F'IAllfi AVE
CLACKMAS OR 9701 _.____.____.___,.__...___ -----------------.-
!-'hone #: 243-11134 $ c''6. 25 TOTAL
Req_ #. . : 44,
-------• REOU I RED I NGPECT I ONS -- --_-
' This persit is .ssued subject to the regulations rootained in the Final Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with —
• approved plans. This pervit will eNpire if work is not started
within 188 days of issuance, or if work is suspended for sore
than 188 days.
E I e r^m i t t e e S i p n a t U r e :
I Si S 1_r e d 13 y
Call for inspection 639--4175
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' -C I I`Y OF T I GARD _ RECEIPT OF I=,AY MFNT RECEIPT NO. a 91 —2cr7�fb 13
CHECK AMOUNT 26. 25
CASH AMOUNT 0. Wo
NAMEDk::l_�_ HEATING PAYMENT DATE s 1/21/91
ADDRESS a SUBDIVISION
PURPOSE OF PAYMENT AML`INT PAID PURPOSE:: OF PAYMENT AMOUNT PA 1 G
MECHANICAL. PE25. 00 ST. BUTL.ri PER t ^ 0,15
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7420 SW PERMOSri
TOTWL, AMOUNT Pq I D 26. 25
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INSPECTXON NOTICE
city of -Tigard Building DePartoent
13125 SW Ba-ll Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Businese Phone: 639-4171
Inspectiont——/110
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Footing g.PlbUnderslab Hoch. Rough-in 4ppr/Sdwlk I�
Found. Plbg. Top Out Gas Line 1INAL: I
-Bl.d
Poet/Beam Struct. San. Sewer Framing g'
-Plumb. A
Poet/Beam Rech. Rain Drain Insulation i
Plbg. Underfloor Water Line Gyp. Bd. -Neth.
1p Time: AM N
Date Requested: 7�
Address:
.,_ r'� Permit e:_y
Ruildor:44
TF1E Eg1,1OWIN, MRRRCTIONS ARR REQU,RED:
t U Cit u J�cv c.c7
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Date: r... �1----
J ,f, Inspector:
APPROVEDy DISAP/PROVED APPROVED SUP-JECr rO ABOVE
k Call For Reinsp.
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