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i:\records\microflm\targets\building.doc
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639.4175 Business Phone: 639-4171
Footing Rain Drain Cover/ServiceFINAL:_
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing ech.
Plbg.Und/Fir/Slab P op Out Insulation Elect,
Post/Beam Struct. McCh. R ugh-in Gyp. Bd. -Bldg.
San. Sewer _ as Line Appr/Sdwlk Reins.
Other:
Date: _ A.MP.M. n
Address: F'
Tenant: Ste: MST: _
BLIP: !
Con/Own: MEC:
PLM:
ELC:
THE FOLLOWI14G CORRECTIONS ARE REQUIRED: ELR:
C g s;_z- Feic,
4C hfi.N4]wrr5•
94 s -Pt P, Nis
/Intor: Date._ D _DISAPPROVED/CALL FOR REINSP. CF CO
10
CITY OF T MECHANICAL
DEVELOPMENT SERVICES PERMIT
PERMIT #. . . . . . . : MEC96: 04c6
13125SWHaKBlvd.,Tigard,OR97223 (503)639-4171 DATE ISSUED: 12/09/96
PARCEL: 15133DP--00500
SITE t•1DDRE5S. . . : 115-76 SW SHEFFIELD C I R
SUBDIVISION. . . . : BRITTANY SQUARE IVO. I I ZONING: RIP 1b
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :29
CLASS—OF-WORK. . :ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SP 11.6l T HEATERS. . : 1 VENT FANS. . . : 0 r
OCCUPANCY GRP. . :R3 VENTS W/O APDL: 0 VENT' SYSTEMS: 471
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES--____.__._.---_-__-- 0--3 HP. . . .. : 0 DOMES. I hIC I I 0
- /GAS/ / / 315 HP. . . . : 0 COMML. I NC I N: 0
MAX INPUT: 0 BTU 15. 30 HP. . . . 0 REPAIR UNITS: 0
FIRE DAMPERS% . : 30-513 HP. . . . : 0 WOODS',OVES. . : 0
GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DR 'ERS. . : 0
NO. OF UNI 7S— --- ---- NIR HANDLING UNITS OTHER UO I TS. : 0
FURN ( 1O0K STU: 0 (- 10000 c,f m : 0 [SAS OUTLETS. 1
l FURN ) =1O0K BTU: 0 > 10000 cfm: 0
Remat-ks :
Owne--: FEES --
FORNER type �mol.int by date recpt
11576 SW SHEr-FIEI-1, CIR PRMT !c 25. 00 JSD 12/09/96 96--287457 I
51='C T' $ 1.. 25 JSD 12/O9/9F, 96-287457
TIGARD OR 97223
Phone #: 5C.4--3360
Cont,-actor": __._.____-----•-----_.__________._.._._.
COST PLUS HEATING
9464 N ST 1_01-IIS ST.
PORTLAND OR 97203
Phone #: 781—'3090 $ 26. 25 TOTAL
Rey #. . : 47978
--------- REOU I RED I NSPECT I ONS
This pe!mit is issued Subject to the --iulations contained in the Mechanical. Insp
Tigerd Municipal Code, State of Ore. .specialty Cedes and all other Final. Inspection
applicable laws. All work will be done in accordance with
approved plans. This perjit will expire if work is not started
within 188 days of issuance, or if work is suspended for more _
than IPA days.
F e r i t t e e S i g n a t o r _ .
Call for inspection - 639-4175
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Plan Check N
CITY OF TIGARD Mechanical Permit Application Rec'dBy_,'
13125 5W-MALL BLVD. Commercial and Residential Date Recd 7
TIGARD, OR 97223 Date to P E
(503) 639-4171, x304 Date to DST_
Print or Type Permit Ir_ �e r -at/4=(
Incomplete or illegible applications will not be accepted called
Name of DeveiopmenvProlect Description
Table to Mechanical„ode on' PRICE AMT ,
Job Street Address / Suave A) Permit Fee — -0- -0- 1000
Address II, 7L (& $Lrr{t�r/r� r',✓c(i
Bag# Gtylstato Zip Bl Supplemental Permit 3.00
-t-r s 'Vv) 7 j
Name for name of business) 1 ) Furnace to 100,000 BTU — 6.00
Owner iv r 0 e r incl duds 8 vents
Mailing Address 2) Furnace 100,000 BTU+ 750
1 I -, 7G herlet r-rs r',.< ly incl ducts ISvents _
CeyrstateZIP Phone 3) Floor Furnace 600-
_ F,•�) #, U, '))1-% ; L)1 '/- 33C t iricl.vent _
Name(or name of business) 4) Suspended heater,wall heater 600 �� C
or floor mounted heater
Occupant Mailing Address 5) Vent not incl.in 3.00
appliance permit f
CdyrStne
219 Pho a 6) Boder or comp,heat pump,air cond. 6.0n
�—--_ to 3 HP;absorp unit to 100K RTU
Narrfe 7.) Boiler or comp,heat pump,air Gond. 11.00
3-15 HP,absorp unit to 500K BTU
Contractor M/einq Address 8) Boder or comp,heat pump,air cond. 15 00
W.L 77 3Z V rr+5r.,c�r'�^ 15-30 HP,absorp unit 5-1 and BTU a
(Prior to Coyr;itara Zip Pluire 9) Boiler or comp,heat pump,air cond 22.50 li
rowans a copy /t, ' )1 v� .)J 1, 7 `I 30-50 HP,absorp unit 1-1.75 mil BTU
of all licenses are OregonGonst.Cont. e.Bot.ic# Exp Dara 10.) Boiler or comp,heat pump,a'r cond. 37.50
required 4 L/7< 7 c. , 5 ;- 'r 7 > 5U HP;absorp unit 1.75 and BTU
expired in C O T COT Business Tax or Meso M Exp Date 11 ) Air handling unit to 4.50
data base) /'/CS;) ___ 10.000 CFM
Architect Name — 12) Air handling unit 7.50
1Q000 CTM+
Or Mailing i adress +3) Non rtable 4.50
evaporate cooler
Engineer Crtyrstate Zip Pnone 14.) Vent fan connected 3.00
to a single dud__
Describe work New O Addition O Alteration Repair O 15) Ventilation system no' 4.50
-- li
to be done Residential O Non-residential O included in ,1,4'ii nc
Additional Description of work 16) Hood served by me b 4.50
it
17) Domestic incinerators_ + 7,50
Existing use of 18.) Commercinl or industnattype 30.00
building or property incinerator
19) )ir undo —^ — _ 4,50
Proposed use of 20) Woodstor
building or prop"- — 4.50
21) Clothes dryer,etc 4,50 _
Type of fuel-oil D natura nc O 22) Ot'er units 4 50
I hereby acknowledge that, that the ^T 23) Gas piping one to four outlets r 2.00 1 "
information given is correct.It ionzed agent of
the owner,that plans sobmitte, with Oregon State —2,15)—More than 4-per oitlet (each) .50
laws. l -
Signature of OwneNAger, Dab QTY.SUBTOTAL
'SUBTOTAL
Contact Person Name Phone 1 5%SU^.CHARGE n7
PLAN RF\rIE-W 21%OF SUBTOTAL L
TOTAL /f
klsttmechpmt doc (rev 7196) 'Minimum permit fee is S25+5%surcharge