12185 SW SUMMER STREET-1 ADDRESS:
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1 �NSPECi'IO�i NOTT�E � �
Cit? of Tigard Buildlnq Department /
13125 SW Ball Blvd. Tigard, Oregon 972 /
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Inspection Line (Re -O-Phone)s 639-1175 Businea phones 639-4171
Inarections__.__._._ _ � CL C t_ �(7Y1C .
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Footing Plbg. Ucderslab Hoch. Rough-in Appr/Sdwlk
Found. Pibg. ':op Out pas Line FINAL: .
Post/Bram Struct. San. Sewer. Framing -Bldg.
Post/Ream Hoch. Rain Drain Insulation -Plumb.
Plbq. Underfloor Nater Line Gyp. Bd. -Mach.
Data Requeetodsc, `7"I�- �1 1 —Time: AN -- PM
Addrasaf I d I sS F� ll VVIL oylC_( 1 / Permit
Builder e 4)1taa -- U �( t't. ]n� ,_ �_ U U
7'!1E FOLi.OMIRC CORRECTIONS ARE REQUIREDs 5` 0- 4 G -
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Inspector: Datae��_
—_APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Rainsp. ✓�lL'�
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_------------__----- -- --- I�iECHAI'IICAI•-
C1 OF TIGARD PE RM IT
PERMIT #. . . . . . . ME�C9k- 0183
COMMUNITY L�EV/ELOPMEhlTaE�PgRTI1�lEtdT DATE ISSUED: 07/05/94
13125 SW Hell Blvd.Tigard,Oregon 97223.6199 (503)09-4171
PARCEL : 1S134CB—.00500
SITE ADDRESS. . . : 12185 SW SUMMER ST
SUBDIVISION. . . . : SUMMER HILLS PARE: ZONING: R--4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :
CLASS OF WORK. . :ALF FLOOR TURN. . . . : EVAP COOLERS:
TYPE OF USE. . . . :SF UNIT HE4TERS. . : VENT FANS. . . :
OCCUPANCY GRP. . :R3 VENTS W/0 APPL: VENT SYSTEMS:
STORIES. . . . . . . . : BOILERS/COMPRESSORS HOGDS. . . . . . . :
FUEL. 0-.3 HP. . . . : DOMES. I NC I N:
/GAS/ELE/ / 3-•15 HP. . . . : CLMML. INC1N:
MAX INPUT: BTU 15-30 HP. . . . : REPAIR UNITS:
FIRE DAMPLRS?. . : 30--50 HP. . . . : WCODSTUVE.3. . s
GAS PRESSURE.. . . s 50+ HP. . . . : CLO DRYERS. . :
NO. OF UN 1 TS--- -- --- - AIR HANDLING UNITS OTHER UNITS. :
FURN ( 100K RTU: 1 % .. 10000 cfm : 1 GAS OUTLETS. :
FURN ) =100K BTU: > 10000 cfm:
Re m ar-[(s : REPLACE GAS FURNACE PND ADD AIR CONDITIONER
ownev-: _._.._____.___________________._------._.._________-- FEES ---- -- -
BRAD ROBBINS type amol.tnt by date rer-I.)!.
12185 SW SUMMER STREET PRMT f 25. 00 SW 07/05/94
5PCT f 1. 25 SW 07/05/94
TIGARD OR 972123
'hone #: s90 N Sao -0707
Contractor: - _...-------__-•
FOUR SEASONS HEATING & AIR CON
P 0 BOX 66409
PORTLAND OR 97266
Phone #: 7755919 $ 26. 25 TOTAL
Reg #. . . 48283
- _---- REQUIRED INSPECTIONS -------
110 permit is issued subject to the regulations contained in the Mechanical 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 190 days of issuance, or if work is suspended for more
than 190 days, �—
Permittee Signature:
Call for inspection - 639--4175
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City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 sw Hall Blvd. APPLICATION Permit # Il,ii i✓
Tigard, OR 97223
(503) 639 4171
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Table 3A Mechanical Code QTY PRICE AMT
Job 1) P(,rmit Fee -0- -0• 10.00—{ ■
Address -� l
--4— 2) Supplemental Permit _ 3.00
Furnace to too,
1) incl. ducts a vents 6.00 —
... «. umace 100,000 Bpi
Owner2) incl.ducts 8 vents `— 7.50
z�— Floor umarice
3) incl. vent 6.00
Suspe I beater,wait seater
4) or floor mounted heater 6.00
Vent not incl.in
Occupant 5) applia:ice,permit 3.00
Repair of heatir.g,re ng. —
6) cooling,absorption unit 6.00
i er or comp, ea pump,air conn
l 7) to 3 HP;absorp unit to 100K BTU 600
v »•
Boller or comp, eat pump,air cora
l 8) 3.15 HP,absorp unit to SOUK BTU 11.00
Contractor - — —
r of er or comp fi a pump.air cork:
9) 15-30 HP;absorp unit .5-1 mil BTU 15.00
i w or comp, pump,air conn
•a',3n6 10) 30-50 HP;absorp unit 1-1.75 mil BTU 22.50 _
sere y ac fkMmn ow I ea ave rea is ap—p iica(ion,that e Boiler or comp,heat pump,au cons
information given is correct,that I am tree owner or authorized agent 11) >50 HP;absorp unit 1.75 mil BTU 37.50
of the owner,that plans submitted are in compliance with State r an :ng unit to
laws,that I am registered with the Construction Contractor's Board, 12) 10,000 Ci 'd 4.50 )
that the number given is correct (If exempt from State registration, a handing urn
please give reason below.; 13) 10,000 CTM . 7.50
-— on oorta e —
���. 14) evaporate cooler — 4.50
ent an conne-
15) to a single dud 300
_-- Ventilation system not —
16) included in appliance permit _ _ 4 co —
Hood serves
17) mechanical exhaust 450
Describe wo, new a it}onl��r„r.hon repair .ori ial or indLstnal
to be done residential O non-r -iA n 18) type u;c,rierat 30.00
xis ng user--- - other i.e.,woa .rove,water
building or pmperty �_— 191 heater,solar,clothes dryers, 'e. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
building or property -- --
21) More than 4-per outlet
Type of fuel•oil r) nah.i idrx,f I -
_ a �
Minimum Fee$25 00 SUBTOTAL 15
PERMITS BECOME VOID IF WOP IF-CONSTRUCTION
AUTHORIZED IS IS NOT COMMENCL.. .!TIAIN 180 DAYS,OR 5%SURCHARGE /
IF CONSTRUCTION OR WORK IS SUSP7NDED OR — -
ABANDONED FOR h PERIOD OF 180 L S AT AM'TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS CJMMENCED.
Special Conditions TOTAL
!_• _ Cate issued by
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