9615 SW SHADY PLACE olk,W A&*,A4 4,,j lm'dM �...
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CITY OF TIGARD BUILDING INSPECTION DIVISION �
24-Hour Inspection Lint;: 6394175 Business Phone: 6394171
Date Requested: ! C'�`� M. ✓ P.M._ MST:
Location: _
BUP:
Tenant: -2Suite: Bldg: MEC�LL -
Contractor: Phone: e)S� _ PLM:
(honer Phone: ELC:
ELR.:
_ SIT:
BUILDING BLDG(con't) PLUMBING MECHANICAL ELECTRICAL SI'Z'E
Site Post/Beam Post/Beam Post/Beam Covcr/Service Sewer/Storm
Footing Roof UndFl/Slab Rough-In Ceiling Water Line
Slab Framing Top Out Oas Line Rough-In UO Sprinkler
Foundshon Insulation Sewer llood/Uuct Reconnect Vault
Bsmt Damp Drywall Storni Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr Beat Pump Low Volt
Approved Approved A ov Approved Approved
Appr/Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL
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"bio --i�t�-,rn'i..I o1:-' �Z�__/�--�5'1/rs�s E��ec..� • ,
O Call for O reins o>� Reinspection fee of 3 required before next inspection O Unable to inspect
Inspector:_X Date:
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• CITY OF TIGARD MECHANICAL
DEVELOPMENT SERVICES PERMIT
13125 SW Nall Blvd., Tigard,OR 97223 (503)639-4171 PERMIT #. . . . . . . : OEC97-0372
DATE ISSUED: 10/02/97
IPARCEL: IS125DB-10300.1
Is SITE ADDRESS. . . : 09615 SW SHADY PL
SUBDIVISION. . . . : THE RAZBERRY PATCH ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :005 JURISDICTION: TIG
---------------------------------------------------------------------------------------
CLASS OF WORK. . :ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. , . : 0
OCCUPANCY GRP. . :R3 VENTS W/O APDL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSOR HOODS. . . . . . . : 0
FUEL TYPES------------ 0-3 HP. . . . . Q DOMES. INCIN: 0
3-15 HP. . . . : 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15-30 HP. . . . : !io REPAIR UNITS: 0
FIRE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSLIRE. . . : 50+ HF.. . . . : 0 CLO DRYERS. . : 0
NO. OF UNITS---------- AIR HANDLING UNITS OTHER UNITS. : 0
FURN ( 100K BTU: 1 (= 10000 cfm: 0 GAS OUTLETS. : 0
FURN ) =100K BTU: 0 > 10000 cfm: 0
R e mix r k s : Install new gas furnace for an existing single family dwelling.
(replace old gess furnace)
_----------- -
Owner: ------------------------------------------------------- FEE..
JAMES C STEWART type amount by date recpt
9615 SW SHADY PLACE PRMT $ 25. 00 GEO 10/02/97 97-299733
TIGARD OR 97223 5PCT $ 1. 25 GEO 10/02/97 97-299733
Phone #:
Contractor: -------------------------------
SUNSET FUEL. CO
PO BOX 42287 -.----_____._------------------.-----.--..__.._.
►rr..+ : 26. 25 TOTAL
PORTLAND OR 97242
Phone #: 503-234-0611
,N;%���' Reg #. . : 000023
`'`" REDUIRED INSPECTIONS -------
This permit is issued subject to the regulations contained in the Mechanical Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Heating U n t I n s p
applicable laws. All work will be done in accordance with Mi sc. Inspection
approved plans. This permit will expire if work is not started Final Inspection _
within 188 days of issuance, nr if work is suspended for more
than 188 days. ATTENTION: Oregon law squires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 95 -981- 818 through OAR 952-A81-8888. You may
obtain copies of these rules or direct questions to O(K by calling
(513)246-9181.
r�
Issue Ay: -- _ permittee Signature :
+++-!-+++i-++++++++++++•4+++++i+++++++++++++++++++++++++++++++++++++++++++++++i++++
Call 639-4175 by 6:00 p. m. for inspections needed the next business day
+++±++++++++++++4-4-4-4-+++f++++++++++++*}4+++++++++4-4-4-4-+++4-:L*+a.+++-&4.4. +46.}
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city of Tigard MECHANICAL PERMIT Planck/Rec. #
•
13125 sw Hall Blva. APPLICATION Permit # Affc'17
Tigard, OR 97223
(503) 639-4171
— . ave«+ - Description
Table 3A Mechanical Code QTY PRICE AMT
JobC- �"��J, ��,j'5A fid' ��� 1) Permit Foe -0- -0- 10.00
Address �• G
�✓ -�C1/1r'1� Q� 1� -� -2) Supplemental Permit 3.00
Furnace to 100,000 131 U
,� -t3 incl.duds 6 vents 6.00
•vim»• _ Furnace 100,000 BTU 4
Owner 2) incl.ducts S vents _ 7.50
W. Floor Fiimanco
t-4k , a2 (9 3) incl.vent — 6.00
14— . spended(heater,walleater
4) or floor mounted healer 6.00
1Ct - FkW Ventnot incl.in
Occupant 5) applianoe permit 3.00
.,..0 --- parr of fieaUng,reTng —
6) cooling,absorption unit 6.00
-fr»-- --- Boiler or comp, heat pump,air cond.
7) to 3 HP absorp unit to 100K BTU 6.00
M.p Miaaa �FMrw Boiler or comp,heat pump,3u cond.
P �)( A4 ake I la 8) 3-15 HP absorp unit to 500K BTU 11.00
Contractor r-fir, 7* -- Boiler or comp,heat pump,air con .
eQraA ,nd 9) 15-30 IIP absorp unit.5-1 mil BTU 15.00
V--r+• �r+- Boiler or comp,heat pump,av con .
�=Na 10) 3050 HP absorp unit 1.1.75 mil BTU 22.50
hereby acMaw1odge hat ave readhiT s app kation,0Boiler or comp, head pump,air cond.
information given is correct,that I am the owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 31.50
of die owner,that plans submitted are in compliance with State dandling unit to
laws,that I am registered with die Construction Contractor's Board, 12) 10,000 CFM 1.50 tr
that the number given Is correct. (If exempt from State registration, r handling unit
please give reason below.) 13) 10,000 CTM. 7.50
- Non portable
14) evaporate coder 4.50
Vent fan connected
15) to a single dud 3.00
' entilaUxh system not
16) included in appliance permit 4.50
••11aa MVia Hoodserved y
17) mechalical exhaust 4.50
Describe work new a ition alteration 7F repalro Commercial or uh stnal
to be done rosidentiat O non-residential Q 19) type irrinerator 30.00
resting use of Other i.e.,woodstove,water
building or property — 19) heater,solar,clothes dryers,etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
building or property
— -�
Typo of fuel-off Q natural gas 21) Mare than 4-per outlet LPG O electric Q - -
NOTICE
Minimum Fee$25.00 SUBTOTAL C�
PERMITS BECOME VOID IF WORK OR CONSTRUC11ON
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS.!cR 5%SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR -_
ABANDONED FOR A PERIOD OF 190 DAYS AT ANY IIMF PLAN REVIEW 25%OF SUBTOTAL.
j AFTER WORK IS COMMENCED. -- `
pn TOTAL (p t
Special Conditions S`�� �C cC-t,r r
����� '� ✓ <-\6l� Date issued _— by
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RECEIVED
OCT 01 1997
COMMUNITY DEVELOPMEi4�
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