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CITY OF TIGARD BUILDING ;NSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
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Footing Rain Drain Cover/Service AL:
Foundation Water Line Ceiling mb.
Post/Beam Mech. Shear/Sheath Framing ech.
Plbg.Und/Flr/Slab Plbg.Top Out Insulation
"lost/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Lin pr/ s,
Other: _--
Ite: M. P.M.. Entry:la
Address: Q •% ...��-
Tenant: Ste:__ MST:BLIP _
Con/� MEC U — �0 4((;�
MEC:
PLM:
ELC: _
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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_APPROVED _DISAPPROVED/CALL FOR REINSP.
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CITY OF TIGARD DATEIT SUED: . . :RL
MECgE 0304
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DATE. ISSUED: 09/04/36 �
f 1UNITY DEVELOPMENT DEPARTMENT
1:, V Hall Stwd.Tigard,Oregon 97223.8199 (503)899.1171 PARCEL: 2S 1 I 1 KD—rpt 1506
SITE (aI�UFtESCJ. . . : O`j13-5 .)W 5A ILL IR '' 1 aN�
SUBDIVISION. . . . : ALDE:RBROOK FARM ZONING- R-3. 5
r3LOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :8
CLASS OF WOPK. . :OTR FLOOR FURN. . . . EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRA). . :R3 VENTS W/O APDL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES_ .___.._._.____.._ 0•-3 HF'. . . . : 0 DOMES. INCIN: 0
: /GAS/ / / 3-15 HP. . . . : 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15- 30 lip,. . . . : 0 REPAIR UNITS: 0
. . : '30-50 HP. . . . : 0 WOODSTOVES.
FIRE DAMPERS?
GAS PRESSURE. . . : 50+ HP. . . . : 0 CI_0 DRYERS. . : 0 „.
NO. OF UNITS----------- AIR HANDLING UN I TS OTHER UNITS. : 1
FURN ( 1O0K BTU: 0 (= 10000 cfm : 0 GAS OUTLETS. : 1
FURN >=1O0K BTU: 0 > 10000 cfm: 0
Kemal-11S : Installing a free standing gas woociatuve
Owner: --_.._-_______._----------_.-_---•---_.______----•------_-__-- FEES
BONNIE STARKEY type amount by date recpt
9825 SW SATTLER PRMT $ 25. O0 B 09/04/96 96-283571
SPCT $ 1. 25 B 09/04/96 96---2133571
TIGARD OR 97223
l Phone #: 620-764(-
Contractor:
20-764(-
Contractor:
MIKE LARKIN CONSTRUCTION
1c-,16 NE 11,21'H
PORTLAND OR 97c'c?O --------•--•----------------------_.._--
Phone #: 256-4909 f 26. :'5 TOTAL
Req #. . 068996
--- - --- REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Gas L_i n r.. I n s p
i Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. I-ispection
i applicable laws. All work will be done in accoroance with Final Inspection _ __�•__._�-.___.____._.-._
r approved plans. This permit will expire if work is not started ,J_-,__i_�•_.__ _,•_ _!- _._ ______ .___
within 180 days of issuance, or if work is suspended for tore
than 180 days.
i
I Term i.t t ee IS nat'.IV-e :
By:
Call for inspection - 639-4175
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Plan Ch
CITY OF 'rIGARD Mechanical Permit Application Rec'd By x
13125 SW HALL BLVD. Commercial and Residential Date Recd 'Ali t
TIGARD, OR 97223 Data to P.E._-
(503) 639-4171, x304 Date to DST
Print or Type Permit N
Called
Incompleto or illegible applications will not be accepted
Name o:Jewra�rrnenuPro)so Description Y I -
Table IA Mechanical Code cry PRICE AMT
Job SYW Address suds» A) Permit Fee -0- -0- 10.00
Address l5,)s> 5 L(,l 54l _ -
BlagneIstals zip ? B) Supplemental Permit 3.00
�r
-- Name log name or business) �~ 1.) Furnace to 100,000 B','U 6.00
Owner incl.duds&vents
Mailing Address 2.) Furnace 100,000 BTU+ 7.50
$GL _Q incl.ducts 6 vents
CdylSlate - Zip Phone 3) Floor Furnace 6.00
cs Q-\M -e-._ 6,20-l b-1 G incl.vent
Name(or name of buaneae) 4.) Suspended heater,wall heater 6.00
t _ or floor mounted heater
Occupant. Mailing Address _ 5.1 Vent not incl.In 300
appliance permit
Cdylstale Zlp Fhone 6) Boller or camp,heat pump,air Gond. 6.00
to 3 HP;absorp unit to 100K BTU _
N [ 7) Boiler or comp,heat pump,air cond. 1 1.00
tsCe LaV k,,` 3-15 HP;absorp unit to 500K BTU
Contractor M" g Addfess 8.) Eoiler or comp,heat pump,air Gond. 15.00
'-L_ 15-30 HP;absorp unit.5-1 mil BTU _
Attach copy of Cdyrstats Zip Phone 9.) Boiler or comp,heat pump,air Gond. 22.50
Current Licenses :T-j,r -�ZZI� a 5 e q'O`y 30-50 HP,absorp unit -1.75 mil BTU
Oregon const Cont.Board Lc M Exp ate 10.) Boiler or crimp,heat pump,air Gond. 37.50
5,26919 4. 9 >50 HP;abso unit 1.75 mil BTU
COT Business Ta.or Metro e Elp Dale, 11.) Air handling unit to 4.50
10,000 CFM
` Architect Naarw 12.) Air handling unit 7,50
10,000 CTM+
Or Mading Address 13) Non portable 4.50
evaporate cooler
Engineer City/State z p Phone 14.) Vent fan connected 300
_ to a single dud
Describe work New O AdditlonA Alteration O Repair O 15.) Ventilation system not 4.50 -�
to be done Residential N n-residential O included in appliance permit
Artddional Description of w6rk 16) Hood served by
mechanical exhaust 4.50
17) Domestic incinerators 7.50 .n✓'?.
v+>
Existing use of 18.) Commercial or industrial 30.00 ray
building or property type incinerator
19) Clothes dryers,etc. 4.50
Proposed use of 20) Other unds / 4.50
building or property^ Q-.S r-r'e.e S 4-ct T1111A r l
Tyne of fuel-oil O natural gas O LPG O electric O 21) Gas piping one to four outlets 2.00
I hereby acknowledge that I have read this application,that the w 22) More than 4-per outlet (each) .50
information given is correct,that I ai n the owner or authorized agent of
the owner,that plans submitted are in compliance with Oregon State QTY.SUBTOTAL
laws _
Sign/tu OwA+,ent
'SUBTOTAL
Wb
5/ SURCHARGE•) D ,it/9-
Co
cit OecrsnA Man ie Pho PLAN REVIEW CSX OF SUBTOTAL �S-
7 /o ii �- .------------ TOTAL � ,75
i:\dst\me&prmt.d;i - 'Minimum permit fee N$25+ 5%surcharge
Rev 7/Po
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page y,. CASE HISTORY FOR CASE NO.: MEC96-0304
MIKE LARKIN
09825 SN BATTLER ST
05/16/9n
Aotion Req/ Schd/ Rnd/ Action Noteo Diep By Updwte Vpd
I� �3 Sent Dane Dons
Dab my
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- --- ---- --------- --------------- -----------
z
MRCA007 Apel icatim received / / / / 09/04/96
RECD B 09/04/96 BON
tq9(-A010 Plim check by / / / / 09/04/96 09/04/96 BON
MECA060 ;F) Issue permit / / / / 09/04/96 PASS B 09/04/96 BON
MIRCA705 Gas Line Inap 09/04/96 / / 09/06/96 PASS TLP 09/12/96 TLP
MECA799 Pinal Inspection / / / / 09/06/96 PASS TLP 09%12/96 TLP
MECA900 Cane Finaled / / / / 09/06/96 PASS TLP 09/12/96 TLP
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