Permit I1L- LHHN 1 LHL
GIN OF TIGARD RMIT°
PERMIT �#° ° MEC95 --02 22
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/12/95
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171
PARCEL: 25112DD -00701
SITE ADDRESS...: 15852 SW UPPER BOONES FERRY RD *BLD C
SUBDIVISION ° ZONING: I -P
BLOCK ° LOT
CLASS OF WORK..:ADD FLOOR FURN EVAP COOLERS:
TYPE OF USE -COM UNIT HEATERS ..: VENT FANS...:
OCCUPANCY GRP..:52 VENTS W/0 APPL: VENT SYSTEMS:
STORIES... °1 BOILERS /COMPRESSORS HOODS.......:
FUEL TYPES 0 -3 HP DOMES. INCIN
:/GAS/ / / 3 -15 HP ° COMML. INCIN:
MAX INPUT; BTU 15 -30 HP REPAIR UNITS:
FIRE DAMPERS?..: 30 -50 HP WOODSTOVES..:
GAS PRESSURE...: M 50+ HP....: CLO DRYERS..;
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.
FURN ( 100K BTU:1 (= 10000 cfni: GAS OUTLETS. g1
FURN > =100K BTU: > 10000 cfmo
Remarks; install 75mbtu space heater and 1" gas line.
Owner- - - -- - -- FEES - -• --- - - -• -- --
PAC TRUST type amount by date recpt
15115 SW SEQUOIA PARKWAY PRMT $ `5.00 B 07/12/95 95- 267927
PLCK $ 10.00 B 07/12/95 95-26727
TIGAD OR 97224 5PCT 1.25 B 07/12/95 95- 267927
Phone r:
Cont-'actor. - -- -
PROT`MP ASSOCIATES INC.
807 N. E. COUCH
PORTLAND OR 97232 - - --
Phone i,• s 233-6911 $ 36.25 TOTAL -
Reg t.. ° e 308863
REQUIRED INSPECTIONS
This pernit is issued subject tc the regulations contained in the Gas Line Insp
Tigard iunicipal Code, State of Ore. Specialty Codes and all other Mechanical Insp
applicable laws. All work will be dcne in accordance with Heating Unt Insp
approved plans. This perait will expire if work is not started Misc. Inspection
within 1811 days of issuance, or if work is suspended for Dore Final Inspection
than 180 days.
Permittee Si nature:
Issued By: _-
Call for inspection -• 639 -4175
City of Tigard MECHANICAL PERMIT Planck/Rec. # (p- (01 C_9
1 SW Hall Blvd. l APPLICATION a Permit # AP< _ ...1r-o2.2_7____ Tigard, OR 97223 '
(503) 639 -4171 /
.............. Description
aZACNON F3cpsi NESS GF/.r1 -QL=C Table 3A Mechani ., ode QTY PRICE AMT
Address - stn./ `.) P Pgle O° i l t:`S 2 1) Permit Fee -0- -0- 10.00
M ww« 2) Supplemental Permit 3.00
name (a m. or .) Furnace to 100,000 BM
1) incl. ducts & vents l 6.00 G
Maim Address Mncn• Furnace 100,000 81U +
Owner 2) incl. ducts & vents 7.50
`•tyr•cm• 'v Floor Fumance
3) inc.!. vent 6.00
N•"1• (01 moo 0 a..'•••) Suspended heater, wall heater
M - - rr � . G?u .L.l - tv ) .ecrt WA 4) or floor mounted heater 6.00
NUM; MS MIOn• Vent not Incl. in
Occupant 5 appliance permit 3.00
t S Sw �PE� 1 cs F'.l. Act ) PP Pe
C 4 0 10, ZIP Repair of heating, refng.
6) cooling, absorption unit 6.00
Name Boiler or comp, heat pump, air cond.
� /t/) P Asscx.. 7) to 3 HP; absorp unit to 100K BTU 6.00
} t" �".� 0 1 °••' M^On• Boiler or comp, heat pump, air cond.
Contractor P ' 7 At >E CCH 233 c.'111 8) 3 -15 HP; absorp unit to 500K BTU 11.00
kip Boiler or comp, heat pump, air cond.
"F° •aa i� l vp 's c[7252 9) 15 -30 HP; absorp unit .5 -1 mil BTU 15.00
Bus. Tax No. Boiler or comp, heat pump, air cond.
- S6� 'c1- 2'1t,9. 10) 30-50 HP; absorp unit 1 -1.75 mil BTU 22.50
I hereby acknowledge that F have read this application, that the Boiler or comp, heat pump, air cond.
information given is correct, that I am the 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 Air handling unit to
laws, that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50
that the number given is correct. (If exempt from State registration, Air handling unit
please give reason below.) 13) 10,000 CTM + 7.50
• Non portable
14) evaporate cooler 4.50
Vent Fan connected
15) to a single duct 3.00
Ventilation system not
�_ h _1, 16) included in appliance permit \ 4.50
."'_.'. • 0""•` of • ���' Hood served by
17) mechanical exhaust 4.50
Descnbe work new U addition U alteration U repair 0 - Commercial or mndustnai
to be done residential 0 non - residential 0 18) type incinerator 30.00
xisnng use o Other i.e., woodstove, water
building or property 19) heater, solar, clothes dryers, etc. 4.50
i
Proposed use of 20) Gas piping one to four outlets / 2.00 2.
building or property
T Type of fuel - oil natural gas LPG 21) More than 4 -per outlet
YP 0 9 0 0 electric Q
NOTICE
Minimum Fee $25.00 SUBTOTAL 21-
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE / x '
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL / p
AFTER WORK IS COMMENCED.
TOTAL
0 � it
Special Conditions � c �
Date issued by
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CITY OF TIGARD BUILDING INSPECTION NOTIC
c
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection: •
Footing Susp. Ceiling Sprink. Rough -in • par/S Ik
Foundation Plbg. Underslab Mech. Rough -in (: reol -c=
Post/Beam Struct. Plbg. Top Out Elec. Rough -in ' NA. 'j
Post /Beam Mech. San. Sewer Line -Bldg.
Plbg. Underfloor Rain Drain Framing - Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. - Elect.
Date Requested: ? (�� 17.1 Time: AM ?PM
Address: / S 7g _it 4). " e . 11/14.
Builder: Permit #
THE FOLLOWING CORRECTIONS ARE REQUIR D:
A//, (v�`ssu/1 F' n I/
s w ----- 1_________ -- i - Waii•W _ _ . t ..119 9 1 '
.0
.. 3 ./ ir4Y',4.7..42=r Date'A 5-
%/ " �d' D �' ► SAPPR* ED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: '.3' • 171
Inspection: 6(-Le C - e
Footing Susp. Cell' g Sprink: •ough -in App dwlk
Foundation Plbg. Underslab Mech. Rough -in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough -in FINAL:
Post /Beam Mech. San. Sewer ine Bldg.
Plbg. Underfloor Rain Drain Framing - Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. - Elect.
Date Requested: Fri 7 ( S Time: AM ` PM
f.
Address: c 4Fv ^ 0 �
- e Q il 1 4-4 -
Builder: Permit dii 9 / ° ee - _ L .5 '0 -�)..-
THE FOLLOWING CORRECTIONS ARE REQUIRED:
/ 7,6,Cf$*'4 e
Inspector: Date Af
____7)7 APPROVED APPROVED A ROVED SUBJECT TO ABOVE
or Reinsp.
D C
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection: 410 �. _ ' `! i� _ / / , . I, .
Footing Susp. Ceiling Sprink. 'ough -in Appr /Sdwllk
Foundation Plbg. Underslab Mech. Rough -in Fireplace
Post /Beam Struct. Plbg. Top Out Elec. Rough -in FINAL:
Post /Beam Mech. San. Sewer -Bldg.
Plbg. Underfloor Rain Drain Framing - Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. - Elect.
Date Requested: / 3 Time: AM PM
Address:
Builder: ermit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
•
Inspector: 2 /Z1 Date: 9 /3
_APPROVED _DISAPPROVE APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection:
Footing Susp. Ceiling Sprink. Roug - n Appr wlk
Foundation Plbg. Underslab Mech. Rough -in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough -in FINAL:
Post/Beam Mech. San. Sewer -Bldg.
Plbg. Underfloor Rain Drain Framing - Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. - Elect.
Date Requested: /6 (3(l / S Time: AM PM
Address: / 5 S - (Lip p 44 ,-i/to F.
Builder: Permit D Z Z Z�
THE FOLLOWING CORRECTIONS ARE REQUIRED:
c /(4 G
Inspector: Date //3/ ,/95
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE ` C
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639-41,
Inspection: _/ •
�LI' 4 4.1„,":„, 4.1„,":„4.1„,":„, �
Footing / Susp. Ceiling Sprin R „of i n Appr /S• wlk
Foundation Plbg. Underslab Mech. Rough -in Fireplace
Post /Beam Struct. Plbg. Top Out Elec. Rough -in FINAL:
Post /Beam Mech. San. Sewer as Lind •T� -Bldg.
Plbg. Underfloor Rain Drain Framing - Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. - Elect.
Date Requested: /Q /'/ / ?5 Time: AM PM
Address: / 5 1 �!� % L11. .
Builder: / Permit # 1aEc_ 5 O 2-2/2�
THE FOLLOWING CORRECTIONS ARE REQUIRED:
/de rsT
Inspector: --- Date: ///0/
APPROVED ISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.