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" 7598 SW ASHFORD STREET
CITY OF TIGARD MECHANICAL.
-� DEVELOPMENT SERVICES PERMIT
13125 SW Hall Blvd., Tigard, OR 97223 (533)639.4171 PERM I T #. . . . . . . : IrlEC96--044 I
DATE ISSUED: 12/16/9f--,
'SITE ADDRESS. . . 07598 SW ASHFORD ST F-'IRCEL: 251 1 2,CA-48100
9UBD I V I S I ON. . . . : RENAISSANCE. WOODS ZONING: R--4. 3
SLOCK. . . . . . . . . . . L-OT. . . . . . . . . . . . . ..7
!::LASS OF VORt/- „ :ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0
T'YP'E OF USE. . . . -SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP'. . : R-.3 VENTS W/O FBF'!='L: 0 VENT SYSTEMS: 0
STC)RIFS. . . . . . . . : 0 SOIL-ERS/COMPRESSORS HOODS. . . . . . . : 0
! UFL TYPES----._-_---_- ._ 0--3 HFA. . . . : 0 DOMES. I NC I N: 0
: /GAS/ / 3--15 HP'. . . . : 0 CUMML.. I NC I N-. 0
!1AX INPUT: 0 DTLI 13 -30 1AP'. . . . : 0 REF'A I R UNITS: 0
I"IRE DAMPERS?. . : 30-'50 HR. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : 50v- 1W. . . . : 0 CLO DRYERS. . : 0
NO. OF7 n T R HANDL..T NG UNITS OTHER UNITS. : 1
r_I.1RN < 100V, BTU: 0 l 10000 r-f m : 0 GAS O!._1TL-ETS. : 1
i--URN ) = 100K BTU: 0 > 10000 cfm : 0
Remarks : Installation of: gas stove:.
Owner,: --.____-_______.___..._______________ _ _________.____.__ FEES --- ------- - -- -
MARK. VANDEHE:Y _ -type amount by date reept
7598 SW APHFORD ST PRMT $ 25. 00 DRA lc/16/96 96-c'8775
7PCT $ 1. 2!---1 DRA 12/ 16 /96 96-287'/5
F'h o n e #: 684-5206
5206
Contractor: _ .___.._._____..___•_ ..__.__._._..---._. ._.--._-•--__-_.
I-U1)EmnNS INC
12,675 SW l3E=AVERDAM RD
BEAVERT•ON OR 97005 _ _____.__________----•---___-_--_
TT"hone #: E,46 -640'9 26. 253 'TOTAL
Reg #. . : 000514
--- - --- REGtU I RED I NSPECT T ONS
This permit :s isened subject to the regulatir-�s contained in the Gas Line Insh
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechan i r.:a 1 I n s p
applicable la►.,. All wort, will be done in accordance with Final Inspection
approved plans. This permit will expire if wor''K is not started _
within 198 days of issuance, ur i` work is suspended for more --
than 190 days. - —� -- - -- --
F'a r•m i t t PS i.ona _ir e :
Call fo • inspection - 639-4175
Plan Chec
CITY OF TIGARD Mechanical Permit Application Recd ey_=_.
13.125 SW HALL BLVD. Commercial and Residential DateRec'd -9(o
TIGARD, OR 97223 Date to P E ✓
(503) 639-4171, x304 Date to DST _
Print or Type Permit a, 14 W0-0,/q/
_ Incomplete or illegible applications will not be accepted Called
Jame of DevelopmentlProlect Description
W 5564. fable 1A Mechanical Code �OTY PRICE AMT
Job 3lreel Address SudeatA) Permit Fee 0 0- 1000 0 00
Address 7 S9 i, S--" K1�►1�..1
yldga cityistate a Zip {7 B) Supplemental Permit 3 00
taame for name of business) 1 ) Furnace to 100.000 BTU 600
Owner t� )�.�k 1�. .1�. 1,r<�y�e, incl,ducts&vents
Mutiny Address
7 2) Furnace 100,000 BTU+ 7 50
S i .
vv
S 1L`>�-�� .0 S'r incl ducts&vents
Cnv!sute y Zip Phone 3) Floor Furnace 6 00 --
�. incl.vent
Narne for name of business) 4) Suspended heater,wall heater 6 00
or floor mounted heater
Occupant Mailing Address 5) Vent not incl. In 3 00
appliance permit
c"Istale Zip Phors 6.) Boiler or comp,heat pump,air Gond 6 00
to 3 HP:absorp unit to 100K BTU _
Norrie -� 7.) Boiler or comp,heat pump,air cond. 11.00
3-15 HP,absorp unit to 500K BTU
Contractor M""Address 8.) Boiler or comp,heat pump,air cond t5 00
ry 7 5 Si U C c,-n Y o, ��"C'C 15-30 HP,absorp unit 5-1 and BTU
(Prior tocd:v atm— Zip Phone 9.) Boiler or comp,heat pump,air Gond. 22.50 _-—
ssuanx a topy r��C�✓-�c rV r17U t�5 4;yb-4j;go9 30-50 HP:absorp unit 1-1.75 mit BTU
of a"licenses are Oregon CW0.Conl.ftfird UC.a Fxp.000 —
10.) Boiler or comp,heat pump,air Gond. 37 50
required 0 5 I q(j o (0'�D'y 7 >50 HP;absorp unit 1.75 and BTU
expired in C O T COT eusness Tax or Metro M Exp Dab 11 1 Air handling unrl to 4 50
data base, f'(',( �Ll'b 5 ('(-9 -7 iC100 CFM _
Archltect Name 12) Air harp."ing unit 7 50
10,000 CTM+
or Mgi6ng Address 13.) Non portable 450
evaporate cooler
Engineer C tyi5taie zip Phone 14) Vent fan connected 300
to a single duct
Describe work New O Addition O Alteration El Repair O 15.) Ventilation system not 450
to be done Residential Non-residertial O included in appliance permit
Additional Descnpbon of work 16.1 Hood server)by mechanical exhaust 450
17) Domestic incinerators 7,3r)
Existing use of 18) Commercial or industnattypee 3000
building or property �.a) 0 L P.fla �noneratcr
191 Repair units _ - 450
Proposed use of 20) Woodewre 450
building or property e.c. F i.-t 1C.,
_ 21) Clothes dryer,etc. _ - 450
Type of fuel-oil O natural gas, LPG O electric O 22) Other units 450
1 hereby acknowledge that I have read this application that the 23) Gas piping one to four outlets 2 00 ,
Information givens correct.that I am the owner or authorized agent of
the owner,tflat plans submitted are in compliance with Oregon State 24) Mom than 4-per outlet (each) 50
laws /f
Signa re of OwnedAgent Da
07Y.SUBTOTAL
'SUBTOTAL
Contact Person Name Phone 5%SURCHARGE
PLAN REVIEW 2544 OF SUBTOTAL
L I
TOTAL
I.\dsttmechpmt doc Irev 7;96) 'Minimum permit fee is S25-5%surcharge �-
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service
FINAL:
Foundation
Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath
F;amingec
PIbg.Und/Fir/Slab Plbg. To t --I
L Insulation -Elect.
Post/Beam Struct, ech. Rough-i Gyp. Bd.
-Bldg.
San. Sewer s Line
Appr/Sdwlk el ,I
Other:
� Date: _-�.� ��— --
A.M, P.M._ try:
Address:
Tenant:
---�r---, ---- ___— Ste. _ MST:
Convw,o - BLIP:
MEC:` -- �-t-/
-- �
PLM:ELC
_
T E FOLLOWING CORRECTIONS ARE REQUIRED: ELR,
S
Inspector:
- Date: Z Y
`
PPROVED `DISAPPROVED/CALL FOR REINSP.
CF CO