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INSPECTION NOTICE
City of Tigard Building Departeent
131.25 SN Hall Blvd. Tigard, Oregon 97223
Inspection Linn (Rec-O-Phone): 639-417B -t7p- Phone: 639-4171
i
Inspection:_
Footing Plhg. Underelab Mech. Rough-in Appr/Sdwlkk
Found. Plbg. Top Out Gas Line
Post/Ream Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rein Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Rd. -Mach.
Date Requesteds /it S'C7 -a:i Times _—AM ___PM
Address://?>�S _{�, f hL Permit is SiZ -cam �,7
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
— -- --------------- ~'fit
i.
Inspector s.�. �,— / _ Dete:1�=�6 Z__
APPROVED rISAPPROVED _ APPROVED SUBJECT TO ABOVE
/ Call For Reinep.
C17YOFTIFARD
CMOFTWAND MECHANICAL
COMMUNITY DEVELOPMENT DEPARTMENT
131268W Hail Blvd. P.U.Elm 23"7,Tiipml,Oregmi 9=1(643)639-4175 PERMIT
PERMIJ #- - — - - - :
lN -
639-4171 DATE ISSUED: 08/31/92
SITE ADDRESS. . . : 11945 SW BURLCREST DR PARCEL: IS134CA-01700
SUBDIVISION. . . . : BURLWOOD ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . s10
-------- -----------------------------------------------------------------------------
CLASS OF WORK. . :ADD FLOOR TURN. . . . : EVAP COOLERS:
TYPE OF USE. . . . :SF UNIT HEATERS. . : VENT FANS. . . :
OCCUPANCY GRP. . :R,3 VENTS W/O APVil-i VENT SYSTEMS
STORIES. . . . . . . . : BOILERS/COMPRESSORS HOODS. . . . . . . :
FUEL TYPES-------,-------- 0-3 HP. . . . : 1 DOMES. INCINs
:/ELE/ 3-15 HP. . . . - COMML. INCIN3
MAX INPUT: BTU 15-30 HP. . . . a REPAIR UNITS:
FIRE DAIYIPERS?. . : 30-50 WOODSTOVES. . :
GAS PRESSURE. . . 1 50+ HP. . . . : CLO DRYERS. . :
NO. OF UNITS----------- AIR HANDLING UNITS OTHER UNITS. :
FURN ( 11210K BTU: 10000 cfm: GAS OUTLETS. :
FURN 1 =100K BTUs > 10000 cfm:
Remarks:
Owners --------------------------------------- ---------------- FEES --------------
CRAIU WALSH type amount by date recpt
11945 SW BURLCREST DR PRM'1 $ 25. 00 JH 08/31/92 —
5PCT $ 1. 25 JH 08/31/92 —
'TIGARD OR 97223
Phone 0:
Contractors -------------.------__--___---__
THE HEATING SPECIALIST
9300 NE HALSEY
PORTLAND OR 97220 -------------------------------------.
Phone #e 257-7000 $ 26. 25 TOTAL
Reg #. . : 56628
REQUIRED INSPECTIONS -------
This permit is issued subject to the regulations contained in the Final Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work rill be done in accordance with
appi.vpd plans. This permit will expire if work is not started
within 180 days of issuance, it if work is suspended for more
than IN days.
Permittee Signa t e s
Issued Byi
Call for inspection 639--4175
i
City of 'Tigard MECHANICAL PERMIT Pianck/Rec. #
'3125 sw Han Blvd. APPLICATION Permit #
PO Box 23337
T igurd, OR 97223
(503) 639-4171
15escripUon
Table 3A Mechanical Code CITY PRICE AMT
JOVSSW 6"AJ JtO e r D(` 1) Po mil Fee 0- 0• 10.00
Address yr, ap
�2c `rA cf -7 2-2-3 2) Supplemental Permit 3.00
--. Furnace to 100,0 bBTU-- --
`t I t Ic i_� � 1) incl.ducts 3 vents 6.00 -
ro •
Furnace 100,000 +
Owner I l Ci L) 5 5 W pet vti 2) incl.ducts 6 vents _ 7.50
.» Floor Fumance
-12-23 3) incl.vent 6.00
N.t i16.w aspen .eater,wall hoatef
4) or floor mounted heater 6.00
»• en snot m7c in-
Occupant 5) appliance permit 3.00
w T� Repair of heating.re ng.
6) cooling,absorption unit 6.00 ^
Boilei or comp,heat pump,air cond.
7) to 3 HP absorp unit to 100K BTU I 6.OU (s c�o
MAWV ». 1Boiler or comp, heat pump,air cond.
`IN:)C, Q S-7--7 floo 8) 3.15 HP absorp unit to 500K BTl1 11.00
Contractor i er or comp,heat pump,air c
rJ�LC�a Nvt 2-) v 9) 15-30 HP absorp unit.5 1 mil BTU 15.00
'oM .t 7. uo. -�-
hi or or comp, oat pump,air cond,
5-tr(n 2$ i 3I O 10) 30.50 HP absorp unit 1.1.75 mil BTU 22.50
hereby ac now a ge Lhat I have read is application,t at t he Boiler or comp,heat pump,air F.5 .
information given is correct,that I am tho owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 31.50
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
than the number given is correct. (If exempt from State registration, Air e-idling unit
please give reason below.) 13) 10,000 CTM+ _ - 7.50
oq portable
14) evaporate cooler 4.50
Vent fan connect
15) to a single duct _ 3.00 _
Ventilation system not
16) included in appliance permit 4.50
qx � oqtm tr 00 seN y I
17) mechanical exhaust 4.50
ascribe work now _qoitionU alteration Zj ropair 0 Commercial or industrial
to be done residential non-residential Q 18) type incinerator 30.60
xishng use o Other i.e.,wo stove,water
building or property `�r _ y 19) heater,solar,clothes dryers,etc. 4.50
Proposed use of 20) Cas piping one M four outlets 2.00 _
building or property
21) More tltan 4-per outlet
Type of fuel -oil Q natural gas Q LPG Q electric Q
NOTICE
Minimum Fee$25.00 SUBTOTAL
PERMITS BECJME VOID IF WORK OR CONSTRUCTION
AUTHORIZED 13 NOT COMMENCED WITHIN 180 DAYS,OR 6%SURCHARGE t a 5 1!5-
IF CONSTRUCTION OR WORK IS SUSPENDED OR - -
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED.
TOTAL 3 ZO.1 z►-crr,�"
Special Conditions
Date issued
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