InitiallyGood ADDRESS:
i:\records\microflm\targets\buiIding.doc
CITY OF TIGAFiD BUILN ZZEPT NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639 j.
Inspection:
Footing Susp. Calling Sprink. Rough-in Ap d k
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. F;bg. Top Out Elec. Rough-inIF NAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulationech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:_ e I Z I' J q �O Time: AM PM
Address: S7
c >
Q� Permit #:
THE FOLLOWING CORRECTIONS ARE RE IRED:
In�spec�t Date:`-7
M�PPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD
MECHANICAL
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT
13125 SW Hell Blvd.Tigard,Oregon 97223.8100 (503)839.4171 PERMIT #. . . . . . . : MEC94-0273
639-4171 DATE ISSUED: 10/04/94
PARCEL: 26111CD-03200
SITE ADDRESS . . : 09635 SW BRENTWOOD PI_
SUBDIVISION. . . . : SUMMERFIELD NO. 9 ZONINGS R-7
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :521
t=:LASS OH WORK. . :ALT FLOOR FURN. . . . : EVAP COOLERS:
TYPE OF USE. . . . :SF UNIT- HEATERS. . : VENT FANS. . . s
OCCUPANCY GRP. . :R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES. . . . . . . . : 1 BOILERS/COMPRESSORS HOODS. . . . . . . a
FUEL TYPES-----------•--- 0-3 HP. . . . : DOMES. I NC I N:
: /GAS/ / 1 3-15 HP. . . . -. COMML. INCIN:
MAX INPUT: BTU 15-30 HP. . . . : REPAIR UNITSs
FIRE DAMPERS?. . : 30-50 HP. . . . : WOUDSTOVES. . :
GAS PRESSURE. . . : 50+ HP. . . . : CLO DRYERS. . :
NO. OF UNITS------------ AIR HANDLING UNITS OTHER UNITS. :
F=URN ( 100K BTU: 1 <= 10000 r-fm: GAS OUTLETS. :
TURN )=100K BTU: > 10000 cfm:
Remarks : GAS FURNACE
Owner: ------------------------------------------------------- FEES
F2 HOUCK type amount by (late recpt
1635 SW BRENTWOOD PLACE PRMT $ 25. 00 JF 10/04/94
5PCT $ 1. 25 JF '.,,/04/94
TIGARD OR 97224
P'i o n e #:
Contractor: -----------------------------
THE HEA"TING SPECIALIST
9300 NE HALSEY
PORTLAND OR 97220 -------._-------------------------------.
Phone #: 25'7--7000 t c6. cc^.5 TOTAL
Ret #. . : 56628
------- REQUIRED 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 Final Inspection
applica)le laws. All Mork will be done in accordance with
approved plans, This permit will expire if work is not started
oithin IN days of issuance, or if work is suspended for more
than 180 days. r
f
Permittee Signatures
:Fssued Py -.,
Call for inspection — 639-4175
lY
City ofjigard MECHANICAL PERMIT Planck/Rec. #
13125 SW Hall 31vd. n' Gy, �ll" '-APPLICATION Hermit # rr� 14
PO Box 232,97
Tigard, GR 97_2
(503) 639 4171 (IF
�'•�' ", � scup Ort '
Table 3A Mechanical C lde QTY PRICE AMT
1) Permit Fee -0- -0- 10.00
---
. 2) Supplemental Permit 3.00
Furnace to 1100,�=TT --
1) incl,ducts&vents ) 6.00
.. �..__Furnace 1100,6M BTU 4
Owner 2)'_i � � ��� t'b �� 2) incl.ducts 3 vents 7.50
ILA d CAL, c3 7 3) incl.vent 6.00
N� wrAm a `"" uspendw�eatwr,wa7fF`eater
4) or floor mounted heater 6,00
Occupant «� Vent not me
5) appliance permit 3,00
eparr of reahng,re ng.
6) cooling,absorption unit 6,00
blot er or comp,heat-pump ria
fit+- lOtF et_t?a-,� C' ldl�is-.Z. 7) to 3 HP absorp unit to 100K BTU 6.00
Ecce r al r wr comp,�i at pump,a r"cow _
Contractort3c 25'1 Tom, 8) 3.15 lip absorp unit to 500K BTU 11.00
Boiler or comp,h9at--mp,arr co .
!t t.-C i rts� CTL-1 11 7 21-1 9) 15.30 HP absort unit.5-1 mll BTU 15.00
ru �, • fi+r rr ilks�- as e. Boiler or comp, pump-,air COn
10) 30 50 HP absorp unit 1-1.75 mil BTU 22.50
1 Fereby acknowlilgo that I have road is ap nation,t at to -"gorier or comp,freak p,�mp,au co
Information given Is correct,that I am dig owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 31.50
of the owner,that plans submitted are in complianoo with State Air.an rng unrt to
laws,that I am registered with the Construction(;ontractor's Board, 12) 10,000 CFM 1,5q
that the numbor given is correct. (If exempt from State registration, Air handling unit
Fleaso give reason below.) 13) 10,000 CTM+ 7.50
— on port-59;— -'
14) eva.porato cooter 4.50
--Vent tin connected
15) to a single duct 3,00
--Pen aUon system not
16) Included in appliance permit 4.50
Hood sery y
17) mechanical exhaust 4,S0
escn wo�c new addition aterat. repair --Commercra orrn ustna
to be done residenuai.0 non-residential Q lb) type Incinerator 30.00xisting use o er i.e.,wo stovoc�' ve,water '-"
building or property_ ` _ 19) heater, solar,clodres dry9rs,etc. 4.50
Proposed use of C 20) Gas piping one to four outlets 2.00
building or property _._
Type of fuel-oil Q natural gas(D21) More than 4-per outlet LPG Q electric Q ------- ._.-
NUTMIE
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Minimum Fee$25.00 SUBTOTAL-'-
AUTHORIZED IS NOT COMMENCED WITHIN 190 DAYS.OR 5%SURCHARGE !. 2
IF CONa'TRUCTION OR WORK IS SUSPENDED OR - --
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED. -----•—•---- _..
T7TA1.
Special Conditions
Date issued by4�^
ru9i60HF%4T
��MmLv
UJIY OF TJOARD RF(TIP) OF PAYMENT' REGLIPi. No. r44- r':" 146
GHFCV. A010LINT -.?*5
NP)Mrz. a THE HEAtINO SPLTIALISJ CASH P&MUNT
PIR) ''LESS 9300 NF HALSPY r 1(4 y M J-_PIr DJ4
w I 1j.) Vj 4� C)
PORTLAND, OR 01)1 V IS!ON
OF PAYMU.NT AMOUNI Pfill) 1 1)
ME L F iFTN t f Fll.. F4.7. k- to P.-YT, 00 t;ll BIOLD Pf-.k
ti
96135 SW BRENTWOOD PLACE
PWD P6. i-111,1J