11160 SW EDEN COURT ADDRESS:
i:\records\microflmltargets\building.doc
CITY OF TIGARD BUILDING INSPECTION NOTICE J
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
C
Inspection:
Footing Susp Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab dFC7N Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer as Line) Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water LineInsulation Mec'
Underflr Insul. Shear W I Gyp. Bd. Elect.
G
Date Requested:_ �� <� � <F' Time: AM PM
Address: `-,(le'Y!
Btsi4der:17�1L'LCd !�,, Permit q c'a—
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:_ Date:_Z
Z—*PP'ROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
e
CITY OF TI
GRD, MEPERMICAI_
PERMIT
COMMUNITY DEVE' OPMENiT DEPARTMENT PERMIT #. . . . . . . : MEC96--0049
13125 SW Hall Blvd.Tigard,Grdgon 97223-8199 (503)630-4171 DPTE ISSUED: 0:/27/96
PARCEL: 2S1031)B-07000
SITE ADDRESS. . . : 11160 SW C_DEN CT
SUBDIVISION. . . . : GENESIS NO. 3 ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :55
---------------------
CLASS OF WORK. . :ADD FLOOR TURN. ,. . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :R3 VENTS W/O APDL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . .. 0
FUEL TYPES-------•------- 0-3 HP. . . . : 0 DOMES. I NC I N: 0
3-15 HP. . . . : 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0
FIRE:. DAMPERS". . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . - 0
NO. OF UNITS----------- ATR HANDLING UNITS OTHER UNITS. : 0
FURN ( 100K BTU: 1 <= 10000 c_f m: 0 GAS OUTLETS. : 1
FURN ) =100K BTU: M > 10000 cfm : 0
Remarks : REMOVE ,;JOOD STOVE INSTALL NEW GAS FIREPLACE
Owner:
GARY HARRISON type Amoi.lnt by date recpt
11160 SW EDEN COURT PRMT $ 25. 00 JMH 02/27/96 96-276372
5PCT $ 1. 25 JMH 02/27/96 96-276370
TIGARn OR 97224
Phone #: 503-639-6632
Contractor:
rONTRACTOR NOT ON FILE
Phone #: 26. 25 TOTAL
Reg #. . :
- -- -- REQUIRED INSPECTIONS -- -
This permit is issued subject to the regulations contained in the Gas Line Ins p
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Ins p
app'.icable laws. All work will be done in accordance with Final Inspection
approved plans. This permit will expire if work is not started
within IBB days of issuance, or if work is suspended for more M _
than IN days. _
Permittee Of gnat
I s s i_I e d B y : ���ee
Call for- inspection - 6.39-4175
F1215ITY OF TIGARD MECHANICALPERMITMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : MEC96--0049SW N II BNd.Tigard,Or�p4n 07223.8/pp (503)83p-4171 DATE ISSUED: 0 2/2
PARCEL: cc:S 103DB-07000
SITE ADDRESS. . . : 11160 SW EDEN CT
SUBDIVISION. . . . : GENESIS NO. 3 ZONING: R-4. 5
BL.00I-//. . . . . . . . . . . LOT. . . . . . . . . . . . . :55
CI-ASS OF WORK. . :ADD FLOOR 1=11.N. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEA['-RS. . : S VENT FANS. . . s 0
OCCUPANCY GRP. . :R3 VENTS W/U APPL: 0 VENT SYSTEMC: 0
STORIES. . . . . . . . ; 0 BOILERS.'COMPRESSORS HOODS. . . . . . . : 0
FUEL T1'PEc_.-__-_.__..____ 0-3 iip. . . . : 0 DOMES. INCIN: 0
• 3-15 HP. . . . : 0 COMML.. INCIN: 0
MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAS f' 50+ HP. 0 CLQ DRYERS. . : 0
1gYT:�OF lJN 175----------' "F►�f� 7"1'7 i OTHER UN I TS. s 0
FURN ( 100K BTO: 0 _ ��ps <= 10000 cfm: 1 GAS OUTLETS. : i
FLIP"4' > =100K BTU: 0 > 10000 cfm: 0
Remar —s.- `TAKE-_QUT FREES TAND I NV �clOL1D:�T ��"Y TALL NEW GAS FIREPLACE
REMOVE WOOD STOVff-TNSTPt7C-- fW GAS FIREPLACE PEGS 00 5!1'f:
Owner,: _......_.____._._._._._________.._.....______ _. -..__.----.__._.__.____--- .___ FEES
GARY HAFRISON HAFRISON type amount by date recpt
11161 SW EDEN COURT PRMT $ 21
SW ,1MI" �c/� 7/'36 96-2763705PCT $ 1. 25 MH 02/ /96 96- 370
TIGARD Or 97:'24
Phone #: 503-639--663 ' `
Contractor:
CONTRACTOR NOT ON FILE
_______
Phone #: f 26. 25 TOTAL
Reg #. .
------- REQUIRED INSPECTIONS --This permit is issued subject to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical In s p _
applicable laws. All work will be done in accordanre with 17 inal Inr:pection
approved plans. This permit will expire if work is not started
within 189 days of issuance, or if work is suspended for more _
thar, 189 days. -"
�,.
F,ermittee Signature: I_� -
Issued By:
Call for inspection - 639-4175
City of Tigard MECHANICAL PERMT PlancldRec. # t' E06--a
13125 Bw Hall Blvd. APPLICATIO14 Pei Mit # X174'
Tigard, OR 97223
(503) 639-417.1
- -- --- escrip n ---- --� �-=-- _ --
Table 3A Merhanical Code CITY PRICE A
Job en 1) Pennit Fee -0- -0- 1000
Address —�- - -�
L- Q k De2) Supplemental Permit — 3.00
(- •m• 'umacs-Co1---- Mt
1) incl. ducts &vents 6.00
purnsc,� 10O.Ma BTU +
Owner I V S r t'O �• 2) incl. duds &vents 7,50_ "^-T
f Furr once
— 3) incl. vent 6.00
"- — •m• _• m^^ • uspen a heater, wa a er
4) or floor mounted heater 6.:10 —
Occupant ,) appliance p;mtft 3.00
.r.•' - R epalf orEe.i-in ,-9W1 _
6) cooling, absorlition unit 6.00
-- ^• — �- -- Tor er or comp,-;7-a. p—in p, a cotiT� —
rrl fi,�Lqt C l 7) to 3 HP; absom init to 100K BTU 6.00
_L _sL _iL�ll
�• ^^• oiler or comp;ileTpum^, al--" r cern T I
8) 3-15 HP; abeorp unit to 5)OK BTU 11.00 I
Contractor �VoI r or comp, pump, arr can
All 9) 15-30 HP; obsorp unit .5-1 mil BTU 15.00
'">n• ^u»• ! L`K 100
Boiler or comp, heat pump, air cond. --'
10) 30-50 HP; absorp unit 1-1.75 mil BTU -_ 2250
ere y ac now ge a -wve read is applicaXon, that e Boiler or comp, Fiatp- ump,-air cond.
Information given is correct, that I am the owner or authorized 11) >50 HP; absorp and 1.75 mil BTL _ 37.50
agent of the owner, that plans submitted are In compliance with Air handling un o
State laws, that i am registered with the Construction Contractor's 12) 10,000 CFM 450
Board, that the number given is correct. (If exempt from State ATr a ng un
registration, please give reason below.) 131 10,000 CTM+ 7.50
Non por,a
14) evaporate cooler 4.50
Vent en connected
15) to a single dud 3 r.'
Ventilation sys m no( —
16) included in appliance permit 450
17) mechanical exhaust 4.5C
T5 a n e wo new addition a era don repair Commercialor In us na
to be done residential Q non-residential Q 18) type `Incinerator 30.00
Existing use of - — r er i.e., w s ove, wa aT
building or properly 19) heater, soler, clothes dryers, etc. _4a
Proposed use of 20) Gas piping tme to four outlets in—
building
or property
21) More then 4-per outlet (each) 2 Cit
Type of fuel -oil 0 natural y<s Q LPG Q electric 0 - "—
-- NOTICE
Minimum Fee $28.00 SUBTOTAL S ()U
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 6%SURCHARGE
IF CONSTRICTION 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
Special Conditions
Date issued / dLr/ u _—
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