7815 SW GENTLE WOODS DRIVE-1 �� Yj1�k, ���::. �'�''.. �' TBt'] �,._ � ma• •.y�, �i�'k8'i��
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: Li L'q t_� � �jn AApeolS Footing Susp. Ceiling Sprink. Rough-in IkFoundation Plbg. Underslab e� :Rough-in
Post/Beam Struct. Plbg. Top Out Elec. Rough-in
Post/Beam Mech. San. Sewer Cas Line
-Bldg
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm
Water Line Insulation ,1Anrt1--�
Underflr. Insul, Shear Wall Gyp. Bd. ,
Date Requested: c r Time. __—AW PM
Address:— ? C I_ L2
Builder: Permit #
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Date:
L—AROVED DISAPPROVED APPROVED SUBJ CT TO ABOVE
_Call For Reinsp.
I
MECHANICAL t-
HANIC '
CITY QF TIGARD
COMMUNITY DEVELCe�1AENT DEPARTMENT r rPmI� y ,
ERMIT #. . . . . . . . NEC9T- C- •
`
13125 SW Hall 91vd.Tigard,Oregon 97223.8199 (503)830-4171 1.ATF ISSUED; v1';/ l/ga
PARCEL: 2S11-CA-01000
.iW I.JENTL E WOODS DR �
ZUPD I V I SIGN. . . . : GENTLE WOODS' Z ON I N'3 s R--4. PD
iaLOi iC. .. . . . . . . . . .I LOT . . . . . . . .
cl; 'RK. . ,ADD rt_OnR Fur1. . . .,a...._..__ ____..._.-r::;,'�r,_.______...C00LE �____._..__....__.._.__
ri
• • • • :SF UNIT HEATERS— . VENT FnNS. . . s
.LLL SRP. . ;,r3 VENTS W/0 APPL: VC{'J'r CYSTIwMc�
BOILERS/COMPRESSORS H00D'S. . . . . . . ..
-UEI_ r;'E:,`:i...__.. .... _ _ 0 3 !1P, . . . : DOMES. INCIN: •
3 . 15 HP. . . . 3 COMML. INCIN3
:'191X INPUT- 33TU 15--,,,0 HP. . . . : REPAIR UNITS;
...IRF' DAMPERS' . . : 30-50 HP. . . . 3 WOODSTOVES. . :
0+ Fir. . . . s CLO DRYERS— , �
10. O1' 1�{ITF;_...____..._..__.___-_. AIR HANDLING IJNIT ' OTHER 3JNTTS.
"I_'P,N ( 1012IR STU. (:= 10000 Q f m 1 GAG OLJ1'e_c.TS.
URN >-1121121K�100); BTU: > 10000 i;f m
rnmar{<, : Installing a "- !lalr-ll ing ,_snit,
'AND'. AIEDSCHEIG tYPe .amtr`_tr,{-V__..I y datC�. ._.._.__vec-r]f-_
.'G i;a 03W GENTLE WOODS DR. PRMT 1, c a. 00 B 05/1%/95
af"C T T 1. ;"''� D 03/17,1^1-
T'I C'�rtL OR 97�"���
r,
ontractr;r..
RO SV, HEATING CC)
;945 NL 6TH DP 1
PORTLAND CR 97211
PI-lone #! s F3 a. 51 :.1 ,- 1 0TAL
Rep #. . : 02084
RECUIRED INSPECTIONS
this Strait is issued subject to the regulations contai,sed 'n the mect,:An i r_al Insp �
i'gard Municipal Code, State of Ore. Specialty Codes and aii other FinAl TTISPectiUn
applicable laws, All work l+ill be done in atrordante with
approved plans. This perait will expire if work is not stared
Ahin W. days of issuance, t;r if work is susperded for acre
•pan ,G2 days.
t e e mmbi
--11 for. inspection — 639 -4175
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City of Tigard MECHANICAL PERMIT PiancwRec. #
13125 SW Half Blvd. APPLICATION Permit # 0
Tigard, OR 97223 i
I (503; 639-417.' �Ufft
escnpUon
"(able 3A Mechanical Code OTY PRICE AMT
Job
_ 1) Permit r-i,o a.- -0- 1000
Address w —'� iv — I
2) Supplemental Permit 100
1 kPt ! 1) incl.ducts d vents 6.00
7 "' / umase 150—,0-00-M+
owner r ITS /�,fi s 2) ind.ducts a vents 7.50
I wAP oru-manoe
I C Idr� 3) incl.vont 6.00
"`"' ,u-pe seater,wall heater
4) or floor mounted hoater 6.00
OCCII))aRt
end not incl.in - 0
5) appliance permit 3.00
Repair of heating,robe
6) cooling,absorption unit (+.00 P!`
i or or comp, haat pump,air co
C � C 7) to 3 HP absorp unit to 100K BTU 6.00
Ad'"` C Bus er or comp, at pump,air co .
Contractor w `� x c& Sb 8) 3-15 HP absorp unit to 500K BTU 11.00
)KK Q I Boiler or comp, at pump,air co .. �-
V 9) 15-30 HP absorp unit.5-1 mit BTG 15.00
Boder or comp,haat pump,air cro --
t - 10) 3050 HP absorp unit 1-1.75 mil BTU 22.50
Fereby acknow ge that levo read this application,that the Boiler or oomp, teT at pump,air cond.
information given is coned,that I am the ow,ier or authorized agent 11) i 50 HP nbsorp unit 1.75 mil BTU 31.50
of the owner,that plans submitted are in compliance with State Air andling i-mt 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, --� aniunit -- —
pina5e give reason below.) Y 13) 10,000 CTM 4 7.50
Non portable--------
14)
orta e^14) evaporate cooler 4.50
e0 nt Tan conned
15) to a single duct 3.00
lul) Denbfation system not
16) `-
included in appraanoe permit 4.50
God served --
17) medianical exhaust 4,50
Describe work now 0 a ition a teration repair Commercial orsn al �I
to be done residential O non-residential O 18) type incinerator 30.00
Mas hng use 7o --Mter i T,woodstove,water
building or property 19) heater,solar-dotIms dryers,etc. 4.50
Proposed use of 20)
building or property Gas piping one to four outlets 2.00
_ —
21) More dvw.4-per outlet
Type of fuel-oil Q natural gas Q LPG Q electric
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NOTICE -
Minimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION -
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 59t.SURCHARGE ( �C.
IF CONSTRUCTION OR WORK IS SUSPENDED OR —
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AF I tH WGRK IS COMMENCED.
TOTAL
Special Conditions
- ----- — _� Date issued by
�.ruro�nar
Yt5�4'�a'sc�:,,.. waw•,
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CITY OF T I ."JORD - RECEIPT CIF r,AYME PJ'r RECEIPT NO. :95- X-',
CHECK AMOUNT o 2(-,. L05
NAME ROSE HEAT I NG CO. , I NC:. CA`H AMOUNT 0 0. 00 �
t
A01)(1)r;r a 9945 NE. RTXTH PR.. PAYMENT [)ATE: e 0'5 17/9`.2
PORTI-AND, nR SUBDIVISION
1721 1--
PURPOSE: OF' C,AYmno AMOUNT PAID PI..IF2PnSE OF PPYMENT AMOUNT PAID
YiECHAN I GAL PE MEC;95•-04 14 ON ST. BUILD PER 1. 25
I
f11Ci SW r!;:r.i•rLE WOODS DR.
'•0TAL. AMOUNT PAID - - > �6. c'`_';
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