12480 SW KATHERINE STREET-2 IMi'#N'�stre dM'�aMp4F y'
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CITY OF TIGARD BUILDING INSPECIIOiv NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business phone: 639-4171 ��<<
Inspection: GLQ i
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk I
Foundation Plbg. Unders;cbbloc Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out E!ec. Rough-in FINAL:
Post/Beam Mech. San. Sewer GasLin -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Lioe Insulation -Mach.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect
Date Request/ed: 3 j Time: AM
Address: ! 0-
Builder: Permit 15•C �''f 0 j
THE FOLLOWING CORRECTIONS ARE REQUIRED: I
v
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Inspector: / Date: 3-10
LJAPPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp,
_J
OFTIGARD
�
C[1)1 MECHANICAL
COMMUNITY DEVELOPMENT DEPARTMENT FERMI I-
13126 3W Hall Blvd.Tigard,Oregon 972239ptg9 (503)630.4171 PC-HN , r #. . . , , , i�lEl 4>5 1I1�14t5
'SSUED. 0;:3/03/95
PARCEL: 2r'i11113BB-0 't OVI
,ITI- ADDRI:SS. , . ,. 11eji 0 5W KATI l*--*R I NF_ ST
)k J 15 T UN, s >iRDIaKWAy ZONING. R- 4.
*, . . . , . . . . . , LOT. . . . . . . . . . . . . :26
CLASS OF WORK. . :PLT FLOOR FURN. .. . . : EVAP COOLERS:
TYPE OF USE. . . . :SF UNIT HEATERS— : WENT FANS. . . :
(.1CCUP'ANC Y GRP. . :R3 k)E::.NTS W/O ARPL. VENT' GYSTE1v!'.- �
STORIES. . . . . . . . : 1 LAO ILcRS/C'.OhIPRESSORS HGODS. . . . . . . :
FUEL TYF'Ec3___..._____._.__.._ 0_3 I..P. . . , . DOMCS. INLIN:
/UPS/ / / -15 HP. . . . : COMML. INGIN:
1"'11AX INPUT : LA TU 15-30 HID. . . : F?LT."AIR L.JIVI ES: �
1RL. DAMOE:RS?. . : 30--50 HP. . . . : WOODSTOVE:S. . :
013 PRESSURE. . . : 50+ HP. . . . : CLO DRYERIS. . :
NO. OF UNI'fEy--- - _- -_-- AIR HANDLING UNITS OTHER UNITS. :
)-*URN < 100K BTU: i I';"1000 c,fm: C'70"3 OUTLETS. -. 1
u H i'q ) -11111111K B`(U: > 1000121 c:f m:
kemat-los : EL_t.C'TRIC 1'0 GA; CONVERSION l"URN()CL
Uwner,; ___ .mU....____._. �EE.a _..y__.___ .__.�____.
'1+1111- JC7hIN5TU:! typel-mt la date r-ec t
ld460 bW KA'fHE.RINE ST PRM'T $ 25. 00 JF 03/03/95
i. c-`5 JF- 03/113/95 -
i 1GiARD OR 97223 `
Phone #: 503-664-0593
Lontrac.,t:car-
ENERGY PIASTERS INC:
/4'/0 13W 761H
t-ul- i LAND UP 97223
l>hr o rl e #; c 4 4 sF3E34i !V 2'G. 25 T`OT'AL.
Reg 40. . . 56556
-- - - RLUU I RED INSPECTIONS
This nerait is Issued subiect to the regulations contained in the Gas Line In5p
ligard Municipal Lode, State of jOre. Specialty Codes and all other Mec_Pra. ical lnsp
aopl:cable laws. All work will be dine in accordance with F.-e t i 0r
approved plans. This perait wiil expire if word is not started _ _ _�-�_� • __.____ � _.__ �____
within 180 days of issuance, or if work is suspended for acre
than 180 days.
f
Perm i t t e e 5 i 9 n a t 1.c r,e
r
GaI1 for- inspection 6.:69--4175 �
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City of Ticard MECHANICAL PERMIT Planck/Rec. # _
131.25 SW Hall Blvd. APPLICATION Permit #
TigarJ, OR 97223
(503) 639-4171
r °rUkV. '— — ascription
Table 3A Mechanical Code OTY PRICE AMT
[�
Job /ZQ�d ,(,v17P F(L t k�� 1) Permit Fee -0- -0- 10.00
Address -car-
*1 b�o Or f �ZZ�j 2) Supplemental Permit 3.00
Furnace 100,000 13 1 U
t3
`f7/G L JCj f{CJS r�_fA_j 1) incl.ducts&vents ( 6.00
�• umace +
Owner 2) incl.ducts&vents 7.50
UPS= zip oor Furnance
3) incl. vent 6.00
•T• •» - Susi5indWheater,wall heater
4) or floor mounted heater 6.00
-- 7'� " °� enl not mc.in f
Occupant 5) appliance permit 3,00 i
Zip epair o t�abng,re ng.
6) cooling, absorption unit 6.00
Boiler or comp, ea pump,air Cora.-
r1_1
ar .1 p)S r ,�s l NC _ 7) to 3 HP;absorp unit to 100K BTU 6.00
—' i er or comp,heat pump,air conU—.
Contractor �47G' s'� Carr(
744 8) 3-15 HP; absorp unit to 500K BTU 11.00
i er or romp, ea pump,air con .
7 9) 15.30 HP;absorp unit.5.1 mil BTU 15.00
••« Boiler or comp,heat pump,air cond.
C� (� 10) 30-50 HP;dbsr..rp unit 1.1.75 mil 13TU 2250
hereby acknowledge that I nave read is application, that Me Boiler or comp;heat pump,air can3-- 4
information given is correct, that I am the owner or authorized agent 11) >50 HP;absorp unit 1.75 mil BTU 37.50
of the owner, that plans submitted are in compliance with State Air handfing unit 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, Air Kamdfieg unit -
pleace give reason below.) 13) 10,000 CTM 7.50
— — on p—ortabri
i 4) evaporate cooler 4.50
✓ / — Vent tan connec e
15) to a single duct 3.00
_ 9
?
Von i system n not
7 _16) included in appliances permit _ 4.50
• ^• Hood served --
17) mechanical exhaust 4.50
Describe work new aaastion alteration repairCommercial or industrial
to be done residential Q non-residential Q 18) type incinerator 30.00
Existing use oOther i.e,wo stove,wa or
building or property 19) heater,solar. clothes dryers, etc. 4.50
i
Proposed use of 20) Gas piping one to four outlets 2.00
building or property
21} More than 4-per outlet
Type of fuel -oil Q natural gas Q LPG Q electric Q
NOTICE
Minimum Fee$25.00 SUBTOTAL
PERMITS P-r*ME VOID IF WORK OR CONSTRUCTION - -- --
AUTHOP t" IS NOT COMMENCED WITHIN 180 DAYS,OR Sar SURCHARGE
IF CONST ,TION r)R WORK IS SUSPENDED OR
ABANDON J .-OR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
A, r ER WORK IS COMMENCED. -
TOTAL
Special Conditions —
Date issued —by
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CITY (IF" T T GARD RU--*( -T F ST CaF" PA`r'Mr.NT Firm I P,r NO. 15 a F,4
CHECK AMOUNT 1 0:6.
"IAMC, 1 F W.-.R(-v'Y 1HA5,TE RG ING CASH AMOUNT GJ, 00
'il:)DF'FSS 1 747il 5W 76TH PAYMENT DATE: s 07. -��/'J`
PCJRTL.F-IND,, OR .ii inY)1 v'r r;T()i',l r
9r.2C'S" Ir.
UFtFIOS E OF PAYMENT AMOUNT r'A 11") K,I,,IR >Cl^F OF PAYME NT AMOUNI, r,O T D
1 '
ME*EdHAN I F&. PIE 00 ST. .5111 L.is Pr:R 1.
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I is 4 AL AMOUNT W-111) ) 't7. PS
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