10805 SW TIGARD STREET ADDRESS:
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INSPECTION NOTICE
City of Tigard nuilding Departsr'•nt
13125 nM hall nl• 1_ Tigard, Oregon 97223
Inspection Line (Rec-•O-Phone): 639-4175 Rusinees Phone: 639-4171
I nspect 10":
__ -- - — ------ --- ----
Pouting Plhg•
Undorslab mech. Rough-in Appr/Sdwlk
To Out Gas Lina FINAL:
Pound. Plbq. P
Poet/Ream Struct, San. Sewer
Framing -Bldg.
Posk/Ream Meeh. Rain Dres:
Insulation -plumb.
plbg. Underfloor water Line Gyp. Od•
-Meeh.
--
Date Requested= r i ,•�/ J
lMQ �QS /L c V permit r=�
Address:J
CtA
Ruilder:-
THE p7LUAttNr, MRRECTIONB ARE REQtlIREDI -- -- �_ -
Data►T,.Z
Inspector:
- APPROVED DISAPPROVED APPROVED BUWNCT TO hW E
`f Call For Reinsp.
P E R M IT
CITY OF TIGARD PERNIT .. . . . . . . .. MEC940123
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 05/16/94
13125 SW Hall Blvd.Tigard,Oregon 9722398199 (603)639-4171
PARCEL: IS134DD-00460
SITE ADDRLSS. 10805 SW TI GARD ST
SUDDIVISION. . . . c. ZONING: R4. 5
11LOCK. . . . . . . . . . . LOT. . . .
i.ILASS OF' W(JkK. . «AI_.I FLOOR TURN. . . . I t.VAP COOLERS:
fYpIL Of: USL. . . . .-SF UNIT HEATERS. . c VENT FANS. . . :
OCCUPANCY GRP. .. «1;3 VENTS W/O APP'Lil VENT SYS*T*EIIS::
STORIES. . . . . . . . .. BOILERS/COMP,RESSORS HOODS. . . . . . . w
1::'tJF-..l TY r.,K S 0 1 DOIIES. INC:IIIa
/GAS/ 3-I'Z� HT'. w . . « COr11`11... INCIN:
111AX TNPUTli B 7 U 1'.:5•-30 HP. . . . « REP,AIR UNITS.
1:'IRL,'.* DAMPERS?. . 3050 HP. .. . . « WOUDSTUVE'S. . s
GAS PRES SURF.`. —, bo+ lip,. . . . « CLU DRYLRS. . i
1-40. OF UNITS.- . .... .. .- .... ....... AIR HANDLINU UNITS UTHER UNITS. t
1�URN ( 100K BTU-, 10000 cfni: GAS OUTLETS.: 1.
l`*URN ):=100K FiTU: 1 > 100O ) cfniu
Reni.A-rki: Ofl_ TO (.-)A13 CONVERSION
Owlie.r..
JUS111:44 BURGHARDI' type a In 0 u 1.1 t by date -reept
I(a 8 01,'J (,:i W I I G A R D pIRMT q, 25. 00 JG 05/16/94
5 P C1 qi 1. 25 JG 05/16/94
TJGAFW OR 97223
1.11.1 c)r)P 31«
C u rl t r a c-,t;op ..................
OWNER
$ 26. P5 TD T A L.
R er.9 0.
.. REAWIRED INSFIECTIONS
This permit is issued subject to the, regulations contained in the Galas Livie Inesp
Tigard Municipal Code, State of Ore. Specialty Codes aod all other F'i 11A I 11-1 S PP.Ct,i C)V) ........................... .......... ...........
applicable laws. All work Will be done in accordance With
approved plans. This pereit Will eltpiri, if work is not started
within 188 days of issuance, or if Work is suspended for more ...........
than 180 days. ..........
...........
P-r ni i t t e e S i q ii at t u
, !:;sued By
C a I I for irispertic)ri 639 41'75
_J
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 sw Hall Blvd. APPLICATION Permit #
Tigard, OR 97223
(503) 639-4171
, —� escnption --�— l�
Table 3A Mechanical Code OT PRICE I AMT
Job 1) Permit Fee 0. —-0---il--su---1jJ---{ii
Address •- 300
2) Supplemental Permit - �
urnace ,
1) incl.ducts b vents 6.00
urnace �{
2) i id.duds d vents 7.50 _--�
Ownerf,,IwW_ urnance
✓ f 3) incl.vent 6 00
-- spend ater,w eater
4) or floor mounted heater 600
i t2 a >/t isoL —Vent nut incl.in
Occupant 5) appliance permit 300
-- epair o eating,retrig.
6) cooling,absorption unit 6.00
i er or comp,ilea pump, air�co —7) to 3HP;absorp unit to t00K 6.00et rp, atmp,aiI
8) 3-15 HP;absorp unit to 530K BTU 11.00
Contractor Eloiler or comp,heal pump,air cono
9) 15.30 HP;absorp unit.5-1 mil BTU 15.00
i er or comp,hearpump.air conn
10) 30.50 HP;absorp unit 1.1.75 mil BTU 22.50
ere y ac oge at ve rea is app," an, a e Boiler or comp,-heat pump,au cci
nd
information given is correct,drat 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 r an ing unit to 450
laws,drat I am registered with the Constriction Contractor's Board, 12) 10,000 CFM
that the number giv(,n is correct. (if exempt from State registration, Air handling um
please give reason be!ow.) 13) 10,000 CTM+ 7.50
- -� on portable
14) evaporate choler 4.50
__— en an connected
15) to a single dud 3 00
_— —�-
Ventilation Einstna
16) included in mit 4.50
o sery
17) mechanical 4-50
Describe w new a :tan a teration repair ommercia
18 a incinerator 30.00
to be done residential O non-residential O ) NP Uthor i.e.,w s ve,water '
Existing use o 4.50
building or property _ 19) heater,solar,clothes dryers,etc.
Proposed use of 20) Gas piping one to four oudc's 2.00
building or property --
21) More than 4-per outlet
Type of fuel-oil O natural gas LPG l;)NOTICE
Minimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 1130 DAYS,OR 5%SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 1130 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED
TOTAL
Special Conditions
Date issued by
4 MEC$4pw
•nrtfsend�.