11675 SW TIGARD STREET-1 ADDRESS.
IWTS
i:\records\microtlrn\targets\building.doc
C Y OF TIGAR15—S" INSPE'CTi ,N NOTICE
Inspecti u e (R •O-Phond): 639- 75 Busi ns1 Phone: 639-4.71 1
Inspection: —
S rin'.. Rough-in t p r/5dwlk
Footing Susp. Ceiling p
t �ireplaceFoundation Plbg. Underslab
Post/Beam Struct. Plba. Top Out
-,n FINAL:
Pcst/Beam Mech. San. Sewer Ga;Line Bidg•
.
Alarm
Pibg. Underfloor Rain Drain Framing �._.�
-Plumb
Water Line Insulation (-Mec / 3
•Elect. .�
Underflr. Insul. Shear Wall CYp• Bd.
11 ) I� ' Time: AM PM
Date Requested: —
Address: ,
Permit#: -
Builder:
THE FOLLr'vviNG CORRECTIONS ARE REQUIRED:
------------
-
-
Date: ,
Ins ector,-
APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
/� _Call For Reinsp.
CITY OF T I GAR® MECHANICAL.
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT
13125 SW H,%II Blvd.Tipaid,Oregon 97223.8199 (503)839.4171 PERMIT #. . . . . . . : MEC940000
639--4171 DATE ISSUED: 01 /03/94
PARCEL: 15134CD-09100
SW T I GARD DR
SUBD i V I S I ON. . . . FAURLWOOD NO. 4 ZONING: R-4. 5
131-OCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .27
(:,i_ ISS OF WORK. . :WENCH I'1*- FLOOR F•URN. . . . r F_VAP COOLERS:
IPE OF USE. . . . :SF UNIT HEATERS. . :0 VENT FANS. . . :
OCCUPANCY GRP. . :R3 VENTS W/O APDL: t ; fJ SYSTEMS:
.3TORIE--S. . . . . . . . : 1 BOILERS/COMPRESSORS HOURS. . . . . . .
FUEI_ TYPES--------._.. 0 -.3 HP. DORIES. I NC I N:
: /GAS/ / / 3- 15 HP. . . . (:JMML. ?NCIN:
MAX INPUT': BTU 1.5-30 IAP. . . . : REPAIR UNITS:
F .HE DAMPERS?. . : 30-50 H1'. . . . : WOODSTOVES. . :
GAS PRESSURE. . . : 50+ HP. . . . : CLO DRYERS. . :
NO. OF UP1I TS----- - -- AIR HANDLING UNITS OTHER UNITS. : 1
F"URN ( 11?10K STU: 1 (-= 10000 cfm : GAS OUTLETS. : 1
FURN i -1l7A0K BTU: > 10000 cfm :
Remarl<s : CHANGING FROM ELEC 'TO GAS
':Iwner: -- --_ __.__._---___________--____-• FEES
I-RC7S'T _.____.___---____.__.____ __ :ype amount by naterec'r.-)l
11675 SW TIGORD DR PRMT s 25. 0'?+ BLT 01/03/94 ..
5PCT $ 1 . L`.i BLT 01/03/94
1-10AND OF, 9722.3
(-'hone #.
C;ontr,actor•: _.-_-____.___---.-_______________
COl_UIvIB I A HEATING
8900 SW BURNHAM
3PAC:E: E-110
T IGARD OR 972iR3
Phone #: 624 -2704 $ E6. 25 TOTAL
Req #. . : 76359
__--- REQUIRED I NSPEL;T I ONS --•---~--
This persit is issued subject to the regulations contained to thr F incl Inspec'- ion
Tigard Municipal Code, State of Ore. Specialty Codes and all other ___-----
applicable laws. All work will he done in accordance with _ ^.._.....
_.
approved plans. This persit will expire if work is not started
within 180 days of issuance, or if work is susperded for sore
than 180 days. --•-- - - --
' 'F _
P e r m i t t e e S i g n a t l-t r'e : ri__
t B y . —
Call for inspection - 639-4175
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SW Hail Blvd. APPLICATION Permit # _1 gee '
Tigard, OR 97223 -elf- - 4o 0 Wn �v
(503) 639-4171
. . ..aq.«.- ------- Description
Table 3A Mechanical Code QTY PRICE AMT
.N n 11
Job S' ^ Dr I) Permit Fee -0- -0- 10.00 'I
Address «»
2) Supplemental Permit 3.00
r— urnaceto 100, U
.- S 1) incl.ducts 8 vents 6.00
MdEry «a urnace 100,000 13TU +
Oweer -7 I t I 2) incl. ducts 8 vents 7.50
I- oor unhance
I( �� C 3) incl. vent 6.00 _-
-- ,. N. Suspended Eeator,wall 110ater
4) or floor mounted heater 6.00
V •.. ent not incl.m
Occupant 5) appliance permit 3.00 _
r,�• „ _, epair of heating,reng.
6) cooling,absorption unit 6.00
Boiler or comp,heat pump,air con .
COI f nc r 7) to 3 HP absorp unit to 100K BTU 6.00
.V •$. Boiler or comp, eat pump,air con
LL, . c h C 8) 3.15 HP absorp unit to 500K BTU 11.00
Contractor Boiler or comp,heat pump,air con
1� �7. •`n / 9) 15.30 HP absorp unit.5-1 mil BTU 15.00
S.Rf.l.N.. -7Ar ••N.. i er or comp,heat pump,air cond.
35q � j 10) 30-50 HP absorp unit 1-1.75 mil BTU 22.50
reTy acTir ow ge that I hive rehd this application,that the Boiler or comp,heat pump,air cond.
infonnation given is correct,that I am the owner or nuthorized agent 11) >50 HP absorp unit 1.75 mil BTU 31 50
of the owner,that plans submitted are in compliance with State Air handling unit to
law,,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 handling unit
please give reason below.) 13) 10,000 CTM 4 7.50
on portable —
14) evaporate cooler 4.50
e— nn connected
15) to a single dud 3.00
-- enti a�Ttiion system not
16) included in appliance permit 4.50
Hood served by
17) mechanical exhaust 450
escnbo wo& new addition a terabon repa-Ir-0 Commercialor in ustna
to be done residential Q non-residential Q 18) type incinerator 30.00
Existing use of 7ge—ri.e.,wo stove,water I
building or property_ _ ._ 19) heater,solar,clothes dryers,etc. i 4.50
Propor.ea use of 20) Gas piping one to four outlets 2.00 G j
building or property
21) Moro than 4-per outlet
Type of fuel-oil Q natural gas O LPG Q electric Q - -
h
�_ — — -
Minimum Fee$25.00 SUBTORAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE
IF CONSTRUCTION On WORK IS SUSPENDED OR — -- -
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED — --
TOTAL
S;hedal Cnridilions
__. ---_-- --_-- Date Issued ��— --by-- --
..n.rreru r