6611 SW PINE STREET ADDRESS:
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is\records\micrc,flm\targets\building.doc
CITY OF TIGARD BUIL,.ING INSPECTION NOTICE
Inspection Line (Rac-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: ) -r`Z�=
Footing Susp. Ceiling Sprink, Rough-in Appr/Sdwlk
Foundation Plbg. Underslabec Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer as Lir a -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation
Undeiilr, Insul. Shear W II Gyp. Bd. -Elect.
Date Requested: 7 (d7�cj� Time: 2� p� PM
Address:�YLL_L__
BuAdaF:/�tiLLyy� Vq-3 Y 7'' Permit#:JELL —�J
THE FOLLOWING CORRECTIONS ARE REQUIRED:
of
Inspector; Date:
J('_/APPROVED
spAPPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Relnsp.
C17YOFTIGARD
COMMUNITY DEVELOPMENT DEPARTMENT MECHANICAL
13125 SW Hall Bh-d.Tij,ard,Oregon 97223*8199 (503)639-4171 PERM 11'
PE Rlyl I I #. . . . . . . : MEC95-001E,
39 41 00TE IS`:)UED: 01/ 17/15
PARCEL: IS136AD-04700
�ITE ADDREGS. . . : 06611 SW 1-)INL S31
SUBDIVISION. . . . : ZC')r4I"JG- R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . .
CLASS OF WORK. . :ADD FLOOR FURN. . . . EVAP COOLERS:
'I'YPE OF' US'E. . . . .SF UNIT HEATERS. . : i VENC FANS— :
OCLUPANCY GRP. . :R3 VENTS W/O APPL. vEiijr ays,rElYIS:
"'TORIES. . . . . . . . :
S BOILERS/COMPRESSURS HOODS. . . . . . . s
- -1P. . . . . -..1-1
FUEL TYI ES---- 0 ,3 1 D0111y 1-1. INC",IN
: /(3AS/ 3-15 HF'. . . . : COMML. INCIN:
MAX INPIU7 : PTU 15-30 111-1. . . . . REPAIR UNli*S)„
F I R�-- DA11PERS,9. . 30-50 HP. . . . s WOODSTOVES. . .
bAlti PRESSURE. . . . 50+ HP� . . . . C.LC) DRYERS. . -
No. of- AIR HANDLING 0\111c, OTHER UNI"r5.
FURN ( 100K BTU: (:fm :- GAS OUTLETS. : 1
FURN ) =100K BTU: 10000 cfm ,
Rernav-k�i: INSTALL NEW GAS STOVE FOR HEATING
Uwrier: FEES
LAEATO LAIRUMME*i V type amal..�nt by d i.-A t e r e
6611 SW IDINE P R MT $ E5. 00 JU 01/17/95
5Pt:T $ 1. 25 JG 01/17/95 ---
TitjARD OR 97
r-'h 0 T1 e #:
OWNER
Phone #: $ f,. i25 TOTAL
Req #. . -
REOUIRED INSPECT-1ONS -------
This permit -, issued subject to the r'?g1JLatl0nS Contained in the bEts Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp
applicable iaws. All work will be done in accordance with Final InEipect ion
aovrovl,d plans. This permit will expire if work is not started
within lf,O days of issuance, or if work is sispendea ftr more
than 180 days.
!77,r-v-M i t;t e e t; _t V,e
,isued Ely
Ca 11 f o v- i n s pec-t i o n 639-417`:;
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 sw Hall Blvd. APPLICATION Permit #1 il 0 71 —
Tigard, OR 97223
(503) 639-4171
Description
`7//)('!/C� E Table 3A Mechanical Code QTY PRICE AMT
,lob r &// 1) Permit Fee -o- -o- 1000
Address
(a ' ZZ 2) Supplemental Permit 3.00
_-` urnace o
1) incl. ducts&vents 6.00
urnaco , 0U_9T.T-+
Owner _jaz_. � 3y� 2) incl. ducts& vents _- 7.50
Floor Furnance
3) incl, vent 6.00
•m• a «•
Suspended oAfer,'v�a T Beater
4) or floor mounted heater 6.OU
•i--—' - - Vent not incl. to -
Occupant 5) applianke pennit 3.00
epair of heating, rare r-Tig
5) cooling,absorption unit 6.00
-- Boiler or comp,heat pump,air cone.
7) to 3 HP;absorp unit to 100K BTU 6.00
•v ••• "' Boiler or comp, hi,at pump,air conir
8) 3-15 HP;absorp unit to 500K BTU 11,00
Contractor --- o ter or comp, wa pump,air con .
9) 15.30 HP;absorp unit .5-1 mil BTU 15.00
• �� -- "_7,1V 11-T N. Boiler or comp,heat pump,air cond.
10) 30-50 HP;absorp unit 1.1.75 mil BTU 22.50
hereby ac ow ge aT I have road this appica"tio-n, thaMe Boiler or comp,heat pump,air cond.
information given is correct,that I am the owner or authorized agent 11) >50 HP;absorp unit 1.75 mil BTU 37.50
o,the owner,that plans submitted are in compliance with State ____ romandling unit to
laws, that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50
'hat the number given iE correct. ('f exempt from State registration, Air an ing and
please give reason below.) 13) 10,000 CTM+ 7.50
on porta6Te--
14) evaporate cooler 4.50
Vent an connected
15) t-a single duct 3.00
- — enu anon system not
16) included in appliance permit 4.50
u" Hood serrvroT y-.
17) mechanical exhaust 4.50
escn a wnrk new U a mon aTterabon rapetrCommercial or in ustna W
to be done residential Q non-residential Q 18) type incinerator 30.00
Existing use o - Other i.e.,woodstcve,water
building or property 19) heater,solar, clothes dryers,etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
builoing or property
21) More than 4-per outlet
Type of fuel -oil Q natural gas Q LPG O electric Q
PAinimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF V/ORK OR CONSTRUCTION -- ----
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE
IF CONSTRUCTION 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
Soecial Conditions
Date issued_ by
►.-r�ca+aar
.aeeene.•
CITY OF TIGARD RErF.'IPI* OF PAYMENT RECEIPT NO.
CHECK AMOUNT s 26. 25
NAME IETT, BEATA CASH AMOUNT s 0. 00
ADDRESt', s 6611 SW PINE PAYMENT DATE a 01/17/95
SUBDIVISION
TIGARD, OREGON 9-7223----
PURPOSE OF PAYMENT AMOUNT PAIl" PURPOSE OF PAYMr"NT AMOUNT PAID
REEHANI AZ PF 215. 00 ST. BUIL 1) P E P
TOTAL AMOUNT PAID 26. 25