9045 SW PINEBROOK STREET-1 ADDRESS'
INS- 5 tol'nr-breo)�
i:\records\microflm\targets\building.doc
�1 A
NSP CTIUN NOTICE � ! "/
City of Tigard Building Depart-sent t/
1:1.1:`_ a'! .^.ell Blvd. Tigard, Oregon 972
inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspection:: _ - KQ 61_� ----
Footing Plbg. Underalab Koch. Rough-ir Appr/Sdwlk
Found. Plbg. Top Out ae L10*- F
IKALt
Post/Beam Struct. San. Sower 9•
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Koch.
Date Requemteds rz .. � `CI 3 __Time:
nddrees: P•rdi!
cqc I��neQ �
� ��--
Builders
TRE FOLLOWING CORRECTIONS ARE REQUIRED:
Inaper_t.r: -- __ Dates
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
0"N O F MECHANICAL
PGARD P E RM. IT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : MEC93-0338
13125 CW'!all Blvd.Tigard,Oregon 97223-8100-�jt0 dad-4171 DATE ISSUED: 12/0-7/93
PARCEL. reSl 11AD-04400
SITE ADDRESS. 09045 SW PINEBROOK ST
SUBDIVISION. . . . : PINEBROOK TERRACE ZONJI\IG,. R----4. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :4.1
CLASS OF WORK. . :ADD FLOOR FURN. . . . EVAP COOLERS:
TYPE OF USE. . . . :SF UNIT HEATERS. . - VENT FANS. . . :
OCCL';-ANCY G)RP. R3 VENT!; W/O APPL: VENT SYSTEMS:
STuRIES. . . . . . . . : 1 BOILIEKS/COMPRESSORS HOODS. . . . . . .
FUEL 0-.3 HID. . . . : DOMES. IIVC IN:
: /Gr's/ ----15 HP. . . . : COMML.. INCIN:
MAX INPUT: BTU 15-30 ITP. . . . : REPAIR UNITS-
FIRE' DAMPERS?— : 30-50 HP. . . . : WOODSTOVES. . :
GAS PRESSURE. . . : S0-4• HP. . . . : CLO DRYERS. . :
NO. OF AIR HANDLING UNITS OTHER UNITS. : l
FURN ( 100K PTU: 1 10000 cfm : ( )S OUTLETS, :2
TURN Dru: > .10000 cfm-
Remai-ks :
Owner-.- --------------------------------- -----------------
- FEES -----------------
BRIGGS type amol.int by date t-p[-,pt
9045 SW PINE.'BROOK ST PRMT $ L5. 00 JF 12/07/93
5PCT $ 1. 25 JF 12/07/93
TIGARD OR 97224
Phone t.:
Contractor.:
COLUMBIA HEATING
8900 SW BURNHAM
SPACE E--1 10
TIGARD OR 97222 -.----._._--_---.-___.--------__-_._-__-._.
Phone 624-27I.A4 L 26. 25 'TOTAL
"eq #. 763:j9
REQUIRED IN7)f-',ECTIONS
Th, pervit is issued subject to the regulations contained in the Gas Line Insp
Tiga, ' Municipal rode, Cfate of 5re. Specialty Codes and all othet, Final Inspection
applic lle laws. All work 4:11 bF done in accordance wit'i
approm clans. This n�i-uf will expirt if work is not 5tn,-ted
within lak lays of issuance!, or if work i� suspended for onre
%han IN da,
Pev,mi ttee k. An-Atl.tr,e
Tssi.ted By : j_
Call for- inspection 639--4175
City of Tigard MECE;ANICAL PERMIT Planrk/He.. #
13125 sw Hall Blvd. APPLICATION
Tigard, OR 9722.3
(503) 639-4171
Table 3A Mechanical Code QTY PRICE AMT
Job 9r ) S[.v �r r .S� 1) Permit Fee -0- 0- 10.00
Address -
�f' 2) Supplemental Permit 3.00
»r« urnace to 1J0,000 BTU
)1M. „•.,.•. 1) incl.ducts&vents ' 6.00
��y• —r°•" Furnace 100,000 13TU +
Owner 2) incl. ducts B vents 7.50
h, wo oor Turn aance
3) incl vent 6.00
Nr.» « »�»• »n i —Suspended heater,wail heater
4) or floor mounted heater 6.00
„ ••• -- Vent not me.in
in
Occupant 5) appliance permit 3.00
env »• zw —Sopatt oeatinp,refng.
6) cooling,absorpti hn unit 6.Ou
TOMpr or comp,lieat ppump,au cin
l L;a--IkA L, (My ;L w)q 7) to 3 HP absorp unit to IOOK BTU 6.00
—` Pf— Boiler or comp,heat pump,air c�—
Pb Sox 2la-7 �� / 8) 3-15 HP ebsorp unit to 500K BTU 11.00
Contractor „r ,,
,, ,• , w f e
or or comp, heat pump,air con(T
9) 15-30 HP absorp unit.5-1 mil BTU 15.OJ
so•• o rm - a,r hw• 1..N. Boiler or comp,heal pump,air tend.
—5_ ! 0 10) 3050 HP absorp unit 1.1.75 mil BlU 22.50
hereby ackn-owllge that IhavF a read i his application,that ei er or comp,heat pump,air corn .
information given is correct,that I am tho owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 31.50
of die owner,that plans submitted are in compliance with Sta!a it handling unit to
laws,that I am regiswred with the Consi.vction Contractor r,Board, 12) 10,1100 GEM 4.50
that the number givea is correct (It exemp±from State registration, it handling unit
please nive reason below.) 13) 10.000 C,:. a 7.50
—` -- Non portahe —
y —� vN _ 14) evaporate coolcr 4.50
[— Vent lan connected
1!3) to a single duct 3.00
enation system not
1G) included in appliance permit 4.50
17) mechanical exh—st 4.50
1J6 c—n work new a ition a teration repair ' Commercial�- or,. ustrial
to be done residential Q non-residential 19) type incinerator 30.00
xrsdng user! Other i.e..woodstove,water
building or proport f_ - 1S) heater,solar, -1 ithes dryers,etc. 4.50 (l•50
Proposed use of 20) Gas piping one to four outlets 2.00 2'
building or property
21) More than 4-per outlet
Type of fuel-oil Q natural gas 1 LPG Q electric Q —
NOTICE _ V
Minimum Fee$25.00 SUBTOTAL
PERMITS RECOmE VOID IF WORK OR CONS i RUCTION
R —
AUTHORIZFI?IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR -
ABANDONED FOP A PERIOD OF 180 DAYS AT ANY TIME PL,^'I REVIEW 25%OF SUBTOTAL.
AFTER WORK IS COMMENCFD. —
TOTAL _it
Special Conditions _---------_-_ --- ------ JJJ
Date is sued _---._ by
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