15815 SW 87TH AVENUE ADDRESS:
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INSPECTION NOTICE
City of Tigard Building Departxent
13125 SW Ball Blvd. Tigard, Oregon 97223�a��
Inspection Line (Pec-O-Phone)ss�633�9�-41'7755 Business Phone: 6)39-4171
Inspections, ���/(� —S.� �_�5.�'� i (�Ihe-
Footing Plbg. Underslab Meeh. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Ream Struct. San. Sa%mr Framing -Bldg.
Post/Beam Koch. Rain Dra'n Insulation -"lumb.
Plbg. Underfloor Matter Line gyp o... i -M�ch. J
Date Requeatedt / .JC 1 Times AH-A
Address: � �tS � / "-- /'�_. �rmlet, s
Builder: 4f zY
TFM FOLLOWI _POTIONS ARE REQUIREDs
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27 Inspectors Dater,. t""
DISAPPROVED APPROVED SUBJECT TO ABOVY
Call !or Ajinep.
CHANICALCITY O F T I GARD MEPE R M IT
COMMUNITY DEVELOPMENT DEPARTMENT PERAIT #. . . . . . . : MEC94 -001L,
13125 SW Hall Blvd.Tigard,Oregon 97223*8196-',t603)ilJ30-4171 Df"Jr.- ISSUED: 01/ 10/94
PARCEL- ::.'S111DD-08*700
SITE ADDRESS. . . : 15815 SW 87TI-A AVE.
SUBDIVISION. . . . : CHESSMAN DOWNS ZONING! R-7
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : 13
CLASS OF WORK. . :ADD FLOOR TURN. . . . : EVAP COOLERS:
I'YVE OF' USE. . . . :SF UNIT HEATERS. . : VENT FANS. . . :
OCCUPANCY GRP. . :R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES. . . . . . . . : BOILERS/COMPRESSOR5 HOODS. . . . . . . :
17UEL TYPES—------— 0-3 HP. DOMES. INCIN:
: /ELE/ 3-15 HP. COMIYIL. INCIN:
MAX INPUT: BTU 15-30 HID. REPAIR UNITS:
FIRE LAMPER * " . . : 30--00 HP. . . . WOODSTOVES. . .-
GAS PRESSURE. . . : 521+ HP. . . . CLO DRYERS. . :
NO. OF UNITS------------ AIR HANDLING UNITS OTHER UNITS.
F-URN ( 100K BTU: <= 10000 cfi. : GAS OUTLETS.
FURN ) =IQIOK BTU: > 10000 cfln:
Remarks : AIR CONDYTIONING
Uwrler,: FEES
DENISE BROWN type amol-int by date
15815 SW 87TH PRMT $ 2'5. 00 JH 01/10/94
3PCT $ !.. 25 JH 01/10/94
'FIGARD Cri 97224
Phone #:
Contractor: ------------------------
JACOBS HEATING
140I SE HOLIGATE BLVD
wOR1LAND OR 97200'
111-iorie #: 234-7`71 $ 26. 25 TOTAL
10pq #. . : 01441 RE(-4UIRED INSPECTIONS --------
This
------]his permit is issued subject to the reguiations contained in the Mechariical Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Finp.! ingpest ion
applicable laws. Ali work will be done in accordance with
approved plans. This permit will expire if Hark is not started
CL within 180 day: of issuance, or if work is siispended for sore
than 18C, days.
S i gn At 1-i
I evm j.t t ae
I A-1 ls!5i.ied By :
Call for insptcticin 639-4175
City of Tigard MECHANICAL_ PERMIT Planck/Rec. #
13125 SW Hail Blvd. APPLICATICJN Permit ff
PO Box •23397
Tigard, OR 97223
(503) 639-4171
-�or��«+— .osuiption
Table 3A Mechanical Code CITY PRICE AM7
Jobr 5 - 1) Permit Fee -0- -0- 10.00
Address _ -u ^ o
C oil � 2) Supplemental Permit 3.00
urnace to 100.000
i� 1) incl. ducts d vents 6.00
«• -•w
Furnace 1007000 +
Ownor _ _ 2) incl.ducts a vents 7.50 l
.w �prloor Fumance
� Ci� C 3) incl vent 6.00
�»is �••� Suspended seater,wall eater
4) or floor mounted heater 6.110
v ••• �MVent not Inc.in
Occupant 5) appliance pemtit
3.00
�• Repair of heating,refrig.
6) cooling,absorption unit 6.�J
Boiler or comp,heat pump,air cond. -
'r„ 7) to 3 HP absorp unit to 100K BTU 6.00 '
v t o;er or comp,reat pump,air our .
�_ _ i" LI'tl� 1 1 -��� 8) 3-15 HP absorp unit to 500K BTU 11.00
Contractor „� } Boiler or comp, eiF at pumo,air con .
U) 15-30 HP absorp unit.5.1 mil BTU 15.00
.. '° of er or comp,heat pump, air co
`I- LA t 'l(- 10) 30-50 HP absorp unit 1 1.75 mil BTU 22.5e
hereby acknowI58ge that I have read this application,that the 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 31.5!••
of die owner,that plans submitted are in compliance with State Air handling unit to
laws,that 1 am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50
that the number given is eorroct. (11 exempt from State registration, Air handling unit
ploase give reason bek)w.) 13) 10,000 CTM+ 7.50
Non portable
141 evaporate cooler 4.50
Vent.an connected
15) to a single duct 3.00
Ventilation system not
1 G) included in appliance permit 4.50
�vTw o served by
17) mechanical exhaust 4.50
Describe work new a upon alteration repau U Commercialor industrial
to be done residential C)-- non-residential(D 18) type incinerator 30.00
Existing use of Offier i e.,wn stove,water
building or property _ 19) heater,soler,clothes dryers,etc. 4.50
r'roposed use of 20) Gas piping one to four outlets 2.00
~, jilding or property
N21) More than 4-per outlet
Type of fuel-oil O natural gas 0 LPG O electric Q
r � _
.- NOTICE
.�. Minimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR :'ONSTRUCTION
C-0 AUTHORIZED IS NOT COMMEN(,ED WITHIN 160 DAYS,OR 5'%.SURCHARGE
- IF CONSTRUCTION OR WORK 10 SUSPENDED OR
ABANDONED FOR A°ERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AF7FR WORK IS COMMENCED.
TOTAL_ Z 5b
Special Conditions
Date issued_ by
raKoan4•
------------
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