11155 SW 119TH AVENUE-1 .;S
ADDRESS:
I SW 9T'i l.uE
un
T
h
.I
1:lrepordslmlcroflmUargetslbullding.doc
w
w
CITY CSF TIGARD
MECHANICAL
COMMUNII-Y DEVEILOPMENT DEPARTMENT F'ERM I T
1:125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171 PERMIT #. . . . . . . : MEC94-000 3
63 1) - 1 DATE ISSUED: 01/07/94
PARCEL: 1 S 134CA--00506
SITE ADDRESS. . . 11155 SW 119TH AVE .
SUBDIVISION. . . . ;; PANORAMA NO. ` ZONING. R-4. 5
BLOCK. . . . . . . . . . .. LOT. . . . . . . . . . . . . : 17
CLASS OF WORK. . :ALT FLOOR TURN. . . . : EVAP COOLERS:
TYPE OF USE. . . . :SF UNIT HEATERS. . : VENT FANS. . . :
OCC:UF'ANCY GRP. . : R3 VENTS W/O ADPL: VENT SYSTEMS:
STORIES. . . . . . . . : 1 BOILERS/COMPRESSORS HOODS. . . . . . . :
FUEL TYPES_._________.____. Q-3 HF'. . . . . DOMES. I IVC 1 N:
- /GAS/ ! ! 3-15 HP. . . . : COMML. INCIN:
MAX INPUT: BTU 15-30 HP. . . . : REPAIR UNITS:
F I RL DAMPERS?. .. : 30-50 HF'. . . . : WOODSTOVEia. . :
GAS PRESSURE. . . : 50+ HP. . . . : CLO DRYERS. . :
NO. OF UNI Tom---- -- -- -- AIR HANDLING UN I TS OTHER UNITS. r
FURN ( 1001', B TU e 1 (= 10000 c f m: GAS OUTLETS. ;, 1
FURN ) =100K BTU: > J0000 cfm :
Remarks : replace fl_rrnace
Owner-: --_._______-------_.____.___.---____-_____.__.____________._-- V EES
SOUTHWEST S/M type amol_Int by date recpt
PRMT $ 25. 00 JF 01/07/94 -
5PCT $ 1. 25 JF 01/07/94 -
Phan #:
Contractor,:
SOIJ rHWEST SHEET MI=TAL
10415 SW 72ND
TIGARD OR 97223 ------ ----------------------------------
Phone
--_-. ----.___-_-.-__----___--.__-----_-
Ph1one #: &'2`46-62:.34 $ 26. 2b TOTAL
Reg #. . : 45089
------- REOUIRED INSPECTIONS ------
This perut :s issued subject to .he regulations contained in the Final Inspection
Tigard Municipal Code, State of lire. Specialty Codes and all other Gas Line Insp _
applicable laws. All work will be done in accordance with Heating Unt Insp
approved plans. This persit wil'- expire if work is not started
within 188 days of issuarce, or if work is suspended for tore
than 188 days.
CL
F--
�- Permittee 'Gignaturee
c I p s i..r e d B y .
LU
-r Call for inspection - 639-4175
OSPECfION NOTICE
City of Tigard Building Department
13125 OW Ball Blvd. Tiger vi, Oregon 97223 �r
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171
Inspection:——
footing Plbg. Underelab CNeah. Rough-in/) Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Pomt/Boam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Lino Gyp. Bd. _Koch.
Data Requested: Timer 110 -12-
-PH
Aadr..a: ���`�.S`
i Cl�1'DDD Y
Bull
dore
THR POI.I,OWINC OORRRCTIONR AM RZQOIRZDt Oph Ok e .
.-r
Ct
F--
cn
F—
:.D
W
Inspector Datet
APPROVZD —a DISAPPROVED `— APPROVRD S1-RJR--T TO ABOVR
—___Call For Rsinap.
/Ili''
I y 1 11 1 .1 110 W 1 .1 I 1 ►11 1 If I y lylk IA I 1;1 I I I I I tall. 9 4
I A 11 1 1-1111 11 11A 1 1/1 140
4AMF
4D 1)RE till 01111 �0
11.117 I V I I I wl
-UHPlJF)F* OF Pf)YMl-..PIl f I lyl It 11A 1 1,1•I10 P1114-11P.A; (iF t,.ItIYIYII:-.Nl HAIMU Pfill)
trril(IWICAI PK' MKC94-1,1001i Mill-0 V-11M
Cc
vl
W
!::)W tj,,prjtj F,Vj
City of Tigard MECHANICAL PERMIT Planck/Rec. #
'..1125 sw Hall Blvd. APPLICATION Permit # �� u'�'�p�
Tigard, OR 97223
(50-3) 639-4171
escnpbon --
Table 3A Mechanical Code OTY PRICE AMT
Job n
Address A d 1) Permit Fee — -0- -0- 10.00
7 7 Z 2) Supplemental Permit 3.00
umare
1) incl.duds&vents _ 6.00
Furnace 4
Owner 2) incl.duds a vent- 7.50
`Flowrumance
3) incl. went 6.00
Suspended beater,wall heater -
�'� �,� 4) or floor mounted heater 6.00
•D ••• n
Occupant en nos .in
5) appliar>r�permit 100
Repair of hoaN(Tj-,-r-@Tn—g.
6) cooling,absorption unit 6.00
—Boileer or comp, a pump,air co
7) to 3 HP absorp unit to 100K BTU 6,00
/ Boiler or comp, ieT at'pump,air co
Contractory`r�s J 2- •.L 8) 3.15 HP absorp unit to 500K BTU 11.00
cars `boiler or comp
/ , a pump,air co
Z ZJ 9) 15-30 HP absorp unit.5-1 mil BTU 15.00
t t" Boiler or comp,FFeat pump,au co
f) <' 10) 30-50 HP absorp unit 1-1.75 mil BTU 22.50
re y ac ow ge ma ve re <1 this apPF"W"—,-if F 96dw or comp,comp, a pump,air-cond-.
information given is correct, that I am the owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 31.50
of the owner,that plans submitted are in compliance with State Air an ing unit fo
laws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50
that tho number given is correct (If exempt from Stata registration, r handing it —
please give reason below.) 13) 10,000 CTM+ 7.50
--- —Non poi-fab ems"
14) evaporate coder 4.50
Vent an connected--
15) to a single dud 3.00
Ventilation system no
16) included in appliance permit 4.50
17) mechanical exhaust 4.50
Describe worlk now U a r-t- :W`a Cera repair m'mercnal or industrial
to be done residential,Ey' non residential 0 18) type incinerator 3000
Existing use oOther re.,we s ve,wa er
building or property �� � 19) heater,solar,clothes dryers,etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
'L-
building or property
21) More than 4-per outlet
Type of fuel -oN o natural gas Q' LPG O electric O
i- NOTICE
.., PERMITS BECOME VOID IF WORK OR CONSTRUCTION Minimum Fee$25.00 SUBTOTAL —
_C AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE i'
Q3 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
Special Conditions --_ —=
Date issued by`
bar