11305 SW FAIRHAVEN STREET-1 ADDRESS:
_11 aS� S
iarecords\micrcflmltargets\build ing.dcc
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: —�-�-'lam
Footing Susp. Ceiling Sprfnk. ugh-in AppNSdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer as in -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall Gyp. 8d. -Elecf.
Date Requ asted:_ Ca ��C �,�_Time: AM __jKPM
Address: -45
Builder: Permit #111R 5 O 2
THE FOLLOWING CORRECTIONS ARE REQUIRED:
t , Cis L xr=S- Leq
Inspector:�� _ Cate:
/A ROVED DISAPPROVED _APPRr SUBJECT TO ABOVE
Call For Reinsn.
MECHANICAL.
CITY OF TIGARD PE.... . E_ c
PERMIT #. . . . . . . : MEC9� 01 ab
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 06/26/95
13125 SW Hall Blvd.Tigard,Oregon 97223.6199 (503)439-4171
PARCEL. 2910:31)C 00815
SITE ADDRE_':. . . . : 11 -0' SW FA I RHAVEN :3
SUBDIVISION— . : VIRGINIA ACRES NO. 2 ZONING: R-3. 5
BLOCK. . . . . . . . . . . L_r7T. . . . . . . . . . . . . . 17
CLASS OF WORK. . :.11-T FLOOR TURN. . . . ; ..:VAP COOLERS:
TY.'E: OF USE. . . . :SF UNIT HEATERS. . e VENT F+iNS. . , :
OCCUPANCY GRP. . :R3 VENT W/O APPI-: VENT SYSTEMS:
STORIE:S. . . . . . . . : BOILERS/COMPRESSORS FLOODS. . . . . . . :
FUEL TYKES---- --------- 0--3 HP. . . . : DONE5. INCIN:
: /lila/ / / 3-15 HP. . . . : COMML. INCIN:
MAX INPUT: BTU 15--30 HP. . . . : REPAIR UNITS:
FIRE DAMPERS% . : 30-50 HP. . . . : WOODSTOVES. . :
GAS PRESSURE. . . - tl;+ HP. . . . : CLO DRYERS. . -.
NO. OF" UNITS--•-- AIR HANDLING UNITS OTHER UNITS. :
FURN < 100K BTU-. <= 10000 c f m: GAG OUTL_ET�3. : I
FURN > =.100E<. BTU: > 10000 r_,fm :
Remarks : Relocating gas piping.
Owner: __..___._____________________.___._.__.__..__.__._._._____.---_.___.._.___- F-ELz;
N.ArHRYN ADKINS type amot.lnt by date V-F.,-nt
11305 SW FAIRHAVEN ST. PRMT $ 25. 00 B 06/26/95 --
5PCT $ 1. 25 D 06/26/rj7
TIGARD OR 97223
Pnorne #:
Lon t r•ac�tor:
faf11iEN ENTF_RPRISES
9140 SW HWY 411
Cf1NBY OR 97013 -----------------_____--___--__.__„___.....
Phone #: 503-651-2137 $ 26. 23 TOTAL
Reg #_ -, 104356
--- --- - REQUIRED INSPECTIONS ---------•--
This permit is issued selject to the regulations ronta:ned in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspf+ction
applicable laws. All work will be dere in accordance with
approved plans. This permit will expire if work is not started
within 182 days of issuance, or if work is suspended for more
than 102 days.
1 er mitl:ee aiynat _sr°P : _ ZO
Cal. 1 for, inspect ion - 639--4175
city of ngaird MECHANICAL PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION Permit # 11C-C
Tigard, OR 97223
(503) 639-4171
n _ Y
���,, Table 3A Mechanical Code _ (QTY PRICE AMT
Ad*s
Job � .r 1) Permit Fee _ 4)- 0- 10.00
Address1 - c�. Lill
2) Supp;mental Permit 3.00
Fu ace to .TMMM-M
k,4 �j�.�1.1J / Ct` rf1 ) 1) ind. ductsAvents - 8.00
--� Furnace 100,OW BTU
Owner 2) Ind. ducts d vents _ 7.50
ooruma�nce—
3) incl. vent 8.00
uflpe eater,
4`, or Moor mounted h4ater 8.00
.,. ani not in in
Occupant 5) appiiancr permit 3.00
-"—� epair oarng—m-fi g.
,oiing, absorption unit 8•00
a comp, eWa pump, air co
? 7) to 3 HP;abuorr mit to 1L10K BTU V. 8.00
` oher or c-ai-c-7ea p67-rip,air cond.
8) 3.15 HP; abst;rp Lind to 5WK BTU 11.00
Contractor -------� Boiler or comp, beat pump; air cortT
�kr
-o 9)9) 15-30 HP; absorp unit .5-1 mil BTU 15.00
Saileir orcornp� teaTpump,air concT.-�
10) 30-50 HP; absotp unit 1-1.75 mil BTU 22.50
Fey s now re a zee reA r ih s 3pplicatan, at e i r or clomp, ea pump, air co(I
information given is correct, that I am the owner or authorized 11) >50 KP; absorp unit 1.75 mil BTU 37.50
agent of the owner, that Hans Submitted are in compliance with Ait an ng uV�nt is
State laws, that I an registered with the Cr+.nstructlen Contractor's 12) 10,000 CFM i 4.50 �-
Board, that the number given is correct. (It exempt trom State Air handling unit
registration, please give reason below.) 13) 10,000 CTM + 7.50
--- - often portae
14) evaporate cooler 4.50
—^--�" -vrn an conneci�e
15) to a single duct 3.00
_ en+soon sysfem not -
C J 18) included in appliance permit 4.50
• Hoodsery d by
17) mechanical exhaust 4.50
each -work new Tj—iaa�ffo—nU---aFtArntion repair U comrnerriator m us is
to be done residential Q'/ non-residential G 18) type incinerator 3113.00
xisting use o / 1 / --Mer i.e., woods ove, water
building or property -A1 J!,-L h C. 19) heater. solar, clothes dryers, etc. 4`�
Proposed use.of 20) Gar,piping one to four outlets 2.00
building or property
21) More than 4-per outlet _
Type of fuel •oil Q natural gas "G Q electric 0NOTIC �+
- r� Minimum Fee $25.00 SUBTOTAL _ �
PERMITS BECOME VOID IF WORK C7 ('^NSIRUCTI0N
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE � 1�
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF su�rOTAL
AFTER WORK IS COMMENCED. -_ --`
TOTAL
Special CondRlons - lli
!^
--- Date issued L� � C.�- I� - by 1i. '-'AL
k.>
CITY OF TItyARD - RECEIPT OF PAYMENT (Rf'(-.FIF'T NO. t95-26-7213
Ctil. 'Fti AMOUNT s P-6. 25
NAME. e ARKEN F:NTFRPRISEc C:ASIA AMOUNT s of oo
ADDRESS 9140 HWY. 211 PAYMENT DATE 06/P6/95
CANDY, OR SIUBD I V 191 ON s
17013-
PURPOSE
'701.3-PURPOSE OF PAYMENT AMOUNT PAID PURPOSE. OF PAYMENT AMOUNT PAI b
MECHANICAL PF. ME'C9S-••0)196 25. 00 ST. BUILD PER 1.
113115 5W FAIPHAVhN 91 .
TOTAL. AMOUNT PAID _. _ 26. 291