14100 SW FANNO CREEK PLACE i
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14100 SW FANNO CREW PLACE
1
CITU OF TIGARD BUILDING INSPECTION DIVISION '
24-HGur Inspection Linc: 6394175 Busiaess Phone: 639-417
Date Requested: � / A.M. P-17V .M. MST:
l.ocation: �� l 0 S U � �.'L -
13iJP:
Tenant: Suit Bldg:
Contractor: Phone-_ -� �dZtyy Phone:_ 67 PLM:
(honer:-- It (A.0 . 'Phone:
ELC:
ELR:
coni PLUMBING _ — ,�
BUILDING BLDG
( 1 �-' CHMIICAL ELECTRICAL SITE
Site PosUlleam Post/Beam Posl/Beam`- Cover/Service Sewer/Storm
Footing Roof UndFI/Slab Rough-In Ceiling Water I.ine
Slab Framing Top Out Gaa Line Rough-In UG Sprinkler
Foundation Insulation Sewer HoodTiuct Reconnect Vault
l3s,nt Damp Drywall Storni Furnace l emp Service MISC.
Masonry Ceiling Rain Drain *V-autr0d-S t7V(, UC,Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Ih Hcat Pump la)w Vk,lt
Approved Approved prove Approved ~�Approved
Appr/Sdwlk Not Approved Not Approved o proVC.; Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL,
O Call for rein ion O Reinspection fee of Srequired before next inspection O l Inable to inspect
Inspector: —_—�— _ Date: � J C Page of-oe-n,—-
CITY O TIGARD MECHANICAL
DEVELOPMENT SERVICES PERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (543)639-4171
PERMIT #. . . . . . . : MEC97-0351
DATE ISSUED. 09/19/97
PARCEL.: 2S1121313-12300
SITE ADDRESS. . . : 141.0ui SW FANNO (:,REEK PL
SUBJIVISION. . . . : COLONY CREEK ESTATES NO. 4 ZONING: R-7
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 103 JURISDICTION: TIG
CLASS OF WORK. . :ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
I OCCUPANCY GRF'. . : ?3 VENTS W/O APDL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES-- -- - - ---- 0-3 HP. . . . : 0 DOMES. INCIN: 0
3--15 HPI. . . . : 0 COMML.. I NC I N: 0
MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS- 0
FIRE. DAMPERS% . : 30-50 HP. . . . : 0 WOODSTOVES. . : 1
GAS PRESSURE. . . : 50+ HP. . . . : N CLO DRYERS. . : 0
NO. OF UNITS----------- AIR HANDLING UNITS OTHER UNITS. : 0
FURN ( 100K BTU: 0 (= 10000 cfm : 0 GAS OUTLETS. : 0
TURN ) =-.100K BTU: 0 ? 10000 cfm : 0
Remarks : alteration - woid stove - for existing single family dwelling.
Owner. -- ------ ---------- --- --------------- ------ ---- - __ FEES ---------------
EDITH
-------------_EDITH SMITH type amoi.tnt by date recpt
14100 SW FANNO CREEK PLACE PRMT $ 25. 00 GEO 09/19/97 97--299403
TIGARD OR 97224 5PCT $ 1. 25 GEO 09/19/97 97-299403
Phone M:
Contractor-: __..____--------___-_-------•___--
THOMAS BISHOP'
12195 SW CANTON RD ------------------------------------._.
STE 30 f 26. 25 TOTAL
BEAVE'RTON OR 97005•-2170
Phone #: 626-4652
Rey #. . : 000546
- - -- REQUIRED INSPECT 1 ONS - -- -- -
This permit is issued subject to the regulations contained :n the Mechanical Insp
Tigard Municipal Code, State of Ore. 5pecia:•v Codes and all of er Wo od s t o v e I n s p
applicable laws. All work wi I 1 be done in accordance with Fire Damper I n s p
approved plans. This permit will expire if work is not started Misc. Inspection
within 188 days of issuance, or if work is suspended for more Final Inspect ion
than 188 days. ATTENTION: Oregon law requires you to follow rules_
adopted by the Oregon Utility Nntification Center. T`.ose rules are
set fortis a OAR 952-01-WO through OAR You may
obtain copies of these rules or direct questions to (41C by calling
i583)24b-9187.
Issi_te By: - Permittee Signati-ire :
. 7
++++++++++++++++++++++++++++++++++f+++-+++++++++++++.+++++++++++++++++++++++++-+++
Call 639-4175 by 6:00 p. m. for- inspections needed the next bi.isiness day
+•+++++++++++++++++++++++4-+++++++•+++++++-++•h+++++++i++++++++-+++++++++++++++++A ++h
Plan Check a
CITY OF TIGARD Mechanical Permit Application Recd By
13125 !`N HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR. 97223 Date to P.E.
(503) 639-4171, x304 Date to DST
!Tint or Type Pe"nit tII14A61--21- 3
_ Incomplete or illegible applications will not be accepted Called
Name of 0evetopmentrProtect Description
Table 1A Mechanical Code QTY PRICE AMT
Job street Address — u�si A) Permit Fee -0- •0 10.00
Address Fq h Y
9idgw citylstate Zip 1.) Fumat a to 100,000 B rU 6.00
_ including duds a vents _
Name for name of twsnessi 2) Furoate 100,000 BTU+ 7.50
Owner Nc 4 f A� including ducts&venta
Muting Address 3.) Floor Furnace 600
lL > <) rgPIOL)�rP L incbidingvent _
_Wwstate Lp non 4.) Suspended heater,wall healer 600
( cd k d C�Y j%` `<7 or floor mounted heater
N (or neff busnessi 5.) Vent not included in appliance permit 300
OCCUpant Mailing Address 6) Boiler or comp,heat pump,h.. Gond. 6.00
to 3 HP;absorb unit to 100K BUT—
crtyrsfets zip Phone 7) Boder or comp,heat pump,air Gond. 1100
_3-15 HP;absorb unit to 500K BTU"
Contractor roe, 1 ( a) Boiler or comp,heat pump,air Gond 15.00
(Pnor to t bIIC r iyu l i G 15-30 HP,absorb unit,5.1 mil BTU"
issuance Mgdnq Aodross 9) Boder or comp,heat pump,air cond i 22.50
applicant ti, ,l ` Q rlc Cr'vt., 30.50 HP;absorb unit 1-1.75mil BTU"
must provide all nyButs /y zip Phhoria 10.) Boiler or comp,heat pump,air Gond 37 50
contractor vO 0e V 'o v, Or Q L�l�'t C�5 _ >50 HP;absorb unit 1.75 mil BTU"
license oragon C Cont Boyd Lw.2 Esp s 11) Air handling unit to 10,000 CFM 450
information `y� rCi!__
for COT COT eu _rax or MatrcLML`— Exp pate 12.) Air handling unit 10,000 CFM 750
database) L �
Architect Nine 13.)�Ncn-portable evaporate cooler 4.50
or Mailing Address T —�'� 14)Vent tan connecter,to a single duct 300
Engineer Crtyrstata —`--- lip Phone ' 15) Ventilation system i of included in 4.50
_ ___ appliance permit
Descnbe work New O Addition O Alteration Repan O 16) Hood served by mechanical exhaust 4.50
to be done Residential O Non-residential O _
Additional Description of work 17.) [Mr–estic incinerators 7 50
16) C(Trnmerric-or industnel type 30 on
Incinerator
Existing use ofrrl) 19) Repair units 450
building or property L
70) Wood stove 4.50 _
Proposed use of 21.) Clothes dryer,etc 4.50
building or property
22) Other units 4 50
Typ+of fuel-oil O natural gas 0 LPG O electn( O 23.) Gas piping one to four outlets 200
I hereby acknowledge that 1 have read this appli(Ttion,that thi) 24) More than 4•per outfets(each) 50
information given is correct.that I am the owner or authunzer'agent of
the owner 'hat plans submitted are in compliance with Oregon State "~QTY SUBTOTAL
laws
Signature of O vnerlAgent Date 'SUBTOTAL y
l7 5%SURCHARGE
Contact Pemdh N fhe Phone PLAN REVIEW 250%OF SUBTOTAL
V Z (� " �lclj TOTAL
AstOnechpmtdoc: V9 •Minimum permit fee is 525+5%surcharge
"Residential A/C requires site plan showing placement of unit.
RECEIVF~
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