14285 SW FERN STREET ADDRESS:
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i:Irecords\microflm\targets\buMing,doc
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab ch. Roug iR�, Fireplace
Post/Beam Struct. Plbq. Top Out Elec. Rough-in FI
Post/Beam Mech. San. Sewer e , Bldg:
Plbg Unde..'oor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech. Et
Underfir. Insul, Shear Wall Gyp. Bd. Elect.
Date Requested.— _Time: AM PM
Address:
Builder: ,a- 5 _ 3�tJ iy�'Pormit # CLQ /, �v
THE FOLLOWING CORRECTIONS ARE REQUIRED'
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O f�•-i lJ/Z -i-�.4TL�.
i
Inspector: .` _ _ Daw.
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 _
Inspection: 4111n
Footing _ I Sus Ceiling fa
P 9 Sprink. Rough-in Apr/Sdwlk
Foundation Plbg. Undersiab ech. Rough-in Fireplace
Post/Beam Struct. Plbg, Top Out Elec. Rough-in/ FINAL:
Post/Beam Mech. San. Sewer as Li Bldg,
Plbg. Underfloor Rain Drain Framing -Plumb. _
Alarm Water Line Insulation - ech
Underflr. Insul. Shear Wall Gyp. Bd.
Date Requested: I ( ( Cf r—
/ L( Time:__AM PM
Address: / S-t—
Builder:_ Permit #: Q 3 gCJ
HE FOLLOWING CORRECTIONS ARE REOIJIRED:
L7
I KiL
J
J
Inspector;_
Date: /
_APPROVEDIbAPPROVED _APPROVED SUBJECT 10 ABOVE
C Call For Reinsp.
PFA RM T T
CITY OF TIGARD PERMIT #. . . . . . .. : MEC95
DATE ISSUED: 11 . 0 :/4-f.
COMMUNITY DEVELOPMENT DEPARTMENT
1.3125 8W Hall Blvd.Tigard,Oregon 97223.6199 (503)939-4171 PARCEL: 2S 104SC—•00900
SITE ADDRESS. . . - 1.411.,85 wW FERN '7)T
SUBDIVISION. . . . : HANDY ACRES ZONING: R-6
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 13
CLASS OF WORN.. . :ADD FLOOR F'URN. . . . : 0 EVAP COOLERS: 0
TYNE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :R3 VENTS W/O APDL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES-------------- 0--3 HP. . . . : 0 DOt•IFS, I NC I N: 0
: /GA5/ / ! 3-15 HP. . . . : 0 CGMML. INCIN: 0
MAX INPUT: 0 BTU 15-30 HN. . . . : 0 REPAIR UNITS: it
FIRE DAMPERS'?. . -. 30-50 HP. . . . : 0 WOr DSTOVES. . : 0
GAS PRESSURE. . . : 50+ HP. . . . : 0 r_Lu DRYERS. . - 0
NO. OF UN I'i S------ ---- AIR HANDLING UNITS OTHE9 UNITS. : 0
FI_IRN ( 100K BTU: 1 (- 10012)0 (-,fm : 0 GAS fAJTI._ .-T S. : 1
FURN )=100K BTU: 0 ) 10000 cfm7 0
lomat-I<s : install fl_(rnace Lind gas line
Owner: ---------------•---•--------------------•------ FEES ---------------
HIL..LSHIRE. WOODS type i.mount by date recpt;
14285 SW FERN ST PRKIT $ JSD 11 /06/95 95-2-2568
CPCT $ 1. 25 ,JSD 11/06/95 95-272569
T T CARD OR 17,22'3
Phone #:
Contractors __.--•------••-_--
WTNDWOOD HOMES
14076 SW BENCHVIEW TERRACE
TIGARD OR 97L24
Pli c n e A : 190--4700 $ 26. 25 TOTAL
Req #. . s 050196
REQUIRED INSPECTIONS
This persit is issued sub ect to the regulations contained in the Gas Line Insp
Tigat,1 Municipal Code, State of Ore. Specialty Codes and all other Mechanir_•a) 'Insp
applicable laws. All work will be done in accordance with Final Inspection
approved plans. This peroit will expire if w—k is not started
within 180 days of issuance, or if work is suspended for sorethan 180 days.
I e r m i t t e e --5A- tt etb p r e s
Call for inspection 639--4175
City of Tigard MECHANICAL PERMIT P,anck/Rec. #
13125 -SW Hall Blvd. APPLICATION Permit #
Tigard, OR 97223
(503) 639-4171
^•• / / escn n
Table 3A L.4chanical Code OTY PRICE AMT
w
Job )L'� '�� [.. f cSf 1) Permit Fee 0 -0- 10.00
Address
2a7 2) Supplemental Perritt 3.00
•^• Furnace to 100,000 BTU
/cvr• 1) inci. ducts &vents r,'0
w — urnace 100,000 BTU +
Owner 2' incl. ducts &vents /.50
-` oor umanca
3► incl. vent 6.00
uspa ea r, wa .lea er
4) or floor mounted heater 6.00
Occupant w Vent not incl. in
appliance permit 3.00
Repair of ea mg, re.rTg.
6) cooling, absorption wbR 6.00
l� Boiler or comp, heat pump, air cond.
7) to
3 HP: absorp unit to 100K BTU 6.00
••• /
Boiler or comp, .ea pump, air cam.
Contractor ) 8) 3-15 HP; absorp unit to 500K BTU 11.00
Boiler or comp, heat pump, au con .
eA .� Q� TGG' 9) 15-30 HP; absorp unit .5-1 mil BIU 15.00
• / '•
Boiler or comp, heat pump, air cond.
10) 30.50 HP: absorp unit 1-1.75 mil BTU 22.50
ere y ac now ge that ave read is applicifl—onFlFat the Boiler or comp, heat pump, air cond.
information given is correct, that I am the owner or authorized 11) y 50 HP: absorp unit 1.75 mil BTU 37.50
agent of the owner, that plans submitted are in compliance with Air handling undo
Stator laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 4.50
Board, that the number given Is correct. (If exempt from State it handling unit
registration, please give reason below.) 13) 10,000 CTM + 7.50
Non portable
14) evaporate cooler 4.50
Vent fan connected
15) to a single duct 3.00
/ 7en i a bon system not I
16) included in appliance permit 450
�^° •• Hood served y
17) mechanical exhaust 450
escri a work new addition
aeration repair Commercial or industrial
to be done residential n non-residential Q 18) type incinerator 30.00
Existing use of Other i.e., woo s ove, water
building or property 19) heater, solar, clothes dryers, etc. 4.50
Proposed use of 20) Gas piping one to four outlets ✓ l 2.00
building or property _
21) More than 4-per outlet (each) 2.00
Typn of fuel -oil Q natural gae-�O LPt3 0 electric Q
NOTICE
Minimum Fee $25.00 SUBTOTAL rte?
PERMITS BECOME VOID IF WORK OR CON-YFRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN_ 180 DAYS, OR 5%SURCHARGE �•�'
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY 11ME PLAN REVIEW 25% OF SUBTOTAL
AFTER WORK IS COMMENCED —
TOTAL
Special Conditions
Date issued — by
N 1O01MOfTN/aG+►MT
L;YlY OF 'If(.4HND NO-CF- 1111 th P(AYMEN] ld-.(+. it-,I NO.
C;H1A,K $41VICK IN F
NAME I 041NOW000 HOMEU 1.;w3fi olvILION I I Ia. k1w
ADI)RIP,68 s 14076 SW HENUFIVIE.-W IL-44H P�-V(Mi-Wf DAIL-. i I1 /069 1.5
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