10365 SW MEADOW STREET i
ADDRESS:
a
k�
t,
II
1
i
i:\records\microflm\targets\building.doc
J
ANSPECTION NOTICE I
Citp of Tigard Building Department
13125 6W Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-phone): 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Underelab Hoch. Rough-in AFpr/Sdwlk
Found. Pl.bg. Top Out Gas Line FINAL:
Poet/Beam struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -plumb.
Plbg. Underfloor Water Line Gyp. 8d. -Mach.
Date Rocp:eeted:_ I'(I r1=J n AM PM
Address: IVS.LIj�LC1.(.. ,DIV o r q
e !t tr-�
Builders ka I J i.
- J_ !L�
THE FOLLOWING CORRECTIONS ARE REQUIRED:
'?s-'�. VEL/!'" �� /fir-s':7/ � � �•�i1 11.'r}firlr. ��
t y
,
9��+�,��' � i- � � ����_ �G��✓'ted%l T- � i -i(" c--' 4 , �'�F� r)� 'der 7,°
:„
r a � g1 ,
� 4 r 4 I
t�b
i0"-YLly\ \
I
InepsCCoct_ Dates
APPROVBb DISAPPROVED 4/-•-{1ppRMED SUB.IRCP TO ABOVE
_____Call Por Reinap.
....«....•..»...�...,�,..f.r,.maw,.,w,,,,„.,®,..,,.,,e,„„......,.��
�yC
ell.
0
XNSPECTION NOTICE
City of Tigard Building Department
13125 fM MkIl Blvd. Tigard, Oregon 97223
Inspection Line Rec-O-Pho�nnJe)t 639-•4175 Business Phone: 639-4171
Inspect ion:,_—
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Rech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line / GyO. Rd. r_Nech„
Date Requestedt / �( /�Z /JA/'Q�' ) Tiwet \., AM PH
Address: 1,6
"7 iP._�__�_ C /.LL��v• PP,—,t
G-7lJ J �• g-�0 0 q
r�
t
THE FOLLOWING CORRECTIONS ARC REQUIREDt
Tfj� �,y. C/ 4PCTrio7r�//t/�! /� /2 lei ci C. T' 6'� A,,- 7C.
Ti
*!:2 / T.�7y//J�-: /''/�c,TZS�C'Ti yC eflA 4
C.
re -71r--7
'L42'PQ czri 2 ��i ,mac a ti u
y.
��t�y/�aJL I /t//fr /�aJ c j•r rC�� �r/'s'C-'G...
�!� v7l/ r.J V�+r,7; /!>vT7�t� �S"'t•��f1�.73
1a M
Inspector= _
_ Gate: C�- �_ r -
APPROVED (:LVTBAPPROVED APPROVED SUBJECT TO AAOVE
k -
�% rP
Call For Aeinep.
�Y 1i
INSPECTION NOTICE
City of Tigard Building Department
13125 8V :x.-11 Blvd. Tigard, Oregon egop 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 63 -41,71
Inspection:_ _ _
FootingPlbg. Underslab Mech Rough-in V'r Appr/8dwlk
Pound. Plbg. Top Out a Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Ply,
Plbg. Underfloor Water Line / Gyp. Bd. -Mach.
Date Requested: �� �� �7 Time: AM pM
Address: + / �5 {r r Permit ►LLS._ " el?
Builder:
THE FOLLOWING cORRScPIONS ARE REQUIRED:
i(/llLf > Ft:.S.-S(�k't�
f/' t /4'�� �7//,�1 L/J��� � J cJ/-'�p�p fZ"f✓t�/s y:/"%2 U
/ /77 1 a =ter— -r te* .� r✓.���Ac —
�
i
I
I
--—_ ti
y 'r
Inspector: Date:
APPROVED DISAPPROVED G APPROVED BDBJECT To ABOVE E
--
call For Reinsp.
Y , Y
r$I� 'ii
that+
i
CITY GF TIGARD ✓
COMMUNITY DEVELOPMENT DEPARTMENT MECHANICAL
13125 SW Hall Blvd.Tigard,Oregon 97223.8194 (503)VO-4171 PERMIT
PERMIT #. . . . . . . .. MEC94-0;99
639-4171. DATE ISSUED: 11/02/94
PARCEL: 16135CC-01200
SITE ADDRESS. . . : 1.0365 SW MEADOW ST
SUBDIVISION. . . . : .EHE_ MEADOW ZONING: R-4. 5 rase
BLOCH�. . . . . . . . . . . LOT. . . . . . . . . . . . . : 13
-------------------------------------------------------------------------------------------
CLASS OF WORK. . :ALT FLOOR FURN. . . . : 1 EVAP COOLERS:
TYPE OF USE. . . . :GF UNIT HEATERS. . : VENT FANS. . . :
OCCUPANCY GRP. . :RU VENTS W/O APDL: VENT SYSTEMS:
STORIES. . . . . . . . : I BOILERS/COMPRESSORS HOODS. . . . . . . :
FUEL TYPES--------------- 0 HP. . . . : DOMES. I NC I N:
,/GAS/ / / 3-15 HP. . . . . COMML. I NC I N:
MAX INPUT: BTU 15--30 HP. . . . s REPAIR UNITS:
FIRE DAMPERS?. . : 30-50 HP. . . . : WOODSTOVES. . s
GAS PRESSURE. . . : 50+ HP. . . . : CLO DRYERS. . :
NO. OF UNITS----------- AIR HANDLING UNITS OTHER UNITS. sl
FURN ( 100K BTU: 1 (= 10000 cfm: GAS OUTLETS. : 1
FURN ) =100K BTU: > 10000 r_fm:
Remarks : ELECIRIC TO GAS CONVErRfSION FURNACE AND WATER HEATER
Owner: ___________.----_______________,_.._----.•----___________-------___-- FEES _------------.-_.--
DORTHEA SIDLOUSKIS type amo -tnt by date recpi;
10365 SW MEADOW ST PRMT $ 25. 00 JF 11/02/94 —
5PCT $ 1. 2i JF" 11 /02/94
-
TIGARD OR 97223
Phone #:
Contractors _.______.___._______.__.___..__._—__.___•_.
CENTURY HEATING A/C: INC
25442 SE MCNUTT RD
GRESHAM OR 97080 ______.______.____.___--_—__.—_--_—_____-.
Phone #: 665-6707 $ 26. 25 TOTAL
Reg #. . : 87164
-------- REQUIRED I NSPEC'1 I ONS ---- -This permit is issued subject to the regalation� contained in the Gas Line Insp
Tigard Municipal Code, State of gre. Specialty Codes and all other Mechanical Insp
applicable laws. All work will be done in accordance with Final Inspection
approved plans. This permit will expire if work is not started _
within 180 days of issuance, or if work is suspended for acre
than 180 days. �—
-
Permittee Si gnat rtre;
d By
Ca 11 for insper:tion - 639-4175
r
!
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 sw Hail Blvd. APPLICATION Permit # 11j- r
Tigard, OR 97223
(503) 639-4171
j
escnpLon
Table.3A Mechanical Code QTY PRICE AMT _
Job c PA c 1) ,-Permit Fee -0 -0- 10.00
Address -- —
1 eSd��S ) f �' = 2 Supplemental Permit 3.00
urnaca t?'`--
1) incl. ducts d vents � 6.00
-umam cel��TQ+—
Owner C 2) incl:ducts d vents 7.50
jor Fum_-en�
6.00 ut.
uspended ke ter,wall eater
4) or floor mounted heater 6.00
Occupant c? ' _ e�noTMnU in
(A W\ 5) appliance permit 3.00
ap — epaiFi—'r o iTTiesung,reeinngg.
6) cooling,absorption unit 6.00
f —H6Ter ur.comp,FoRaT pump,ai con
f' .
Pyle l ! .1�✓ 7) to 3 HP;absorp unit to 100K BTU 6.00
s i er or comp,,eat pump,au ccrid.
Contractor
fiT to'
8) 3.15 HP;absorp unit to 500K BTU 1L00
oileoo`r comp, e-fi at pump--ll
cond. -`—
redQ �� 9) 15-30 HP;absorp unit .5.1 rnil BTU 15.00
Boiler or comp, Heat pump,air cond.
r 10) 30-50 HP;absorp unit 1-1.75 mil BTU 22 5(
cera y ac ow oc go al-T havd rea lfi'is app ick'aTion,TFiat the Boiler or comvheat pump, air cond— —
information given is correct,that I am the owner or authorized agent 11) >50 HP;absorp unit 1.75 mil BTU 37.50
of the owner, that plans submitted are in compliance with State a handling unito —
laws,that I am registered with the Constriction Contractor's Board, 12) 10,000 CFM 4.50
that the number given is rorrect. (it exempt fr(-rn State registration, it amdling unit -- __
please give reason below) 13) 10,000 CTM+ 7.50
Non portable----
14)
orta e -
14) evaporate cooler 4 50
-Ten- an connected
15) to a single duct 3,',0
Genu aeon-F- system not `
16) included in appliance permit
van_ U sere y
4-09 z -<-sr� 17) mechanical exhaust 4.50
-UO-S-71110 worx 1-7 new /sod)VIon aeration Qpr repait Commercial or industrialFto be done residential non-residential Q 18) type incinerator 30.00
xis ng use o
er i.e.,woodstovo,water
I building or property .
) t l
tel, soar, clothesc ors
!g ,etc. 4.50
Proposed use of 20 .Gays piping one to four outlets 2,00 06,!
building or property
Type of fuel -oil Q natural gas(Fr-LPG 21) More than 4-per outlet 6
Q electric Q
Minimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR SURCHARGE '
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
TUT AL �l�
Special Conditions -
Date issued by
MrMECHPMT -a— —r--
«ertl`cwMw
}
a
s
�:a I r 1 t l .I;r;I� ter , r It t ;It t'tivhlt rat ttt;f t II I roll„
Eft.i,1; rIhu;Ur1 f - ',-�
}A-.14 11114 Y" r i tl r.l}I'!t} 1;1*0 1 11r+tf it IN
�p;l ' ;t4 `�r VII !"11 1 1 I t11 I4d11 I f lilt I'•1 t 144 1 k t' I I ,�yI, • rd��
� '. 11111r LIt; �1)t'11IV1'1Ii1Pi
Ap
{il1'11Y111 hI) 1(11 I ' ' 1lntlnlrll
hit 1 .1 Ic 11�I,f 1 �}1 I'1 .�.� I:rL� , ! .. }.r 1 t r'1� ; •t !c 1
�R
I
-i
Irl¢ 1',""'•►�► Ir1�-''►'� c
IVIi ( DOW t,i Id t I
I tl T fti.. toIt o 1M i Po C► ,