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CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Linc: 6394175 Business Phone: 639-4171
Date Requested —, f r I F15 ----- A.M. - --- P.M. _ MST:
I.ocalion: � t —— �_-- BUR
Tenant:_ --- — Suite: —._Bldg: MEC: Q
Contractor: Phone: _ PI.M:
Phone: _� ,v7— — ELC:— _
--- — -- -- ELR:—_ —
_ SIT:
BUILDING BLDG(con't) PLUMBING "FLAANICAR ELECTRICAL SITE
site Post/%am PosUBeam rt- Cover/Service Sewer/St<mn
Footing Roof UndFLISlab Rough-In Ceiling water Liliz
Slab Fnsrniig Top(hit Gas line Rough-in UG Sprinkler
Foundation Insulation Sewer flood/Duct Reccmnect Vault
Bmt Damp Drywall Storm <dn!!?!� Temp Service Misc.
Masonry Ceiling Rain[gain A/C UG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr I Icat Pump i ow Volt
Approved Approvedv Approved Approved
Appr/Sdwlk Not Approved Not Approvedmvat Not Approved Not Approved
FINAL FINAL. FINAL FINAL FINAL
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Inspector:
Date: I 0��` _ Page of
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CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 6394171
Date Requested: _ /r J/ —q 7 A.M. P.M. MST:
Location: BITP: --
Tenant:_ Suite: _Bldg: MBC:-f--z-'�
Contractor: Phone: C:s��YC11� _ PLM' —
Owner:� _ _ Phone: ELC:
ELR:
SIT:
BUILDING BLDG(con't) — PLUMBING _�_ _� � PLECTRICAL_ SITE
Site Poat/Beam Post/Beam eam _ Cover/Service Sewer/Storm
Footing Roof UndFI/Slab Rough-In Ceiling Water Line
Slab Framing Top Out Gas Line Rough-In UG Sprinkler
Foundation ir_sulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Ihywall Storm Furnace Temp Service Misc.
Masonry Ceiling Rain Dmin A/C Utz Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr Iieat Pump low Volt
Approved Approved Approved Approved Approved
Appr/Sdwlk Not Approved Not Approved ved Not Approved Not Approved
FINAL FINAL FINAL FINAL
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til for rein. C3 Reinspection fee or S required before next inspection C3 Unable to inspect
or: — ---___— Date: � _ Par —.of
CiTY O TIGARD ME,-HAN I CAL
DEVELOPMENT SERVICES GERMIT
13125 SW Hell Blvd.,Tigard,OR 97223 (303)6394171 PERMIT #. . . . . . . .. MEC97-0388
DAT; ISSUED: 10/13/97
PARCEL: 2S 1O3DA--0 7500
SITE ADDRESS. . . : 10930 SW MIRA CT
SUBDIVISION. . . . : MIRA PgR.K ZONING: R-4. 5
BLOCK. . . . . . . . . . . LO . . . . . . . . . . . . . :O13 TURISDTCTION: TIG
-------------------------------------------------------------------------------------
CLASS OF WORK. . :AL.T FLOOR FURN. . . . : 0 EVAP COOLERS i 0
'TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :R3 VENTS W/O APPL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . i 0
FUEL TYPES-------------- 0-3 14P. . . . : 0 DOMES. I NC I N: 0
3-15 HP. . . . : 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. . : 0
GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0
NO. OF UNITS----------- AIR HANDLING UNITS OTHER UNITS. : 0
FURR ( 1O0K BTU: 1 (= 10000 cfm: 0 GAS OUTLETS. : 0
FURN )-1O0K BTU: 0 > 10000 cfm: 0
Remarks : Install a new gas furnace for an existing single family dwelling.
Owner: ---------------------------------------_------------- FEES
---------------
MERrEDES GALVIN type amount by date recpt
10930 SW MIRA COURT PRMT $ 25. 0'0 GEO 10/13/97 97-299981
TIGARD OR 97223 SPCT $ 1. 25 GED 10/13/97 97-299901
Phone #:
Contractor: ------------------------------
SUNSET FUEL CO
PO BOX 42287 ----_----------- -- ------- -----___
f 26. 25 TOTAL
PORTLAND OR 97242
Phoi,e #: 503-234-0611
Reg #. . : 000023
-------- REWIRED i NSwECT I ONS —----
This permit ire issued subject to the regulations contained in the Mechanical Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Heating Unt Insp
applicable laws. All work will be gone in accordance with Misc. Inspection
a approved plans. This permit will expire if work is not started Final Inspection
OG within 188 days of issuance, or if work is suspended for more
N than 180 days. ATTENTION: Oregon law requires you to follow rules ! _
} adopted 6y the Oregon Utility Notifi^ation Center. Those rules are
t set forth in OAR 952-01-41910 through OAR 952-•011--MR. You may
m obtain copies of these rule, or direct questions to UK by calling
(563)216-9187.
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Tssp.,e By: _ �. fir_-- _ Permittee Signature :_.e_w i
++++++++++++++++++++++++++++++++++++++++++++•f+++++++++++++++++++#+++++++i++++++
Call 639-4175 by 7:00 p, m. for inspections needed the next business day
++++++++++++++++++++++++++++++i•+++++++++++++++++.++++++++++•+++++•+++++++++++++•++
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 W Hall Blvd. APPLICATION Permit #
7. igard, OR 97223
(503) 635-4171 _
escnption
Table 3A Mechanical Code OTY PRICE AMT
Job CP Ji�-D f, 'r C� LT 1) Permit Fee A- -0- 10.00
1--4-a6 2) _Supplemental Permit 3_00
Furnace to 100.W)BTU
1) incl:ducts a vents 6.00 to
Furnace 100,000 RTU +
Owner toll �5C) S1-3 2) incl.duds a vents _ )50
W` FloorVUMWFCO
Cl 3) inti,vent 6.40
— ...«—P#ft—q Suspended heater,wall heater
4) or floor mounted heater 6.00
... V.4nt not ind.in
Occupant 5) appliance permit 300
.0
-Wepa-ir-oPteabrig,re r- rg.
6) cooling,absorption unit 6.00
Boiler or comp,float pump,air coed. - -
.� 7) to 3 1111 absorp unit to 100K BTU 6.00
.+.v• «•- - Boiler or comp,hem pump,air cond.
P� Cyvx "q �� a3'�-a•t� 8) 3-15 HP absorp unit to 500K BTU 11.00
Contractor z4 Boiler or comp, at pump,a—woondl
��Gn6 �� q1�4 2 9) 15-30 HP absorp unit.5-1 mil BTU 15.00
- ...« Boiler x comp,neat pump,au cond.
D Alta 10) 30-50 HP abs(xp unit 1-1.75 mil BTU 22.50
-jjhere y a, ge hci I have reaa 1Tiis ap icauori,that the Boiler or comp,beat pump,air co .
information given is correct that I a-h the ownar or author,-.9d agent 11) >50 HP absorp unit 1.75 mil BTU 31.50
of the owner,that plans su'hmitted are in compliance with State Aires mg unit to
laws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50
that the number giver,is correct. (If exempt Irom State registration, r ir>g and
please give reason below.) 13) 1U,000 CTM+ 7.50
L
Non portable
14) evaporate coder 4.50
ent an connect .
15) to a single dud 3.00
Ventilation system not
Q�Q{ _ -t� }�� I I 7 16) included in appliance permit 4.50 -_
-�T Hood served-1W-
17) me ihanical exhaust 4.50 _
son w novt additionterabo -iap - Comn►eraa or industrial
to be done residential 0 non-res ahr 16) type incinerator 30.00
_xisting use o rOther i.e.,woodstove.water ---
IL building or property 19) heater,sdar,dothes dryers,etc. 4.50
Proposed use of 20) Gas piping o-w to four outlets 2.00
N building or property
)�,_,/ 21) More Itan d-per outlet
Type of fuel-off0 natural gas Z* LPG O electric Q
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NOI IC
Wknum Fee$25.00 SUBTOTAL S
PERMITS BECOME VOID IF WORK OR CONSTRUCTION +�
AUTHORIZED IS NOT COMMENCED WITHIN 190 DAYS,OR 5%SURCHARGE •v'1
IF CONSTRUCTION OR WORK IS SUSPENDED OR - — --
ABANDONED FOR A PERIOD OF tun SAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED. —"
TOTAL �`b
Special Conditions — —
Date issued by
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