12161 SW MILLVIEW COURT-1 r
ADDRESS:
I
lo2lU sti) L"O'Llivieo Lu.4
li
1
fi
V
i
i:\records\rnicrofIm\ta rgets\building.doc
i
1
�w
�t�WN°e!w�WfaaH1�„.2a.W'+.a+�T:rna•,wl+w,ypay.aar-,.. ....•....•..,s...":..•.;.p.+"v1'..v,Lnr�ndhev�goM •
I
I
INSPECTION NOTICE
City Of Tigard Building Department
13126 BW Ball Blvd. Tigard, Oregon 97223
inspection Line (Roc O-Phono)t 639-4175 Business Phones 639-4171
Inspections_
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwik
Found. Plbg. Top Out Gas Line ( r�
s► j Post/Beam Struct. San. Sower Framing -Bldg. e
Post/Beam Mech. Rain Drain Insulation
-Plumb.
Plbg. Underfloor Water Line Gyp. Bd. �^+�(1 1 '
q I + }
I 4u
Date Re eetedt_ Times
AM PM ¢
i Address t l
Permit
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED: �f
t y
J
a'
i
K
4 �
r ! 5
t
Inspectors -7
- — Date
-APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Cali For Reinap.
r 1'
CITY OF TIGARD
r MEICi.L
COMMUNfTY DEVELOPMENT DEPARTMENT PE'RM
F=ERMIT
13126 SW Hall Blvd.Tigard,Oregon 97223+8109 (603)839-4171 PERMIT #. . . . . . . .. MEC94—OP65
DATE ISSUED.-
PARCEL:
SSUED.-PARCEL: 151 34C-••B 117 �
i-rz I ].61 SW r4II_L.VIL- '•I CT
SUBDIVISION. . . . : ZONING:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .
w
CLASS OF WORK. . :NEW Fr_OOR FURN. . . . : EVAP COOLERS:
TYPE DF USE. . . . :SF UNIT HEATERS. . : VENT FANS. . . :
OCCUPANCY GK-`. . :R3 VENTS W/O ADPL: VENT SYSTEMS:
S "OR IE_S. . . . . . . . : 2 BOILERS/COMPRES5ORS HOODS. . . . . . . :
FUEL L TYP'kc.5--_..__.__.,.__.___ 0-3 HP. . . . : DCIMES. I NC I N:
/GAS/ / / 3-15 HP. . . . : COMML. INCIN:
1y1AX INPUT: BTU 1.5--30 I.—IPL . „ REPAIR UNITS:
F I RE 1)AMPE R6 . : :-0-•-50 HP. . . . : WOODST OVES. . , 1
GArI PRESSURE. , . . 50+ HP'. . . . : CLO DRYERS--
NO.
RYERS. . :NO. OF UN I TC- —- -- --_ - AIR HANDL NG UN T Ts OTHER UNITS. :
1=URN < 1.00K B l"U: (:= 10000 r f=m : GAS OUTLETS. : 1
F"URN BTU: ) 1000111
I: mar k,; : GAS 114SE:RT
FEES
RICHARD CLARK type amcil-int Lry date r^ecpt
1.2'.161 '(;W MILLVIEW COURT PRMT $ 25. 00 JF: 09/22/94 -
` F-1 CT $ 1. 2!` JF* 219/22/94
1 1 5A 0H
Phone #:
11011ESTEAD STOVE: CO, INC
c'7-:'9 NL BROADWAY
PORTLAND OR 91232
111.1 on e #.- 28 :--3015 $ EE .
25 TO TAL
--- — REGU T RF_D INSPECTIONS
----— -
This perAit is issued subject 'o the regulations contained in t1,e Gan Line I n s p
Tigard Municipal Code, State of Ore. Specialty CoL_i and all other Mechan icca I In s p
applicable la s. All work will be done in accordance with Final Inspection
approved plans. This per3it will expire if work is not started
within 180 days of issuance, or if work is sus,?endeo fur core __ v„__•___�_,_—_-__,___.__ ,. ___ ___ �__
than 180 days.
Per^m i t t e e e
Is;sl.red By
CaII for- inspection 639-•4175
opm
LJ_____
n
City pt Tigard MECHANICAL PERMIT Planck/Rec. #
• 13125 SW Flail Blvd. C,e, ) APPLICATION Permit #
Tigard, OR 97223 "7 jj 1 n
(503) 639-4171 ', �`��� 1 i r
escrlptl0n
lam/Sly ell ly- !'1�� Table 3A Mechanical Code QTY PRICE AMT
Job r� 641j I L L.V J LLJ 1) Permit Fee -0- -0- 10.00
Address
g'j ' `' 2) Supplement&; Permit ;.00
—1 Furnace to-MM
f > { 1) incl, ducts &vents
6.00 +�
Furnace 100,OCO BTU +
Owner _ ';' 2) incl. ducts &vents
750
Floor Furnance —
/� '/ 3) incl. vent 6.00
heater, wall ea or
4) or floor mounted heater 6.00
Occupant ° _ ent no me. in ---
5) app.rance permit 3.00
— •r•---- ° -- --Fear of heating, re ig.
6) coming, absorption unit 6.00
of er or comp, heat pump, air Fon-d,
I 1 7 1( 7) to 3 HP; absorp unit to 100K B1 U 6.00
i / of er or comp, Eat pump, air cond.
Contractor
),;C1 tom` l��rJ x J��r! 8) 3-15 HP; absorp unit to 500K BTU 11.00
Boiler or coreat pump, air cond.--
T)
on .S) 15-30 HP; absorp unit .5-1 mil BTU 15.00
" Boiler or comp, ea pump,mp,air con - —
10) 30-50 HP; absorp unit 1-1 75 mil BTU 22.50
re,e y ac now a ge that ave read Fs applica ion, that the Boiler or comp, heat pump, air cond.
information given is correct, that I am the owner w authorized 11) > 50 HP; absorp unit 1 75 mil BTU 37.50
agent of the owner, that plans submitted are in compliance with Air handling unit to -
State laws, that I an registered with the Construction Contractor's 12) 10,000 CFM 4.50
Eloard, that the number given is correct. (If exempt from State AirTandlingunu
egistration, please give reason. below.) 1 13) 10,000 CTM + 750
on po a e —
14) evaporate cooler 4.50
Vent tan connected
__— 15) to a single du--t 3.00
Ventilation sysTem no —
16) included in appliance permit 4,50
Hood serve y
17) mechanical exhaust 4.50
Describe worR r.ew U addition alteration repair ` Commercial or industrial
to be done residential () non-residential O 18) tvoe incinerator 30.G0
xis ing use—or---- -- --mer i.e., vooadstove, water
j building or property 19) heater, solar, clothes dryers, etc. 450
Proposed use of 20) Gas piping one to four outlets 200
building or property
21) More than 4-per outlet
Type of fuel -oil O natural gas O LPG Q electric O
-- -- --_
Minimum Fee $25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION —` --' — — — —
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR e.^SURCHARGE e+
IF CONSTRUCTION OR WORK IS SUSPENDED OR --- — -- ---
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 28% OF SUBTOTAL
AFrER WORK IS COMMENCED
TOTAL
Special Conditions
Date issued _by
hWMFC"PMT
.w.nc°mrlry
+ .amr"c+YSe+Fh!rgYYrIB`1FA'l�AL91Fl�.`�1P'� N��I®ri•'+awlrrwzw".xw.�..+.+.a ,yyp
4.
d
^ •
i�
1,
IC
Ni
1
�1
ti.
R•
1
"4
PI
a
�P
f'
N
1:
NNS.
�1
40
r:
+
CIT- YOFTIFARD MECHAW IL,01_ �--'
t CITY OF TWA FID F-L f l IM I I
COMMUNITY DEVELOPMEN-r DEPARTMEK ONGON / LRM I J #. . . . . . . .. IvIEt-92---01 E3F `
13125 SW Ball W d. P.O.Box 21397,Tigard,Oregon 97223(503)63W4175
S11L 01A)kESS. . . : 121bi LaW Hit..LVIEW ( 'T PARGF.I__: fS134Cla-11,90303
:U1 DlYISIGN. . . . : IV)ILL..V:IL-W 70NTNlG. 14 -4. 5
BL.00K. . . . . . . . , . . L_C.17.. . . . . . . . . . . . . : 14
i:::LASS UF WORK. . :ADD FLOOR F'URN. . . . e I=YAP GOCILE RS:
fYF'Ii UF= uciL. . . . .sF L.JNIT HE:ATF-i'AS. , t ',1EI'll'T FANIO. . » t
0CC:UPANCY GRI'. _ tR3 VENTS 11/C) A!'f'l_: VENT SYST(F S.
iI CJRI:ES. . . . . . „ , : FICIcnmv'IRFS`:ORS HOUMa. . . . . . . . ,..
F UL:L.. 0-3 HP. . . . : 1 DOMES. INf INg
i --J,5 HP. . . . : (. 1:)flIIL. :NCINt
1*►nX xIVF'U'T': )1T13 15-301 IAP. . , RE PAIR UNITS:
' 114 DAMPERS 1. : Mwr1-tj0 IIl"'. , . . : IJC)t7DSTLJVF,13. » :
(j,Wb PRE: F�S,UR . . . : 0+ P. : CLO DRYERS. . :
1,10. CIF 0NITTS -.- _._ f-)IR 11ANDI.-.INN I.11\1T (!.i OTHER UNIT:;, :
"URN ( 100K ETU: l= 10101210 Vfm: .1 GV)s OLIT1_111'S. :
'r-URN )=100K DTLJ: 1000101 cPm �
rdemarll+~, t 01F1 1_::C1ND [ T'IDI,WR
FEES
IIAM IE_ TON r, y p v ramoLtnt by cliit e t`1*1, Pt
if+1 5W miu-VT[w C7 r•'FdMT 215. 001 JF-1 08/10/92
08/
171:ifiF�1J OR `i IEL
6JI-iong #?:
:L 1!MAI Ev C'ANl I I!i_o.. i m i & o f:
331.15 6IW c'h'l`i I CIVV.
0ORTLFIND OR 9'121121 _,_... _.._..__..._.....__ _____..._.__._., _._.. _...__._._.._
1='ht)np #1 =:r' r 4393
fed fF. . o 62196
Chis perait is issuetl rjbject to the regulativs contained in the F 1y1A3 :lnc:iaecA iarl .__.....
tyard Municipal Cade. State of Ore. Specialty Codes anA all other ___.___ .__. . _...._....
aC-plicable laws. All work will be done in accordance with _ ____..._. .._... .
approved plans. This pernit will expire if work is not started
mitht+r 180 days of issuance, or if work is suspended For Note _....._ __._._ _. �. _.. �.._..._._.
!han IFi@ dans.
a r'm i t:i,R rry c:,i.1.a 11.,i;,a 1
t _
L
1
Fi
! ivlrrvrr,
city of iigara IVILVI Int 4IV1 %L I LwI 11111 1
13125 sw Hall ryr +d. APPLICATION Permit #
PO Box 23397 C 1�' •
Tigard, OR 07223
(503) 639-4171 _ 1
escnpson
Tabla 3A MoChonical Code OTY PRICE AMT 4f
Job �C �(C' ��� m�llV�((a 1) Perml!Foo •0• 0• 10.00
address .'�'""- --•.___._.. ..__.r.��
2) Supplemental Permit 3,00
urnace to 100,U9 u
incl •I,:ts A wants 8.00
rry •a. r mace'100.000 r t
;-M
Owner lc ))Gl 2) incl, ducts 8 vents 7.50
r w• —z• ocrurnanF ca
eirt. 3 3) incl. vunt 6.00
"•• ( •f 1-1041 .usponded eater walr'iieater
4) o;floor mounted ligator 6.00
•y =�• —` '�-' an(not int, In -'••
OCt llpclrlt 5) appliance pormit 3 coo
Repair of heating, relrig
6) cooling,absorption unit _ 6.00
Soil or or comp,tioat pumri,7i—MoIZI,
r1inp3A V 7) to 3 HP ribsorp unit to 100K BTU G.00
rl;
"•M N• oiler or comp,heat pump,air cond.
G t�l��Icl i ,43 U 9) 3 15 HP abeorr unit to 57oK 13'rU 11,00 li ,
a ^' i er or comp, teat pump,an cvn'i-`
Y (�1'19 /C�y1 10 9) 15.30 HP nbsorp unit.5.1 mil SITU 15.00
CRY'G'wrio "Bollor cr comp,heat pump,air can
10) 30.50 HP absorp unit 1.1.75 mil OTU 22.50
have reAd iF�s uppTau' n�iriat t e or er or comp, Rat purnp,air co`
Oiat I nm dw owner or authorized aEent 11) >50 HP absorp unl 1.75 mil 81U -`- 31.50
;;;i nined ara in compliance wllh State Air hanoling unit to G
.•.•,1h the Con,IruCtion Contractor's Bowa, 12) 10,000 CrNi 4.50
it .,,:c„aGt (If exempt from State registration, —Kir handling unit
+) 13) 10,000 CTM + 7.50
Non portablo
i•I) ovaporabr Coolor
enl fan connectoa—.__. --*,-,3
._ __ r..
15) to a single duct 3 rA)
en1iTsoon sys!an nvi
16) included in appliancy permit 4.50 t
+ �~ _ 17) rnechanic�xhaust - _4.59
t , escr�63 work r.r,J u ditian 1leralon CJ repair Commercial or industrial
to aA done rcjsul%ntial�') orwi sidential d 19) type incinerator tl30.00 _..
zi5ting Me of - )er i.5.,wo6astovo,water c
j ,vilding cr proporty �^ _ 19) heater, Einar, Clothes dryors, etc, 4,50
Proposod uta o1 20) Gas piping one to tour outlets 2.00
building cr prnpvtty
Type+of fuel-oil O natweI;las Q LPO elpctric t7 21) More dean 4-per outlet ... _
•-------------Bio r"T4C_.._. __.. .._ r_..�.�._ -- ---�
h4inimum Fee$25.00 SU"TOTAI_
PERMITS SECO.+1 VOID IF'nrJRK OR CONSTRUCTION
AUTHOF117..ED IS NOT COFiMENC6D WITHIN 180 DAYS,OR 50r►SURCHARGL _)
IP CONSTRUCTION OR WORK IS SUSPENDED IDA
ABANDONED FOR A PERIOD OF IN DAYS AT ANY TUE PLAN REVIEW 25%.OF SUBTOTAL
AFTER WORK IS COMMENCED. t
TOTAL C-�
10
SpFoinl Concr&)ns
M1.IFGMI4IT
•OdMMLv
J
"-'/4 Y'I.'�i."'9." "h � f�• ,.e'A^: !�. f�a�.J�,'',1!�{��4Y r. l.wi•�e� "''R?�A!1ts k�ls' t . fl y� �µ '�^^• ,
1
f
� r
1 ••
I
h
f1
e
:1
h
6.
P
i
i
1�
f
1
•
•
r �
CITY OF l"i C;AFtI' REt:E I PT OF PAYMENT RL:C:F I P T NO. tl 9i'e-230393
CHECK AMOUNT tl 5r'. `'-0
NAME tl CUMATE MATE: CONTROL, (N-ISH AMOUNT tl 141. 00
11V1)RFrt!_; a 3315 NW ::16TH AVCS PAYMENT UATF tl 081 109Z
�:;I.1DC)IVI�IflN
P-oRTLAND, OR
PURPOSE OF PAYMENT AMOL.INT PAID C."URf"'OSE OF PAYMENT AMOUNT PAID I
MEC;HAN I CAl, F'E' c'` 00 MECHANICAL PE 00
?3'1'. SUII._IJ l''W'i2 1, r g ST. 131JI1_.L� 25
MC'C OL..I_11M 1,6450 SW ME:ADOWOOD 14Y
HAMIL.1"ON !.JA6.1 SW MIIA. VIEW Cl'
1"OTAI_. Aftl0l..INI I''A 11) > eiff0
♦MaeFYMM'ag4Y[mlw i"ew.wvsw•.mp,pu4Mrp WM.'rAWM -0*K,a;r+':,. ..nom n....,....