11935 SW SUMMER CREST DRIVE-1 'n!'a"V.Yty w+r
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i:\records\microflm\targets\bijilding.doc
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phcne: 639-4171
Inspection:
Footing Susp. Ceiling Sprink, Rough-in Appr/Sdwlk _
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL;
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Pluni--b.
P�
Alarm Water Line Insulation d ;Z _
Underflr. Insui. Shear Wall Gyp. Bd. -Elect.
Date Requested: 2 I Time: PAPA PM
Builder: _
Permit #: }CC e . Uc',�-3
THE FOLLOWING CORRECTIONS ARE REQUIRED:
p / — —" t
Ins actor: Date:
APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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CITY OF TI GAKE) MECHANICAL
COMMUNITY DEVELOPMENT DEPARTMENT PLR1y91 1-
13126
13126 SW Hall 8W.Tigard.Oruaon 97223.8199 (503)6311-4171 PERMIT' #. . . . . . . : MEC 9 5 00e.:
DATE ISSUED: 01/31/95
PARCEL: 1S134LA-00707
;ITE ODDRESS. . . : 11935 5 5W 5UMMER CREST DR
,iJBUIVISION. . . . : BURLWOOD NO. 3 ZONING: R--4. 5
kLt7CK. . . . . . . . . . s LOT. . . . . . . . . . . . . :42
--•-•----------•---.-_---_----------•_------------•----
GLASS OF' WORK. . :AL1" FLOOR FURN. . . . : EVAP C:OOL.ERSt
T YPL CIF USE. . . . :SF UNIT HEATERS. . : VENT FANS. . . :
OCCUPANCY GRP. . :R3 VENTS W/U AT='PI_: VLNT SYSTEMS:
STORIES. . . . . . . . : BOILERS/COMPRESSORS HOODS. . . . . . . :
f UEL TYPES-------------- 0-3 lip. . . . . DOMES. INC:IN:
: /GAS/ / / 3-15 HP. . . . : COMML. INCIN:
MAX INPUT: BTU 175-30 HP. . . . : REPAIR UNITS:
FIRE DAMPERS?— : 30-50 HP. . . . : WOODSTCIVE S. . :
GAS PRESSURE. . . : 50+* HP. . . . : CLO DRYERS— :
NO. OF UNITS----------- A 1 R HANDLING LIN I T5 OTHER UN ITS. : 1
TURN ( 100K BTU- (- 10 it , c:f in : BAS OUTLETS. :
f LIKN )-100K BTU: 100111 cfm:
Remarks : GAS WATER HEATER
Owners -___.____.___.________-.____________.___.________.__..______. FEES
BOB BULLOCK type aimoi_int by date rer_Rt
11935 SW FlJMMF_'F?CRFS)T PRMT f P5. 00 JF 01/31/95 -
`,f='L'T t 1. 25 JF 01/31/95
1,10ARD of, 1
f-hone #:
Uontra.:tor: ----__-___________-_------------
DAVID SMITH PLUMBING
'ib4b cwW KILLARNEY LN
1 UALATIN DR 9 706c
PhonP #: f 91'-29314-1 26. 25 TO fAL
1000?,0
------- REQUIRED INSPECTIONS -------
This pereit is issued subject to the regulations contained in the Gas Line Insp
Tigard Municipai Code, State of Ore. Specialty Codes ana all other Mechanical 1 n s p
applicable laws. All Mork will tie done in accordance with Final Inspection
approved plans. This pereit will expire if work is not started
within 160 days of issuance, or if work is s-ispended for sore
than 160 days.
e1 inittee Si gnat urt
ss'.ied Ely: _
Call for inspection - E39-4175
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City. of Tigard
MECHANICAL PERMIT Planck/Rec. # `1.`x-,;L0 ( 7S'
13125 SW Hall Blvd. APPLICATION Permit #
Tigard, OR 97223
(503) 639-4171
~escnpion
I �!) 5W Cjµr►1/y1GrGre$r Table 3A Mechanical Code QTY PRICE AMT C
JobD y r 1 Z-3 1) Permit Fee _ -0- -0- 10.00
--r Address -�,--
/ }
�4✓rR �vh P�a rn r h2► Supplemental Permit 3.00
-- Furnace I
15o b 13-11-olk 1) incl.ducts d vents _ 6.00
100,000 BTU+
Owner s'�t"`e- 2) incl. ducts b vents 7.50 �p
- - or Furnance
31 incl. vent 6.00
.m. >^:�+•-�- - - Fuspendedhoator, wa I hoator -- i
4) or floor mounted neater 6.00
.
"ant not incl. in
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Occupant 5) appliance permit 300
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�oRepair of heating,re rrig.-
6) cooling,absorption unit 6.00
t r er or comp, eaT pump,air con -- i
urrQ/ ntr 4 F/k hih< 7) to 3 HP;absorp unit to 100K BTU 6.00 I! 1
moi or or comp,heat pump.air co -
COnlfaCtOf rV y S rim /(` 1/n r bt e ��1 8) 3-15 HP;absorp unit to 500K BTU 11.00
r qr or comp, ea pump,air con .
Lt p I h Ok 517,16 Z- 9) 15.30 HP;absorp unit.5-1 mil BTU 15.00
• F *�• Boiler or comp,heat pump,air con
10) 30-50 HP;absorp unit 1-1.75 mil BTU 22.50
hereby ac vi-owledgo that I nave reac this ofp5cation, mat the - i er or comp, eF"�'pump,air con .
information given is correct,that I am the owner or authorized agent 11) >50 HP;absorp unit 1.75 mil 9TU 37.50
of the owner,that plans submitted are in compliance with State I Air handling unit to `
laws,that I am registered with the Construction Contractr,'s Board, 12) 10.000 CFM 4.50
that the number given is correct. (If exempt from State i jistration, it nan mgunif'—
please give season below.) 13) 10,000 CTM+ 7.50
ikon pporta,File
14) evaporate cooler Y I 4.50 I I,
- ean conne
a ct — y
15) to a single duct 3.00 I
Ten acon systero not
/�J,•� ,( ? �G �.___, - ?>f- 9$` 16) includes ppliancn permit .1.50
ood-se`rvOd-Eiy` t
17) mechanical exhaust 4.50
-Uesc-1'Wwor new 90 addific repair - ammgrcia or industrial
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to be done residential Q 18) type incinerator 30.00
xis nq use o -� — - e fie►i.e.,wo s ove,water
building or property - 19) heater, srlar, clothes dryers,etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
building or property^ -
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Type of fuel oil 0 natural gas f_ „d_iric O 21) More than 4-per outlet---- - - '
..........
Minimum Fee$25.00 SUBTOTAL
PERMII S BECOME VOID IF WORK OR COr., i rlUCTIOr
AUTHORIZED IS NOT COMMENCED WIThIN 180 DAYS,C.a S%SURCHARGE
IF CONSTRUC TION OR 1VORK 1!,SUSPENDED OR
ABANDONED FOR A PERIOD OF +80 DAYS AT/ TIME PLAN REVIEW 25%OF SUB(OTAL
AFTER WORK IS COMMENCED - -
TOTAL
Special Conditions - - -
Date issued by
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