13615 SW STEVEN COURT-1 a
pow t
x,
*41
K,
Y
� o
'e
k'
n,
Q 'fi
t
4.
1
i
•d
Cit] of Tigard mull-ding Departmmat
19125 BO Hall Blvd. Tigard, Or+sgon 97223
Inspection Line (Rac,+O-^ na)s 639- 175 Business Phones: 639- 171
Inspections_____-_ -
Tooting Plbg. nderslab Hach. Rough-in Appr/Sdwlk
round. Plbg. Top Out Ras Line rINALs
Poet/Roam u_ruct. San. Sewer framing -Bldg.
Post/Beam Neoh. Rain Drain Insulation -Plusses.
Plbg. Underfloor Mater Lila Gyp. Bd. -Nech.
(Date Regnesteds �—��w � Times IL
PN
Astdreass �S Permit i.G
Builders
TEM VOLLOWING OORRUCTIONS ARN REQUIRED:
i
11
Inspectors
APPRUVMO Di3APPROVRD APPROVED SUMJNM To Ag M
`C call Tc- Rains
t p. � r..
a
CITE' OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT MGCg3_
13125 8W Nall Blvd.Tigard,Oregon 97223.8129 (503)639-4171
l,3-,�-q(303
e• ,
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 sw Nan Blvd. APPLICATION Permit #
Tigard, OR 9 223
(503) 639-4171
f Table 3A Mechanical Code CITY PRICE AMT
� Job ( �C,v l� C�.rl.) x712 1) Permit Fes 1 -0- -a- to.00
Address �»
((-i RQ—I-D, C12— " '"'),0a?, r2) Supplemental Permit 3.00
-- umaca to OMM
( ylcyl w S C 1V1 -y- i 1) incl.ducts 3 vents 6.00
.,. • Furnace 100,000 STU +
Owner
1�cc►�� W �j'kU{1" ( i 2) Ind.ducts a vents 7.50
Floor Fumance
l(-- =7 3) incl. vent 6.00
--~-- .m. SuspQvided Faater,wall heater
4) or floor mounted heater 6.00
... ent not--w-J.—in
Occupant 5) appliance permit 3.00
.,. ap Repair o eating,re ng.
6) tooting,absorption unit 6.00
.,. + �3�1_ i er or comp, eat pump,atr con .
- 11 A �L)c 1 I ) 7) to 3 HP absorp unit to 100K BTU , 6.00 << ! r
... oder ur comp,heat pump, air cond.
_1C1r-jH SZ 8) 3-15 HP absorp unit to 50OK BTU 11.00
Con73Ctor s Boiler or comp,heat pump,air con, .
�1 (J�_ 7�d� 9) 15-30 HP absorp unit.5.1 mil BTU 15.00
ren M& der or comp,heat pump, air Gond.
::p�!)
-IL 1 8 W IoL ,RM 1+ 10) 30-50 HP absorp unit 1-1.75 mil BTU 22.50
re y acknowlage tlial ve res is app icauon,t at t eBoiler or comp,heal pump,air co;2.
Infor•nation given is correct,that I am the owner or authorized agent 11) >50 HP absorp un; 1.75 mil BTU 31.50
of the owner,that plans submitted are in compliance with State Air handling unit to�
laws,t,.-jt 1 am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.5(,'
tluwt the number given is correct (If a -mpt from State registration, it handing unit i
please give reason below.) 13) 40,000 CTM+ 7.50
----"' -' _ Non po.lable
14) evaptorate cooler _ 4.50
snt n connecter
15) to a single duct 1.00
Ventilation system not
16) Included in appliance permit 4.5
,pn... .r Ho&i serve0 bt
17) mechanical 90., : 4:50
cat w new addition a tWrr► r- rCokinmerciial or Inal
to be Ane residential o- non•residan• 18) type incinerator 30.(r
E)dsfieg use of or t.e.,wo stove,`water
building or property _w 19) heater,solar,clothes drye-s,etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00 — I
buildiing or t roperty �—
211 More than 4-per outlet
Type of fuer-o1 n natural gas C —
OIC_ --'
Minimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF WONK OR CONSTRUCtiON
AUTHORIZED IS NOT COMMENCED WITHIN 180 r 'S,OR 5%SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 CAYS AT ANY TIME PLAN R:_.IEW 259E OF SUBTOTAL
AFTER WORK IS COMMENCED.
rc� /j�1//// TOTALS-'
Spedal Conditions
a i !r C& a L h C f'J A tate issued _by
�wenwrr
i