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�� INSPBCTLOt:_NOTICE l
city or Tigard Building Department
1.3125 aw Bell Blvd. Tigard, ore—g-nn 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections --
Tooting Plbg. Underelab Mach. Rough-in Appr/Sdw1k
Pound. Plbg. Top Out Gas Line INALs
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam MeL h. Rain Drain Insulation -Plumb.
Plbg. Underfloor Witter Line Gyp. 8d.
Date Reyuestedscc/e� 30—5;'
Time: AN PH
Addreas:�T SC✓ sU/�/?'� K� ! T �✓�!_��L' 'G�y~
builders .74 Oro
THE FOLLOWING CORRECTION£ ARE REQUIRED:
--- OLC6 - r LES
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Inspector _ _ Dates _
APPROVED DISAPPROVFO APPROVED SUBJECT TO ABOVE
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Call For Reinep.
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MECHANICAL
•
CITYOFTIIFARD
PERMIT I T
C11YOF11i ID PERMIT #. . . . . . . : MEC92-026'7 r:
COMMUNITY DEVE1,4PMEKf DEPARTMENT ottoow
'i9125SWHdiBlvd. P.O.so,zaw7,'rOW,O gm 97ir 3) +T6 �f DATE ISSUED: 10/14/92
P SITE ADDRESS. . . : 15445 SW SUMMERFIELD LN PARCEL: 2S111CA-02400
SUBDIVISION. . . . : SUMMERFIELD NO. 7 ZONING: R-7
l
BLOCK__------------•--------t_--- _^ --
- __._--_--_---------------.--_------_-----.__------.-- �
CLASS OF WORK. . :ADD FLOOR FURL'. . . . : EVAP COOLERS:
TYPE OF USE. . . . :SF UNIT HEATERS. . : VENT FANS. . . :
OCCUPANCY GRP. . :R3 VENT'S W/O APDL: VENT SYSTEMS:
STORIES. . . . . . . . : ! BOILERS/COIVIPRESSORS HOODS. . . . . . . .. +i
FUEL TYPES-- -__.___-_-_•- 0-3 HP. . . . : DOMES. INCIN:
- /GAS/ 3-15 HP. . . . : COMIvIL. I114C I N:
` MAX INPUT: RTU 15-30 HP. . . . : REPAIR UNITS:
FIRE TAMPERS?. : s 3N-"50 HP. . . . : WOODSTOVES. . :
GAS PRESSURE 504- HFA. . . . : CLO DRYERS. . :
NO. OF UNITS----------- A I P HANDLING UNITS OTHER UNITS. :
FURN ( 1O0K BTU: 1 i= 10000 cfm: 1 GAS OUTLETS. - 1
FURN ) =10OK BTU: > 10000 cfm:
I
I
Remarkss GAS FURNACE
Owner: ------------------------------------ ------------------ FEES --._-_----------
MARJORIE RIPL_EY type amount by date r-ecpt
15445 SW SUMMERFIELD LN PRMT $ 25. O0 JH 10/14/92 -
SPCT t 1. ,?5 JH 10/ 14/92
1IGARD OR 97224
Phone #:
Contractor: -----------._---------------.----
ROSE HEATING CO
9945 NE 67H DR
PORT LAND OR 97211 -------------------•------------------------
Ph o r- : #: 283-5183 >f 26. 25 TOTAL
Rey #. . : O2O84
------- REWIRED INSPECTIONS -------
This pertit is issued subject to the regulations contained in the Final Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other _
applicable laws. All Mork will be done in accordance with _
app,oyed plans. This pertit will expire if work is not started
within 1641 days of issuance, or if work is suspended for tore
than 168 days,
Permittee Siynatuve:
Issued By:
Call for inspection - 639-4175
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sit CF TIGa:•.z
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312S -SW :?ALS 337-- .- .
O. - BOX 2 3-`r - Desu,puon
2 GARD OR 9 7 2 2 3 / Table 3A Mechanieal Code QTY PRICE AMT
503)639-417.; t ` t) Permit Fee 0 0 10.00
N:v:xs:I L�c�ekKxrxrtt 4 I' �l Supplemental Permit 3.00
S Jobs 4 ,t Fumacs to 100,000 BTU `-- 1 6.00 6.00
Address 15445 SW Summrfield Ln. ! ince.ductsdvents _
Tax LCA --- Map r,�_�--- - 2) Furnace 100,000 BTU + 7.50
incl.ducts 8 vents
I.— Bloef i;ub lro ion
Nuns(or name of bus w.;) 3) Floor Furnace 6.00
Marjorie Ripley incl.vent
Maiirq 4 Suspended heater,wall heater 6
r .00
�NR1ef 15445 SW Summerfield Ln. 620-6004 ) or floor mounted heater
City/State r6)
Vent not incl.in 3 Ti ard, OR 97224 �_appliancepermitName for name of bisuiess) Repair of heatirg,refr fig., 6.00
SAME cooling,absorption unit I"
Mailing Address 7)F„x,,,,, Boiler or comp to 3 HP 600
Occupant absorp.unit to 100,000 BTU
Cityfs+ate Z:p 8) Boiler or comp to 3 HP-15 HP 1100
absorp.unit to 500,000 BTU
Name y 9) Builerorcomp 15-30 HP 15.00
abaorp,unit 1/2-1 million
]cP HeatingCo. , Iric.
Mailing Address Ptmne - 10) Boiler or comp to 30.50 HP 22.50
9945 NFabsorp.unit 1-1.75 million
283-' - -
Contractor /State L'4ix h Lh:iye 2 11) Boiler or comp to 50 HPCA� 31.50
absorp.unit 1,750,000 BTU
and, OR 97211 Air handling unit to
State Registration No. City flus.Tau No.
12) 4.50
10,000 CFM 1 4.50
2084 92-1597
I t*"a imcwiedr�e that I have read this applicator mal tfre information given is ) Airhandlingl7.50
+
correct.mat I arr.rhe owner or authorized er
agent of me own ,that plans subnitled are in 13 10,000 CFM +
oDmphance with State taws,that I am registered with Mv-State Builders'Board,that the 14) Non portable 4.50
laarrtrer given is caned (If ex"horn State registration pease give reason below). evaporate cooler
15) Vent fan connected Y 3.00
---- to a single dud
16) Ventilation system not 4
included in appliance permit
— .50
1 T Hood served by 450
mechanical exhaust _
elpiM-(owrmr or agent) Date 18) Domestic type 7.50
Describe wort. ❑ addition Ll alteration N repair 11iricinerator 4
to be done - residential ❑ _non-residential Elt 9) Commercial or industrial 30.00
Existing use of type incinerator
building or property _._ 20) Other i.e.,woodstove,water 4.50
Proposed use of heater,solar,clothes dryers,etc.
building or property_ ^ 21) Gas piping one to four outlets 1 2.00 2.00 yy
Type of fuel - oil ❑ natural gas Q 1-P(; I I electric ❑ f
— 22) More than 4-per outlet
NQTICE St)B-TOTAL 2.2.50
"PIIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- ----
S)RUCTION AUTHORIZED IS NOT COMMENCED 1P!.THIN 180 5%SURCHARGE 1 13
DAYS, OR IF CONSTRUCTION OR WORK IS SUSi,ENDED OR PLAN REVIEW 25%OF SUBTOTAL -
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER -
WORK IS COMMENCED. y ] TOTAL 1 123,631
Special Conditions.--- -- --- -- --.._. �C. �'^ 7d- ,
Date issued by
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�� �' INgPRCTION NOTIC.? ;'.
Citi o1 Tiga:.d gaLldiag Department 'l
13125 M Hall w11wd. Tigard. Oregon 97223
f,
Inspection Line (Rec-O-Phones 639-4175 Buein®ns Phone: 639-4171
Inspections„___ ^
r Sdwlk
Footing Plbq. Underelab Mech. Rough-irs ApP
round. F1bg. Top mut Gas Line FINAL:
�-.--�
-
Post/Beam Strutt. Sen. Sewer Pramlu q Bldg.
Post/Beam Hoch. Rain Drain
Insulation
Plbq. Underfloor Water Line Gyp. ad.
-4ach.
L- J � Times _AN PN
Date Requested
permit 4: LL.C(W I
Address s
Builder:_..3s ��-
(i4•i
THE FOLLOWING CORRECTIONS ARE REQUIRED: (,
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6
Inspectors_:/. �/ Dates
APPROVED DI8APPROVED _ _ APPROVED SUBJECT TO ABOVE
Call For Rainsp.
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