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1146€ECTION x(=
City of Tlyud Building Department
13125 SO Ball Blvd. Tiqard, Oregon 97223
Inspection Line (Rec.�O-Phonnnee)c 639-4175 H�s Phones 639-4171
Inspections ^-'e-
rooting lbq. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gas Line
Post/Ream 5truct. San. Bower Framing -Eldq.
Pest/Roam Mach. Rain Drain Insulation -Plumb.
Plby. Underfloor Nater Line Gyp. Rd.
Date Requesteds G Timss AM PM
Addresss 7,16c) 1-Lt gtd,
Builders
TFE FOLLOWING CORRECTIONS ARE RSWIREDs
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Inspectors \. _r Date: 1)-c) 5
APPROVED DISAPPROVED APPROVED SUEJECT TO AEOVE P
For Reinap.
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CITY OF
TIGARD MECHANICAL
COMMUNITY DEVELOPMENT DEPARTMENT PERM I 1
PERMIT 41. . . . . . . MEC94-0:;c7
13125 SW Hall Blvd.Tigard,Orpon 97223.8184 (503)630-4171 DATE I S�1UED: II/ lb 7�3'►I'�'�'
E,39 41711
PPRCEL.: 1 S 1 25DP"-05500
S I TE ADDRESS. . . : 07,2260 SW SHADY LN ZONING: R-4. 5
EUBD I V I S I ON. . . . : SHADY DELL NO. 2,
BLOCK. . . . . . . . . . . LOT - . . • • . ' . . . g ___.__.__---..__-
CLASS OF WORT<. . :ADD FLOOR FURN. . . . : EVAP COOLERS:
TYRE OF USE. . . . :SF UNIT HEATERS. . : VENT FANS. . . : �
+' >: CICCUF'ANCY DRF'. . :R3 VENTS W/O ARPL: VL-'NT SYSTEMS:
EIUHIEi. . . . . . . . : BOILERS/COMPRESSORS HOODS. . . . . . . :
.i
FUEL TYPES------------- 0-3 1-IP. . . . DOMED. I NC I N:
: /WOD/ 3-15 HP. . . . e GOMML. INGI'N:
E+TU 1)-,30 lip. . . . : REPATR UNITS:
MAX INPUT:
FIRE DAMPERS?. 30-50 HP. . . . : WOODSTOVES. . : 1
GAS PRL SURE. . , 0+ HP. . . . : CLO DRYERS. . s
NO. OF UNITS-___-------- AIR HANDLING UNITS OTHER UNITS. :
FURN ( 1001,11 BTU: t= 10000 cfm: GAS OUTLETS. :
FU RN )-100K BTU: 1 10000 c•f m:
liemarks : PELLET s'TOVE
Owner:
wner: FEES
-THEW' type amol_mt by date_.---_re_c._p_t
L . P. MA
7c60 SW SHADY LN PRMT t 125. 00 JG 11/16/94
-
PC:T $ 1. 85 JG 11 /167"34
T IGARD OR 972..::3
F'horie #: q q— �5 UQ 7 -70 0 1 1-ELLET STOVES WEST
AME.RCIAN HOMEF1-:ES LTD
SOUTH HWY c'1.3
ORE13ON GITY OR 9704
Phone #: 6.32-7674 t 26. 25 TOTAL
l Reg #. . : 46433
-- - --- - REOU 1 RED I NSPE.CT I ONS -------
This pereit is issued subject to the regulations contained in the Wuocistove Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in accordance with
approved plans. This persit will expire if work is not started
within 188 days of issuance, or if work is suspended for rare
than IN days.
U
e r m i t tee c;i A1131t U r e
Call for insp. ction - 639-4175
.,..aur. •
City of Tigard MECHANICAL PERMIT Planck/Rec. # W-a5r70
13125 SW Hall Blvd. APPLICATION Permit #/,I it-
Tigard, OR 97223
(503) 539-4171
--- —• Description
Table 3A Mechanical Code QTY PRICE AMT _
•
Job r Z�j(> � � i 1) Permit Fee -0- •0- 10.00
Address : 71 ,0) Ajk
7ap
2) Supplemental Permit 3.00 _
Furnace u77,TU— 1•
1� 1) incl.� 5d vents 6.00«. � urnace-5 a6 BTU +
Owner 8 2) incl. ducts&vents7.50
Mor Furnance
3) incl. vent 6.00
si .aL' spendW heater-wall heater
4) or floor mounted heater 6.00
Vent not incl. in
Occupant j�^�I C-r 5) appliance permit 3.00 _
epair of heating,re ng. i
6) cooling,absorption unit 6.00 j
t3oilar or comp,heat pump,air cond.
t I7) to 3 HP;absorp unit to 100K BTU 6.00
•n Amen Bollsr or comp,heat pump,air coia. Ii
Contractor8) 3-15 HP;absorp unit to 500K BTU 11.00 _
ap 96iler or comp,heat pump,air cond.
9) 15-30 HP;absorp unit.5-1 mil BTU 15.00
•••n Boiler or comp.heat pump,air cond.
10) 30 50 14P;absorp unit 11-1.75 mil BTU 22.50
iere y acknowle0ge that I have read this application,that the 1350ar or comp,Heat pump,air coM.
information given is correct,that I am the owner or authorized agont 11) >50 HP;absorp unit 1.75 mil BTU 37.50
of the owner,that plans submitted are in compliance with State Air handling unit to 1
laws, that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50
that the number given is corect. (If exempt from State registration, Air handling unit
please give reason below.) 13) 10,000 CTM+ 7.50
Non portable
14) evaporate cooler 4.50
----Te-nt fan connected
15) to a single duct 3.00
—`— entt ailon system not
16) included in appliance permit 4.50
4� Rood seryy
17) mechanical exhaust 4.50
escribe woFR new rtion alteration U repair Commercial or industrial
to be dune residential non residential Q 18) type incinstetor 30.00
Existing use of Other i.e.,woodslove,wo er
building or property 19) heater,solar, clothes dryers,etc. 4.50
Proposed use of 20) Gas piping one to tour outlets 2.00
building or property^ _
Typo of fuel-oil Q natural gas Q LPG Q electric Q 21) More than 4-per outlet
Minimum Fee$25.00 SUBTOTAL �Lj Ul
PERMITS BECOME VOID IF WORK OR CONSTRUCTION v
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 1SO DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED.
TOTAL
Special Conditions
Date issued , 'byll
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