9600 SW SHADY PLACE-1 ADDRESS:
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• CITY OF TIG/ARD �
OREGON
June 1 , 1995
RB: BUILDING PSRKIT M
Inspection(s) have been conducted on this project. However, we
have no record of any subsequent or final inspections within the
past 180 days.
Please note that permits become void if there has not been an
inspection performed for over 180 days. In that cane, the Buildinq
Division may require a new application and fees to continue work.
A notice of non-compliance against the property may also be
recorded by the City. 1
Please advise the Building Division, IN WRITING, within 15 days of
this letter, the status of this project . You may request
additional time to complete Cie project .
Respond IN WRITING to: Building Division, 13125 SW Nall Blvd. ,
Tigard OR 97223 . Be sure to include the following information:
1. Building Permit V
2 . Address of property.
3 . Your name.
4 . Your phone number 8 :00 a.m. - 4 :00 p.m.
If you are ready to schedule your next inspection, please call our
24-hour Inspection Recorder at 639-4175 .
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13125 SV Nall Elvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772
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p!MCTIQN NOTICE �`ar
City of. Tigard Building Depart--0e0t -.
13125 9M Ball Blvd. Tigard. Oregon 97223
Inspection Line (Rec-o-Phons): 639-4175 Business Phone: 639-4177
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Inspection:
Tooting Plbq. Underelab< llech• Roa� Appr/Sdwlk
round. Plbq. Top Out as LiM FINAL: �
Poet/ROAM Struot. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg Underfloor Nater Lino Gyp. Bd. -Hoch.
Date Aequeeted► ` r�,� �`^J//� / /�) TinePH
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Address: ��
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Ruildor:
TRR FOLLOWING C MUCTIONS ARE REQUIREDt
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Inspsctort Date:
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APPROVRD DISAPPROVRD ✓ 11PPROVRD sun-Irm To ABOVE
Call For Reinsp.
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MECHPNICAL
CITY OF TIGARD PERMIT
PERMIT #. . . . . . . : MEC94-0056
COMMUNiTYDEVELOPMENT DE}PMTNAl T DATE_ ISSUED: 02/2;-`/94
13125 SW Hall Blvd.Tigard,Orrpon 97223.8199 (503)839-4171
PARCEL: 1 S 1 ;913-1010k'
SITE ADDRES15. . . : W)600 `_iW f.iHADY F'L
SUBDIVISION. . . . : THE RAZBE RRY F'ATCH ZONING: R-4. 5
BLOCK. . . . . . . . . . . LO-T. . . . . . . . . . . . . :L1 t
--------------------------------------------------------------------------------_.-----
CLASS OF WORK. . :ADD FLOOR FURN. . . . : EVAP COOLERS: k
TYPE. OF U'S'E. . . . :SF UNIT HEATERS. . : kiGNT FANS. . . : 1
OCCUPANCY GRP'. . :R:3 VENT'S W/O AF'F'L: VENT SYSTEMS: t r
STORIES. . . . . . . . 12 BOILERS/COMPRESSORS HOODS. . . . . . . :
FUEL TYF'E5---------- -- 0---:3 HP. . . . : DOMES. I NC I N:
: /GAE / / / 3-15 HP. . . . : COMML. INCIN:
MAX INPUT: BTU 15-30 HP. . . . : REPAIR UNITS:
FIRE DAMPERS?. . : 30-50 HP'. . . . : WOODSTOVES. . : 1
GAS PRESSURE. . . : 50+ HF'. . . . : CLU DRYERS. . :
NO. OF UNITS---------- AIR HANDLING UNITS OTHER UNITS. :
FURN t 100K BTU: t= 10000 c-fm : GAS OUTLETS. : 1
FURN ? =100K BTU: > 10000 cfm :
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Pem,arks : CTAS FIREPLACE INSERT
Owner: __.__.__-__________________._.______---.._______._-----____-. FEES
GLENN i:',OWERG+'=OWERS type amOIant by date recpt r;
-4600 SW SHADY F'L PRMT f e5. 00 JH 02/22/94 -
5PCT $ 1. 25 JH 02/22/94 -
TIGARD OR 9722223
Phone #:
Contractor:
F40T SPOT FIREPLACE & PATIO
11525 SW CANYON RD
BEAVERTON C4 97005 _______-_.-__-----.-.-_.__-_____-____-____
r-'hone #: 62:6-465._ $ 26. 25 TOTAL
Heil #. . : 71782 f
------- REQUIRED I NSP'ECT I ONS -- ---This permit is isssied subject to the regu1a+aons contained in the Gas Line Insp _
Ticard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp
applicable laws. All work will be done in accordance with Final Inspection
approved plans. This permit will expire if work is not started __• _ __ l
within leo days of issuance, or if work is suspended for more
than 180 days.
!Jermittee ai gnat 1.tir-e
issi.ied By:
Call for inspection - 639-4175
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City of Tigard MECHANICAL PERMIT Planck/Rec. # !'!�
13125 SW Hall Blvd. APPLICATION Permit #
PO Box 26397 '17
a
Tigard, OR 97223 p,p
(503) 639-4171
14 D.I Description_
Tabu 3A Mechanical Coda QTY PRICE AMP
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Job U Q 1) Permit Fee -0- o• 10.00
Address w ` !I,I
1 Q✓C\ 3.00
2) Supplemental Permit
N— . umace to IlN,�I
,e t? i) incl.duds d vents 6.00
LII Ad* Furnace 100,000 M+ i,
Owner ` p 95) 2) incl.duds a vents 7.50
Floor Fumanoe
/C �,/ ✓ �� 3) incl.vent 6.00
«.«. Suspended heater,wall heater llih�l
4) or floor mounted heater 6.00
«. h- - --vent not i in
Occupant 5) appliance permit 300 I Iill
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pair of heating,re ng
6) cooling,absorption unit 6.00 -
-�- 13oiler or comp,heal pump,air cond.
h I re �CZ 7) to 3 HP absorp unit to 100K BTU 6.00 '
er or camp,heat pump,air cond.
�QnIf O✓l 8) 3-15 HP absorp unit to 500K BTU 11.00
Contractor Boiler or comp,heat pump,air CO
Q
q&c)j 9) 15-30 HP absorp unit.5•i mil BTU 15.00
.�. .... Gay a'. •+ . liar or comp,heat pump,air cond.
191 q 10) 3050 HP absorp unit 1.1.75 mil BTU 22.50
r y ac ow,el Fewat I have reaci tPs application,that the Boiler or comp,heat pump,air cond.
information given is coneei,tha,I am If e owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 31.50 I',I
of the owner,that plans submitted are in compliance with State Airian mg unit to p9
laws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50 p,
Out the number, given is correct (If exempt from State registration, Air handing unit
please give reason below.) 13) 10,000 CTM+ 7.50
—' on porta le
14) evaporate cooler 4.50 _
Vent lam connect
15) to a single dud 3.00 �I
'Ventilation system not
16) included in appliance permit 4.50 , SU
Hood served
Q - f L ` 17) mechanical exhaust 4.50
Describe newACIMrxi teranon repair ,ommercta or to strta
to be dons residential ter non-residential Q 18) type Incinerator 30.00 if Ill'
xisting use of Other im.,w& stove,water
building or property 5/57D 19) heater,solar,clothes dryers,etc. _ 4.50
f Ij�
Proposed use of � 20) Lias piping one to f3ur outlets ID
building or property — I�
21) More than 4-per outlet
Type of fuel.oil Q natural gas O LPG Q electric Q II
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NOTICE Minimum Fee$25.00 SUBTOTAL ijll
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR bit.SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR PSI
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK 19 COMMt_iN:ED. iIII
TOTAL
Special Conditions II
Dote issued by Ili)III
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