7123 SW LOCUST STREET i
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone:
�6339,-4'175
/�
Type of Inspection
Date Requested Time —_14-- - A.M. P.M.
,Address —:21,2---5 Permit
Jwuner __— _ Lot
Buildir
The following Building Code deficiencies are required to be conacted:
Presented to --.__ �� Approved
Inspector �� -- — I Disapproved
Date --
CALL FOR REINSPF,MON
❑ YES ❑ NO
CITY
OF T167A RD MECHANICAL PERMIT
PERMIT NO. : ME$92387
CITY OF TIMRD
COMMUNITY DEVELOPMENT DEPARTMENT 09100"
rTE ISSUED: 11/ 3169
13125 S.wr.Mall Blvd..F 0 Box 23397,Tigard.Oregon 97223.(503)6394175
— A92-187
JOB ADDRESS: 7123 SW LOCUST
TAX MAP/LOT SUB: LT: HK:
LAND USE:
LOT SI7.E:
ITEM: NO: IJO:
WORK CLASS: ALTERATION FURNACE (100K 1 AIR HANDLR (10
USE TYPE: SINGLE FAMILY FURNACE 100K+ AIR HANDLR 10K
CONST.TYPE: FLOOR FURNACE EVAP.COOLER
OCCUF,.GRP. a HEATER VENT FAN
VENT VENT.SYSTEM
BLR/COMP (3HP HOOD
NO.STORIES: BLR/COMP 3-15HP INCINERATOR(DOM
DWELL.UNITS: PLR/COMP 15-30HP INCINERATOR(COM
FUEL TYPE GAS BLR/COMP 30-50HP REPAIR UNITS
MAX. INPUT BLR/COMP 50+HP OTHER 1
FIRE DMPRS? GAS PIPING OUTLETS
NIGH PRESS?
LAW PRERRI -- —
REMARKS:
Install gas furnace and hot water, heater
ri
FEES:
W Culver Skip PERMIT 4IN.00
N 7123 SW Locust PLAN REVIEW
R 'Tigard OR 97223 FIXTURES $10.50
PHONE (503) 244-6319 STATE TAX $1.03
—__ -- OTHER
C
0
N BELL. HEATING INC.
A 15550SE PIAllA AVE
7 CLACKAMAS OR 9'7015
0 PHONE (563) 243-1194
R RE•GISIRATION NO. 447 TOTAL: $21.733
This permit is issued subject to the regulations contained in Title 14 ---------RECEIPT--
of the TMC, State of 0rego•, Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and it Is hereby REQUIRED INSPECTIONS
agreed that the work will be done in accordance with the plans and GAS LINE
specifications and in compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and FINAL.
void it work Is not started within 180 days.or if work is suspended or
abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
Permit e,ignalure
Issued By
fSEPARATE
PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
i
CITY OF TIGARD MECHANICAL PERMIT
13125 SW HALL BLVD.
I'r unit a
P. O. BOX 23397 Description -
T I G ARD, OR 97223 Table 7A Mechanical Code (!f y PRICE AMT
(503)639-4175 1) Permit Fee -0- -0-_10.00
Name of Devek"ount 2) Supplemental Permit 3.00
i
Furnace to 100,000 BTU 800
Address 3 U
Job Address �, � 1) incl.ducts 8 vents
^ J C - —
Tax Lot Map No. 2) Furnace 100,000 BTU + 7.50
incl.ducts&vents
Lot Bbck Subdivision —
Name or name- b usrriess) 3) Floor Fu nace 6.00
� C1y� -
Su-oended heater,wall heater 6.00
()caner Mailing7/Addr3 5 tv �iO (OX/ 4 or floor mounted heater
Vent not incl.in
chyrstate Zip 5) 3.00
- appliance permit
Name( d t . •. 6) Repair of heating,refr ig., 6.00
cooling,absomtion unit
Mailing Address — Phone J-- 7) Boiler or comp to 3 HP 6.00
Occupant -absorp,unit to 100,000 BTU city/slate ZIP — 8) Boiler or comp to 3 HP-15 HP 1100
absorp.unit to 500,000 BTL!
Name ) 9) Boller comp HP 15.00 T
absorp.. -1 mil unit'/: 1 million
Mailing Address 10) Boiler or comp to 30-50 HP 22.50
/y 5�^ s �/� absorp.unit 1 1.75 million
Contractor r C J ---� Boiler or comp to 50 HP 31.50
cMyi..;tate 11) absorp.unit 1,750,000 BTU
State 10,000 CFM Registration No. City Bin.Tax No 12) Air handling unit to 4.50
el '`/ 7 T Air handling unit 7.50
I hereby acknowledge that I have read this appiwat,on that the information given is 13) 10,000 CFM +
co(rect,that I am the owner or authorized argent of the owner,that plans submitted are in - —'—
compkair.o with State laws,that I am registered with the Slate Builders'Board,that the 14) Non portable 4.50
number given is ccxrecl (if exempt from State registration please give reason below) evaporate cooler-
- 15) Vent Ian connected 300
to a single duct
t6) Ventilation system not 4.50
Included in appliance permit
Hood served by 4.50
17) mechanical exhaust
3+grta r a a9m+q ate 18) Domestic type 7.50
Describe work D addition C1 alteration repai 0 incinerator
to be d,3ne residential p non-residential p 19) Commercial or industrial 30.00
type incinerator _
Existing use of
building or properly __ 20) Other i.e.,woodstove,water 4.50
heater,solar,clothes dryers,etc. S L
Proposed use o1
building or property_ _— 21) Gas piping one to four outlets 2.00
Type of fuel- oil U natural gas W LPG O elec!ric U -
22) More than 4-per outlet
NTl� ICE - SUB TOTAL
U 7J
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON-
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 5X SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF '80 DAYS AT ANY TIME AFTER7LI
-
WORK IS COMMENCED. TOTAL 5
Special Conditions----__.-.-- _---__ ---_--- --
-- --- Date Issued - ___.---by-