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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Hoc-O-Phone): 639.4175 Business Phone: 639-4171 t,
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation
Plbg. Under slab j Rough in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in C. F A-D-
Post/Beam Mech. San, Sewer as Line -Bldg.
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Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation ec
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
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Date Requested::_ — A'rime: AM PM
Address:�0 �? ��J. 'tl-'1. 7
Builder: ( Permit a: C c (.1cI
THE FOLLOWING CORRECTIONS ARE REQUIRED:
I Inspectc,: .� Date:
APPROVED _ DISAPPROVED _APPROVED SUBJECT TO APOVE
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/ all For Reinsp.
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CITY OF TIGARDMECHANICAL
COMMUNITY DEVELOPMENT DEPARTMENT PERM I i
13125 5W Hah Blvd.Tigard,Oregon 07223.8199 (503)639-4171 P`E RM I T #. . . . . . . : MEC9 —00,:r s
G13')--x+171 DATE ISSUED: 0,='/02/95
F'ARCE:L: 1 S 1;_,5DC-00100
SITE A1':-41 fa:i. . . : 111365 SW G!-.Sf:N8URiG RD
SUNUIV' IUN. . . . : ZONING: C -F'
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . ,
CLASS OF WORK. . :ALT FLOOR F--URN. . . . t EVAP LIJOLLR:-. :
FYP'EE OF USE. . . . :SF LIN IT HE.ATERS. . : VENT FANS. . . :
OCCUPANCY GRP,. . :R3 VC-NTS W/O AFT-`L". VENT SYSTEMS,:
I'TIIRiES. . . . . . . . BOILERS/COMPRESSORS HOODS. . . . . . . .
FUEL l"YF'ECa___..__.. 0-3 1-{F'. . . : DOMES. I NC I N: I
: /VAS/ ! 3-15 HF'. . . . : COMML. INCIN:
MAX INPUT: 1.1TU 15-30 HP.. . . . : REPIAIR UNITS: �
FI RE DAMF'E RS?. . : 30--50 HF'. . . . : WOODSTOVES. . :
6AS FIRF_SSURF_. . . : '504 HF'. . . . : CLI:I DRYERS. .
NU. Of- UNITS---------•--• AIR HANDLING UN 1 TS OTHER UNITS. :
fi F URN ( 100K STU: 1 (= 10000 (:.-fin : GAS OUTLF:.TS. : 1
(-URN ) =100K BTU: 1 10000 cf'm:
Remar^k s : PEF'LACEE FURNACE OIL TO GA5
Uwne'r., -- -_..______.___.__._.__.____,______._ _..___.____.__..___._ .___.._..____ FEES
F & K PRONERTJE_"-3 type almol_rnt by date r,ecpt
/;:ilei NE 51ST F'RMT $ `15. 00 JF 02/02/95 -
S1='CT E 1. 25 JF 02/02/9`a
VANCOUVER WA '36662
Phone #:
Contr-ar,tor: -----______-_________---—------_—_
MANFORT HEATING/AIR COND
F'O 1.30X 304;:31
�-'UR FLAND OR 972:30
26 i:5 TOTAL
Reg #. . . x'7455
-- _ ---- REQUIRED INSPECTIONS
—_---This permit is issued Subject to the regulations contained in the Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp
applicable laws. All work will be done in accordance wttn Final Inspection _
approved plans. This permit will expire if work is not started
within 180 days of i!suance. or if work is suspended for more
than 180 days.
Ir
'P r-m i t t e e S i g n a t i.r r e :
..............
i s s i.i e d by-
Call for, inspection — 6:39-4175
9'
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 sw Hall Blvd. APPLICATION Permit #
Tigard, OR 97223
(503) 539-4171
Description —
5 J� U Table 3A Mechanical Code QTY PRICE AhIT
Job
AddressG o 1) Permit Fee -0- •0- 10.00
2) Supplemental Permit 3.00
.�.
Furnace to 100,0
1) incl, ducts 3 vents 6.00
umace 100,000 BTU+
Owner ? ( 2) incl. ducts&vents —� 7.50
-V- oor urnance I
LAIC w 4/Nt -f T6 6,?, 3) incl. vent 6.00
Suspended heater, wall eater
4) or floor mounted heater 6.00
Occupant c-/� on not incl. in
cn i 1 C/ ) Appliance permit 3.00
_ p � Repair of heating,re ng. --'
6) cooling,absorption unit 6.00
Boiler or comp, heat pump,air con .
.¢-•NtV Two7) to 3 HP;absorp unit to 100K BTU 6.00
_ 1
i er or comp, heat pump,air con — E
Contractor (:-J,/ 8) 3.15 HP: absorp unit to 500K BTU 11.00 1
Boiler or comp, ea pump,air con . )
9) 15.30 HP;abscrp unit.5.1 mil BTU 15.00
5� � � � i er ar comp, eTi at pwnp, air con .
10) 3050 HP;absurp unit 1.1.75 mil BTU 22.50
v e- y ac ow edge tF,a ave rea is app iTn,that the der or comp,heat pump,air cond.
information given is correct,that I am the owner or authorized agent 11) >50 HP;absorp unit 1.75 mil BTU 37.50 )
of the owner,that plans submittad are in compliance with Stvlo Air handinig unit o—
laws, that I am registered with the Construction Contractor's Board, 121 10,000 CFM 4.50
that the number given is correct. (If exempt from State registration, '— it do ing uni
please give reason below.) 13) 10,000 CTM+ 7.50
--- mon portaablo ---
14) evaporate cooler 4.5',
Vent Ian connec —
15) to a single duct 3.00
_o—uTation system not
-------------- 16) included in appliance permit 4.50
— _
,gyp o servedy ----
� F17) mechanical exhaust 4.50
e nbq_wwR new ition a terauon repair-U-_ ommeraa or in ustna to be done residential non-residential ps i _ 18) type incinerator 30.00
xing use o — Other i.e.,wo s ove,water
t ui!ding or propr rty_ �� jp 19) heater, solar, clothes dryers, etc. 4.50
Proposed use of 20 gas piping one to four outlets 2 00
building or property
Type of fuel -oil Q natural grX LPG Q electric Q 21) More than 4-per outlet —
PERMITS BECOME .'OirU IF WORK OR CONSTRUCTION Minimum Fee$25.00 SUBTOTAL
ALIYHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5%SURCHARGE y `
IF CONSTRUCTION CR WORK!S SUSPENDED OR —
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED.
TOTAL
Special Conditions .—
—_ Date issued by-
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C 17 Y OF 1`I rARD RECEIPT nF- PAYMFN RECEIPT NO. a 9F-i-26 1303
CHECK K AMOUNT a 26. 25 �
NAME n MANFORT 14EAT I Nu/AIR CONO CASH AMOUNT 00
ADDRESS : Po BOX 3,0431 PAYMENT DATE" s OP/02/95
PO TL.ANn, OR SUBT)I V IS ION F
97��':30—
;4
PURPOSE: OF PAYMENT AMOUNT PAID PURPOSr-. OF PAYMENT AMOUPJT PAIS.)
MECHANICAL. PE W.25. 00 ST. BUILD PUR S `'
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MEC95-•0028
11865 BW CREE:NS3URG PI) 9
TOTAL AMOUNT PAID _ ._ __> 26. 25 ;
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