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INSPECTION VOTICE
City of Tigard Building Department
13125 Sf1 Hall Blvd. Tigard, Gregor 97223 d"
Inspection Lina (Rec--O-Phone): 639--4175 Business Phone: 639-4171 a
Inspect Ion
Footing Plbg. Uncerslab Mech. Roush-in Appr%.dwlk Y'
Found. Plbg. Top Out Gas Line FINAL
Post/Beam 3truct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
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Plbg. Underfloor Nater Lini Gyp. Bd. -Mach.
VA
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Dake Requested:. Time:� ��9;•
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THE FOLLOWING OORREcTIONS ARE REQUIRED:
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Inspector:
PROVED --- DISAPPROVED - APPROVEn quRJECT TO Anowr
— —Call For Reinap.
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C11Y CSF TIGARD MECHANICAL
Y
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COMMUNITY DEVELOPMENT DEPARTMENT F'E ►1I
1312E SW H.,011 Blvd.Tlperd,Oregon 97223.81 9..., 503 b39r 171 E'F Rlvi I T #. . » . . . . : MEC94-0c 9121,�3 DATE ISSUED: 10/1::.11.1/94
PARCEL- 2S 1 12CA--02 i.00
!:SITE ADDREgS. . . : 07710 SW GENTI...F_' WOODS DR w
!:;UBD I V I S I ON. . . . : GENTLW WOODS . ON I NG: R-4. 5 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 13
CLASS OF WORK. —'ILT FLOOR FURN. . . . E=VAP C ,OLERS•
TYPE OF USE . . . :S.- UNIT HEATERS. » : VENT FANS. . . :
lJC,C1JPA,JC:Y GF4 . , : R3 VENTS W/O ADPL- VENT SYSTEMS:
STORIE=S. . . . . . . . : BOILERS/COMPRCSSURS HOODS. . . . . . . : W
i '=UEL TYF'E:S-____---_..______. 0-3 HP. . . . : DOMES. I NL I N:
: /WOD/ / / 3--15 fir,. . . . : COMML. INCIN:
MAX INPUT: BTU 15 30 HP REPAIR UNITS:
� IRE DAMi'`'f_RS '. . : SO-.50 11P. . . . : WOODSTOVES. . : 1 m�
GAS PRESSURE. . . : 511a- HP. . . . : CLC DRYERS. . :
NO. OF UhIITS -___.__._..___._. AIR HANDLING UNITS OTHER UNITS. :
TURN ( 100K BTU: (- 10001A r_f m : GAS OUTLETS. :
1--URN ) --.10111KI BTU: ) 10000 cfm :
Remarks: FREESTANDING WOOD STOVF
Uwner. ----_____._...____._____.______________•_-____._-----__- _- -__-- FEE=S --------------
OARBARA STRICKLAND type amol.tnt by date recpt
77111 :W 13H[ENIFLLWOODS DR DRMT $ 25. 00 JF 10/-0/94
5PCT $ 1. 25 JF 10/20/9'
I IGARD CTR
y
Phnne #:
C:ontractor: ---_______________.__-_--_____- !
7-011 B I SHOT 1
12195 SW CANYON RU
BEAVE.RTON OR 97005
Phone #: 644-7868 26. 2`; TOTAL.
Reg #. . : 54698 ,
- -- REOU I RED I NSPLCT I ONS
This permit is issued subject to the regulations contained in the W n o d s t o v e Ins p
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection _
applicable laws. All work will be done In accordance with T
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for mare
than !80 days.
1='ermitteP Si.gnat•-1re
Call for inspection 639-4175
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City of Tigard MECHANICAL PERMIT Planck/Rec. # i
13125 sw Hall Blvd. APPLICATION Permit"#�,,r _
Tigard, OR 9722 yt�'
(503) 639-4171 ��� �
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Table 3A Mechanical Code - _ QTY PRICE A II
Job V/y --)L(tt'-A t LC ` .A 1) Permit Foe — -0- -0- 10.')0 F
Address
2) Supplemental Permit J.L�
-- "Furnace to 100,000 b M
1 C Cxvi 1) Incl. ducts d vers 6.00
Owoer 1 b u) `>C t 1�. 2) incl. ducts 8 vents _ 7.50
ZYP --Floor urnance '
C)1 ,��.,L 1� 3) incl. vent 6.00
..+ spe ieator, wall eater
4) or floor mounted heater 6.00
- Vent not incl.in
Occupant F � 5) appliance permit 3.00
P Repair of heating,re ng.
E) cooling,absorption unit 6.00 _� 1
F er or comp,heat pump,air con(T
7) to 3 HP absc•p unit to 100K BTU 6.00 ---�
«. 133iler or comp,heat pump, air cond.
I COntr2,CtOr "S . 1 8) 3.15 HP ab;orp unit to 500K BTU 11.00
i erur;omp,heat pump,air con .
9) 15.30 HP absorp unit.5.1 mil BTU 15.00
• Boiler or comp,Feat pump, air con .
10) 30.50 HP absorp unit 1-1.75 mil RTU 22.50
hereby acKnow go Mat I have read is app w�aTon,TFa m - i er 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 submitted are in compliance with StateFA's Fan FSI ng unit to
laws, that I am registered v•'th the Construction Contractor's Board, 12) ,0,000 CFM 4.50
i that the number givan is :oo-ect. (If exempt from State registration, Air -- Fng uni
!1 please give reason beta ,.r 13) 10,000 CTM+ 7.50
- --- -- on portabTa
i 14) evapo•ite cooler 4.50
Vent an connected _-
15) to a single duct 3.00
—Ventilation system not
16) included if,appliance permit 4.50
Hood-ervga by
17) mechanical exhaust 4.50
Describe worR new U a on U a toranon SX repair ommercFa or Fn ustniT--
to be done residential) non-residential 18) type inciner8Lot -- 30.00
xis mg use or— /_ Qlfier Le.'woodstove,water -- —
building or propsrry 19) heater, s clow dryers,etc. 4.50
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Proposed use of 20) Gas piping one to four outlets 2.00
building or property
21) More than 4-per outlet
Type of fuel -oil O naturnl gas LP electric O --
Minimum Fee$25.00 SUBTOTAL oc)
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE �S'
IF CCNSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED. — --
TOTAL K
Special Conditions ''-
- Date issued )y i
Mr M F1'HPUT
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