9995 SW GARRETT STREET-2 w
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INF,PISc^�oMS+o�Ic� �C f
Cit of Tigard Building Departetent
13125 811 Bell Blyd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
///� __&,16 —
Inspectlon: ,
Footing Plbg. Undo-slab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALz
Post/Beam struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -plumb.
Plbg. Underfloor Nater Line Gyp. ed. -Mach.
Date Requested: Timae AM PM
Address: e>:mlt f:
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Builder:
TRE FOLLOWING OORRECC'IONS ARE RJ9QUIRED: I
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Inspector: --- A.�._----- Dater
-1ApPRONED DISAPPROVRD _ APPROVED SUBJECT TO ABOVE
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 3W Hall Blvd.Tlpud,Oregon 97223*6199 (503)539-4171
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jLS-' LANNI OR 97068
`hluns} :• r 0. c::`, TO Cit..
his pereit is imed Subject to the rgiiationi cJnta;red '.n ttp t 71.1a.i tIISpef'' 1(Irl
Baru fgarie pal Code, btate of 5re. :peciaity Codes ann air ctPe
+ppllra�.%ie laws, fill work w;ii be oaae in accol-dance with
.,ppro+ed piens. This persit gill euptrf if work ie not starter
o,thin 181 days of Iss.ance, or if work ,� 5:� ?r e `er Sure
1.1 lbr" day-,.
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City et Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SWHall Blvd. APPLIC/-TION Permit #
Tigard, OR 97223
(503) 639-4171 _
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Table 3A Mechanical Coo' QTY PRICE AMT
Job �!� S`SC✓ �Ar�'� 1) Permit Fee -0- -o- 1o.co
Address
/ 2) Supplemental Permit 3.00
^`^• �— Furnace to 1
C 1) incl.duds d vents 6.00 i
umace 1W,000 BTU r
Owner y� .sem��'� 2) incl.duds b vents 7.50
Floor Furnance
__ 3) incl.vent 6.00
Suspend ato.,wall heater
4) or floor mcuoted heater 6.00
Occupant µa — Vent not incl.in
5) applianrn permit 3.00
Repair of (:mg,ro rK�ng—
6) coaling,absorption unit 6.00
Boiler or comp,heat pimp,air co—nc.
7) to 3 HP absorp unit to 1110K BTII 6.00
"'v"°`"•a' Boder or.omp, heat pimp,air cond.
l�Ylf 1 ' SG J �( � 8) 3-15 HP absorp unit to F-OOK BTU 11.00
Contractor 4 i er or ca:hp, heal pump,air co
el 9) 15-30 HP absorp unit.5 : mil tr I U 15.00
`" Qa'•'°""° der or come.heat pump.ai =d. --
��l 10) 30-50 I]P absorp unit 1-1.75 it G i U 22.50
re y ac ow ge at have vall is app ical'tion,tia die Boiler or comp,Feat pimp,air cond.
Information given is coned,that I am the owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 31.50
of the owner,that plans submitted are in compliance with State Air andling unn to
laws,that I am registered with the Construction Contractors Board, 12) 10,000 CFM 4.50
that the number given is correct (If exempt from State registration, —Xr ham ing'� unit -- —
please give reason below.) _ 13) 10,000 CTM 4 7.50
Non portable
14) evaporate cooler 4.50
—VenT co, ctt�- - —
15) to a single dud 3.00
enU ation system not
16) included in appliance permit 4.50
17) mer haiiical exhaust 4.50
scribe we& new 0 addition alteration 0 repair 0 Commercial or kidustrial
to be done residential O non-residential 18) type incinerator 30,00
_xishng use o Other i.e.,woodstove,water
building or property 19) heater,solar,clothes dryers,etc. 4.50
Proposed use of 20) Gas piping one to Mur outlets 2.00
building or property —
Type of fuel-of Q natural gas Q LPG Q electricO 2,) Moie than 4-per outlet
NOTICE
7
PERMITS BECOME VOID IF WORK nn r.ONSTAUCTION Mininhum Fee$25.00 SUBTOTAL
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE L.
IF CONSTRUCTION OR WORK IS SUSPENDEI OR --
ABANDONED FOR A PERIOD OF 180 DAYS AT Ai:v 7IME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED,
TOTAL �2 Z)
Special Conditions
Date issued h
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CITY OF 1 I CARD - REC:E I PIT OF PAYMENT RECEIPT NO. s 9 3--239573
CHECK AMOUNT s ;'6. 25 ss
NAME ARI.-E MECHANICAL-, INC; CASH AMOUNT 00
ADDRESS s 19845 SW Pl[T. PPYME:NT DATE s 04/30/93
DH AVE RTON, OR 4)U8D I V I'.,'I(IN s
97007-
r',,URPC')S- OF r '-—FN'T AMOUN C P,A I U PURPOSE OF PAYMENT VVY10UNT PAID
MECHANICAL PF Mk:C9.: --0077 25. 00 ST. BUILD PFR 1. 25
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1"OTAL AMOUNT PAID - c`..'6. 25
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