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INSPECTION NOTICE
City of Tigard Bu:Ming Departrmnt
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Busineou 639-4171
Inspections___ ---
Footing Flbg. Underelab Hoch. Rough-in Appr/Sdwlk
Found. P1bg. Top Out Cas LineT,1 FINAL:
Post/Beam struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Dram Insulation --Plumb.
Plbg. Underfloor Water Line 2 Gyp. rid. -Hoch.
Date Requested:__ -J ` __T I-we: AM PH ,
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Address:��� Permit #: -7 ( (�f3 Ito
Builder
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: _/ _-_W _— i atet —4
PROVED APPROVED SUBJECT TO ABOVE
_—Call For Reinsp.
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CITY OF TIe ^ \� Mf CHANICAL OF
PERMIT
COMMUNITY DI:VELOPMLNT DEPARTMENT PERb'lIT #. . . . . . : MEC94--0248
13126 SW Hall Blvd.Tlgord,Or*pon 972239811?....,, 09 8 171
. .... °T'i DATE ISSUEL 09/1:_/91+
PARCEL: 2S 1 O4F1B--07000
SITE ADDRES':-), . : 1;31i. SW KATHERINE. ST
SUBDIVi:;:[ON. MORNINl, HILL ILIO. �► ZONING R 4. 5
BLOCK. . . . .. . . LOT. . . . . . . . . . . . . .99
CLASS OF WURK. . :PDD FLOOR TURN. . . . : CVAP COOLERS:
TYPE: OF USE. . . . :SF UNIT HEATERS. . : VENT' FANS. . . :
OCCUPANCY CRF'. . :R3 VENTS W/O APPL_: VENT" SYSTEMS:
STORIES. . . . . . . . : BOILERS/COIrIPRESSORS !-MOODS. . . . . . . ■
FUEL 'TYPES— __.___._.__._..,_ 0-3 HP. , , , : DOMES. I NC I N:
/GAS/ / / ::3-15 HP. . . . . CUMMI . INC IN:
MAX INPUT: BTU 15-30 PP. . . . : REPAIR UNITS-
FIRE
NITS:FIRE DAMPERS?. . : 30-50 HP. , . . : WOODS'f OVES. . : �
VAS PRESSURE. . . : 504- HP. . . , : CLU DRYE=RS. .
NO. OF !:NITS— ___..__..___._. AIR HANDLING L)NI Tb OTHER UNITS.
F I.1RN < 100K BTU: <= 10000 cf m : GAS (.)L1 i LE T'S. : :l
FU RN >=1160K BTU: > 1.0000 c f m
itemar,ks : NEW GAS I_i.NE 1-0 EXISTINS FIREPLOCE l
Uwner.. __.__._.__.._....__.....____._.____.._____.__..._.._---. ._..._._._..____.__.______.._-- FEES
BARBARA WHITE type amal.cnt by Nate r-ecpt
13121 SW KATHERINE PRMT $ 2E. 00 JG O9/12/94 —
; .'C:T 1. 25 JG 09/12/94
TIGARD OR 97223
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DL--•:AN S rODDARD I
9017 MT. BAKER AVE
VANCOUVER WA 98w6O
F"'hc:)ne #: 737--9949 2f�. 25 'TOT'AL
Reg #. . : 66299 j
-_--_-- REQUIRE[` INSPECTIONS ---- -_ -
this permit is issued subject to the regulations contained in the Gas Line Insp
a Tigard Municipal Code: State of Ore. Specialty Codes and ali other Final Inspect ion
applicable laws, All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than 18P days. _
F'prmittee `3i na tre : c
Call for, inspection — E39-4175
1
City of Tigard MECHANICAL PERMIT Planck/Rec. # _
13125 sw Hall Blvd. APPLICATION Permit # /l1� C1q--c'2ff f
Tigard, OR 97223
(503) 639-4171
:I
�of DeveimnoM ,ription
Tabic 3A Mechanical Code CITY PRICE AMT
Job •� 7_ 1 J C r 1) Permit Fee .0- -o- 10.00
Address P
2) Supplemental Permit 3.00 '
Furnace to 1100.030 BTU
1) incl.ducts&vents 6.00
_ •v .. umaco 11O ai5U=+ ■
( ` ��� (/� 2) incl. duds&vents _ 7.50
Owner
41-1 oor urnance
3) incl. vent 6.00
open eater, w eater ■
4) or floor mounted heater 6.00
r:q raa«. Vent no
Occupant 5) appliance permit 3.00
o Hepair of heating, re ng.
6) cooling,absorption unit 6.00
nrr— — i er or comp, ea pump, sir con
7) to 3 HP absorp unit to I00K BTIJ 6.00
i er or comp, heat air cond.
lot( 8) 3.15 HP absorp unit to 500K BTU 11.00
Contractor CBoiler or comp,heat pump,air cord.
9) 15.30 HP absorp unit.5-1 mil BTU 15.00
.. •• i er or comp,heat pump,air run .
10) 30-50 HP absorp unit 1-1.75 rril BTU 22_50
hereby acKnowledgo trial I nale read is application, a ei er or comp,heat pump,airf" ,ond.
imormation given is correct,than I am tho owner or authorized agent 11) , 50 HP absorp unit 1.75 mil BTU 37.50
of the owner,that plans suE,mittad are in compliance with State Air handling unit o
laws,that I am registered with Cie Construction Contractur's Board, 12) 10,000 CFM 4.50
that the number given is correei. (if exempt from State registration, Air handling unit --
please give reason below.) 13) 10,000 CTM+ 7.50
Non portable
14) evaporate cooler 4.50
"—— Vent fan connected
15) to a single duct 3.00
— - enti anon system not
16) included in appliance permit 4.50
vu •°� ° U.b Hoodserved y
17) mechanical exhaust 4.50
escn wor ,uw U addition U alteratio rtipair U :.`ommerc'aT or industrial
to be done residential 0 non-residential Q 18) type incinerator 30.00
,,",IS ng 0 a of -Utrler i.e.,wo, 5 OVe,W�Br
building ur property 19) heater, solar, clothes dryers,etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
S building or property
21) Mora than 4 per outlet
Type of fuel -oil Q natural gar Cl LPG 0 electric O
Minimum Fee$25.00 SUBTOTAL
f PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIG•j OF 180 DAYS A'r ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK I�COMMENCED.
TOTAL
Special Conditions ---
Date issued_ by
M.MECHPMT
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,` l�.e� " 'I/"�,�-•' FvIP OF PAYYEN t ' NO. 94-r:wf.,_6Eio
Ci 1Y OF lCHECK AMOUNT 00S-h AMO(JN,r 0.
NfHF dU PAYMENT DAJ» c'/94
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PIURPOSE, OP PfaYrvll . , , t IM(. R-1 I P i[r) PtJRP(I'Sr•: OF P OMEN T AMOUN r Pf;t D
M � FiAivzc:q�.TPE.-_ MF.CA4-0248 �G�. .n ,. tat.►T.1 1.) F FIR
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