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Q INSPECTION NOTICE
1\� of Tigard Building Department
125 Sw Ball Blvd. Tigard, Oregon 97223
`_-Ea.,006tion Line (Rec-o-Phone)s 639-4175 Business Phones 639-4171.
Inspection:
Footing Plbg. Underslab Mech. :cough-in Appr/Sdwlk
Found. Pibg. Top Out a s Lina FINALS
Post/3eam Struct. San. Sewer 'naming -Bldg.
i
Post/ loam Mach. Rain Drair Insulation -Plumb.
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Plbg. Underfloor Mater -inc Gyp. Bd. -Heck,
Date Regs:ested:_ _ _Times _ AN PM
Adc -ese:_�1 ,t. l'_TT LL'b., (�CkL ► ' ) Permit is
Builders
THE I.K '70'UUCTIONS ARE REQUIRED:
Inspectors Dates " <�
_ APPROVED DISAPPROVED APPROVED SUBJBCT TO ABOVE
Call For Reinep.
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13126 BW Hdl Blvd.Tigard,Oregon 07223.6109 (603)039.4171 '' 1
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City of Tigdrd MECHANICAL PERMIT Pianck/Rec. #
13125 sw Han Biqa. APPLICATION Permit #
PO Box 23397
Tigard, OR 97223
(503) 639-4171 ( ■
— �, � escnpuon
Table 3A Mechanic it Code QTY PRICE AMT
n, 1) Permit Fee -0- -0 10.00
ab
tC'feSS •» ° 3.00
2) Supplemental Permit
urnace to
incl.ducts&vents 6
�s » -urnaca 100,000 BTU+
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2) incl. ducts E vents 7.50
Owner
w. av oor Furnance
-7 'r 3) incl. vent 6.00
eater,wall eater
4) or floor mounted heater 6.00
k4aent �-
ro �» riot Unc. Un
Occupant 5) appliance permit 3.00
epair of eating,re rig.
�» 6) cooling,absorption unit 6.00
oU er or comp,heat pump,air con '
!� 7) to 3 HP absorp unit to 100K BTU 6.00 ri 'c
»,» — of er or comp, eat pump,air cond.
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8) 3-15 HP absorp unit to 500K BTU 11.00
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Contractorv _ of er or comp,heat pump,au c•on .
,.�✓Irl 2-
c't'>•'i�`N.
9) 15-30 HP absorp unit.5.1 mil BVV 15.00
°r...� r Boiler or comp, eat pump,-V con .
10) 30-50 HP absorp unit 1-1.75 mil BTU 22.50
era�y ac now ge at ave rea Us app kation,t cat t ie Quer or comp. eat pump,air con .
information given is correct,that I am the owner or authorized agent 1 1) >50 IIP absorp unit 1.75 mil BTU 31.50
of the owner.that plans submitted are in compliance with State Air Tiandling unit ti 4.50
IL vs,that I am registered with the Construction Contractor's Bo-d, 12) 10,000 CFM
th,t the number given is correct. (If exempt from State registration, Ur an Ung umt 7.50
please give reason below.) 13) 10 000 CTM+ _
N
on portable
T 14) orate cooler 4.50
an connecto
15) to a single duct 3.00
Ventilation system not
9 16) included in appliance permit 4.50
Hood served y
17) mechanical exhaust 450
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escn o new a itlon a teratUon repair Commercial or Un ustna
to be d6de residential Q- non residential Q 1 type incinerator 30.00
Existing use o t er i.e.,wo stove,water
building or property J 19) heater,solar,clothes dryers,et^. 4.50
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 natural gas O LPG O electric O
NOTICE
Minimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION i
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE
IF CONSTRUCTION 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
Special Conditions_
Date issued _— by
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CITY OF T I GARD '- RE:CF I P"C OE' PAYMENT RECEIPT NO. -93-242107
p
CHECK. AMOUNT 26. 275
AMf . t
BELL HEATING
AMOUNT fit. 00
I)I:yRE!��i L 550 SF PIAZZA AVE- PAYMENT DATE t 1�7l0719 i
GUSDIV'ISION t
CLACKAMAS, OR 9701.5._
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-URPC)f;E uF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMC]IJfJ"C PAID ft
^x''5. 00 ST. BUILD VIER 5 �
FCHAN I GAL_ PE f
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1.aiF,S SW KENTnN DR
ro,rOL. AMOUNT PAID J'5
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INSPECTION NOTICE
City of Tigard Building Dopartaent
13125 SR Hall. . Tigard, Oregon 97223 /
inspection Llne (Rec-0-Pho ): 6:,9-4175 Business Phone: 639-4171
Innpection:_
Footing Plbgdorelab Mech. Rough-in Appr/Sdwlk
. s �
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
s
Poet/Beam Hoch. Rain Drain Inoulati.-)n -plumb. I
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requ feted: � Time: Ail —PH
6, Permit 0,
Addreess_ 1 -r
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Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspectors �... Date: —' lli -
APPPOVED DISAPP VED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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