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rITY OF TIGARU BUILDING INSPECTION NOTICE
Inspaction Line (Rec-O-Phone): 639-4175 Business Phone: 639-417
Inspection:
Footing Susp. Ceiling Sprink. R -in A dwlk
Foundation Plbg. Underslab Mough-in Firep
ec . Re
Post/Beam Struct. Plbg. Top Out Elec. Rough-inFINAL:
Post/Beam Mech. San. Sewer Gas Line Bldg.
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Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation Mech.
Undertlr. Insul. Shear Wall / Gyp Bd. -Elect. }
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Date Requested: l f CI •� Time: A PJM
Address:—�—� C�
Builder: • � `c) - � Permit #111 rel
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Infector• Date: .2z/ Z
APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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GF TIGARD
CITY MECHANICAL 1/(
PER-MIT
�''1 RMIT #. . . . . . . : MEC . _',-0006
COMMUNITY DEVELOPMENT DEPARTMENT DATE JSIJED,
13125 SW Hall Blvd.Tigard,Or•Qon 97223.8199 (503)839-4171
PA'2CEL: 2,S 1.' 1170--1,=600
3TTE ADDRESS. . . .
SUBDIVISION. . . . e SUMMERFIELD NO. 11 ZONING: R-7
BLOCK. . . . . . . , . . . LOT. . . . . . . . . . . . . .622'
� CI._As.y- OF wnRK. , :NEWFLO01? f•'URhJ. . . . ._-0EVAF'-CO(]LERS:--0--�__._.__..___.
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :R3 VENTS) W/O APPL_: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 snIL..ERS/COMPRESSORS HOODS. . . . . . . : 0
a ` FI...IEI_ TYPES------------- rZl_. I If='. . . , : 0 DOMES. I NC:I N: 0 w
3-15 HP. . . . : 0 COMML. INCIN: it
MAX INPUT; 0 BTU 15--30 H'P. . . 0 REPAIR UNITS: 0
FIRE DAMPERS% 30-50 HF'. . . . : 0 WOCIDSTOVES). . : 0
a GAS PRE SURE. . . : 50+ illy'. . . . ID CLO DRvE.R.S. . : 0
NO. OF ATR HANDLING UNITS OTHER UNITS. : 0
1'URN ( 100K BTU: 0 (- 10000 cfm : • O GA!' 9UT'L_ETS. : 1
FURN > =100K BTU: lit } 10000 cfm: 0
Rema -ks : Install gas line
Owner: _ __..---------__._______._._..._.________..---_-._._._ -----.---.._-__-_._. "EES
FRANCES RU':ICIIALB type amoUnt c)y date r,ecpt
1.5950 SW OAK MEADOW DR PR MT $ 25. 0171 JSD 01/12/96 96--274913
55 PCT $ 1. 23 J D 01118'196 16--274013
TIGARI? OR
P nane #a
Contractor-.
TYCR CONSTRUCTION CO
ROGER WORE"
i-'G BOX 6.64
HILLSBORO OR 971. 4
r'h o n e #: 26,215 TOTAL_.
0f151 14
REQUIRE.D INSPECTIONS _......___..
'his oermit is issued subject to the renulatinns contained in the C7ar, t_inp Ins [3
gard Municipal Code. State of Ore. Specialty C6des and all other Final Inspection _.
ml icable laws. All work will be done in accordance with
ivoraved plans. This permit will expire if work is not Started __ .•_•___.___,__,�___•__-__•�.•_•
.1thin 180 days of issuance, or if work is suspended for mare
'.'.an 180 days.
r,in i t t t3 tTtT 1 1_lt c
Cali for inspection - 639-417 ;
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City of Tigard MECHANICAL PERMIT Planck/Rec. # �� n�(�
13125 sw Hall Blvd. APPLICATION Permit # r41 c
Tigard. OR 97223
(50,3) 639-4171
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N.M.. escription
Table 3A Mechanical Code QTY PRICE AMT
Job •„ I L L k, M pGw �,, 1) Permit Fee -G- -0- 10.00
Address CM070.11.
1 l(,;r 1 C 0 U('es u ) 2) Supplemental Permit 3.00
m• d�••»• T741 7Y77 urnace to 10070 BTU
t) incl. ducts 8 vents 6.00
,, „. «+• ------Furnace 100,00 BTU +
Owner 2) incl. ducts &vents 7.50
^ a, Florr Fumance
3) incl. vert 6.00
�.,.. Suspended eater, wait eater
4) or floor mounted heater 6.00 s
c ... -• Vent not inci-'n
Occupant 5) appliance p ..)lit 3.00
eparr n eating, re ng.
6) cooling, absorption unit 6.00
Boiler or comp, heat pump, air cond.
P�,�T ic C 11�, 7) to 3 HP; absorp unit to 100K BTU 6.00
„. Boiler or comp, heat pump, air cond.
4�CJ(QUA e-1" 8) 3-15 HP; absorfi unit to 500K BTU _ 11.00
Contractor �—
Boiler or comp, teat pump, air cond.
I( O(r G�` �� 7/ 9) 15-30 HP; absorp unit .5-1 mil BTU 15.00
. v. ... Boiler or comp, ea pump, air cond.
10) 30-50 HP; absorp unit 1-1.75 mil BTU 22.50
ere y ac now a ge that I have read is application, that the T of eror comp, heat pump, air con
information given is correct, that I am the owner or authorized 11) > 50 HP; absorp unit 1.75 mil BT'J 37,50
7crnt of the owner, that plans submitted are in compliance with Air handling unit to
tita a laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 450
Elja-d, that the number given is correct. (If exempt from State Air handling unit
ret Aration, please give reason below.) 131 10,000 CTM + 7.50
Non portable
14) evaporate cooler 4.50
-- - Vent fan connected
15) to a single duct 3.00
Ventilation system not
, r`- ., j ( '/✓,!"t. 16) included in appliance Permit 4.50
Y2
,, ..,. Hood serwi y�
17) mechanical exhaust 4.50
Describe work new addition a teration repairommercra or.n u�striaT
to be done residential (�r non-residential Q 18) type incinerator 30.00
hng use o ter i.e., wo(iaslov- e, waw
building or property 19) heater, solar, OoOes dryers, etc 4.50
Proposed use of 20) Gas piping one to four outlets w 200
building or property _
21) More than 4-per outlet (each) 2.00
Type of fuel -oil Q natural gas Q LPG 0 electric Q `—'—
NOTICE
Minimum FAe $25.00 SUBTOTAL
PERA'IITS BECOME VOID IF WORK OR CONSTRUCTION z
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS. OR Si SURCHARGE
IF r_.ONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANl TIME PLAN REVIEW 250,16 of SUBTOTAL
AFTER WORK IS COMMENCED. TOTAL
Special Conditions
Date issued by
H-ULaal"1TSMICMPMT
..:,6vn^KSiYYM
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