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CITY OF TIGARD BUILDING INSPECTION NOTICE „ ,r
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprir k—Bough-in Appr/Sdwik
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Foundation Plbg. Underslab CMech. Rough-ii Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer as Lir. Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation Mech. a
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: I I (cl 5 _Time- PM
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Address:
Builder: Permit #: c
THE FOLLOWING CORRECTIONS ARE REQUIRED: _
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Inspector: Date: R
APPROVED `DISAPPROVED _APPROVED SUBJECT TO ABOVE
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_CITY OFTIGARD BUILDING INSPECTION NOTICE ;
/ Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough in FINAL: ;
Post/Beam Mech. San. Sewer as Line / Bldg.
Plbg. Underfloor Rain Drain Framing /// -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:_ TimeX, AM PM
Address:
1; Buil+-r: C _� Permit#:02f7__
THE FOLLOWING CORRECTIONS,IRE REQUIRED:
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
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Inspection:
Footing Susp. Ceiling Sprink. Rough Apt
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Foundation Plbg. Underslab �ech. Rough-in Fireplace
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Post/Beam Struct, Plbg. Top Out Elec. Rough-in FINAL: "
Post/Beam Mach. San, Sewer -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
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Date Requested: l(� !d` I�� ►ime: AM PM
—7 Address: / G'a�
Builder: �-- S�Cc_� Permit #�//�
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:
APPROVED Q�ZISAPPROVED APPROVED SUBJECT TO ABOVE
Ileal) For Reinsp.
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Ci i Y OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Pho:e): 639-4175 Business Phone: 639-4171
Inspection:_ Z -
Footing /'Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg, Unuarslab Mech. -in Fireplace
Post/Beam Struct. Plbg. Top Out Elec, Rough-in FINAL:
Post/Beam Mech. San. Sewer =asL�ne -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
UndedIr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Time: AM PM ��
Addr .ss:
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Builder: Permit#:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Date: /o- Ll 2
—APPROVED _DISAPPROVE _APPROVED SUBJECT TO ABOVE �
Call For Reinsp.
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MECHANICAL
C' TY OF TIGwARD F=�IrfZM1"( #.
PERM IT
, .. . . . . : MEC95-0364
COh .LAITY DEVELOPMENT CbP"'X d9NT DATE IS GED: 1.0/]..:�/ •
13125 SW Hell Blvd.Tigard,Oregon 97223.8199 (503)639-4111 PARCEL: ic-3136AD.-02,000
SITE: ADDRESS. . . : 0;r01Ci0 SW Of-"iK ST
SUBDIVISION. . . . : VIL1_A RIDGE ZONING: R-4. 5 a
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . ..2
CI_Aaa OF WORK. . :ADTJ FLOOR FURN. . . . : EVAP COOLERS:
TYPE OF UEE. . . . :SF UNIT HEAT'ERS'. . : VENT FANS— :
O^.CUPANCY GRP. . :R3 VENTS W/O APT1,L: VENT SYSTEMS:
STORIES. . . . . . . . : DOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES--------------- 0-- HF'. . . . : DPME5. I NC I N
: /GAS/ / / 3- 15 HP. . . . : COMML_. INCIN:
Mf.;X INPUT: B'IU 15--30 I-11=x. . . . : REPAIR UNITS:
FIRl•- DAMPERS?. . : 30--50 HP. . . . : WOODSTOVES. . :
GAS PRESSURE. . . : 504- Iil . . . . : CLO DRYERS. . .,
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NO. OF UNITS------------ AIR HANDLING UIV I T`;s OTHER UNITS, :
FURN ( I OOK BTU: 1 (= 10000 c f m: GAS OUTLETS. : 1.
FURN ) =100K BTU: > 10000 cfm :
Remarl�s; : Install furnace and gas line
Owner: -.___._____._---._______._.________._____.__...____. _..____._______ FEES
ROY COLLINS type .amos_rnt by data_ recpt
10565 SW 71ST PR11 T t 25. 00 JSD 10/13/95 95--c'7 t 64.3 `
;PCT t 1.. 25 JSD 10/1-6/95 95-271643
TIG,=aRD OR 97223
phone #:
Contractor:
ARROW MECHANICAL. CONTRACTORS k
10330 SW TUALAT 1 N RD, i
TUALATIN OR 9712162'
Phone #: 692-1565 t c:6. '=5 TOTAL
Rep kF. . 005193
REQUIRED INSPECTIONr _.. ._....._... .
This permit is issued subject to the regulations contained in the Mechanical Insp
Tigard Muni^ipal Code, State of Ore. Specialty Codes and all other Final Inspeciti.on
applicable laws. All work will be done in accordance with
approveu plans. This permit will expire if work is not started
within 188 lays of issuance, or if work is suspended for more
than 188 days.
I e r m i t t e e S i n e tµ1^
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Call for inspection - 639-4175
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City Tigard MECHANICAL PERMIT Planck!Rec. # G
13125 Sw Hal! Blvd. APPLICA-ri'IUN Permit # InC6
Tigard, OR 97223
(503) 639-4171
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?c)no Gf�lh, C.- 4 f Table 3A Mechanical Code CITY PRICE AMT
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Job 9-7 O' 1) Permit Fee -0- A• 11111,00
Address
2) Supplemental Permit 3.00
Norno a".«•Of Furnace to 100,000 BTU
t) incl. duos &vents 6.00
.a S. Furnace 100,000 8 Ing+
Owner !�' J� -S ,Q-, 71 2) incl. ducts &vents 7.50
Floor urnance
3) incl. vent 6.00
Suspended heater, wall eater
U N L 4) or floor mounted heater 6.00 .�
a •.. ""• —Venf—not incl. In
Occupant 5,, appliance permit 3.00
•• _ Repair of heating, re ng.
6) cooling, absorption unit 6,00
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Boiler or comp, heat pump, air cong.
w �•1 'c',�� 7) to 3 HP; absorp unit to 100K BTU 6.00
••• Boilei or comp, haat pump, air EMU
COntrector 8) 3-15 HP; absorp unit to 500K BTU 11 00
• Zip e5ilWor comp, heat pump, air con .
Z),,2 9) 15-30 HP, absorp writ .5-1 mil BTU 15.00
."• .w •_ Ljrt moon Ion of �r or comp, heat pump, air cond.
10) 30-51 HP; absorp unit 1-1.75 and BTU 22.50
hereby ac no M.,Igo) at ave rea this application, tFaFlie Boller or comp, heat pump,air con
information given is cu lint, that I am the owner or authorized 11) > 50 HP. absorp unit 1.75 mil BTU 37.50
agent of Ule owns,, thof I ans submitted are in compliance with Air an Ing uni to
State laws, th-, I tm ren tered with the Construction Contractor's 12) 10,000 CFM d 50
Board, that the number given is correct. (If exempt from State Air hanaling unit
registration, please give reason below.) 13) 10.000 CTM + 7 50
Non portable
14) evaporate cooler 4.50
Vent fan connect_
15) to a single duct 3.00
oennTattoonn system not
16) included in appliance permit 4.50
„�... •.. M,,.� oo served by
17) mechanical exhaust 4.50
Describe work new 0 addition 0 aeration repair ornmercial or in ustr,a
to be done residential Q non-residential Q 181 type incinerator 30.00
Existing use of Oth;_r i.e., woo stove. water
building or property 19) heater, solar, clothes dryers. etc. 4.50
Proposed use of 20) Gas piping one to four outlets 200 G
building cr property _l
21) Mire than 4-per outlet (each) 2.00
Type of fuel -oil Q natural gas LPG Q electric Q
NOTICE
Minimum Fee $25 00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE C
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 r1. _
T— -- Date asued —by
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