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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Sere e—t_ L ,L:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing ec
Plbg.Und/FINSlab Pibg.Top Out Insulatio -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer as f—JO Appr/Sdwlk in
Other:
Date: -7 A.M. P..MM..- Ent :_
Address- .�_._�Q_ f `1
Tenant: _ Ste:__ MST:
BUP:
of/Own: +'� MEC:
PLM:
ELC:
THE FOLLOWING CONiE,, J IONS ARE REQUIRED: ELR:
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Inspectcr: �— ____ Date:
_APPROVED .—DISAPPROVED/CALL FOR REINSP. CF CO
CITY QF TIGARD hIECHANTCAL
DEVELOPMENT SERVICES PERMIT
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 1='E.Rtr1IT #k. . . . . . . : ME'C97-0020DATE ISSUED: 01/29/97
PARCEL: 15125DA--O85OO
SITE ADDRESS-- : 09160 SW 70TH AVf-
SUBDIVISION. . . . - ICINGS VIEW ZONING: R--4.
BL..00K. . . . . . . . . . . l._OT. . . . . . . . . . . . . ..67
CLASS OF WORT!. . :ALT FLOOR TURN. . . . : 0 FVAR COOI...FR S: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . : P3 VENTS W/O APPI.-: 0 VENT SYSTEIIS: 0
STORIES. . . . . . . . : 0 BOILERS/COMFIRESSORS HOODS. . . . . . . : 0
FUE1_ TYRES _.__...__.....___ 0-3 HP. . . . 0 DOMES. T Nr I N: 0
. /GAS/ / / -15 HP. . . . : it, COMML. INCIN: 0
IMAX INPUT; 0 STU 15-30 t-IF'. . . .. : 0 REPAIR UNITS: 0
F I RE DAMPERS?. . : 30-•50 HP. . . .. : 0 WOODSTOVES. . : 0
GAS PRESSLJR.E. . . : 0+ HF'. . . . : 0 CI_0 DRYERS— : 0
NO. OF UNITS----------- AIR HANDL...I NG UN I TS OTHER UNITS. : 0
FURN 4 1O01J, PTU: 21 (= 1O17100 cfm ; 0 G(-11-, OIJTI.._FTS. : 1.
FURN > =1O17.1t; PTU: 1 > 10000 c.-fm : 121
Remarks : Installation of gas fl.ir•nac:e incl gas piping
Owner.: _._.__._---_ .____________________---.______ ____________..__ FEES
GLEN REED type amcl.ant by date r^_`;•at;
9160 SW 70TH RRMT $ 25. 00 DRA 0J /29/97 9/97 '77-2,896EC,
\9P('T $ 1- 25 DRA 01/29/97 97 -2807 _F..;
T I GnPY) OR 97223
Phone 4: 224-21-!-174
LAY' S HVAC
2:850 NW 29TH
PORTLAND OR 9721O __-.--_-_--______..__.---_-_---_----__--._._
Phone #.- 27--6449 $ 26. 25 TOTAL_
Rug #b. . : 0640E,4
RElsUIRED INSPECTIONS
perait is Issueel suhj,-,t i r the regulatluns contained in the Gas Line I n s p
Tigard Municipal ode., State of Ore. Specialty Codes and all other lhectian i ca 1 T n s p
applicable laws. 011 work will be done in accordance with Misc. Inspection
approved plans. 'this permit will expire if work is not started Final Inspec=tion
within 188 days a' issuance, or if work is suspended for wore Final Inspection
than 180 days.
1-'er�mitt a Sign t-,1lile
Issl.led
11;
_,
Call for inspect inn - 639-4175
t>s
CITY OF TIGARD MECHANICAL PERMIT Heceipt#
13125 SW-HALL BLVD. Permit # «alc1?
P. O.' BOX 23397 Description !
T I GARD, OR 97223 Table U Mechanical Code DTV PRICE AMT
(50 3)639-4175 1) Permit Fee -0- -0- 10.00
Narpe of Development f 2) Supplemental Pormit 3.00 T
Job AddreCI 1) Furnace to 100,000 BTU 6.00
1 "� incl.ducts&vents
Address / / 16 b �� 7
Tau Lot Map No. 2) Furnace 10 BTU + 7 50 -7
incl.ducts&vents !
Lot Block Subdivisk.,i --
Name(or name of busine ) 3) Floor Furnace 6.00
C-1 c-^) r y e. aW Y-,).2 ILI incl.vent
Mailing Address Phone 4) Suspended heater,wall heater 6.00
Owner CT)/ {�► or floor mounted heater
— 6 U s t� 7 D Vent not incl.in
City/State Zip 5) 3.00
� appliance permit
j �1r� �iCC G✓J � 7.1- Z-.�
Name( rams of business) 6) Repair of heating,refr ig., 6.00
n cooling,absorption unit i
rti i."C-r), 2 Z v— - Z-rY
Mailing Address Phone 7) Boiler or comp to 3 HP 6.00
Occupant ��, -7 U fh absorp.unit to 100,000 BTU
Boiler or comp to 3 HP-15 HP
City/State Zi 8) 11.00
./J ,;�z d 0%l t o ,) 7 z3
at,orp.unit to 500,000 BTU
Boiler or comp 15-30 HP 15.00
ZANjmea - /'� a�,_b y 9) absorp,unit 1/2-1 million ___
Mailing dress /T V phone 10) Boiler or comp to 30-50 HP 22.50
absorp.unit 1 -1.75 million _
Contractor Boiler or comp to 50 HP 31.50
C,
C�J,�/state Zip 11) absorp.unit 1,750,000 BTU
z-4 L.�,•r t� (Jvt, c.� q742 I U
State Registration No. �1 CIM Bus.To No. 12) Air handling unit to 4.50
X 73 ,E G 4 10,000 CFM
.3 LI r Air handling unit
I hereby acknowledge that I have read this application that the iniormation given is 13) 10,000 CFM + 7.50
correct,that I am the owner or authorized agent of the owner,that plans submitted are in
compliance with State laws,that 1 am registered with the State Builders'Board,that the 14) Non portable 4.50
number given Is correct.(If exempt from State registration please give reason below). evaporate Cooler
—� — - 15) Vent fan connected 3.00
to a single duct
-- - —- 16) Ventilation system not 4.50
included in appliance permit
_ Hood served by 4.50
17) mechanical exhaust
Signature(owner or agent) Date 18) Domestic type 7.50
Describe work ❑ addition ❑ alteration repair ❑ incinerator
to be done residential W--- non-residential ❑ 19) Commercial or industrial 30.00
Existing use of _ type incinerator _
building or properly t 20) Other I.e.,woodstove,water
heater,solar,^lothes dryers,etc. 4.50
Proposed use of
cc building �S t G� 4fJ M-f
or property Y / 21) Gas piping one to four outlets _ 2.00
Type of fuel- oil (71 natural gas PT" LPG ❑ electric rl
22) More than 4-per nutlet
NOTICE SUB-TOTAL C564n,
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- -
LD STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 5'/a SURCHARGE 95
to
7AYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
TOTAL
WORK IS COMMENCED.
Special Conditions _ ,�__s._ _
Date issued ��^ by