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9025 SW DURHAM RC)nD
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223 l_
Phone: 639-4' a -- /
Type of Inspection _S.L r'�' /'v�c [�__ Sf
Date Requestedd -� 11Ir
2 — Tims _. A.M.— —P.M.
Address Sw Permit
Owner ez;'C'OlAr —�_._ _ Lot # —
Builder
The following Building Code deficiencies are required to he corrected:
Presented to
Inspector _ Disapproved
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
���.. CITY OF TIGARI) MECHANICAL I'LRMIT �/-
I'crmir 112-
tatty tat Tigard
IS115 sw Hall Blvd.
11.0. Box 23397 T 3A Wchardeal Code CITY PRICE AMT
Tigard OR 97223
639-4175 1! Permit Fee -G• -O (Lp,O9
c4 Supplemental Permit 3.00
1) Furnace t,) 100,000 BTU
_ incl. ducts b. vents _ 6.00 OJ
2) Furnace 100,000 BTU +
Name of Development _ Incl. ducts& vents 7.50
3) F!oor Furnace
Ado, .•
Job incl. vent 6,00
-
Addres• rax t a Map o. 4) Suspended heater, wall heater
Lot Block fiubdlvlslon or floor mounted heater _ 6.00
..r 5) Vent,not incl. in
Nem" (or name of business). applihnce permit 3.00
7
-' ./\-I. G o 6l --4 _ _
malting Address Pt%" 6) Repair of heating refrig ,
Owns# 0 2 5 1� cooling, absorption unit 6.00
r !to ZIP7) Boiler or comp to 3HP
absorp. unit to 100,000 BTU —__ 6.00
Nam" 8) Bailer or camp to 3HP-15HP
absorp. unit to 500,000 BTU _ 11.00
Malting ped-.ss Phone 9) Boiler or comp 15-30 HP
ab;orp. unit yr-1 mi l!0,1 15.00 _
Contractor (2ty/Stat" Dp 10) Boiler or comp 30-50 HP
absorp. unit 1-1.75 million_ _ 22.50
state negistratlon No. City Buie. Tax No. 11) Boiler or comm 50 HP _
absorp. unit 1,750,000 BTU _ 31_.50
I t>tw" acknowledge that t have read this application that the Information 12) Air handling-,;nit to
given Is ooR"ct, that I am the owner or sutl zod #pent of the owner, that 10,060 CFM 4.50
ptan.t sutxnitted are In compliencn with State I*", t,mat I am registered with _ A-
the 'tate Builders' Board, that the number given Is correct. (If exempt 13) Air handling unit
from Ste** registration please give reason below).
_ 10,000 CFM + 7._50
14) Non portable `^
_evaporate cooler 4.50
- 15) Vent fan connected
to a single duct 3.00
16) Ventilation system not
Signature (owner or agent) _._ pate included In appliance permit -_ 4.50 _
17) Hood served by
Describe work ❑ addition[] alteration repair❑ mechanical exhaust 4.50
to be done residential ❑ non-residential ❑ ---- ----- ------ --- —
18) Domestic type
=xisting use of incinerator - - _ 7.50
building or properly—+— —• 19) Commercial or industrial
Proposed use of type Incinerator ^� 30.00
building or pror arty -- - 20) Other i.e.,woodsta , water
Type of fuel olI n natural gas[] LPG❑ electric❑ -- heater, solar,C!Othes dryers, t;!o 4.50
NOTICE 21) Gas wiping one to four outlets 2.00 (�
►HIS Pf.:Rk.iT BECOMES NULL AND VOID IF WORK On 22) More than 4•par outlet
CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN __ lLIB•TOTAL
180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED 4% SURC14AVIGE' �-
OR ABANDONED VOR A PERIOD OF 180 DAYS AT ANY - --- --
PLAN REVIEW 25%OF BU13-TOTAL
_
TIM# AFTER WORK IS COMM[NCF0.
TOTAL -_ r
Special Conditions
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bats issued by --