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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171
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INSPECTION NOTICE
City or Tigan" Building Department
13125 SN Ball. 81•. 1 Tigard, Oregon 97223
Inspection Line f Rec-O-Phone): 539-4175 Business Phone& 639-4171
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Inepectlu&&i _ Ti9/ � i � �. / !
Footing Plbg. Underalab Koch. Rough-in Appr/Sdwlk
Found. Plbg. Top oul/ • Lin 1 FINAL-
Pont/Beam Struct. San. Sewer J C�l -Bldg.
Post/Beam Mach. Rain Drain Insulation -Pltunb.
Plbg. Underfloor Nater Line Gyp. Bd. Mech-
Data Requested&_ Time& meq __PH
Addresst / -� / Permit to�3
Builders
TBE FOLi.I'47NG CORRECTIONS ARE REOUTRED!
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Inipaetort _ Dater `
�!1lpMDVlfO DISAPPROVED APPROVED SDBJECT To ABOVE
Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Departraan:
13125 811 Hall Blvd. Tigard, Oragon 97223
inspection Line (�Recc-0-Phone):l 639-41775' Bueinese Phones 639-4171
Inspections
Footing Plbg. Underslab Mach. Rough-in Appr/sdwlk
Pound. Flbg. Top Out /Gas Lina FiNALc
Post!Beam Struct. Ban. Swat Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plug. Underfloor Water Lina Gyp. Bd. -Koch.
nate Requested# Times� AN PM"1 ��:yam
Addroes: ill 11 Q4'
ZZI SL� I U S�� r /Parrmit
Builders
THE FOLLOWING CORRECTIONS ARE REQUIREDs
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Inspector: iri�4 Datae�- �`
APPROVED _�` DIBAPFROVED APPROVED 8UBJEC7 TO s180VE
C411 For Relnsp.
'FlPT OF POYMENT RECFI 1-11' NO. :93--239316
C I I Y OF T IGARD — REC I
CIIECH, AMOUNT so
NAME D ALL. WM,.1.331* Pl-UMBING CASH AMOUNT
ADDRESS a ";835 SW LANG"OPI) I-ANE PAYMENT DATF 04/E'3/93,
SUBDIVISION
OSWEGO, OR
uKKISE QF PAYMENT OMC.)LjN'I' rl(.-IID PURPOSE OF PAYMENT AMOUNT PAID
'5. 00JLI ti�RM 25. 00
V J14B ING P
J. BLITLD PER 1. P-15 ST. BUTI-D PER 1. 25
RUTD
11221 !:�W iQl'5-rH f'L.
TOlHL. PMOUN'r PAID 52, 50
City of Tigard MECHANICAL PERMIT Planck/Rec. #. 2-"
13125 sw Han Blvd. APPLICATION Permit #
Tigard, OR 97223 ,
(503) 639-4171
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2/ .fG(J SDS Table 3A flAocfhanical Code QTY PRICE AMT
Job -��, 7G'Q C 1) Permit Fee -0- -0- 1.0.00 i
Ads-cress •r --
2) Supplemental r tnnih 3.00
Furnace b 1 C0,000 B 1
2 1) incl.ducts S vcnts 6.W
mum ace 1100.000 U9—+ --
Owner C'1.^'/�i� %Q STS.. .��_ 2) incl ducts E vents 7.50
.w our umamouh —
!� 3) incl.vent 6.00
MSuspended ate(,wall eater
4) or floor mounted heater 6-00
OW(hot cradle
Occupant 5) appliance pormit 3.00
wrp flepair of hea6og.refrg. —
6) cooling,absorption unit 6.00
«M BoMW or comp,Iwat(hump,air Zn
;> 7) to 3 HP absorp unit to 100K Bl u 6.00
Boder or comp,heat pump,air Gond.
8) 3-15 HP absorp unit to 500K BTU 11.00
Contractor Boiler or camp•heat pump,air cond.
�'iC �D3t 9) 15-30 HP absorp unit.5-1 mil BTU 15.00
17 J W ••�^^ •. "^ i er or camp,boat pump,air cc, .
11 "' 10) 30"50 HP absorp unit 1-1.75 mi!BTU 22.50
—TTre y acknowledge that I have read is application,that the Boi er or camp,Twat pump,all C-053—
information
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information given is correct,that 1 am the owner or authorized^;^-t 11) >50 HP absorp unit 1.75 mil BTU 31.50
of the owner,that plans submitted are in compliance with State - Air handing unit to �—
taws,that I am registered with the Construction Contractors Hoard, 12) 10,000 CFM 4.50
that the number given is correct. (If exempt from State rogis"tion, r an. my unit
please give reason below.) 13) 10,000 CTM 4 7.50
Non No.iable-"
14) evaporate cooler 450
Vent fan covirwded
15) to a sinyb duct 3.00
Ventilation system it
16) included in appruance permit `4.50
Hood swvwl
17) mechanical exhaust 4.50
srn w new a ition a teradon repair Commercial ll orstx�—
to be dahe residential ._ non-residential p 18) typo incine(atn( 30.00
Isdngg use F Oi5r i.e., sW00 stove,Watq(—
building or property !!f /V�/�/ 19) heater,solar,dodms dryers,gic. 4.50 s lJ
N Proposed use of r 20) (Uas Piping one b lour outlets e", �? 2.00 Cr"
building or property
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J Type of fuel -oil Q natural gas)0l lPG Q ekadrie U 21) Mote than 4-per outlet
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NOTICE
ill Minimum Fpe$25.00 SUBTOTAL `'
-' PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE 1� 2
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 a
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