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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SOV Nall Blvd.Tigard,Oregon 97223@8199 (5,13)839.417'
CITY OF TIGARD — RECEIPT OF PAYMENT RECEIPT NO. :93-244536
(.',HECK AMOUNT s 26. 2.5
NAME a HOT SPOT FIREPLACE CASH AMOUNT 0. 00
ADDRESS 11585 F,W (.'ANYON RD PAYMENT DATE 01)/24/93
SUBDIVISION
REAVERTON, OR 9-7005-
-,URPOSSE OF PAYMENT AMOUNT PATD PURPOSE OF PAYMENT AMOUNT PAID
MECHANICAL PIE 25. 00 ST. PUILD PER 1:.2 5
15611A SW 76TH
TOTAL. AMOUNT PAID — -- — —> 26. iR5
INSPECTION NOTICE
City of Tigard Building Departaeat-y
13125 BW Bail Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phone): 639-4175 Businenn Ph 639-4171
Inepection:___
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out `- Gas Lino F S)
Poet/Beam Struct. San. Sewer Framing -B1
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Dd. -Hoch.
Date Requested:_ L) —(F - Time: AM _ pH
Addseee: ' �1� ([71 U -7 Permit f:
Builder:
THE FOLLOWING CORRECTIONS ARE RRQUIREDi
the
--
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Inspector:
APPROVED DISAPPROVED APPROVED SUBJRCTT TO ABOVE
can For Reinap.
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SW Hail Blvd. APPLICATION Permit #
PO Box 23397
Tigard, OR 97223
(503) 639-4171
-.4 N.1� escrhphon
•w Tablo 3 Mechanical Code QTY PRICE AMT
Job '!t lC% � 1) Permit Fee -0- -0- 10.00
Address 5�•
I I(" C(� l oy 2) Supplemental Permit 3.00
«— Tu-mace to 100,000
i Q -v 1) incl.ducts&vents 6.00 I
�.y _ Furnace 100,000 BTU+
Owner r t,� /�� 2) incl.ducts&vents 7.50
Floor Furnanco
I C' i "I 3) incl.vent 6.00
-- N_« . «• Suspendedstar,walleater
4) or floor mounted heater 6.00
IQMV - Vent not incl.in
Occupant �` 5) appliance permit 3.00
,r3ua epair o eating,rehig.
6) cooling,absorption unit 6.00
•M i er or comp,heat pump,air cond.
7) to 3 HP absorp unit to 100K BTU 6.00
r.o l SPOT FIREPLACE: & P'•TIJ oiler or comp, eat pump,air con
e) 3-15 HP absorp unit to 500K BTU 11.00
Contractor err— 'n'§?�J-4VV-Em , Boiler or comp. Etat pump,air con
Beaverton, OR 9700 S 9) 15-30 HP absorp unit.5.1 mil BTU 15.00
c+r U • ` i er or comp,heat pump,air con -
10) 30-50 HP absorp unit 1-1.75 mil BTU 22.50
-Ffi`a-ro-5-yackn owl edge that I have read this application.that the Boiler or comp,heat pump,air tour
information given is correct,that I am the owner or authorized agent 11) >50 HP absorp urrt 1.75 mil BTU — 31.50
of the owner,that plans submitted are in compliance with Stam Air handling unst to
laws,that I am registered with the Construction Contractor's Board. 12) 10,000 CFM 4.50
that the number given is cor-oct. (1f exertof from State registration, Air an ing unit
please give reason below.) 13) 10,000 CTM 4 7.50
Non porta'<J o
14) evaporate cooler 4.50
-ant fan connect
15) to a single dud 3.00
4 env ahon system not
C('r . i 1� / ' �- 16) included in appliance permit _ 4.50
t,,....r..« o sery
17) mechanical exhaust 4.50
escxiG�'_w_oT_ new addition Taxon a repair 0 Commercialor industrial
to be done residential(D non-residential O 16) type htcinerator 30.00
xishng use Of ter i.e.,woo stove,water
building or property `7�L� 19) heater,solar,clothes dryers,etc. 450
fl:
c~i) Proposed use of r 20) Gas piping one to four outlats 2.00
building or property,
H 21) More than 4-por outet
J Type of fuel-oil Q natural gas LPG Q okcMc Q
H
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O C
LO Minimum Fee$25.00 SUBTOTAL _ 42.0c,
PERMITS BECOME VOID IF WORK On 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
10
TOTAL
Special Conditions
Data issued by
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