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i:lrecords\rnicmflmltargets\buiiding.doc
CITYOFT11FARD ;C1TYJi0'FTkWSV11,D
MECHANICAL
COMMUNITY DEVELOPMENT DEPARTMENT 02"M7 PERMIT
13126 SW Hull Blvd. P.O.Bm 23367.T-Vwd,Or"m 97223(600)SN-4176 P FR lyl I T #
639 i171 ISSUED: 02417/93
SITE ADDRESS. . . : 11136 SW 81ST AVE PARCEL: 1S136CB-09004
SUBDIVISION. . . . : HERB & PEGGY' S PLACE ZONINGS R-4. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :24
---------------------------------------------------------------------------------
CLASS OF WORK. . :ALT FLOOR FURN. . . . EVAP COOLERS:
TYPE OF USE. . . . sSF UNIT HEA f'ERS. . VENT FANS. . . -
OCCUPANCY GRP. . n R3 VENTS W/O APPL: VE14T SYSTEMS:
STORIES. . . . . . . . : BOILERS/COMPRESSORS HOODS. . . . . . . .*
FUEL TYPES------------- 0-3 HP. . . . .- DOMES. INCIN.
./GAS/ 3-15 HP. . . . s COM11L. INCIN:
MAX INPUTS BTU 15-30 HP. . . . . REPAIR UNITS:
FIRE DAMPERS?. . : 30-50 HP. . . . WOODSTOVES. . :
GAS PRESSURE. . . : 50+ CLO DRYERS. . :
NO. OF UI\11*1-S------------ AIR HANDLING UNITS OTHER UNITS. :
FUR14 ( 100K BTUs <= 10000 CfM1 GAS OUTLETS. : 1
FURN ) =100K BTUs > 10000 cfm:
Remarks: NEW GAS FURNACE
Owners FEES
BOB LORENZ tvpe ain a 1.(Tl t by date recpt
11136 SW 81ST FIRMT $ 25. O0 JH 02,117193
5PIJ $ .1. d5 JH 021117/93
TIGARD OR 97223
Phone #r
Contractor: ---------------------------------
ANCTIL SHEET METAL CO.
4320 .14 WILLIAMS AVE
PORTLAND OR 97217 ---._______________--_—__—_.___-----__..
tIliari* tt-. 56. .::5 TUTHL
Pen 0. . .. 063897
------- REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Final Inspection
Tigard Municipal Code, State of Ore. Specialty Lodes and all other
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 180 days of issu.-ince, or if work is suspended for more
than 180 clays.Lf-
c. Permittee
Call for inspection 639-4175
INSPECTION NOTICE (L
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (REec-O-Phcne): ,6/39-4175 Business Phone: 639-4171
Inspection; ,_____._-,z'>2r-%c- -
Footing Plbg. Undernlab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Br.am Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor l Watgr Line Gyp. Bd. -Mech. X/
Date Requested-, "J Time; AM ' `_PM
e-,-- C
Andress: /��7 �5 �-J�- � Permit �s 3 'ULA
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
16
r
Inspector; -�— Dat"t
�/ APPROVED DISAPPROVED �— APPROVED SUBJECT TO ABOVE
J'T�" __Call For Reinep.
Vol
I, i rc T T CiAPD ftt-L;E.I PIT OF PIPY01IF-1,11 kECF-IP,T N(f. j,,A 6 763
CHFCX AMOUNT 6
F -)H AMOUNT 0. 160
(4NCTII.. SHEF1 METAL. CW"
P,OYMENT DATE I/A
SUBDIVISION
P Wf MI.-]NT (�MIJLJNT ,--'AID PILIIII-MSYE 017 PAYMENT AMOUNT I"..MD
111 i IIf�N I I-T. 1?5. 00 ST, BUILD PIER
0MULINT 1-'01f)