10900 SW 82ND AVENUE ADDRESS:
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171 ,
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath r@p�fag-'� -Mech.
Plbg.Und/Flr/Slab Plbg.Top Out_____,._ IWilation -Elect.
Pcst/Beam StrUCt• Mec.h.-ReugM-Tn Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other:
Date: P A,M. Y�, P.M.—^__ Entry: _
Address: � 0 9 0 y �_, elk,
Tenant: _. Ste: _ MST:
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Con/Own:�,.to -2-LO -" MEC:
PLM: _
ELC:THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Ins ctor: Date:
PPROV DISAPPROVED/CALL FOR REINSP. CF CO
1¢ 2 - 13v�- 6 �
Cl.7Y OF TIGARD BUILDING Iivz-)PECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framingech.
Plbg.Und/Fir/Slab Plbg.Top Out Insulation lect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer�/� Gas Line Appr/Sdwlk Reins.
Other: PL_t_�, _�
Date: a< — �l�e A.M. M. ntry:
Address: �� Cf Cy r-)
Tenant: Ste BUP:MST:
Con/Own: ,n�.�alt.._ _ _ oft
MEC:
1ovx.c�!-o d ESC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Inspector: Date:
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OVER . DISAPPROVED/CALL F REINSP. CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Dra!n Cover/Service FINAL:
Foundation Water Line 4Cen -Plumb.
Post/BeamMech. Shear/Sheath n -Mach.
Plbg.Und/Fir/Slab Plbg.Top Out at n -Elect.
Post/Beam Struct.�- Rom u^h Gyp. Bd. Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other:
Date: '' ��_ A.M. PM. Entry:
Address:
Tenant: Ste:_____ MST: �y
Con/Own: �:� f
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED ELR:
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Inspector. Date:
OVE DISAPPROVED/CALL FOR REINSP. CF C
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PE R M I'T
PERMIT #. . . . . . . . MEC96-00'-)'-)
CITY OF TIOAR� DATE ISSUED: 04/112/9C,
COMMUNMY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)639-4171 PARCEL: 1S136CB-00211
SITE ADDRE'�'.:0. 1-0900 SW 82ND AVE
SUBDIVISION. . . . SHANNONDOW ZONING: R--4. 5
BLOCI". . . . . . . . . LOT. . . . . . . . . . . . . : 10
CLASS OF WORT:. . :NEW FLOOR FURN. . . . : 0 EV"P COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPP.NCY 6RP. R13 vr;\IT1,:3 W/O APPL: ii; VENT SYSTEMS: 0
STORIES. . . . . . . . . 0 1 JILERS/COMPRESSORS H 0 0 D,13. . . . . . . . 0
FUEL TYPES-- 0-3 HP. . . . : 0 DOMES. INCIN. 0
:/WOD/ 3-15 HPI. . . . .- 0 COMML. INCIN: 0
MAX INPUT; 0 BTU 15--3121 HP. . . . . 0 REPAIR UNITS. 0
FIRE DAMPERS?- - 30-50 HP. . . . : 0 WOOD�--'JOVES. . . 0
GAS PRESSURE. . . : 50+ H P. . . . : 0 CLO DRYERS. . : 0
NO. OF UNITS---------.-.— AIR HANDLING UNITS OTHER UNITS. : 14)
FURI,,l ( 100K BTU: I (:= 10001A (.--fin . 0 OAS OUTLETS. rIr
FLS RN ) =100K BTU: 0 > 10000 C—Fm : 0
Remav-ks . Install wood stove
Owner: FEES
CHARLES ANDRE AND DONNA type amol.mt by date recpt
10900 SW 82ND PRM-r $ 25. 00 JSD 04/12/96 96-278119
5PCT $ 1. 25 JSD 04/12/16 96--2781 1'3
T',GARD OR 97223
Phone #:
Cortt-actoi--:
OWNER
I-Llhone #: $ 26. 25 TOTAL
Reg
REQUIRED INSPECTIONS
This persit is issued subject to the regulations curtained in the Woodstove Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in accordance with
approved plans, This pervit will expire if work is not started
within 18@ days of issuance, or if work is suspended for tore
than 180 days.
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Call for inspection 639-4175
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City of;Tigard MECHANICAL PERMIT Planck/Rec. #
13125 sw Hall Blvd. APPLICATION Permit #
Tigard, OR 97223 T
(503) 639-4171
Description
Table 3A Mechanical Code QTY PRICE AMT
Job
l .. 1) Permit Fee -0- -0- 10.00
AddrtaS
_ ^ '� �� L C77Z7 ?j 2) S�u�p�plemental Permit
3.00
•m• a n.mx° uaneu \\ �ce o —
1) incl. ducts &vents 6.00
BTU—
Furnace +
Owner Ci72 Z j 2) incl. duds &vents 7.50 i
• Floor Furnance
3) incl. vent 6 JO
.m. a n—° .mu USpP.n a ea ef, wall heater
6' 4) or floor mounted heater 5.00 i
• ,a ••• VIEW- Vent not in—c. in
Occupant 5 appliance permit 3.00
•• epair o eaing, reng.
6) cooling, absorption unit 6.00
•m• Booler or comp, heat pump, air cond.
7) to 3 HP, absorp unit to 190K STU 6.00
•°• �• --Bol�or comp, heat pump, air cond.
Contractor ^
• 8) 3-15 HP; absorp ur . to 500K BTU 11.00
--T ai er or comp, eo pump, air r— c�—
9) 15-30 HP; abscrp i iit .5-1 mil BTU 15.00
^�•'^'^W CAV ••N,, Soiler or comp, 'h6at pump, air con
10) 30-50 HP, absorp unit 1-1.75 mil BTU 22.50
hereby acknowleilge that ave read is app'ca ion, t at t e Boiler or comp, heat pump, air cond.
information given is correct, that I am the owner or authorized 11) >50 HP; absorp unit 1 75 mil BTU 37.50
agent of the owner, that plans submitted are in compliance with it an ing unit to
State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 4.50
Board, that the number given is correct (If exempt from State itan3fing unit
registration, please give reason below.) 13) 10,000 CTM + 7.50
onper bTe
14) evapor—e cooler 4.50
Vent an conne�iTeT
15) to a single duct 3.00
Ventilation system no
16) included in appliance permit 4.50
'rTo serve y
17) mechanical exhaust 4.50
Describe work new _ addition ( a.era ion repair Commercial or industrial
to be done residential non-residenrial Q 18) type incinerator 30.00
xis Inguse of er i e..woo s ove, water
building or property !�'�j' _ _ 19) heater, solar, clothes dryers, etc 4.50
rt' Proposed use of 20) Gas piping one to four outlets 2.00
V) building or property _
21) More than 4-per outlet (each) 2.00
i— Type of fuel -oil 0 natural gas Q LPG Q ttdll*11a.0
G: NOTICE
�.
cZ Min;mum Fee $25 00 SUBTOTAL z�
PERMIT° BECOME VOID IF WORK OR CONSTRUCTION
AUTHO'1IZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5%SURCHARGE c ��
IF CON,3TRUCTION OR WORK IS SUSPENDED OR —'
ABANDCWED FOR A PERIOD OF 160 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL
AFTER WOW' IS COMMENCED. — —
TOTAL
Special Conditions
Date issued _by
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