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INSPECTION NOTICE ,
City of Tigard Building Department ,
13125 OR Hall Blvd. Tigard, Oregon 97223
Inspection Lino (Rec-O-Phone)c^639-4175 Eusiness Phones 639-4171
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Inspection: 1Lr_1 \ '-
Footing Plbq. Underslab Mech. Hough-in Appr/Sdwlk
Found. Plbg. Top Out vias Lina FINALe
Pont/Bram Struct. San. Cower Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hach.
Date Requested: Nimes AN _PM
II , , '�7- I'lF-C
Addf.aess II Permit /s
Builders L rOL 2.-7oy
TRIC FOLLOWIRG CORRECTIONS ARE T.EQUIREM
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Inspectors _I= Dates /J -
APPROWD DISAPPROVED APPROVRD SUBJECT TO ABOVR
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CITY OF T I GARD
COMMUNITY DEVELOPMENT DEPARTMENT
131258'4Wlfall Blvd.Tigard,Oregon 97223*8199 (503)639-4171
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D OF 10,10fi9" I'
l'Y--'L or PsL. sr UNIT HEATLRS. VLNT FAN''i. . .
GRP. 1) 7�3 W,,b V E.N
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CITY OF 7'IC-.;ARD RECEIPT OF N)Aymr.:'NT REUV I PT NO. s93-24hO61
CHECK AMOUNT s 26. P5
NAME rf,]L.UMTAlfl HEATING CASH AMOUNT a 0. 00
ADDRES a PAYMVNT DA I a 10 1x/9,:3
SUBD I V 1 411 ON
PURr-,OSF.--. CIF' PAYMENT' WOUN r PA 11) PURPOSE LJV PAYMU.N r AMOUN t PH L 1)
MrF.CHANICAt. Pr-, i?5. IAO s'r. SULU) PLR 1. P-5
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Sw OPND
(4MLIUNT PAID P6. F.15
ITY OF TIC3hRU - REG'EIPT Ot" fwAYMM' RtX.-ETPT NO. :9' . 1116
GI- ECA AMOUNT s 19. 91-N
NAME : MEI-1- GHARTIEr,-'t CASH A- MOL1117 a (). 011)
ADDRESS ; 19203 SW MART INAllI DR Ps,vMrNT DATE s 10,123/90
Sil;4DIVISION
TUALATIN. OF, 97062 -
I Pf-"OSE Or- PAYMENT otinUNT PAID PLJt-',r,0SE'. OF PAYMENT AMOUNT PAID
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1 . DIJILD PER
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Sts) EK.ND Ak,'F..NUEF
TnTAL AMOUOT PAIL) 19.95
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CI�OFT14FARD 31-
COMMUNrFY DEVELOPMENT DEPARTMENrT \(CCIR�YAT I FA R D till .. .. 1. . 1. " :: ITIEC90 Pi 2--
1312 5 SW.all Blvd. P.O.Box 23397,Tigard,Oregon 97'1=(503)M-4175 11,3SUE'D: J.P/P.3 P)0
11250 13W 821,11) CIV PPiRCIEL:: 1S1J�4:,CP----0210;,�
V()I-.i [:':'Y ZOI'I14G::
C'i f)SS 01---' WORK. :N1-'W FLOOR FURN. . . . a IlVri" COOLERS.
'T'YPE OP" UN T'r ERG. . a VE'N'T FONG.
C)C,C,U PP Iq G Y G R P. R3 VENIE; W/O OPPL- VE1,11' SY5'T'UI1.':)-
I'D R 1'115. . . 1401 L E R S/C,0 ITI P.,R E 13 S 0 1--G H 0 0 1) i). .
0-3 HP. DOMES;.. '11,1C,"IN.-
3-•1.155 HP C,C.)Irl I'l L..., 'r I'l C"T I'l-
ly;f-)X 11,11PLYT: VTU 15-30 HI.:,. Ul,lll*S,.
I"IRE D011PE-i'J'x'3?. 1-30 -1`3C) I i I.-, WOODST'OVES. . -.2
(3116 1 REASSURE. . 50+ 14:1. . . . - (31-0 DRYERS. . -
1,10. OF (UR 1-1111,11DI.-TIAG 1,)1 A 1. 0*1"HER UNTJS.
1::*(-JRI,l < 1.001/, B*T*LJ-. <= 10000 (:.-fin.- GOG ULYTLE-T'S;,,
I:--URH )=100K DJJJ-. > 10000 cfn)�:
2 exi.stirig wc)od f-,itove J.1)speetic)rl4i 2 ex:kt-itiiii wc)o(:l v;t(jve ivi�ipectic)i-)!:.)
-----------------—........... FEC.*.S ..............-
ROI-.*iER'T LENZER type a ni()U 1-1 t Icy date Y'ec Pt
1.1.250 13W 821,11) 1--,Rll T 1; 1.`3. 00
5PUT, $ 0. 95
'rTG()R1) 01-*; 97223 1-.I()'Yil 9i 0. (:i0 El 1-1 1.()/2;3J90
I--,'[i c)ri e It- (:20--8240 P Y I'll .1.9. 95 E'1.L 10 23 9 0
Cci ii t-r a(-t c)-r:: ....................................................-------
0 W N ER/C,ON 7*R f)(,'1*0 R
I-dic),le 0-, 19. 95 TO1'()L
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N. s OWNFR
REULYERED INSPEC11.131,15
This ppreit is issued subject to the regulations contained in the Fii)al J.rissrjec.,tic)ri ............
Tiqa7d Municipal Code, Statp of Ore. Specialty Codes and all other ...... ...........---1......-------
applicable laws. All work will he done in accordance with
approved plans. This permit will expire if work is not started --- ...... ..............
within 180 days of issuance, or if work is suspended for more
than 180 days.
.................--.......
PPY-111 J,t teP S i.q YlAtLk
..................... .......... ............
1.v;s t.t e,(i P Y41
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Call fc)r iiis;f)ectioii 639-41,75
Receipt #
CITY OF TIGARD
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MECHANICAL PERMIT
13125 Pem,it # �1��� , '-,'��-�
SW BALL BLVD.
P. O. BOX 23397 Description �—
TIGARD, OR 97223 Ta.;z 2.1 Mechanical Code OTY _PRICE AMT
(503)639-4175 1) Permit Fee -0- -0- 10.00
"1O1e of " 2) Supplemental Permit 3.00
Job Address 11 Furnace to 100,000 BTU 6.00
Address incl.ducts&vents
Tax Lot r= i� '..,' !7 m pNoZ,2/OD 2) Furnace 100,000 BTU + 7.50
incl.ducts&vents
Loa Stbdirhion -- —-
Name(� of ) 3) Floor Furnace
6.00
Incl.vent
L4 Suspended heater,wall heaterMa&V Address Phone 6
.00
Owner cS. ���� _&'� ) or floor mounted heater
State u, Vent not incl.in 300
/r C ,� �j 2- r) appliance permit `-
Name(ac ame of business) r 6) Repair of heating,refrig., 600
cooling,abcorp(ion unit
Mailing Address V pie j 7 Boiler or comp to 3 HP 6.00
Occupant - ) absorp.unit to 100,000 BTU —
CilyiState Zk+ 8) Boiler or comp to 3 HP-15 HP 1111.00
absorp.unit to 500,000 BTU --
Name 9) Boiler or comp 15-30 HI 15.00
absorp.unit 1/2-1 millior
Mailing Address Phone 10) Boiler _r comp to 30-50 HP 22.50
absorp.unit 1-1.75 million _
Contractor City/State ap 11) Boiler or comp to 50 HP 31.50
absorp.g mit 1,750,000 BTU_
State Registration No City nus lax,vo. 121 Air handling unit to — 4.50
10,000 CFM
Air handling unit 750
I hereby adcnnwlaclyn bleb I nava road this appliratiai that the information given is 13) 10,000CFh' 4
corroct,that I am thrm
,cv w or authorized agent of the owner,that plans submitted am it -- ----
oompkance with Sate lows,that I am registered with the State Builders'Board,that the 14) Non portable 4.50
txxntxtr given is QnVd (tt ive exempt from State registration please greason below). evaporate Cooler
017 rL 15) Vent fan connected 3.00
k- to a single duct
16) Ventilation system not 4.50
included in appliance permit
17 Hood served by 4.50
A9 -3111, ) mechanical exhaust
Sigh-(owner or agent) / ' Drtc 18) Domestic type 7.50
7escoibe work ❑ addition Elalteration H repair (_l incinerator
to be done residential ❑ non-residential H 19) Commercial or industrial 30.00
Existing use of __ "incinerator — —
building or property_ _ __ 20) Other i.e.,wood;tove,water 4.50
Proposed use of heater,solar,ctt)thes dryers,etc.
building or property --——---- 21) Gas piping one to four outlets 2.00
Type of fuel— d) natural gas ❑ LPG ❑ electric I I J -
-, 22) More than 41mr outlet
NOTICE SUB-TOTAL
THIS PERMIT BF-,;01%2S NULL AND VOID IF WORK OR CON- — _ 5%SURCHARGE
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180
DAYS, OR 'OF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER � —
WORK,S COMMENCED. _ TOTAL
Spedal Conditions
--�_.----- _ Date issued _by