12525 SW 124TH AVENUE � N
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PERMIT L----,
CITY Of= TIGARD PEPMIT ff. . . . . . . . MEC93- 17:
COMMUNITY DEVE1.0P4-.&-.,NT DEPARTMENT DPI ISGUED: 0WIV193
13125 SW Hall Blvd.Tigard,( seqon 97223*8199 (503)839-4171
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—PRO( HW
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CLASS Or
WORK. QLT FLr-
OOR URN. r--VAP COOLEPSt
TYPE Or USIE. Gr UNIT HEATERS— : V ENI T FANS. . .
LICCUPONCY L-R!:-`— R-3 VENTS W/0 OPPL- VENT 03YSTEMG,.
SOILERS/,1',OMPRESSORS HOODS. . . . . . .
t I DOIAEt-. NC;
—I J H, COMML. INCIN
0 RETAIN UN 1"N.,
30-5-0 HP. . . . . WUCIDSTDYEL�. .
504. CLO DRYERS. .
NO, OF A I R HANDi-ING UNIT'S O, !U:R UNITS.
FURN < 00K DT(J. 1111 01`' r- fm : GAS 0U*T'LE7T"Ej.
00K B*T'U
FEELS
.I m o,..t n t by dat(?
i 115 1:21,5 0w 1 L., 1 2tj. 00 JI-I (419 17/93
S P T JI-4 09 17/')
TICARD CV
Phorle ft:
DPA. HP-0-1 1N(j
15,- W, 13E P 10 7 1,f I L
r�F4 Ll 14 41
permit is issued subject to the egulations corttaihfd in tne Gar, Line Insp
Puniripal Code, State of Om Specialty Codes and all other Mec.hmiiL:al lnsp)
appli:&Lo iaws. All word mill be acre in. accordance 0&, Inst3ectivi
approved olm, Th.'s per,til. "IN expire if K70 I- not stared
imithiti 180 days of issuz--t, or it work is suKpenotd for sort
-,r 480 days.
.............
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LYSPECTIONNOTICE ` )
City of gird Building Departoent
13125 SW B&IT Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections —
Footing Plbg. Underslab Mech. Rough-in Apps/Sdwlk
Pound. Plbg. Top Out Oas Llne / FINAL:
Poet/Beam itruct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor. Nater Lino �3 Z Gyp. Bd. -�lyy:ech.
Date Requested: / _ Times '/Q. !JQ AN --PM
25Permit �s"1 �"
Addree: :. —
Builder. —
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspectors - � Dates to l2
n APPROVED DISAPPROVkD APPRr'MD SUBJECT TO ABOVE
j> --Call For Reinsp.
C C
NSPECT.ION NOTICE
City of Tigard Bullding D•tpartment
13125 OF Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-0-Phcnel: 639-4175 Businoee Phone: 639-4171
Inspection: '
Footing Plbg. Underalab Mr-,h. Rough-in )pr/Sdwlk
Pound. Plbg. Top Out Can .Line r� PINAL7_
Post,Beam Struct. Sar:. Sewer. Framing -Bldg.
Poet/Boom Neth. Rain Drain Insulation 1 -Pluob.
I�
Plbg. Underfloor Water Line z Gyp. Bd. �_ h
.')�
')ate Requmsted:_j( ( / Time: _ AN
Address• (Z (y
-- Permit A>:flc_�
Builder:_
TAE FCILLOWINC, CORRECTIONS AAE REQVIREDs
T>e zu-f �
P T-77
SQ_ S►w I C_ -Yl c7
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Inspector: Dater 1 ,J `-2
APPAOVn DISAPPROVED _- APPROVkD SUBJECT TO ABOVE
L Call For Reinsp.
INSPF,C, PN NOTICE
City of Tigard Building Department ( /
.13125 SW Hall Blvd. Tiqard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspection•_
Footing Plbg. Underslab Mesh. tough-in Appr/Sdwlk
Found. Plbg. Top Out i Olt Life FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Meru. Rain Drain Insulation -Plumb.
Plbg. Undc.floor Nater Line Gyp. Bd. -Hoch.
pate Requested: / ~'�" '� �/ -� _/Times AH PM
Address:��aSZS Zy I►liplt #t �'6��
Builder%
THE FOLLOWING CORRECTIONS ARE REQUIRED:
A - ------
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Inspectors '— nate:.z
APPMOVRD DISAPPROVED V� APPROVED SUBJxr-? TO ABOV=
Call For Reinsp.
CITY OP TICARD RECEIPT OF PAYMENT PFCE IP T NO. o93-2:44259
CHECK AMOUNT i*:?E-. 05
NAME BELA- HEATING CASH AMOUNT 0. 00
ADDRESS i 15F60 SF PIAllA AVE PAYMENT DATE 09/17/93
SUBDIVISION
CLACKAMAS, OR 97015--
PURV OSE OF PAYMENT AMOUNT 171PID PURPOSE OF PAYMENT AMOCNT PAID
MECHANICAL PE 25. 00 ST. BUILD FIER 1. E5
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RAINBOLT
12525 SW 124TH
TOTAL AMOUNT PAID 26. 25
City of Tigard MECHANICAL PERMIT' Planck/Rec. #
13125 SWOail Blvd. APPLICATION Permit # _
PO Box 23397
Tigard, OR 97223
(503) E39-4171 _
N-4 Oescnption
Table 3A Mechanical Code QTY PRICE AMT
Job •,� t Gil a 1) Permit Fee -0- -0- 10.00
Address d• w
2) Supplemental Permit 3.00
«^• «�«»• Furnace to 100,000
i� L ULA 1) incl, ducts&vents 6.00
•+•w •�• _ �^• Furnace 100,000 Bru +
1 SLJ a 2) incl.ducts&vents 7.50
Owner -_
•�• Zip Floor Furnance
C-r 3) incl. vent 6.00
�» «^•^»• ••• Suspen o eater,wall eatG.
4) or floor mounted heater 6.00
•v «• » ern not me.in
Occupant 5) appliance permit 3.00
w^–t• v epair o' -seating,r—a r -
6) cooling,absorption unit 6.00
-) Boiler or comp, eat pump,air cond.
ZfZL ]^/ 7) to 3 HP absorp unit to 100K BTU 6.00
•�• -. Boiler or co leaf um
) p, pump,air cond.
SM �( 22/f.� A) 3-15 HP absorp unit to 500K BTU 11.00
Contractor ,„i„ e1. a __ of er or comp, eat pump,air con
C�
(, �O j J 9) 1530 HP absorp unit.E-1 mil BTU 15.00
•�*•^"^^"^ (Ay A °'N, Boiler or comp, heat pump,air cond.
10) 30 Sr`HP absorp unit 1-1.75 mil BTU 2250
hereby acknowledge that I have read this app ication, t sat t ie Mier r cornp,�heai pump, air eons
information given is correct,that I am the owner or authorized agent 1 1) >50 HP absorp unit 1.75 mil BTU 31.50
of the owner, that plans submitted are in compliance with State a -andling unit to
laws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 450
that the number given is correct. (If exempt from State registration, a handling unit —
please give reason below.) 13) 10.(w10 CTM+ 7.50
Non Port lure
14) evaporate cooler 4.50
ent I an cmnec�
15) to a single duct 3.00
Venhlauon system not
16) included in appliance permit 4.50
�• • •• Rood served y
17) mechanical exhaust 4.50
D,,scribo work now addition ateradon U repair U Commorciar—or industrial
to be done residential O--non-resioantial Q 18) type incinerator 30.00
xisting use o Z1Tr i.e..woodstovo,water
building or property _ 19) heater,solar,clothes dryers,etc. 4.50
Proposed use of ( 120) Gas piping one to four outlets I 2.00 c',t t }
building or property
21) More than 4-per outiet
CC Type of fuel -oil Q natural gas O LPG O electric Q
NOTICE
Minimum Fee$25.00 SUBTOTAL
–_� PERMITS BECOME VOID IF WORK OR CONSTRUCTION
c AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE < <:
IF CONSTRUCTION OR WORK IS SUSPENDED OR
w ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
'J AFTER WORK IS COMMENCED.
TOTALf1�
Special Conditio is
Date issued_ by
&wUrCIMAT
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