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CITU OF TIGARD
frOMMUNITY DEVELOPMENT DEPARTMENT
13125 SAI Hall Blvd.Tiejarc',Or*gon 97223*8199 (503)639-4171
AIR (-4-1N1)Li1'NlW 0 INI I
I= 10000 Cfm:
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PH11", ab. 00 Ji: 04/19/93
6. 25 JF 04/ 19 P-1
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INSPECTION NOTICE
City of Tigard Building DepartMent
811 Hall Blvd, Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspections _-_-
booting Plbg. Underslab Hoch. Rough-in Appr/sdwlk
Found. Plbg. Top Out Lias Line FINAL: A
Post/Beam Struct. Ban. Sewer Framing -Bldg.
Post/Beam Nech. Rain Dratn Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Nech.
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Date Requested: 1.� a !►M PH
Addreses v L yrin t�i:1 -(
Builders
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THE FOLLOWING 00RRECTIONS ARE REQUIRED:
7S `rK7 � 4z3ob
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Inspector: \' °` _ bate: "1
v APPROVED DISAPPROVED APPRMV SUBJECT TO-�AIIMM
Call For Reinsp.
CITY OF' -1-IGARD - F(FCFIPT OF' PAYMr-NI" RFCFJr-T NO. :9,
CHF--'.C,K AMOUNT32.. 50
TRI 1301JNTY 'If. MP CONTRnl- CASH AMOUNT 0. 00
ADDRESS a 13651 SE AMBLVP RD PAYMEN'r DA rE 04/19/93
GuBn IV I G-I 01\1
OR 97019--
1-'�IURV-106E OF PAYM`NT AMOUNT PAID r-',URP05E OF FrIYMFNT AMOUNT PAID
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11946 ';W JJ."I"t I I I--'i-
TOJAL AMOUNT F4110 3e. 5e)
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SN Hall Blvd. APPLICATION Permit #
PO-Box 23397
Tigard, OR 97223
(503) 639-4171
-'vi -- escr pIion
? KE Table 3A Mechanical Code QTY PRICE AMT
.lob ••��r� �(�/ /�/ ��L�Y� 1) Permit Fee -0- -0- 10.00
Address .
��GqQ� rr7 2) Supplemental:ermit 3.00
«W-61 t. Furnace to 1 U
1) incl. ducts&vents 6.00
r l«» furnace 100,000 BTU +
Owner 2)2) incl. duck &vents 7.50
�,.w• o37-urnance
3) ,)cl. vent 6.00
•^. « •• -&,spenclod heater, wall seater
4) or'loor mounted heater 6.00
�, «• -Vent not incl.in
Occupant 5) appliance permit 3.00
„rruuRepair of heating, refrig.
61 cooling,absorption unit 6.00
_ 4"Sy,3//5- Boiler or comp, heat pump,air coon
'4114019je.7 (C� 'e 7) to 3 HP absorp unit to 100K BTU / 6.00
M.O.V • n- Boiler or comp,heat pump,air cc
5� /`�� l t �q 8) 3 15 HP absorp unit to 500K BTU 11.00
Contractor ,,, Boiler or comp,heat pump,aim
0, rL'A 29AS C h� 9) 15-30 HP absorp unit.5-1 mil BTU 15.00
4,. ••••� air
• Boiler or comp, eat pump, acor .
~:� - 3 11"26 10) 3050 HP absorp unit 1-1.75 mil BTU 22.50
hereby ac o Igo that I have read this application, Boiler or camp,heat pump,air cond.
information given is correct,that I am the owner or authorized agent 11) r 50 HP absorp unit 1.75 mil BTU 31.50
of the owner,that plans submitted are in compliance with State it am ung unit to
laws,that 1�m registared with the Construction Contractor's Board, 12) 10,000 CFM 4.50
that the numbor given is corroct. (If exempt from State registration, Air Fandring unit
please give season below.) 13) 10,000 CTM+ 750
Non portable
14) evaporate cooler 4.50
ant fan connect
15�)—�tTeflh ahon system not
o�a single duct 3.00 _
"--�' V
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� 16) included in appliance permit 4.50
Hood served by
17) me,-hanical exhaust 4.50
ascribe wo new a(lditian alteration repair C.xnmeresa or industrial
to be done residential O non-residential O 18) typo incinerator 30.00
xishng use o er i.e.,won stove,water
building or property 19) haater,solar,clothes dryers,etc. 4.50
Proposed use of 20) Gas piping one to lour outlets 2.00
building or pioperty
n 21) More than 4-per outlet
Type of fuel-oil O natural gas Q l_PG (� electric U -
v1
NOTICF
F- Mininnnn Fee $'15.00 SIIBTOTAf.
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
r AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,CSR 5%SURCHARGE -_
IF CONSTRUCTION OR WORK IS SUSPENDED ORLU z r
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIrAE "LAN REVIEW 25%OF SUBTOTAL
-j AFTL-R WORK IS COMMENCED.
TOTAL
Special Conditions
Date issued —by
4.urrs�nrr