7515 SW HERMOSO WAY 7515 SW HERMOSO Wpy
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INSPECTION NOTICE
City of Tigard Building Department 9
P.O. Box 23397 ✓ J
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
P
Date Requ3sted��.__��_— Time /�/_A.M. '� P.M.
Address
Owner Lot #
Builder
The following Building Code deficiencies are required to he cot,-acted:
— — — dt —
_71
Presented to �_��— proved
ALInspector_ —_ _ ❑ Diapproved
Date
CALL FOR REINSPECTION
YES Cl No
(Al Y OF TIUAHU MLIL t-IANIUAL i'LHMI I Permit« _
Descr4mon —
City of Tigard -
Table 9A Meoltanlcal Coda CITYPRICE AMT
T —
13125 S.W. Hall Blvd. 1) Permit Fee + -o_ -0- 10.00
P.O. Box 23397 — -- — _ . — ---
Tigard, OR 97223 2) Supplemental Perrin 3.00
1)
-) Furnace to 100,000 BTU
incl.ducts&vents _ 8.00
Furnace 100,000 BIU +
2) incl.ducts&vents 7.50
Name of Deve"wrient Floor Furnace
3) incl.vent 6
Job Address SuspendeJ neater,wall heater
Address 4) or floor mounted heater 6.Oh
Tax Lot Map No. Vent not Incl.in
r r 5) appliance permit 3
� Subdivision
Narne(orof business) 6 Rspairofhosting,refrig.,
!1 ;'�r • -( ,,,,�!'. /L- ) cooling absorption unit 6.00
Owner Me+flnq Address Prow, --- 7) Boiler or comp to 3-4P
absorp.unit to 100,000 BTU 6.00
r+p istete
Zip L - Boiler or comp to 3 HP 15 HP
8) absorp.unit to 500,000 BTU 1 1.00
--- Note _9)-Boilnrorcomp 15-30 HP �---- -- -- --_
15.00
--atm.%;nh IA-1 million -
Marltrw. a Pno;,o - Boikx or comp to 30.50 HP
10) alsetarp."1-1.75 muton r2•so
Cont�ectot cMy/sul. - __ Z4 --.- -- Bdl*r or co mp to 50 HP -- _ -- ,
1 1) abW2.ural 1,7_50,000 B1-U 31.50
siateiiegki eilah Nr. - r,rr d,.:iax No. Alrimm ft trnk to _
12) 10,000 CFM _ -- --- 4.50 t I
t h9f"bY acwt„vk4?@ th•.at I have read oda mppNr"I t-d tit Into"natbn
hIs 13) Ai h&n*rg unit
7.60
omsot,#W t sm he owner rautued•pnd te twra,that plans utxMexM 10`000 CFM -t
--..__.---- t
001hKtk4noe wth stat•taw..that I am reglela -•*"the;tete PAlitderv,Dowd.Mut t,* Non portable
ntml r giver 6 oorrea (M exempt Irarn Stat,reglstratkm phase"reason below) t 4) 4.50 t
•., evaporate cooler i
Y 15) Vent fan connected
---
to a single duct 3.00
Ventilation system not
-- _--- -- -- --- _`-- 16) Included It. ,Ipllsnoo pemNt 4.50
v - ✓1 ) �
16'_/� GT 17) I exhaust 4.50Doe
w Lfi�c O '19C01610.
l9)
.� _ __ type r.5o
Describe,*w* n m*voon Cl alteration A repair 1-1 h?drtere6or _ _
to be duns _ —rt>► ictornial noon residential ❑ Commercial or Industrial
E.ti<iMing use of 19)-_�bicinsratar 30.00
building or property_ f. ? _ Other i.e.,woodstove,water
Proposed use of 20) heatet,solar,clothes dryers,etc. 450
Ibuilding of proparty__._ 21 Gas y
-- 1 piping one to four outletia 2.00
Type of fuel- oil [ I natural gas U LPG ❑ sk+ctric ❑ -_--_ ---� ---- -
�"'-r 22) More than 4-per outlet
SUB-TOTAL
THIS PERMIT BE NULL AND VOID It WORK OR CON - - -- --
STRUCTION AUTHORIZED IS NOT OOMMENCED WITHIN 190 S&10 406 bURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SURPENDED OR PLAN REVIEW 29%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 1 RO[Wk"/S AT ANY TIME AFTER ----»--- --
WORK IS COMMENCED. TOTAL '
Des Inued ��, by