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CITY OF TIGARD
OREGON ,
June 1, 1995
RB: BUILDING PERMIT # (Y\
Inspections) have been conducted on this project. However, we
have no record of any subsequent or final inspections within the
past 180 days.
W:
Please note that permits become void if there has not been an
inspection performed for over 180 days. In that rase, the Building
Division may require a new application and fees to continue work.
A notice of non-compliance against the property may also be
recorded by the City.
Please advise the Building Division, IN WRITING, within 15 days of
this letter, the status of this project . You may request
additional time to c,-)mplete the project.
Respond IN WRITING to: Building Division, 13125 SW Hall Blvd. ,
Tigard OR 97223 . Be sure to include the following information:
1. Building Permit #.
2 . Address of property.
3 . Your name.
4 . Your phone number 8 :00 a.m. 4 :00 p.m.
If you are ready to schedule your next inspection, please call. our
24-hour Inspection Recorder at 639-4175 .
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13125 (-N Hall Blvd., Tigard, OR W223 (503) 639-4171 TDD (503) 684-2772
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INSPECTION NOTICE
City of Tigard Building Department
13125 SM Hall Blvd. Tigard, Oregon 97223 I
GJ� Inspection Line (Ree-O-Phone): 639-4175 Business Phones 639-4171
Inspect ions
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line — FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beaty Mach. Rain Drain Insulation, --Plumb.
Plbg. Underfloor Water Line Gyp. Ed. -Meeh.
ga
Date Reesteds � �✓ C// Timet ANPM
Addrese:Z2
Builder:_
TNR FOLLOWING CORRECTIONS ARE REQUIRED:
02
Iq'1 17 46
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Inspector: ��/ / Dates
�— APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Rainsp.
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F TIGARD MECNF-1hl ICAL
CITY ® PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : MEC94--0090
13126 SWfHall Blvd.Tigard,Oregon 97223.811W (663j'636-44171 BATE ISSUED: 03/29/94 �
. PARCEL : 1 S 1.34CF1--1210613
SITE ADDRESi . . , I L=055 SW MANZAN I TA S1
SUBDIVISION. . . . PANORAMA ZONING: R-4. 5
BLOCK. . . . . . . . . , LOT.. . . . . . . . . . . . . .. 1
CLASS OF WORK. . :ALT F=LOOR F"URN. . . . EVAP COOLERS:
TYPE OF USC.. . . . :SF UNIT HEATERS. . : VENT FANS. . . :
OCCUPANCY GRF='. . :R3 VENTS W/O APIPL: VEI\IT SYSTEMS:
STORIES. . . . . . . . : BOILERS/COMPRESSORS) HOODS. . . . . . .
FULL TYPES- -___..._.-_._._.._._. 0-3 Id P. : 1 DOMES'. INCIN:
: /GAS/ELE/ / 3-15 HF'. . . . : COMML. INCIN:
MAX INPUT: BTU 15-3111 HPI. . . . : REPAIR UNITS:
FI REQ DAMPERS?. . : 30--50 HF'. . . . : WC.IODSTOVE S. . :
(SAES PRESSURE". . . 50+• HPI. . . . : CLU DRYERS. . : �
NO. OF UNITS--- --_ W T R HANDL 1 NC UN 1 1 S OTHI_'R UNITS.
TURN ! 100K BTU: 1 ( 10000 (:!fm : C-.;():a OUTLETS. : 1
FURN > =100K BTU: > 10000 cfm :
Remar-ks : F_LECTRIC; TO (SAS CONVERSION
y
Owner~: -...-----------..._.__.._.___..___..____________..__._........._.____.._.___..._..__.___._..._..._-._-__-- FEES ______________
BLNNE_T'1' type amol_(nt by date recpt
1205b SW MANZANITA CT P,RMT E 25. 00 JU 03/29/94
5PC1' $ 1. 25 JG 03/29/94
T I GARD r:)R 97223
I Phone #:
C.'nntr~actor•.: ----------------------------------
COLUMBIA
----.____..._.___--___--.______--_-_COL.UMBIA HEATING I
e900 SW BURNHAM
SPACE E-110
TIGARD OR 97223 __---._-_._.____________________________
Phone #: E+;_'4 --'704 $ 26. 23 TOTAL
F<ey #, . 76359
--- ---- REQUIRED INSPECTIONS
-- --- -
This rermit is issued subject to the regulations contained in the Gas Line Lnsp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanic-a.1 Insp
applicable laws. All work will be dont in accordance with Final I n s f3ect i on
approved plans. This permit will expire if work is not started
within 18@ days of issuance, or if work is suspended fnr more
than 18@ days.
F'(�r•mitt•c�e '�i ca n�+t i_r;~e : _ � 'L--.---� "
Ca 1. 1 fnr inspection - 63c)-4175
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City of Tigard MECHANICAL PERMIT" Planck/Rec. # _
13125 sw Hall Blvd. APPLICATION Permit #
Tigard, Oil 97223
(503) 639-4171
1
om« Desuiphon `
Table 3A Mechanic-'Code QTY PRICE AMT
JobI CV p,y� 1) Permit Fee -0- -0- 10.00 C
Address zip--
r ( 1 -7 2-23 2) Supplemental Permit _ 3A0
Furnace
I «
1) incl. ducts 8 vents , 6.00
Furnace 0+�_ _
Owner � 1 L 2) incl. ducts b vents 7.50
—Floor u�-rnance
3) incl- vent 6.00
«^•«^«^• uspe ater,w-a5TrTTe—=ate-
». 4) or floor mounted heater 6.00
is
^oVent not inc. in �� r
Occupant P 5) appliance permit 3.00
—zip J -----Repair of heating, re ng.
6) cooling,absorption unit 6.00
I or or comp,heat pump,air cond.
7) to 3 HP absorp unit to 100K BTU 6.00
p i
Boiler or comp, at pump,,air co
Contractor Du ~ 2� 4 8) 3-15 HP absorp unit to 500K BTU _ 11.00
" Bode, or comp, a pump,air con .
9) 15-30 HP absorp unit.5-1 mil BTU 15.00
('mT'-'N. l3cler or comp, oat pump,aI�cone
10) 30-50 HP absorp unit 1-1.75 mil BTU 22.50
hereby ac ow , g rave repo this app ica ion-fFiaaT e Boiler or comp, ea pump,air con .
information given is correct,that I am the owner or authorized agent '11) >50 HP absorp unit 1.75 mil BTU 37.50
of the owner, that plans submitted are in compliants with State a handing unit to
laws, that I am regi-.iered with the Construction Contractor's Board, 12) 10,000 CFM 4.50
that the number given is correct. (If exempt from State registration, -Ail handling unit — ff
please give reason below.) 13) 10,000 CTM+ 7,50 t
—Non por4-- a r—TTe- IC
r 14) evaporate cooler 4.50 i
Vent fan connected
15) to a single dud 300
entilation system not
16) included in appliance permit 4.50
served y — --
17) mechanical exhaust 4.50
escn work new addition U alteration repairT-T- Gornmerctal or industrial
to be dome residential Q nun-residential Q 18) type incinerator 30.00
Existing use o her i.e.,woodstove,water
bu;ung or property 19) heater,solar,clothes dryers,etc. 4.50
Proposed use ofC L __ 20) Gas piping one to tour outlets 2.00
building or property� /— _ —
lType of fuel -oil O natural gas LPG Q electric 0 21) More than 4-per outlet
NOTICE
i Minimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR ---- -
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED.
TOTAL
Special Conditions — -- -- -_ - —_-------- ..—_ _
Date Issued` _by
"ECHFUT
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CITY TY OF Y 1140•�I REC.F.1 C I I AYVIVNT' RFCI• ..I TIrl(:l o94 T., (d ,3f',
AME a ('01-111114,144 HFAT:IM9 C;A8H A110()NT a W. Wa
D1)Rk( >3 a F'AYVIf-N'I' DATE a 0 i/tEN/94
GUBD:IVTSJ:C.)N a
LJRPO',-3-:: OF PAYI*If:.NT AMOUNT I'A;I:I) P'URPOGF: OF 1:yAYI'Ii:14T AMCJ(.1NT PATI)
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