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L�SPECfIOM NOTICE 7—
y City of Tigard Building Department
13125 SW Hail Blvd. Tigard, Oregon 97223
Inspection Line Mec-O-Phone)s f,79-4175 Bueinege Phone: 639-4171
Inspections --
', —
,pj Footing Mg. Ondef,slab Mech. Rough-in Appr/Sdwlk
round. Plbg. Top Out Gas Line FINAL:
1 ��ii,atuAd lir'
Poet/Beam Struct. Ban. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. derfloor Nater Line Gyp. Bd. -Meeh.
7
Date Reuested: - Ti . .J//;i& _PM
Aaareaa:_,,,�
-� - 2 lr.�mit
Builder. -
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THE FOLLOWING CORRECTIONS A.^E REQUIRED:
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InspeotOtiDute: �_
" —� APPRONlD DISAPPROVED APPROVED SUBJECT To ABOVE
- f;..
Call For Reinsp.
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CIT'CSF BOA`RD C"YOF InL CWf IN I Clil. s/' I
COMMUNITY DEVELOPMENT DEPARTMENT one" PE RM T_r
13126 SWH11lBlvd P.O.Bm 3W,TOM,OnVon 97223(6W)O 4175 / 1') PMI T . . . . . . . s Mf~(-'9;?-0P02.
SITE ADDRESS. . . s 12 756 SW SORREL. DUCK rr Pf"ARC EL. t 151".3AD-144► ,
's SUHI)I V 16 LIN. . . . SU1h11y1EH(.(AKL ZONING. R-••7
SLOLK. . . . . . . . . . s L.CIT. . . . . . . . . . . :...:,
LI-ASS OF WURK. . :01)1) Cl..O()R FURN. . . . r Evol-I L;UUi_.F-HSS
1 ,'F'E OF U`-!E. . . . :G1, UN IT' F E01 IRS. . a VENT FANS, . . . r
UCC;UF'ANC:Y ORP. . :P35 k.a VENT, W/0 APPL..s VENT SYSTEMS:
9TUNIE5. . . . . . . . : i. HOODS. . . . ,. . . .
F-UEL 0-3 HP. . . . s 1 DOMES. INCINs
15 HP. . . . s C.'01*II11 . 111(_INs
MAX lNPLIl : FAr'U 15-30 HP. . . . s kt.-PAIR UNITS:
F I RE: DA14PE'R'1. . : 30 -50 ;if-,. . . . , w't.)l,I GTO V E . . s
CCAS PRESSURE. . . ^ 50+ HF'. . . . : C1...0 DRYEPI . .
NO. OF L1hI T T'S- -- - is I R ! ANDI..1 Nl, 1.11V l f;. 0 I M t1
FURN ( 100K STU: < 10000 cfm s CCAS OUTI_.ETS. s
F'(.lf?N ) t'',10K >H1Us > 10000 cfm
Rem��rlkss:
1..1wnv,-: .__._._.___..__ ___._...__.._.__.___..._._.__.___._____M_ __...___.___....._...___._._•_ _.__.__...._ .__.._. ..__
JE.Fr 01E'T(-.RSE''N i:yf:e ama .+lit ltv ct��t e �,
12756 SW SORREL Clf:il K GT 1=F?MT !. 5. 00 JH
T I C1i`IRD OR 97;2,i`";
Phone ��- 3 oPhoneat: ,
Lor►i:ractut-: --.____.._.___.._.. ._..___...._.__.. ....__ _._..__. . _._...--_--
KA-1- IIEFIT INO
15550 SF: I-.11AllA AVE
UACXOMNS OR 97015
(41-
Req #. . : 00447
P OUI RED I NSPFU I I LINci _...._
This pewit it issued subject to the reaulations contained it the f- i ne 1. 1 n 5 pert i on
Tigard Mlu0.tpa1 Code, State of Ch-e. 'im ialty Codts and all other
aDol ir_ahle .aws, All worli will be dine in accordance with
aalmsvee mars, This verait will ewaire if work is not started
within 180 dais of issuance, o!• if work is suspended for torethan 184 days. �..._..__.._. .
F'er•mit:t:ee '3 i.cyl,�t�.1r�e : ..�.._.�
C a I I f OY i r1 I)ec't 1 9r• 7;j
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F • fiecetpt
CITY OF TIGARD MECHANICAL. PERMIT
Permit fY l
13125 SW HALL BLVD.
p. O. BOX
, 23397 Description QTY PRICE AMT
9 7 2 2 3 Table 9A Mechanical code
T I CARD, VR ____
(503)639-417.5 t) Permit Fee - -0 -0 10.00
Name of Develotwnent 2) 3upDlemental Permit 3.00
— - Furnace to 100,000 BTU - 6.00
Job ''�dfBSS ) incl.ducts&vents I
Address
Furnace 100,000 BTU i 7.50 i
Tax Lot Map No. 2) incl.ducts&vents
Lot Block Subdivision
Floor Fumacc 6,00
NO"(or name of buskwess) 3) incl.vent
�r�s`�' Suspended heater,wall�,%ater 6.00
'
Mabling Addross Phone 4)
or floor mounted heater _
Owner 11 .2s-� s �L, S o �,,�.�/ L'sc« t Vent not incl,in -
CRY/Slate Zip 5) 3.00
`.. A �y/,z,7 3
appliance permit
_ Repair of heating,refrig., 6.00
Name name of business) 6)
cooling,absorption unit
&,)filer or camp to 3 HP
Mailing Address --- Phone -- 7) 6.00 •t,�
Occupant --absoro.unit to 100,000 BTU "9"
Zip 8 Boiler or coma to 3 HP-15 HP
11.00
CRY/Slate ) al`sorp.unit to 500,00e BTIJ _
_ Name 9) Boiler or comp 15-30 HP 1500
1p
absu .unit 1121 million
_e.
MalNnp Address 10)t 0) Boiler or comp to 30-50 HP 22.50
absorp.unit 1-1.75 million
Sl J e //� - r-----
Contractor cityrState ZIP 11) Boiler or comp to HP 31.50
absorp,unit 1,750,,000 BTU �
Air handling unit to 4.50
state Registration No dIp Bus.Tax No 12) 10,000 CFM
- Air handling unit 7.50 ,
I hereby aduxwr1gdgP tfutt I hnvo read this applwatxxi that the Irlormation given is 1 ) 10,000 CFM +
coned,that I am ere owner or authorized agent of the ownef.r'ul glans stjb n:tted are in - -
oompsanoe with state Ines,that I am registered with the Sate l3ulWera'Board,that the. 14) Non portable 4.50
mvnbw gtvan is coned.(11 exempt from re
m State gistration please give reason betaw) evaporate cooler
-� Vent fan connected
s:re.Q" r,,a single duct -_ 3.00
---- 16) .ontilation systel,. 1 4.30
Included in appliance pt —
�- -- - Hood served by -I
r 17) 4.50
mechanical exhaust
soulk a rx arm) - Date 18) Domestic type 7.50
Describe worts F) addition ❑ afW n CI repair ❑ Inancrc•- - -
to be done residential ❑ + stn^�r;stderHFa ❑ 19) Comme;t . or' 'rial 30.00
`- type inccineratot - — _.
Existing use of
�•-ilifjng or properly. i 20) Dther i.e.,woodstove,water 4.50
healer,solar,clothes dryers,etc. _
Proposed use of
building far pro; -- ---- 21) Gas piping one to tour outlets — 2.00
Type of fue;- oil U natural electric ❑
---- — — 22) More than 4-per outlet
SUB-VITAL S Qd
THIS PERMIT BECOMES NULL AND j IF INORK OR CON- 5%SURCHARGE
STRUCTION AUTHORIZED IS NOT CO. 'r-NLED WITHIN 180 _ 11
DAYS, OR IF CONSTRUCTION OR WORK iS Sl ISPENDED OR PIAN REVIEW 25%OF SUBTOTAL
ABANDONED FOR A PI-t?IRD OF 180 DAYS A NY TIME AFTER -- TOTAL
WORK IS COMMENCED. U _
Special Conditions
Date issued
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