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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-41 1
Inspection: ��� (Oeyy r' _
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslabech. Rough in Fireplace
Post/Beam Struct, Plbg. Top Out 11 ough in
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Pluinb.
Alarm Water Line Insulation Mech.
Underflr. Insul //Shear Wall q Gyp. Bd. -Elect. '
Date Requested: C(� —2 L_ y�� _/Time: AM _4PM
Address: ,2/Q
Builder:_ Q�E'_ dry/ _ Permit 4:--c
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Dater d�
ROVED ,DISAPPROVED _APPROVED SUBJECT TO ABOVE '
—Call For Reinsp.
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CITY ®F TIGARD n TE iGOUCD:. 01/19Ei19., 014'
COMMUNITY DEVELOPMENT DEPARTMENT
13145 SW Holl Blvd.Tigard,Aragon 97223.8199 (503)839-4571 PARCEL: c.151 ,+ 1 nD-'03100
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i1?DIV IraION, . . . s SCHECKLA PARK ESTATES ZONING:
_OCK. . . . . . . . . , L_^ . . . . . . . . . . . . . __......�_.._._.__._. .... _.. ___
OF woRu. . r aao E=VAP COOLERS: •
OF USE. . . . :Cr UNIT W ,m,mRC. . : VF' JT FANS. . . s
,, ENT �3IITEMG l
rFN;;r [ �CFLv
WitE!".. . . . . . . . : POIL.ERS/COMPRESSORS, HOODS. . , . . . . a •
big, . . , I:,OMr' . INCI:,i:
'ELE/ 1 i 3-15 Y41% . . , : COMML. INCIN:
'A INPUT; OTU 13--30 11'-'. , . . t REPP.,R UNIT",:
RL DAMPERS),'. . : 30 -50 'dF'. , . . s WOODSTOVES. . s
,s PRESSURE— o r0+ HP. . . . a CLO I)RYEF;�, .
0. OF UNI75 ____ __...._._. .. FAIR I!ANDL_INC LIN ITS OTHER UNITS. s
i41N t ,1Zi�'!'. BTU-: 1.k 0,,0.Ql is rm 1 GAT, OUTLETS. ;
iRN i==10(21K BTU: > t0000 c:fm :
MST()L.L. PEOIDE;NTIAL_ UNIT,
-aner _ _ _.._ __._... ...-. .. ..._._ ..._. _ .. ....__._.._ _....... FEES _._ _.__... ._..... .._._.
fURI MINNITI type rAmo .a,at Lay date i',.'•::'��1
390 PRMT $ 2S. 00 5W 05/19/95 -
SCHECKLA DR !!PCT $ 1. i'5 5W Q1,5 11/`)5
'GARD OR 972',•
.tone # .:
)Zr* REAM:C- CO `
745 NE: 6TH OR
afiTL.FaND OR 97c`1 f .......__ __.......-..._,_ _.._._,._. __.__...___ .__...._._...__....,._.. -. ...._....._..._
':,'.:, .`C 1'OT6'11_
RCOUIRED INS)PE:'CTIO"!f' .. -. _..�_...
t'-:s ple,-ait is issued subject to the •egulatians :11tained it the Me--hatn i tN41 Tns
;lard #klnicipal Cade, State of Ore. Specialty Csdcs and all Wv f- , nal Xn I3ect i nn ...... _.._.._._...._..____.
•nlicable laws. All Mork will Le dote in acco'ds':e «ith
aroyed plans. ri:s pea t «gill eKpire if MurM is not started
:Chir lag days of i mane, or if work is suspended for aorr
-aa Am days,
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City of Tigard MECHANICAL PERVIT PlancWRec. # L
13125 SW Hall Blvd. APPLICATION Permit # y►nE�.g�' y�
Tigard, OR 97223 ob
(503) 639-4171
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Table 3A Medmical Code QTY PRICE AMT
Job
Address ..0 5u Si I ` 1) Permit Fee -0• -0• 10.00
AP
(0 2) Supplemental Permit 3.00 +,
uznaoe lo
1) Ind.duds&vents 6.00
Owner M i
Furnace 00,000 +
W - U 2) Ind.duds a vents 7.50
Flow umance
3) incl.vent 6.00
Suspended ater,w eater
4) or floor mounted heater 8.00
Occupant Vent not RU in
5) appliance permit 3.00
'9Repair of heating.raftig.
_ 6) cooling,absorption unit 6.00
Boller or COMP.heat pump,air cond
7) to 3 HP absorp unit b 100K BTU 6.00
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Boiler or comp,Wat pump,ap, ri—' conJ.
Contractor t 2 i � t8) 3.15 HP absorp unit to 500K BTU 11.00
BO1IQr or comp,beat pump.air conn.
9) 15.30 HP absorp unit.5-i mil BTU 15.00
at
� I er of 11 P. pump,air oor�•.
�-I 10) 30-50 HP absorp unit 1-1.75 mil BTU 22.50
re y a ow ge at ve rea us ap ication,that the-- Boiler or comp. pump,air Co
Information given Is correc4,teat 1 am the owner or authorized agent 11) a 50 HP absorp unit 1.75 mil BTU
of the owner,that plans submitted are in compliance with Stato31.50
laws,that I am registered with the Construction Contractors F,W+, f uunitb
that the number given is correct. (If exempt from State registratir",., 12) 10,000 CFM _ d.50
please give reason below.) r handing unit
13) 10,000 CTM+ 7.50
Non porta
14) evaporate cooler 4.50
IVent fa1 c nected-
15) to a single dud 3.00
�;� �•
Ventilation system not
16) included in appliance permit
4.50
Hood served-Vy
_ 17) mechanical exhaustnow 4�U R
rtion a ten;tlal refhahr Mme or stns i
to be done resldental non-residential Q '
----
Existing use o
18) type incinerator 30.00
Other La., stwbuidlt or Prol»r1Yclothes
atef I
19) heater,solar,clot hes dryers,etc. 4.50
Proposed use of — 1
building or property 20) Gas piping one to bur outlets 2.00
Type of fuel-OR Q natural gas Q LPG Q electric Q 21) More than 4-per outlet
NOTICE
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Minimum Fee$25.00 SUBTOTAL
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR ,
IF CONSTRUCTION OR WORK IS SUSPENDED OR 5%SURCHARGE I r
ABANDONED FOR A PERIOD OF 160 DAYS AT ANY TIME r
AFTER WORK IS COMMENCED. Ph-AN REVIEW 25%OF SUBTOTAL '
Spedal Conditions TOTAL
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—� -- Date issued bt <
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