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CITY OF TIGARD
OREGON ■
June 1, 1995
■
RE: BUILDING PERMIT #
Inspectionfs) have been conducted on this project. However, we
have no record of any subsequent or final inspections within the a`
past 180 days.
Please note that permits become void if there has not been an
inspection performed for over 180 days. In that case, 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.
' I Please advise the Building Division, IN WRITING, within 15 days of
this letter, the status of this project . You may request
additional time to complete the project .
Respond IN WRITING to: Building Division, 13125 SW Hall Blvd. ,
Tigard OR 97223 . Be sure to include the Hollowing 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 .
login\add_i"pec[ions
13125 SW Hall Blvd., Tigard, OR 97223 (503) 6.39-4171 TDD (.503) 684-2772 - - --
i
.H., .. ..... .. . ..
INSPECTION NOTICE �; a
dry` city or Tigard Buil.l;mg Department
13125 811 Ball Blvd. Tigard, Oregon 97223 �../
Inspection Line (Rec-O-Phonel))a 639-41175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mach. Rough-in Apprr/Sdalk
Found. Plbg. Top Out Gas Line FINAL: ,
Post/Beam Struct. San. Bawer Framing -Bldg.
Post/bo Mwh. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Koch.
Date Requested s._
Address �j I l _� / ��I L)L _ Li L /L�. Pa1�sLt � (� `t L ■
Builder: C' -1 ,--
THE FOI.I.OWING CORRECTIONSA" REQUIRED: '
1I 1
CCLf
{
_ � l
Inspector= VL ✓J'J" - Dates
APPROVED DISAPPRMAD APPROVED SUBJECT TO ABOVE
��� -Call Poi Reinels.
_ -- --
MECHANICAL.
CITY CSF TIGARD PERMIT #. . .. . . . . : MCC 9�►- O'Z190
COMMUNITY DEVELOPMENT DEPARTriAENT DATE I5S' '' D: 04/06/94
13125 8W Hall Blvd.Tigard Oregon 97223.8199 (503)839-4171
PARCEL : '5125DB-08900
S I T 1__ ADDRESS. . . 071.07 SW i-OLA LN �a
SUBDIVI5ION. . . . : THE RAZPE:RRY PATCH ZONING: R-4. 5
FLOCK. . . . . . . . . . . LUT. . . . . . . . . . . . . :9
CLASS 0' AORI',. . :ADD� -- ---F LAOR-FURN. . . . : EVAP COOLERS:
I'YPE OF JSE. . . . :SF UNIT HEATERS. . : 1 VENT FANS. . . : 1]
9CCUPANCY GRP. . :R3 VENTS W/O APf-'I__: VF_NT SY TEhIS:
STORI179. . . . . . . . : BOIL-ERS/COMPRESSOR HOODS. . . . . . . :
FUELTYF'E5- - _.__._ ___..__..._ 0-3 Lar`. . , . : DOIAES. I NC I N:
: /GAS/ / ! .3-.'.J HP. . . . : COMML. INC1N:
IrIAX INPUT: BTU 15-30 HP. . . . : REPAIR UNITS:
FIRE. DAMPERS'?. . : 30-50 HP. . . . : WOODSTOVES. . :
GAS F='RESSURE. . 50+ HP. . . . : CLU DRYERS. . :
NO. OF AIR HANDLING UN T'F 5 OTHER UNITS. :
F URN ( 1021K BTU: (= 10000 r_f m : OAS OUTLETS. : 1.
F"URN ) -lV10K ETU: > 10000 cfm :
Remark: : GAS INSERT'
Owner: -..__ F=EES
Kllyl DORGIN13 type amoi..lnt by date recpt
2107 SW LOLA LN PRMT $ 25. 00 SW 04/06/94 -
5F'CT $ 1. 25 SW 04/VIC /94
BEAVE:.RTON OR 970
V*Ihone #:
Contract or : _ _._._.._._.-------_-_- _--_-----_
HOT SPOT FIREPLACE R. PATIO
11525 SW CANYGN RD
BECIVERTON OR 97005
Phone #: 626--465 '
E 26. 25 TOTAL s
Hey #. . : 71782
---- --- REOU I RFD INSPECTIONS
This permit is issued subject to the regulations contained �n the Gas Line Insp
Tigard Municipal Code. State of lire. Specialty Codes and all other Mechanical Insp
applicable laws. All work will he done in accordance with F=inal Inspect i on
approved plans. This permit v:iil expire if work is not started
+ithin 18@ days of issuance, or if work is suspended for more
than 180 days. ---- -- --------
Permittee 5 i gnat 1-ir^e .
I ; , irrci tl , .
Call for inspection - 639--4175
., .
i
l �
City of Tigard MECHANICAL PERMIT Planck/Rec. # -
13125 sw Hall Blvd. APPLICATION Permit # _
Tigard, OR 97223
(503) 639-4171 - --- —�
„r escrption
Table 3A Mechanical Code QTY PRICE AMT
Job ��Q � ) u N t✓--- 1) Permit Fee --- -0- 0- 10.00 ,
Address zM
a 3 00
2) Supplemental Permit 3
--` ' urnacs -TW 7-13, --
1) incl. duds&vents 6.00
.�. «» urnacs +
-� incl.ducts&vents 7.50
2)
Owner 7 `s LO Lo �.L�vt , — —
oor umance
{ ov- 0� Vo c)S 3) incl. vent 6.00
uspe >Aater,wall eater -
4) or floor mounted heater 6.OU
— Vent not incl. in
Occupant S�-A VYtC_ P] I
5) appliance permit 3.00
r o apav o eating,ming. -
6) cooling,absorption unit 6.00
Boiler or comp,heat pump,air con .
Ot �'�e1car P 7) to 3 HP absorp unit to 100K BTU _- 6.00
er or comp. at pump,air co
iia
S- 8) 3-15 HP absorp unit to 500K BTU 11.00
10
Contractor `
i I@r or camp, Wap p,au- cont.
0(400 % 1OL]5 9) 15-30 HP absorp unit.5.1 mil BTU -_ 15.00
.,.. +�`-`--`"fir e -�oTer o�comp, at pump,air&Tnia-
10) 30-50 HP absorp unit 1-1.71f,mil BTU 22•50
hereby ac ow Ig.r 1 ave read- is app ica icxi,that e
Boiler or comp,thea pump,air con .
11) > 50 HP absorp unit 1.75 mil BTU 37.50information given is correct,that I am the owner or authorized agent
of the owner,that plans submitted are in compliance with State Air han mg unn to
laws,that I am registered with lie Construction Contractor's Board, 12) 1u,000 CFM 4.50
that the number given is correct. (If exempt from State registration, Air hanciling urns- -
please give reason below.) 13) 10,000 CTM+ 7.50
- - on porta e _
14) evaporate cooler 4.50
- Vont tan connected
15) to a single dud 3.00
e-n aeon system not -
C� 16) included in appliance permit 4.50 c1,50
14 o sery
17) mechanical exhaust 4.50
scn w new a mon a t ration& repair —�ommeraa or in stria
to be done residential non-residential Q 18) type incinerator 30.00
Existing use of Other re.,woodstrive,water
building or property �E u 19) heater,solar,clothes dryers,etc. _- 450 --
Proposed use of 20) Gas piping one to four outlets _� 2.00
building or property
21) More than 4-per outlet _
Type of fuel -oil C) natural gas T4 LPG 0 electric 0 -
— /
Minimum Fee$25.00 SUBTOTAL _ j,00
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOl COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE
IF CONSTRUCTION OR`YORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED. - -- ^-
70TAL '96.9's
Special Conditions ------__.__ ---__.._�.----.----_---------_.--
Date issued_ ` by
IuLFCfIM
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I'T'Y CIF T):C3iTfiT) F:E:C;F: :LP7 (')V T''AYPIE'N'T F2E:CF:XF''1' Nf.1« a`:)A-..i'a5N`:a:31.
CHECK AMOUNT a %'(-:,., C?5
AMEN M HOT SPOT F IRF*-.3-'11..ACF:: CASH A11C)UNT a 0.,W1a
))DRF;:S8 u F:'AYMI:iAT DATI C�1ri/(%aE�/`a4
13UPT)tVIS[C)N « x
URPOSE 0F' PAYMI'.N'T' AMOUNT PA.T.TJ 1'Clrii'l:)4:)t: (:1F:' PAYME:N1' (.111OUNT f101D
I-CHAN I CAC �'E..,.._...,_,. ., _.........,_.... � �.t(40S f......WU.T LJ)....PF. ........."..w.... ._.... ..__......._.A....15
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