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CITY OF TIGARD BUILDING INSPECTION NOTICE
' Inspection Line (Rec O-Phone): 639-4175 Business Phone: 639-4171
Inspection: '
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg, Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
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Alarm Water Line Insulation ec
Underflr. Insul. Shear Wall Gyp. Bd. -Elect. „
Date Requested: / �-Z _ time: AMX-P
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Address: L)
i Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Date:
_APPROVED _DISAPPROVED XAPPROVED SUBJECT TO ABOVE
—Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
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Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639 1
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/ Ik
Foundation Plbg. UnderslabMe . Rough-in Firbplace
Post/Beam Struct. Plbg, Top Out8
i �FINA_�
Post/Beam Mech, San. Sewer Gas Line '
�dg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation ec
Underflr. Insui. Shear Wall Gyp. Bd.
Date Requested: I� Time: AM PM
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Address:
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Builder. ,
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Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Dater
k_,.APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
`Call For Reinsp.
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MECHANICAL
P'ERlvl T T.
CITY OF TIGARD . 1
F>ERMI"f #. . . . MEC9C-•• 37.3
COMMUNITY DEVELOPMENT DEPARTMENT DATF-_ 'G`3l_IED: 1
13125 SW Hall Blvd,Tigard,Oropun 97223.8199 (503)G39.4171
P'ARCI '_: 1 S 135CD--05900
SI TE ADDRESS. . . : 09'708 SW LONDON CT'
SUBDIVISION— . : LONDON SQUARE NO. 2 ZONING: R-25
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 1 ].
CI_.A� OF WORK. . � FLOOR GVAF' COOLERS:
TYPE OF USE. . . . :SF UNIT HEATERS. . : VENT FANS. . . : ■
OCCUPANCY GRP'. . : R,s VENTS W/O AP'PL: VENT SYSTEMS: '
STORIES. . . . . . . . :0 BOILERS/COM^RESSORS HOODS. . . . . . . ..
1 FUEL_ 'l"YP'F'S_._..____._._._._.____ 0--3 HF'. . „ , : DOMES. I NC I N:
: /GAS/ / / 3-15 HP'. . . . : COMML.. INCIN:
d MAX I IVPUT: LTU 15-30 HP. . . . : REPAIR UNITS:
FIRE: DAMPERS?. . : ,::.+21-50 HP'. . . . : WOODSTOVES. . :
GAS PRESSURE— : 50+ H1='. . . . : CLO DRYERS. . -
110.
RYERS. . :N0. OF UIV I TS--------•-•---- AIR HANDLING UN I Thi OTHER UNITS. :
FURN ( 100K PTU: 1 (= 10000 (--f m: GAS OUTLETS. : 1
F='URN ) =100K BTU: > l l7'01PO cf m:
RemaAr,P > : One new residential. gas fl-trnace to 100K D'IU and gas pi.ping.
Owner: ____.___._.__.._______.___.___.____._.__.___.___.. __-------,_..._____-- FEES
MARRY GIMEONE type amo'.tnt by date recpt
9708 SW LONDON P'RMT i .:5. 00 CJS 10/30/95 95-272.2,38
5P'LT 1. '_5 CJS 10/.30/95 95-•c72r_',. 8
TIGARD OR
Phone #:
Contrac-tor^:
SUNSET FUEL CO
P'O PDX 42287
PIORTLAND OR 97242 __-_----•--•-- _.____._._.____.________.______.___.
F117 o n e #: 234-0611, $ 26. 25 TOTAL
Rey #. . : 002374
- - -- REOU I RED I NSP'ECT I ONS
This permit is issued subject to the regulations contained in the Gras Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechan i c,a 1 I n s p
applicable laws. All work will be done in accordance with Final inspection �.�___��___�_•.
approved plans. This permit will expire if work is not started _.._.__.._.._.....
..._.__
I within 180 days of issuance, or if work is suspended for sure -•_�___ ,__• _� _ __._ _ _��_
than 180 days.
I e r•in i t t e e 5 i y n a t._t r-e :
Call far inspection - 639--4175
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City of -Tigard M'LCHAN(CAL PERMIT PlancFJRec. #gS• a 7 a2 �,-
13125 sw Hall aiVa. APPLICATION Permit # -.0373
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Tigard, OR 97223
(503) 6:39-4171 —
Hm u � escrtpuon
Table 3A Mechanical Code _ QTY PRICE AMT
1) Permit Fee 0- -0- 10-00
Job
AddressW 3.00 r
2) Supplemental Permit
a..w.r umace to 1 ,OW 1
incl. ducts&vents 6.00 ? (AJ
���� — Furnacra 100,000 U r r,
(� 0cC �_ �) I-- t
C' Oc)(\ C4-
2) incl, ducts&vents 7.50
Owner
W. loo, umanca
3) incl. vent 6.00
Suspended haat.,,wall heat.,
H... .�d.....r 6.00
4) or floor mounted heater
ent not in . in 3.00
Occupant
5) appliance lr?rmit
a .pair of heating,refng.
y.. 6) cooling,absorption unit 6.00
der or camp, eat pump, air con(T.
7) to 3 HP absorp unit to 1 WK BTU 6,00
Boder or comp, heat pump, air Gond.
8) 3.15 HP absorp unit to 500K BTU 11.00
Contractor .; n v oder or comp, eat purnp, air con -
7_C1 L = 9) 1530 HP absorp unit.5.1 mil BTU 15.00
Boder or comp, heat pump, air Gond.
10) 3050 HP absorp unit 1.1.75 mil BTU 22.50
mere y acknowledge at ave readthis application,that the
er or comp, eat pump, air Gond.
information given is correct, that 1 aro the owner or authorized agent 11) > 50 HP absorp unit 1.75 mil BTU 31-50
of the owner,that plans submitted are in compliance with State Air handling unit to 4.50
laws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFM
tha(the number given is correct. (If exempt from State registration, 0 ,an iunit 7.50
please give reason below.) 13) Non p CTTM. —
Non parL3ble
14) evaporate cooler 4.50
-- ent ran connect
15) to a single dud 3.00
Venulation system not
�. ) (`'f A( , 'U ��;�4 i 16) included in appliance permit 4.50
jod sery y
1 T) mechaniail exhaust _ 4.50
Describe,,work naw ddrtion alteration _) repair ommermal or rndustnal
to be done residential non-residential Q 18) type incinerator 90.1x)
er t.e.,woo stave,water
Existing use o 4.50
building or property — r 19) heater,solar,clothes dryers,etc..
20) Gas piping one to four outlets �t 2.v0 C)
Proposed use Of —"
building or property — _----
21) hlore u,W,+p?r outlet -
Type of fuel -all 0 natural gas P LPG 0 ela,tic Q
NO IC
Minimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 59;SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 259E OF SUBTOTAL _
mFTER WORK IS COMMENCED.
TOTAL
Spacial Conditions �� �_��`'�-c.••x-x.. �---C'A f t t�-'✓
-k J'(-\.C4 L� Date issuedAL
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