10969 SW CHATEAU LANE ADDRESS:
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i:\records\microflm\targets\building.doc
I ff"MTION NUM
Citi Of Tigard Building Department
13125 Sw Ball blvd. Tigard, Oregon g72
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Inspection Lino (Rac-O-Phone): 639-4175 Burins• Phones 639-4171
Inapections_ t ` O YIN
Footing Plbq. Underslab Mesh. Rough-in Appr/3dwr1k
Pound. Plbg. Top Out Can Line FINALS l
Post/Beam Utruct. San. sewer Framing -Bldg.
Poet/Beam Kech• Rain Drain Insulation -PLUAb.
Plbq, Underfloor Mater Lim Gyp. Rd. -Beoh.
Data RoWesteat.,,r,
--6+�_ Timet 11N ...M
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Addr•rrs
[�'� Permit f
Builders � � � �+1(��� T.xQ Q
TRR FOLLOWING CORRECTIONS ARE REQUIREDs
Ste A:;, k w fir r,
Inep•ctort 4=(� _�_
Dates _ ,__
-APPROVED DISAPPRovnD APPROVED SUBJECT
TOl1�
_ _Call For Reinap.
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT '�gym' It'
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)639-4171
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iX INPUT't 84 4F..PE4IR uNX i .:
del. 50 HP, . , , -AIL-A+:L1 UVL-3. c
i� Lj� 1.NI1 1 ••,: F�:12 I{f+iVta. l� 3 'JI Ila. L "Hl±li !aili Mi:i�
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.miy— KfiViu1t° i;yl... t by 41ettu
;.w (;i'114rL4 LEv P5. 110 j'H 0611 'i;' ;.
SL !'PUP AVE
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i5 peroit is i5srle1 subject tc thl reyuiationil contaltpd in the ,. .rim l <ra._ei'L i un
iWd Muhteipai Code, State of (h#r Specialty Cuts _•n ali uther-
iiC8�1@ Ini95. nil'',�1►Grl+ will ue ditkt it accordance w;;;;
+,:.ironed plans. Thit; persit w i ewpirt if 4drs it not started
khin )61! days of is9,jance1 or it woril is susundl'd,.f9! fort
in ld;e cars.
rail fcir^ iriE, i t_tior1 _ 63�o 41*7w% '�
City of Tigard MECHANICAL PERMIT Planck/Rec. # _
13125 SWC hall Blvd. AF PLICATION Permit # _
PO Box 2.3397
Tigard, OR 97223
(503) 639-4171
Description
Table 3A Mechanical Cou, CITY PRICE AMT
Job y _ � 4„� 1) Permit Fee 0 -0 10.00
Addresr .r
2) Supplemental Permit 3.OJ
.»«�.•. T— umace to�T0G,000 BTC
1) incl.ducats&vents _ 6.00.
icmacp 100,000 BTU a
Owner l7 ti � �k'-�� ,\ 2) incl.ducts&vents 7.50
oorFumance —
• 3) incl.vent 6.00
» uspen eater,— wall hater
4) or floor mounted heater 0
«• �- 10^' eat not incl.in ^6.0
OCCUPG 1t 5) appliance permit 3.00
6) cooling,absorption unit 6.00
R: •i pr or comp, eat pump,air cow— I
7) to 3 HP absorp unit to ;OOK BTU 6.00 c"
M.ftV «• � ^^• Boiler or comp,Real,,um-p,air con .
Contractor ,r� •f,-` e•x r. 8) 3.15 HP absorp unit to 500K BTU 11.00
w •�• Boiler or comp, heat pump,air cond.
rea1-W- _— 9) 15-30 HP absorp unit 5-1 mil BTU 15.00
.r. r Boiler or comp, heat pump,air cond.
10) 30 50 HP absorp unit 1-1.75 mil BTU 22.50
hereby a:imowletdge that I have readis rapplication,th t e Boiler or camp,heat pump,air co .
information given is correct,that I am the owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 31.50
of uie owner,that plant submittt I are in compliance with StateAir handling han ing unit to
laws,that I am registered with Cxs Construction Contractor's Board, 10,000 CFM 4.50
that the numbor given is correct. (If pm
x(, pt from State registration, -12)--- it handling unit
please give reason below.) 13) 10,0.10 CTM 7.50
on porta a -�
14) evaporate cooler 4.50
Vent anconnoct�
15) to a sing;?duct 3.00 _
— —` 0noon system not
16))iincluded' npp:ianue permit 4.50 —
•fM'Iw Vti \Y Hood$yry--�
17) mechanical exhaust 4.50
Describe work new T addition a lefation - rap-air ,ommerc a or industna _
to be done residential®' non-residential O 18) type incinerator 30.00
_xis ng use o �— Other i.e.,woodstovo,water _
building or property 19) heater,solar,clothes dryers,etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
btu lcling or Property -------
21) More than 4-per outset
Type of heel -oil n natural gas n LPG O elocirk 0
Minimum Fee$25.00 3UBTOTAL Uu
PERMITS BECOME VOID IF WORT.Of;CONSTRUCTION _
AUTHORIZED IS NOT COMMENC:D WITHIN 190 DAYS,OR 5%SURCHARGE /•L`
IF CONSTRUCTION OR WORK 15 SUSPENDED OR —
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIMF PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED. - -
TOTAL
Special Conditions ��---_.---� — —
Date Issued—� by
nn�oaHrMr
Y«III�IIA\Y
UTTY nF TIGARD — RECE.PT OF' PAYMENT RECEIPT NO. %93-.24 1305
CHECK AMOUNT 26.
AME BELL HEAT1114G CASH AMOUNT 0. 00
])DRESS s 15550 SE* PIAllA AVE PAYMENT DATE a 06 15)
3USDIV791ON
CLACKAMnS, CR
URPOSF OF PAYMENT AMOUNT PP. D PURPOSE OF PAYMENT AMOUNT PAID
ECHANICAL PE 85. 00 ',-T. BUILD PER 1. 25
10969 SW CHATEAU L.N
101ALAMOUNT PAID r26. 2 5