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is\records\micro}lm\targets\building.doc
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a ellNSPECTION NOTICE i
City of Tigard Building Department
13125 SA Ball Blvd- Tigard, Oregon 9
Inspection Line (Rec-O-Phone): 619-4175 Business P nee:/639-4171
Inspection:-- 1 ✓Z ( (D )r—I � -7, C
Footing Plbg. Under.slab Mech. Rough-in Appr/Sdwl.t
Found. Plbg. Top Out Gas Line FINAL:
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Poet/Beam Struct. San. Eewer Framing -Bldg.
Poet/Beam Mech. Rain Dr&Jn Insulation -Plumb. j
Plbg. Underfloor Water Line Gyp. Bd. -Mech. I ,
Date Requested:— Tom: ---_AM
AddresR• -i f /�)��_ Q �7P6rtnft�s C 7 ��aL
Builder-: R��I'� F,/7�.�L L�1" 1� aa)ne-r— (s� �__ _ O `3�C6)
THE FOLLOWING CORRECTIONS ARE REQUIRED: I
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Inspector: , Datet� L7
APPROVED DISAPPROVED _ APPROVED SUBJECT TO ABOVE
Call
For Reinnp.
1 ARIA
CITYOF T G
n�Ra
COMMUNITY DEVELOPMENT DEPARTMENT nenooKe
lain SW Hip Blvd.P.O.Boo 23307,Tvwd,Oregon 0711x1(603)6304176
'ERM! NF1. .
)AT[_. ISSUED
ki�/ci'3i�? 3
SITE ADDRESS. « . : 09856 SW KABLE: ST PARCEL: 2SI 1 ICA_096t70
.;tJ1;D I V I S 1 ON. . . . : TIAM I !'ARK
1LQC.K. . . . . . . . . . I L.OT. . . . . . . . . . . .
CLASS OF WORK. . HDD FLOOR 1='URN. . « a F VAVI COOLERS:
1'YPE UE.• UaG_. . . « I.JNI', HE.ATERS. . : VENT r-ANS.
OCCUPANCY GRP—« s R 3 VENTS W/O APVIL.: VENT SYC,.-"'T'EM:i: w
STORIES. . . . . . . . .. 1 P 0II.._E:RS/GUMPRES G0P5 HOODS DS. . . . « . . . r,
F=UEL i'Yr'E ;i-_...._.__.....__ .»,_ 0-«, I-(1='. . . . : DOMES. INC;IN:
,:s--15 HP. . . . : L:OIYIML. I NL I N:
MAX INPUT: BTU 15-:30 HP. . . . : REPAIR UN I TU:
IRC DAMPERS?. .. 0 IIS~'. « . . : WOODSTOVES. . . /
SAU PRESSURE. . . : `04. HFA. . . . : CLU DRYERS.
NO.
OF 1� ISt� TU:~ -! I''I I1 HANDLING UN I ('S O rl-IE R UNITS. ; �.
i= 10000 cfm: l GAS OUTL.ETS. :
FURN ) =100K 0TU: ) 10000 c:fm: r
Remarks:
Uwriev,i FEES
LE01',10RD c>C;HC::NDLL type amol_knt Uy dote Y Oc pt
91156 iW ,:ABLE i='RMT' $ 25. 00 JH 03/25/93 -
5PC:T $ 1. J 0 3/`25/9Z
T IGARD OR 9 72;i�4
Phror1e
Gantractur,: ,_.._._�._...._.
SIJNrE)ET` FUEL GO a�+
PO BOX 4E,267 Of
PORTLAND OR 97W4w
Ph(jrie 4: :;34-.O&I1, $ 26. r S T.]TAL
Re T #. . : Qle,374
_............._.. REQUIRED TNSPELTIUNv
This permit is issued sutject to the regulations contained in thi final Irrspaect;iarr
Tigard Municipal. Code, State of Ore. specialty Godes and all other
applicable laws. Fill work will be done in accordance with _ _ ..____.._ ____ __w.._.__.....
approsed pians. This permit all expire if work ii not started
within IU days of issuance, )r if work is suspended for ware
than 180 days,
Fler mi.ttee 4'�i�rraatIM-e :r
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ss�.�eci Fly:
Gall for, 139 '4175
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City of Tigard MECHANICAL P ERM I r Planck/Rec. #
13125 sw Hall Blvd. APPLICATION Perm.t #
Tigard, OR 97223
(503) 639-4171 14—.1 -Zescr;pEon_
Table 3A Mechanical Code OTY PRICE AMT
Job •�7� �L j ��Gc G�ee 1) Permit Fee —_ 0- -0 10.00 ,
Address �• �/� _T /
ol► , L 7�c� rf 2) Supplemental Permit 3.00
Furnace to 00,000 BTU 1) incl.ducts 8 vont^ 6.00
Furnace 100,0 Li+ 1
� S�� �bte da- ( 2) incl.ducts R vents 7.50
Owner „ Floor Furnance
,ry u•
T! rel 3) incl. vent 6.00
, ,aaai Suspended eater,wa eater
4) or floor mounted heater 6.00
Vent not incl.in !(
Occupant .aa 5) appliance permit 3.00
Repair of seating,refng.
6) cooling,absorption unit 6.00
rSoifer or comp,heat pump,air con .
7) to° HP absorp unit to 100K BTU 6.00
Toiler or comp, eat pump,air c•c n .
-owit 8) 3 15 HP absorp unit to 500K BTU 11.00
Contractor b,. Ste- o c i ear or comp, seat pump,air cond.
r7L e `,''��0� 9) 15-30 HP ausorp unit.5.1 mil BTU 15.00 -
sb,. •,a,..o"r. !` a�TT.rio _ ierorcomp,heat pump,ai�cond.
10) 30-5.0 HP absorp unit 1-1.75 mil BTU _22.50
! here y acknowledge at Lave rea tis app kation,t iat t o .-.Boller or comp, pump,air con ^_
III Information given Is correct,that I am the owner or aur.torized agent 11) >50 HP absorp unit 1.75 mil BTU 31.50
of the owner,that plans submitted are in compliance with State Air handJrg unit to
laws,tl;at I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50
that the number given is correct. (If exempt from State registration, it an ,,a,wt
please give reason below.) — 13) 10,000 CTM+ 7.50
--f o portriblo ^
14) evaporate cooler 4.50
Vent fan connect
15) to a sinnla dud 100
enb aUor,system nol
16) included in appliance permit 4.50
Hood served by
17) mechanical oyhaust 4.50
e/ wo new a Ilion a teration repair Commercial or in ustna
to a done residential qj non-reside itial Q 18) typo incinerator 3000
xisbng use oOther i.e.,woodstovo,Nvater
building or property —^_ _ 19) heater,solar,clothe-,dryers,etc. 4.50
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 Q natural gas Q LPG Q electric,a
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NOTICE
Minimum Fee$2500 SUBTOTAL q5 Co 4
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIV 180 DAYS,OR -- 5%SURCHARGE �� f
IF CONSTRUCTION On WORK IS SUSPENDED OR
ABANDONED FOR A PFR:OD OF 180 DAYS AT ANY TIME PLAN REVIFW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED. — j
TOTAL
Special Conditions -V-�--�-Y-- I
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Date Issued
U.MEGIPMT
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r=I T'Y OF T I GARD - RE C,E I PT OF PAYMENT RE'CE=1VIT NO. e 93—x,38284
"JAM! �0..1114Sf l" FL-IJFL_ COOMPANY CASH A14OUNT lbo
ADD e PCI BOX 42287 PAl'MF:NIT DATE a X73/ '5/9Z
yURh'I V I S I ON e
PORTLAND, OR 97242-0,287
F URPOSE. OF P0YMF NT 61MC)L.INT F'Fl I r PI IRG(,)E~E�.�. Or PAYMENT AMMIN'P' Pn C D I �
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iY F' 25. 00 ST. BUILD PER 1.. :e.'S, i
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7856 sw KAE'JI.....E
r oTPL.. 1"MOUNT PAID 1?131
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