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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 C-21w_�1_1
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. ect.
Date Requested:_ S -/7- 9 �� Time: AM PM
Address:
Builder: cas�t�»x%iaPermit #:�Cc
THE FOLLOWING CORRECTIONS ARE REQUIRED:
LL C,;[_ r'ux".11 Ale 723rD
_ 4J�S�-/r u•�i Zi►�.� �c�u r�rY i T/�[=-i-� Fi�,�/�L c.�'i�
Inspector: Date: S= 7—»—
Z--
,APPROVED _DISAPPROVED `APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
LoITY QF TIGARD
;
COMMUNITY DFVELOPMEN"I UE;'A.rITMENT
13125 SW Hall Blvd.T,,prd,Oregon 07293.81 DO (503)839.4171
'BDI V I OION. .
_PV)S Or WOfRHt. . ALT FLOOR r'i.lRN. . . .
='PE: OF USE. . . . :OF UNIT 111-t"-ITEPCd. , . JCtJT. FPNO.
"CUP(INCY CIPP. . :r37 'Jc•n-S w/-r-) r•,"-n...: JFK"t" ",-1 TF[V
CIRIEr. . . . . . . . : :
70 1 LEf? C 0 M PRCS010R17,. HOODS. . . .
lCL. T', . CO IP. . .• . I 1 ECtrfr '", zt;
/Gns/ ! i 3 15 I r'. . , . : COMML. INCH . .
)X Ii•F'. ; . flT[' .'. °•4 Iii. . . . orf rlIr 111iC F'
RE. DAMPER 7. , ,4'I-•5r�1 H". . . . WC ODSTCt,'E[3, . .
-ice Ftc.:' l.Jr?r , , . a 50+ i 1r- x CLCJ OnYE.Rc. .
Cl. OF UNIT: _._.-.---- AIR HANVLING UN OTHE r UNITcj.
10000 r•ftn : "`W CJLJ'1'LlCT :,
JRN -1000 PTL): ) 10001E1 tc Fm:
11tCr^ _.. .. ........ . ._.... .- _ . _ . .._ __. . ...._. »..._.. FEES
:"'NIC h'ITHr.•t L, ciatc
`45 aW ROYALTY I"G1 FtN.GJP r`r' P R M T x::'5. 00 n IZ►% /2f—�
iPC:T 1 1.. C 5 E'. Irl i
-le! #:
ntr'�lCtur : _... _ . .. _._ _.........
JRT)!W EST Z rMNE PC I c;t. I Irr,T 11',F"
-' nOX 574
LHtflMf)O
CR 9 r 1115 _...._
�nnr: ff'i I -C-. S TOO'r-).,
eg 59375
RE-,GL1IQEIl .TNSPECTIONC;
.s per ;it it iss.led su,rject to the -%.rlatians cootaired in the F"iuleAI 1IIV�E: cc'tiult __._.. ...._._.__. ..
;ard knicipai Code, Mate of 6.e. Rpecialty Codes are, all other
.Plicabin laws, All W4T`K pill he ►+one in accm dance with
proved rlans, This persit will expire if word ii nct starteE`.'
.thin '.88 days of issuance, or if wv4 is suspended 'or yore
°^ days.
,..a a a. ., r'• ii ;(- .,..,
1 c►��vu�c MAJ,& a-V� _ _
City 6 Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION Permit #
Tigard, OR 97223
(503) 639 4171
Table 3A Mechanical Code QTY PRICE AMT__
Job �� 1) Permit Fee o -o- 10.(Y)
Address
2) Supplemental Permit 3.00
Furnace to T(X),U /
1) incl. ducts b vents / 6.00
�v ••• Furnace MUM BTU+-`
Owner 2) incl. ducts d vents 7.50
Floor Furnance
3) incl, vent 6.00
5Sspenrer, wa)ffiaatar` -
4) or floor mounted'ieater 6.00
••+ en not incl. in
Occupant 5) appliance permit 3.00
Repair of r9 ng.
6) cooling, absorption unit 6,00
oo-or comp, tea purnp,air co
7) to 3 HP;atsorp unit to 1d0K BTU 1 6.00
�/ Ter
or or comp,heat pump, air cond.
Contractor STa 8) 3-15 HP;absorp unit to 500K BTU 11.00
i
--Erol er or comp,heat pump, air 66nd.
91 15-30 HP;absorp unit 5-1 roil BTU 15.00
• -tiT i er or comp, eat pump,air cond.
7 ti 10) 30-50 HP;absorp unit 1-1 75 mil BTU 22.50
-i--c ow go a have tea rs application a e er or comp, ea pump, air con
information given is correct,that I am the owner or authorized agent 11) > 50 HP,absorp unit 1.75 mil BTU 37.50
n(thn nwn ,r,that plans submitted are in compliance with State Air handling— unit to
I laws that'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, an�C ing unit
please give reason below.) 13) 10,000 CTM+ 750
Non porta e
14) evaporate cooler 4.50
Vent ran c--onn— eeTHd
� -,- 15) to a singie duct 3.00
Ventilation system not
16) included in appliance permit 4.50
-- Rood served by
r i' � yam` 17) mechanical exhaust 4.50
escn o now a itron alloratio pair Commercialor industrial
to be done residential-non-residential O _ 18) 'ype incinerator 30.00`
xis use'T—'- ler—10.,woc sfove,wafer
building or prop"_ 19) heater solar,clothes dryers,etc. 4.50
P -)posed use of 20) Gas piping one to fwr outlets 2.00
tJuiloing or property ^-
Type of fue: -oil O natural gas LPG C) eloctric v 21) Mora than 4-per outlet — -
NOTICF
Minimum Foe$25.00 SUBTOTAL
PERMITS BEGOOE VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE,
IF CONSTRUCTION CR WORK IS SUSPENDED OR - --
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED. -
TOTAL ,?(�
Special Condifirns _
Date issued I/ by _.L. —0011'E'
�.M�rMr
r I [Y OF T r.Gf+I PF GV I P r W rlr.IYMF.Nll R ET,F. I P T NCI. 9 J'i,4 F.4 2
CHF.CV, PMOUNT 2 i-:6. 4,5
NAME NORTHWKT COMMERCIAL- f'083H AMf)UNT 9 0. 00.
A D D R F S03 a HFACTNG & AIR CON1)ITION114% PHYMENT 14ITF - (44 v-'6/915
P'n BOX 574 �.30 A D I Y 7,ON
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N .5 --
. -t4rj,,�IMPf , CIP 9 7 91 C
PUfW0Slr. OF PAYMENT i-)MOlfNT P011) PURPJ-)SF. OV "AYMCINT' fiMCII-INT rltlll�
FT. BUILD Pt R
tJ44N CP 00
t5545 SoW RnYAL.TY PAUZII:WAY
lj(.)*1(4t.- AMOUNT PAYD 26. R5,