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CITY OF TIGARD BUILDING.INSPECTIONT639-4171
ICE
Inspection Line: 639-4175 Business Phone:
Footing Rain Drain Cover/Serv!co FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing ech
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct. K ef �,Gyp. Bd. -Bldg.
San. Sewer Gas Line A'p�pr/Sdw!k Roins.
Other: /,I.
Date: A.M. __C RM._—.— Entry:
Address:
Tenant: Ste:____ MST: —_
BUP:
Con/owrp '��.� a - O'] O O p M:
ELC: --_--..
THE FOI LOWING CORRECTIONS ARE REQUIRED: ELi-1:
d -t
Insp. for _� _ __ __ Date: _
PPROVED DISAPPROVED/CALL FOR REINSP. CF CO
CITY OF TIGARD
'COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223.9199 (503)039-4171
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CitV of 1 Lgard MECHANICAL PERMIT Planck/Rec. ;
13125 SW Hall Blvd. PPLICATION Permit #
Tigara, OR 97223
(503) 639-4171
- ---- �• tom.«— escnption — --_- -
r \0 &I S Table 3A Mechanical C -j QTY PRICE ..SAT
•«
J0t7 I �(U 5i� �p(D 1) Permit Fee -0- -0- 10.00
Addr-.st , 9
k-�il 2) Supplemental Permit 3.00
umace to 100,000 BTU
1) ind.duds 8 vents 6.00 -
��A"-. _ umace 100,000- BT + -
Owner 't';0-4'y-L'q Q�� -) 2) ind.duds 8 vents 7.50
••• `r' yFloor umance
3) incl.vent 6.00
•^ ^r^• a••••••i Suspe .water,wall heater
4) or floor mounted heater 6.00
w ••• Vent not inci.in
Occupant - 5) appliance permi' 3.00
W-d•• Hepair of heats ig,rehig:
b � 6) cooling,abso%bon unit _ 6.00
- cc i er or comp, meat pump,air con .
a0p 3 ��0 7) to 3 HP absorp unit to 100K BTU 6.00
�•v�••••
I— Boder or corn f,heat pump,air Gond.
0 8) 3-15 HP alxorp unit to!TOOK BTU 11.00
Contractor �, ,,,, Boiler or comp, at pump,air cond.
r
O a I I 9) 15.30 HP absorp unit.5-1 mil BTU 15.00
ir•v...,r+o der or comp,heat pump,air Gond.
3•-184 10) 3050 HP absorp unit 1-1.75 mil BTU 22.50
TRO-reT—yncknow1511ge thatTF.3ve ead tris app+catic ,•tat the Boiler or comp,heat pump,air cond.
information given is correct,that I am Hie 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
laws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFM l 4.50 ��•50
that the number given is correct (If exempt from Stale registration, Air handlirmj unit -
plea;o givo reason below.) 13) 10,000 CTM 7.50
Nora portable
14) evaporate cooler 4.50
Vent Ian conrvicted
15) to a shngkn dud 3.00
VenblaUon system not
-/ 1G) included in appliance permit 4.50
w- •� - Po servm y
17) mechanical exhaust 4.50
Describe work now - arx1itwn a teratin repair Commeraalor industrial
to be done residential(?-"non-residential 18) type incinerator 30.00
xisting use of Other i.e.,woodstovo,water
building or property 19) heater,s(Aar,clothes dryers,etc. 4.50
Proposed use 20) G is piping one to four outlets 2.00
building or prorx.rty
21) More than 4-per outlet
Type of fuel -cit n natural gas Q LPh
G 0 edric O - -
NOTICE
Minimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID 11:WORK OR CONSTRUCTION C
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE
;r CONSTRUCTION OR WORK IS SUSPENDED OR -
ABAtrDONED FOP A PERIOD OF 180 DAYS Al ANYTIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED. --
TOTAL i .0
Special Conditions
- _- Date issued by -
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