9075 SW 69TH AVENUE ADDRESS:
907.5 S UP.-
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INSPECTION NOTICE
City of Tigard Building Department
13125 Sw Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 4175 Busineaa Phone: 639-417
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Inspection: 1n ex L �'�. C.. Ck 1
Footing Plbg. Underalab Koch. Rough-in Appr/3dwlk
Found. Plbg. Top Out Cas Line FINAL:
Poet/Ream Struct. San. Sewer Fram' •g -Bldg.
Post/Beam Mech. Rain Drain insulation -Plumb.
Plbg. U:.derfloor Water Line Gyp. Bd. -Meeh.
Date Requested! I (� Timet PM
Address iD J __ permit i. CA'-l�Ol 64
E`-w• D [t 1 C't1 r
Builder:_ _ — —
THE FOLLOWING CORRECT1109 ARE REQUIREDS
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Inspector:
AppRpV>Z•p DISAPPROVEU API,ROVED SURJSCT TO ABOVE
Call For Reinsp.
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MECHANICAL %,
CITY OF TIGARD PERMIT
COMMUNITY DEVELOPMENT Dy Rll T PERMIT #. . . . . . . : MEC94--rh164
- BATE ISSUED: 06/�'�/94
13125 SW Hall Blvd.Tipeid,Oregon 97223-f31 , 0j
1 03)1;: 71
PARCEL.- 1 S 125IiA-061 17-10
EITE ADDRESS. . . : 09075 SW 69TH AVE
SUBDIVISION. . . . : KINGS VIEW ZONING: R-4. 5
BLOCK. . . . . . . . . . : LOT'. . :712
CLASS OF WORT;. . :ADD I_tll]R TURN. . . . : EVP0 COOLERS:
TYPE OF 'JSE. . . . :SF UNIT HEATERS. . : VENT FANS. . . .
OCCUPAI CY GRP. . :R3 VErITS W/O ADPL: VENT SYSTEMS:
STORIES. . . . . . . : 1 BOILERS/COMPRESSORS ''SUDS. . . . . . . :
FUEL TYPES---------- -- 0-3 HFA. . . : 1 DOMES. INC:IN:
: /GAS/ELE/ / 3-15 HP. . . . : COMML. INCIN:
MAX INPUT: BTU 15-30 HP. . . . - REPAIR UNITS.
FIRE DAMPERS?. . : 32)-50 HP. . . . : WOODSTOVES. . :
GiaS PIRESSURE. . . . 50+ HP. . . . . CLO DRYERS. . .-
NO.
RYERS. . .NO. OF UNITS---------- AIR HANDLING UNITS OTHER UNITS. :
FURN ( 1O0K BTU: 1 <= 10000 cfm : GAS OUTLETS. : 1
FURN ) =1O0K BTU: ) 10000 cfm :
Remarl<s : FURNANCE AND AIR CONDITIONER
Owner --•----------------- FEES ---------------
ROBIN SNOW type amount by date r•ecpt
9075 SW 69TH PRMT f 25. 00 SW 06/22/94 —
PLCK $ 6. 25 SW 06/22/94
TIGARD OR 97223 'JPCT S 1. 25 SW 06/22/94 —
Phone #: 245-6239
Con teactor: --------------------------------
(,TEMP
---_._.--._____________________(, TEMP HEATING & COOLING, INC
16000 SE EVELYN ST
CLACKAMAS OR 4'7015 ----------------------------------_.--
Phone #: 650-5014 t 32. 50 TOTAL
Keg #. . : 71878
------- REOUIRE.D INSPECTIONS ----This permit is issued subject to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp
applicable laws. All work will be done in accordance with Final Inspection
approved plans. This permit will expire if -ork is not started _
within 108 days of issuance, or if work is suspended for more _
than 108 days.
Permittee Signature !
I s s i_t e d By :
Call for inspection — 639-4175
i
City of Tigard MECHANICAL PERMIT PlanclwRec. # _
13125 SW Hall Blvd. APPLICA i ION Permit #
Tigard, OR 97223
(503) 639-4171
oncdpfion
Table 3A Modwinic al Code (TTY PRICE AMT
Job I�J S.W. ( 4, � 1) Permh Fee -0- -0- 10.00
Addre^.S w _ --
2) Supplemental Permit 3.00
-
')' umace to BTU
�'�i - (p 1) incl.duds a vents i 6.00
rumace 1w.
Ownur ( U` �� Ju �`l� 2) Ind duds a vents 7.50
Ap D/ Rn umance
, a,)3 3) incl.vont 6.00
spe atm.wall .nator
4) or floor mounted hoatnr 6.00
VOW nmt Ind.in
Ou.t t�p�<'til 1 C CAI) q41-- 5) apprianon pemih 3.00
AP epau o loafing,re ng.
' 3 6) cooling.absorption unit j 6.00
Boiler ci comp, .at pump,vie coro—
, LQ�2 Float i m G rM1l. 7) to 3 IIP absorp unit to 100K,9TU 6.00
" '•• Boiler or comp. mt primp,air cond.
16(X)O SE Evelyn Sti,-eet 8) 3.15 IIP absap unit co 500K BTU 11.00
Contric Tr ; — -- o Boiler or comp.ljoat plumR air co
k77118
aC�H ()R97015 9) 1530 IIP absrxp unit.5-1 ml BTU 15.00
=--—"' -- w&.� i nr rx comp, at pump,air cow-
78 10) 30 50 IIP absorp unit 1-1.75 ml BTU 22.50
I-fw yre ac r,ow► rat have roe us application, t ie— -- Boiler or comp,liont pump,air cond.
Inlorrnation given Is corn",that I am due owner ra audiod7ed ngnnt 11) >50 lip absorp unit 1.75 mil BTU 31.50
of the owrtor,that plaiis submitted am in compliance wide State r ;;g ti rt to
laws,that I nm registered with die C-7nstruction Contrnceor's Baud, 12) 10,000 CFM 4.50
Ilial the numbcf given Is correct. (If exempt from State registration, it hand1ing uWt —
please give mason below.) 13) 10,000 CTM+ 7.50
--oionn porta Tri
14) evnporalo cooler 4.50
-� Vent fan connec .
15) to a single cud _ 3.00
/ enfilation systern not
( 2 L 16) included in appliance permit 4,50
� w O SMVC
17) niedianical exhaust 4.50
srn woe - n hien Q a teration ip mpaW Q commircLil or kxlustlial
to be don" resi,krntial 9) nen-residential O IP) type fndncr lieu 30.00
ws�ti v use ul Oil) swa,wator T
,'44"ng or pmjxotr Qz�fl rLa- a 19) ',ieater,solar,dollies dryers,etc. 4.50
1'rop>osed use of 20) Gas piping one to low midels I 2.00
buildiiug or property
t 21) More than 4 per outlet
Two of hint - of Q natu-A gas LPG Q electric
N —
1- NOTICE --` —
PERMITS BECOME VOID IF WORK OR CONSTRUCTIONMinimum Fee$25.00 SUBTOTAL
1.w AUTHORIZED IS NOT COMMENCED WITIIIN 180 DAYS,OR SX oVRCITAAGE I .�`
LL IF CONSTRUCTION OR WORK IS SUSPENDED On
18ANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 2S%OF 308TOTAL (y 1
AFTER WORK 1S COMMENCED.
Spa .?J Conditions TOTAL
Date issued by
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