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5 I I
INSPECTION NOTICE
City of Tigard Building Departarnt
13125 SW Ball Blvd. Tigard. Oregon 97223
Inspection
�Line
,S(Rec-O-Phone): 639-4175 Business PP-hone: 639-4171
Inspection; �LY-_�+-/rC p/� rt' — K!4_TY. Z - -i<
Footing Plbg. Onderelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out G�Ln FIMAL:
Poet/Beam Struct. San. Sewer F. ming -Bldg.
Poet/Beam Rech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line q Gyp. Bd. Mech.
Date Requested:_ � - / L� Time: �_AM PM
Address: /QLD L�V Com' / Pskmmit/ x
1 !/Y, ���
Builders //, G_ /� P / P C' /� 6 �7 a 7 ��
TBE VCI.0 WIMG CORRECTIONS ARE REQUIRED.*
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Inspector:, _ _ _ Date I— 2
y APPROVRD DISAPPROV'dD APPROVED SUBJErT TO ABOVE
—Call For Reinap.
MECHANICP1-
C11Y OF TIGARD PERMIT
COMMUNITY DEVELOPMENT CEPARTMENT PERMTT #. . ... . . . ! MEC94-12116i'
13125 SW Hall Blvd.Tigard,Oregon 97223o8199 (503)639-4171 DATE ISSUED: OG'120104
PARCEL: 1S12'5VA-06710121
51 'E A 0 D R F'S S. 0()6 0 51 'SW C,1)T 1-I A V E
S
,-)'.'Sr,'VTSTr3N,, KINGS VIEW ZONING,. P-4. 5
. . . . . . . . LOT. . . . . . . . . . . . . .53
..........
r, WrIRK—, -ADD FLOOR FURN— EVPP COOI.,FRc;-
TYCIE- OF USE. -SF UNTT ,'EATERS. P1, VENT F--ANS.
R3 VENTS W/O APPI--, VENIT SYSTEMS:
SOILCRS/COMPRECSORS HOODS. . . . . . . :
FUEL._ TYPES- 0 -3 HP. . . . DOMES. INCIN:
; /GAS/ 3-15 Hp. . . . .' COMML. INCTN:
;MAX INPUT!., LITU 15-30 1 4P. . . . REPAIR UNITS:
DAMPERS% . 30- "tfO HP. . . WOOT)qTOVFS. . -
r 5(A+ HIP. . . . . CLO DPYFRr--. . -
NO. OF AIR HANDLING LJN I TS OTHER LIN ITS. : 1
rIURN' ( 1001-4 BTU. i= 10000 cI'm : GAS OLITLET"3.
S'U: I 0001ZI C fin -
COC BURNTNO -InEr'LncE, AND WATER HEATER
FEES
1-10ENIE-IR type i.-A in a I.t n t by (I at e 1-ecpt
5. SW 69TH -)VE PRMT $ 25. 00 JQ /7,0/94 -
5Pr�T $ 1.. '25 JCS L716/P12711/44 —
OR 971=.2:�-0911710
MECHANICAL
1:' OW rIVIE
-7n'..". ",TON On 97007
It : 'L,42 -447B t 2`6 Lr) T 13 T A L
g 01. . k 0,9114
Pr7QUIRCD TNSrECTIONIS
71i's pe-wit is issued subject to the regulations ccntained in the Gas i. inp !"Sp
Ti;ard 10,.-iicipal r2de, State of Ill.e, Soorialty Codes one all other Mechanical Insp
applicabli laws. All work will be done in accordancz with rinal ITI'.pectiur:
ii:p-ovee plans, This perxit will expire if work is not started
within 1P# days of issu@"470' or if work i� suspended for sore
t-n :Be days.
Cz
E C r4 t I At i
C) Cal I -inspect ion 639--4175
CizyrTi yard y oMECHANICAL PERMIT Planck/Rec. #
g APPLICATION Permit # ---
13125 SW Hall Blvd. �
Tigard, OR 97223
(503) 639-4171
_ escnption QTY PRICE AMT
--rr—
Table 3A Mechanical Code
10.00
Job d 5 S 0-� 1) Permit FE-e
---"-To- 3.00
Address 2) Supplemental Permit
r ornate to � 600
1) inti. ducts &vents _ �
C4- P.H£r urnace + 7.50
2) incl. ducts &vents
Owner Dor urnance 6
.00
3) incl. vent I
uspen a Ea er, wa ne
6.00
4) or floor mounted heater
_---------rent no int. rn
e 3.00 1
5) appliance permit
Occupant
..
----�. - eparr o, eating, re rig. 600
6) cooling, absorption unit _
-- of er or coin�t Purnp, air con .
_ 6.00
/'_ 7) to 3 HP; absorp unit to TOOK BTU _
�/��—
Boder or comp. eat pump, air con
.�9 G .'•4z! 11.00 --
7 S s4 J / G g) 3-15 HP; absorp u.�it to 50uK BTU
Contractor /, . of er or comp, eat pump, a r con _15 00
g)_ 15-30 HP, absorp unit m mil BTU
or er or comp, eat pump, air con 22.50
ix •(Nb.Jy _
10) 30-50 or absorp unit Pump,
mil n
(p BTU
Drier or comp, eat pump, air cone- 37 50
ereby acxnowkec ge t i,t TTiav- rea tis apP a atron. t at f e 11) > 50 HF; absorp unit 1,75 mil BTU
information given is coo pct, that I am the owner or authorized ,r an my unit to
agent of the owns;, that plens submitted are in compliance with 12) 10,000 CFM 4.50
State laws, that I am registered with the Construction Contractor's
Board, that the number given is correct (If exempt frorn Stale it an in unr 7.50
000 CTM +
registration, please give reason below) -__ 13) 10, CTM
14) evaporate cooler —
en an connects 3.00
to a single duct _
entia ion sistem nom- 4
-���` s 16) included in appliance permit -
-- o served uy 4 i
,rv�• �^^a 50
w'-' - - �Qc_� 17) mechanical exhaust _
— ommercra or in ustna
n a terahon repair 30.00
stn wor-{c new a ruo 18) type incinerator
to be done residential non-residential 0
t er r e., w s ove, wa er 4
rs .50
rng rse o 19) heater, solar, elclhPs dryers, rte.
building or property — - 2
20) Gas piping one to four outlets
Proposed use o .00
f —-
buib:aig or property -- 21) More than 4-per ordlet -
~ natural gas LPG O electric O
un I" fuel -oil O
F — Minimum Fee $25.00 SUBTOTAL
J
no PERMITS BECOMI=VOID IF WORK OR CONSTRUCTION 5%SURCHARGE —
�^ AUTNORI7_ED IS NOT COMMENCED V41THIN 180 DAYS,OR
IF CONSTRUCTICA OR 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 Conditions Date issued --- —by—