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i:Uecords\microtlm\targetv\l)uildirig.doc
CIT7 OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Frain Drain Cover/ServiceI! i L:: _
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing e. .
Plbg.Und/Flr/Slab Pibg.Top Out Insulation -Elect.
Post/Beam Stru..i�Mecch. Rough-
- � Gyp. Bd. -Bldg.
San. Sewer Cas Ling Appr/Sdwlk Reins.
Other:
Date: 1DJ%� _ A.M. ---P.M,/Entry:
Address: r 4vr
tenant: _ Ste: MST:
BUP: -
Con/Own: _ MEC:
PLM:
ELC:
THEFOLLOWING CORRECTIONS ARE REQUIRED: ELR: _
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Inspector: Date:, ✓
COVED DISAPPROVED/CALL FOR REINSP CF CO
CITY OF TIGARD BUILDING INSPECJ1014i'i9�ICl� i
Inspection Line: 639-4175 Business one: 639-4171
Footing 'lain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear!Sheath Framing ME
Plbg.Und/Flr/Slab Plbg,Top Out Insulation -Elect.
Post/Beam Struct.` AZiL�R�IR�j Gyp. Bd. -Bldg,
San. Sewer asline Appr/Sdwik Reins.
Other:1-444.4
✓��A��l E S
a e: .,—/,a - je A.M. �P.M Entry:
Address: ZZ Z �U 9Zy 7 r0_ �t-c
Tenant: Ste• _ MST: _
Con/Own: ZMEC
_ 104-4)
W M PLM: _
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
CIS
LL
irA
Inspector: Date:
�APPrOVEr) _DI VEDICALL FOR R SP, CF CO
CITY OF TIGARD MECHANICAL
I=,E Rin 1 T
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . MEi✓96-k'I ;.e�4
CI(-aTL ISSUED: 09f24!96
13125 SW Hell Blvd.Tigard,Or*pon 97223.8199 (503)839-4171
PARCEL: 1 S 136CA--0091111
SITE ADDREri:i_D. . . . 111 :3111 SW '78TH AI-L
SUBDIVISION. . . . : ZONING: R-.4. 5
BL.00K. . . . . . . . . . . LOT. . . . . . . . . . . . . .
CLASS OF WORK. FLOOR f=URN. LVAP COOLERS: 0
TYPE OF USE. . . . :5F UNITHEATERS, : VENT FANS. . . -. Ir
0CCUP,PNCY GRP. . R3 VENTS W/O PiPPL : 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 POILERS/COMPRESSORS HOODS. . . . . . . .. 0
FUEL. l`Y1='E5_.._.__._____.____._. 0-3 NIS. . . . : 0 DOMES. INC"IN: 0
:/GAS! / / 3-15 HP. . . . : 111 COMML. 1 NC I N: 0
MAX. I NI='UT- 0 BTU 15-:3 ) 11C=°. . . . : � REC=-1 I R UNI"f"��: IZ�
FIRE DAMPE:t<0?. . : :30-•50 HP. . . . : 0 W0.)DSTOVES. . : 0
GAS PRESSURE. . . : :5121+- HP. . . . : 111 CL;) DRYERS. . VI
NO. OF UN I'Ts------------ AIR HANDLING UNITS OTHL R UNITS. : 0
TURN ( 1OOK BTU: 1 0= 100111111 rfm : 0 GAS CUTLE=TS. : I
FURN ) =1OOK BTU: 0 > 10000 cfm : 0
Rema1^ks : ITnstallintl tams fi.(r^nac--e
Owner: -__r._ __.__-_..__.._.__. ._____._._____.__..___________.__ _ ______ FEES
EUGENE SLOAN type a.m(ai.mt toy date recpt
1119111 SW 76TH AVC" PRMT $ 5. 0111 El 09/c"4/96 96--26429
5PCT $ 15 Ia 09/24/96 96--28429..:;
TIGARD OR 972E:3
P'1-1ane #: L-,39-4141
calitr^�actar.: -_..._._.__.__....._.._._._._.-__._._..___...._....._._.__ _._..._.
OWNER
Phone #: 91 26. 25 TOTAL
Rep #. . . 13125
---- - REQUIRED INSPECTIONS
- -- --_This oersit is issued sutJect to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mec-h an i t-a 1 Inc,F1 __ --------
applicable 13ws, all work will be done in accordance with Final Irv9pPction
approved clans. This persit will expire if work is not started
within 180 days of issuance, or if work is suspended for sore
than 180 days.
1— ID e v-m i t t e e
�; Lail for ins:per_tion - 639--4175
J I Y Lit' 'I I WARUP PPC* P 1 111' PI YPII-N I RP(A- I P"T Nt j. a 9l
C'Hl-A','K McK-IN
WMA "bH AMOUN I a W. +A VI
111'.10 ;.,w I H P14YMUNt 11141t. o
I !tai%l I. { it tit
PLJf. '1.V-il- (if; Pf i'vi'll N I OM(WINI P(All) PURPOSI. 0V I'llYlvik-NI I P
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10[01- A1401141
Plan Check k
:ITY OF TIGARD Mechanical Permit Application Recd By B IW
3125 SW HAIL BLVD. Commercial and Residential DateRec'd 'I-zN- l•
IGARD, OR 97223 Date to P E.
503) 639-4171, x304 Date to DST
Print or Type Permit#
Called
Incomplete or illegible applications will not be accepted _
Name of Dauea menvProlect Description
— Table to Mechanical Code CITY PRICE AMT
iJob Street Address Sudea A) Pere it Fee G- C 10.00
Address
Bidgis Cdyrstate Zip B) Supplem r)tal Permit 3.00
Name for name of buss esa 1 ) Furnace to 100.000 BTU 600
Owns- incl.ducts&vents /
Mailing Address 2.) Furnace 100.000 BTU+ 750
/ G) SCJ 7� incl.ducts&vents
CryfStats Zip Phone 3.) Floor Furnace 6.00
_ r r �/ S J incl.vent _
Name tow name of business) 4.) Suspended heater,wall heater 6.00
`�4/"t7 or floor mounted heater
Occupant Mailing Address 5.) Vent not incl.in 3.00
appliance permit
City/State Zip Phone 6.) Boller or comp,heat pump,air Gond. 6.00
to 3 HP;absorp unit to 100K BTU
Name 7) Boller or comp,heat pump,air Gond 11.00
(� f s 3-15 HP;absorp unit to 500K BTU
Contractor Mailing Address 8) Boder or comp,heat pump,air cond 15.00
15-30 HP.absorp unit.5-1 mil BTU
Attach copy of Cityfstate Zip Phone 9.) Boiler or comp,heat pump,air cond. 22.50
Current Licenses 30.50 HP,absorp unit 1-1.75 mil BTU
Oregon Const Coni.Board L c s Exp Data 10! Boder or comp,heat pump,air cond. 37.50
_ >50 HP;absorp unit 1 75 and BTU
COT Business Tax or Metro p Exp.Date 11.) Air handling unit to 4.50
_ 10.000 CFM _
Arch!tect Name 12.) Air handling unit 7.50
10.000 CTM+
or Mailing Address 13) Non portable 450
evaporate cooler
�Engineer Cryfstaie Zip Phone 14) Vent fan connected 300
�` _ to a single duct
Describe work New O Addition O Alteration O Repair O 15) Ventilation system not 450
to be done Residential,@ Non-residential O included In appliance permit
Additional Description of work 16) Hood served by mechanical exhaust 450
17) Dom—
est.::ncinerators 750
Existing use of 18) Commercicl or industnaltype 3000
budding or property Incinerator
19 1 Repair units 450
Proposed use of 20) Woodstove 4.50
budding or property
�i 21) Clothes drye(,etc �..r_ 4 50
v~. I Type of fuel-oil O natural gas er LPG O electric O 22) Other units l 450
.~ I I hereby acknowledge that I have read this application,that the 23) Gas piping one to four outlets 2.00
– information given is correct.that I am the owner or authorized agent of
cc I the owner,that plans submitted ar in mpliance with Oregon State 24) More than 4-per outlet (each) 50
" laws.
re.,ofbwner/Agenic) Date aTY.SUBTOTAL
'SUBTOTAL
Contact Person Name Phone 5%SURCHARGE
PLAN REVIEW 25%OF SUBTOTAL _
TOTAL
AstVnechpmt.doc (rev 7196) 'Minimum permit fee is S25 4 511.surcharge