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INSPECTION NOTICE gyp\
City of Tigard Building Departaernt
13125 SW Hall Blvd Tigard. Oregon 97223
Inspection LLne (Rec-O-Pholke): /639-4/175 Buei ec,�ay Phones �639--44171
Inspection: �jd�.,� i In�•��/��i�/ //
Footing Plbg. Underslab Mech. Rough-in Appr//SdwI
Found. Plbg. Top MA Cas Line FINAL:
Post/Beam Struct. San Sewer Framing -Bldg.
Pont/Beam Meal:. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requested:— Time: AM PM
Address: I / e i s L
Bullder:y Z
THE FOLLOWING mRRECTIONS an REQUIRED:
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Inspector: y�-' V _ _ Date: `7
✓APPROVEb DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
I T Y OF T MECHANICAL
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT
13126 SW Hall Blvd.Tigard,Oregon 9722398199 (503)639-4171 PERMIT #. . . . . . . : MEC94-OLi't,
639-4171. DATE ISSUED: 09/09/94
PARCEL: IS136AD-03701
SITE ADDRESS. . . : 10680 SW 71S AVE
SUBDIVISION. . . . . VILLA RIDGE ZONING: R---4. 5
BLOCK. . . . . . . . . . . LO-1.. . . . . .. . . . . . . . ..5
CLASS OF WORI-',. . -ALT FLOOR FURN. . . . : EVAP COOLERS:
TYPE OF USE. . . . :SF UNIT HEATERS. . : VENT FANS. . . :
OCCUPIANC-:Y GRP. R3' VENTS W/O APPIL: VENT SYSTEMS:
STORIES. . . . . . . . : BOILERS/COMPRESSORS HOODS. . . . . . . .
FUEL 0-3 HP. DOMES. INCIN:
: /GAS/ 3-15 HPI. COMML.. INCIN-
MAX INPUT. BTU 15-3111 HP. . . . : REPAIR UNITS:
FIRE DAMPERS?. . : 30-50 HP. . . . : WOODSTOVES. . :
GAS PRESSURE. . . 50+ HP. . . . . CLO URYER3. .
NO. OF AIR HANDLING UNITS OTHER UNITS.
FURN ( 10QlK BTU. 1. 10000 C-fm : GAS OUTLE VS. : I
FURN ) =100K BTU: > 10000 cfm :
Reiiiai-ks . FURNACE
Owner: FEES ---------------
01-ICE FUREY type amaltrit by date ir-ecpt
10680 SW 71ST PRMT $ 25. 00 JF 09 /09/94
5 P CT $ 1. 25 JF 09/09/94.
T'Ik-33ARD OR 97223
Phone
ARROW MECHANICA- CUNI'IlACTORS
10330 SW TUALATIN RD.
TUALPTIN OR 97062
F11-itine #: 693c--156`.3 $ 26. 25 TOTOL
Reg #. . : 05193
RLOUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Gas Line I n s p
Tigard ! unicipa) Code, State of Ore. Specialty Codes and all other lylec.,hanic-,al Insp
applicable laws. All work i,ill be dono in accordance with Final Inspection
approved plans. This persi : will expire if work is not started
within 180 days of issuance, or if work is suspended for more
Char, 180 days.
F,ev-in J tt ee Si Uri at 1.tr-e
lss�I-ted By :
1 frit, itirpect: ion 639-4175
City of Tigard MECHANICAL PERMIT Planck/Rec. #
3125 sw Hail Blvd. APPLICATION Permit # 01E
Tigard, OR 97223
(503) 639-4171
Description
Table 3A Mechanical Code CITY PRICE AMT
1) Permit Fee -0 -0- 10.00
Address
2) Supplemental Permit 3.00
urn ace to 1 M,QUQ
1) incl. ducts&vents 6.00
"V '•• G Ph- Furnace 100,000 BTU +
Owner 2) incl. ducts 3 vents 7.:.0
—^ --73-35-17,—irnance
3) incl. vent 6.00
--Su- nclod heater,wall eater
4) or floor mounted heater 6.00
OCrupant � `'v� �" en nitino. m
5) appliance permit 3.00
V epair orfieab'ng,rerQ ng.
6) cooling,absorption unit 6.00
�S
Boiler or comp,hoot pump,air cond.
7) to 3 HP absorp unit to 100K BTU 6.00
Beller or comp, eat pump,au cond.
/CJ j�'[% S<G� RG,W/�4T7,r 2�
Contractor ), B) 3 15 HP absorp unit to 500K BTU i t.00
- --
/� Boiler or comp, ea pump,air co3�-'
Aj 041 4'-4-- 9) 15.30 HP absorp unit.5-1 mil BTU 15.00
' G4Y T-M. Soiler or comp, >Feat pump`arr eon .
?-/l 10) 30-50 Hp absorp unit 1-1.75 mil BTU 22.50
hereby acKnowledge mat I nave reaci this application,that the Boiler or comp, hoot pump, air con .
information given is correct, that I am the owner or authorized agant 11) > r0 HP absorp unit 1.75 mil BTU 37.50
of the owner, that plans submitted are in compliance with State Air handling unit to
laws, that I am registered wi the Construction Contractor's Board, 12) 10,000 CFM 4.50
that the rumber given is correct. (If exempt from State registration, Air handling unit
please give reason below.) 13) 10,000 CTM+ 7.50
-' on portable
14) evaporate cooler 4.50
Vent an connoc c
15) to a single duct 3.00
i end aeonsys ernT- not
/� � _ CLi� �c�'•---� -_ �- 16) included in appliance permit 4.50
—
17) mechanical exhaust 4.50
Describe work new U addition alteration U repairommerc aa-�1 or i'ndusttna
to be done residendal non-residential Q 18) type incinerator 30.00
Existing use of Other i.e.,wo s ove,wa er
building or property, ///t.' r 19) heater, solar, clothes dryers,etc. 4.50
Proposed use of 20) Gasi in one to four outlets 2.00
n.
building or property .SAlu C p p g
+- 21) More than 4-per outlet
N Type of N,^! oil Q natural gas' LPG 0 electric Q - —
NOTICE
Minimum Fere$25.00 SUBTOTAL
v�
PERMITS BECOME VOID IF WORK OR CONSTRUCTION —
AUTHORIZED IS NOT COMMENCED WITHIN 190 DAYS, OR 5%SURCHARGE I L)
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DA'r S AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED. ---
TOTAL
Special Conditions
1
Date Issued �/ %r by
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