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CITY OF TIG4RD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_ Q91b
Footing Susp. Ceiling Sprink. Rough-In Appr/Sdwlk
Foundation Plbg. Underslab ch. Rough-f Firoplacc
Post/Beam Struct. Pibg. Top Out ec. Rough-in FINAL.
Post/Beam Mech. San. Sewer Gas Line .Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb. /
Alarm Water Line Insulation ech
Underflr. Insul. Shear W;'I / Gyp. Bd. -Elect.
Date Requested: 44- c��� _Time:__AM PM
Address: O -7 / '� /[ -t/ `
Builder: Permit #:
T QLL9W1fV� CO RE,CTIC�S ARE REQUIRED: T
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Inspector:_ - Date: Z
APPNOVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_,^ � Call For Reinsp.
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INSPECTION NOTICE
city of Tigard Building Drtivsrtment
13125 6W Hall Bird. Tigard, oreyon 97223
lnepection Line (Rec--O-Phone)t 639-4175 Fluoi.ness Phones 639-1171
Foot my
Plbg. Underslab (jm;;w�h• Rough-in % rjSeAwlk
F1 . Li
Top Out *an no FINIdt
round.
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float/Bear, Struct. San. Sewer praminq
-Bl.dq.
Post/Boma M-wh- Rain Drain
insulation -1lumb.
Plbg. U^nderfloor Mater Line Gyp. ad.
Mech.
-3'- Timet _ AM PN
Date R-aquestmdt 7- - F 1q
Adareaat I.�r /y
L+Zd I Permit 1,s 1 v�C C� 1
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THE F-LLOOWING CORRECTIONS ARE REQUIRE'J: -�
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OIBA�4RM'?D APPROVED SUBJECT TO ABOVE
J� _v_/call For Reinap.
, :3CLCTION NOTICE
city of 'figamd Building Department L
13125 FRI Bali Blvd. Tigard, Oreyon 97223
Inspection Dine (Rac-O-Phone)t 639-4175 Business Phone: 639-4171
Inspections
Positing Plbg. Underslab !Mich. Rough-in Appr/'Sdwl)t
Pound. Plbg. 'fop Out CGa. Lino dINPJ.o
Post/Foam Struct.. San. Newer iraBing -Bldg.
Post/Beam Mac.-It. Rain Drain Insulation -Plumb.
Plbg. Underfloor Mator Lino / Gyp. ad. -Hoch.
Date Requestedt_— C ( f I— T11Mf __AH PH
Addreass r, ��� , r� Permit f tI Y',/
Buildort ��C�1/' 411,
THE FOLLMINO MRRRCTIONS ARE REQUIRED:47
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Inspectort_� Datat
VIYIAPPROVTD DISAPPROVED APPROVED SURJNCI' TO ABOvE
__Call For Reinop.
I -- MECHANICAL.
CITY CSF TIGARD PERMIT
PERMIT #. . . . . . . : MEC94--00 54
• COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 0::3/25/94
1°125 SW Ha!!B!vd.Tigard,Oregon 97223.8199 (503)839.4171
PARCEL: 1 S 125CA-0.3400
SI i L ADDRE:S5. , . : 09x.'05 SW 74TH AVE.
SUBDIVISION. . . . : BOULEVARD HEIGHTS ZONING: R-4. 5
BLOCK. . . . . . . . . . . L-OT. . . . . . . . . . . . . : 10
CLASb OF WORN:. . :ADD FLOOR FURN . . . EVAP COOLERS:
TYPE. OF USE. . . . :SF UNIT HEATERS. . : VENI FANS. . . :
OCCUPANCY GRP. . : R:3 VENTS W/O APF'L: VENT SYSTEMS:
'-STORIES. . . . . . . . : BOILERS/COMPRESSORS HOODS. . . . . . . :
FUEL TYPES- - ---- _-- -- 0--3 HP. . . . : DOMES. I NC I N:
: /GAS/ / / 3-15 HP. . . . : COMML. INCIN:
MA k I NI='UT: BTU 15-30 HP. . . . REPAIR UNITS.
FIRE DAMPERS . . : 30-51 HP. . . . . WOODSTOVES. . :
GAS PRESSURE. . . .- 50+ HP. . . . : CLO DRYERS. . :
NO. OF UNITS- - - -- ---- A!R HANDLING UNITS OTHER UNITS. :', Z
TURN < 100K BTU: <= 10000 rfm : GA'15 OUTLETS. :`1, 2
FURN > =100K BTU: > 10000 ctm :
Remarks : NEW GAS LINE R• WATER HEATER � /ts CLIr'C�if_Owner: - - -- - ___._____._._____...___.__._.__.._--------------_..__ FEES
JOHN ORRIS t:vpe Z�mol_tnt by date recpt
9205 SW 74TH AVE F'RMT 1- 25. 00 JG 03/25/94 -
5PCT 'f 1. 25 JG 03/25/94 -
TIGARD OR 97223
H-i une #:
Contractor:
(JWI\IER
f'h;o n e #: $ 26. 25 TONAL
Req #. . :
--- ---- RE QU 1 REF) I NSPE,`.T T 0NS - -
This permit is issued subject to the requlations 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
8pproVea pldnS. This permit will expire if work is not started
wi':iin 180 days of issuance, or if work is suspended for more
than 100 days.
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Call for inrspection - 639-4175
CITY Of" ITVMKD — kV(.. I1'1 C11 P(.1yl'II•�'NC kf:'(J.jPI NO44—Q";.`0.5Ia1
GIAV-C:K (1111:)1.1111 ;; 2..6 05
IAM17 r 0 R k C,; J 014N C A(BIA '111OUNT 0 00
lliD14'SSi a PAY'M1:'N C UWTI x P13/is`';"i/94
�3UH1)1V f EON a
,URPOSE. OF PAYMI`NT r1Ml'11.IN1 110 1 1) I:'11P.P101) IllI'f1Y 1'IF.N 1 f1i I111.1N 1' PAID
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City of Tigard MECHANICAL PcRMIT Planck/Rec. # _
13.125 sw Fill Blvd. APPLICATION Permit #
Tigard, 013 97223
(503) 639-4171 �1
Table 3A Mediarucal Code QTY PRICE AMT
—
Job `)�5' 1.� -7 c` A 1) Permit Free -0• -0- 10.00
Address ---O— —�-
��` t 2) Suppii:mental Permit 3.00
urs ace V1'W,T500 ETD`
✓1 s 1) incl. duds 8 vents 6.00
Furnace IOUL-0 8(u+
Owner n� �•, �� ,_ 2) incl. duras&vents 7.50
t o TOf umance — — — --
/ )7'C") 2-2dd3 3) ir):I, vent 6.00
- '"Y �•• «• --s ndod efi`ale,`wall eF-ater
/1 I 4) or floor mounted heater 6.00
'y ••• -' ranTnoT-�cr-ir
Occupant i // 5) appliance permit 3.00
DP erau oT healing,renp. I
6) cowling,absorption unit 6.00
—Miler or can-p,haaf(xmp,aur con . --
// 1/ 7) to 3 HP absorp unit to 100K BTU 6.00
c ••• �^• er or comp`• Beat pump,air con .
i 1 // 8) 3-15 HP absorp unit to 500K BTU 11.00
Contractor --T---
-'Potter or carp,Tiea-T-pu`mp,arc con .
9) 1530 HP absorp unit.5-1 mil BTU 15.(0
1[7
•'�"^ T�y��jr-
---95iTeor comp, rTeat pump,air con .
10) 30-50 HP absorp unit 1-1.75 mil BTU 2.2.50
-riereTy acTnow gea ave rea us pa picatiionn,that eui er cT`o�coommp` w, ( mn,au con —
information given is correct,that I am the owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 37.50
of the owner, that plans submitted are in compliance with State �iFTi-a`nafiny unnTo-`
laws,that I am registered with the Construction Contractor's Board, 12) 10,1X10 CFM 4.50
that the number given is correct. (If exempt from State registration, - -Air fiaa-5 if unT- -_
ase give reason below.) 13) 10,000 CTM+ 750
-- ----- - - on -
14) evap(xate cooler 4.50
-.-.- -----_-- __ Ve rTan
15) to a single duct
d 3.00
- ienti at-T ion system not
15) inchided in appliance permit 4.50
Amy ---- - -
17) mechanical exhaust 4.50
`re-seework--n'ewTj--addition 0 allocation ref,a IT)- ---(Fri5inor�or rn �s nal"
to be clone residential(D nnn residential(J if)) type incinerator 30.00
xE-rsTing use eofv - --TXIie�t.e,w slnvW,w-a-1W( _-_
building or ptopprty _- _--- 19) heater,solar,clothes dryars,etc. 4.50
I"ropoSOd use of 20) Gas piping one to four outlets 2.00
building or property - --
i-
Type of fuel -oil n natural gns Q LPG Q pbctric O 21) More than 4-per aatlet--- - --
LLi Minimum Fee$25.00 SUBTOTAL
-� PERMITS F1ECOME VOID IF WORK OR CONSTRUCT10N -
AI+THCRIZED IS NOT Gc-1MMENCED WITHIN 160 DAYS,OR 5%SURMARGE
IF CONSTRU"'TTON 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 Con6tions -- --,---- - - --- - --
_ -- -- Date issued by - ----
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