11646 SW PACIFIC HIGHWAY-1 11646 SW PACIFIC HIGHWAY
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INSPECTION NOTICE.
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639-4171 F1G�r��
Type of Inspection .
Date Requested
/( Time _ A.M. P.M.
frv�/
46) Permit
Address 11
Owner__ GSC fps 1
Builder
The following Building Code deficiencies are required to be corrected:
- — --- Approved
Presented to
Inspector ___ Disapproved
Date
CALI, FOR REINSPECTION
❑ YES U NO
City Of Ti rd Mechanical Permit N_ / 3 8 4 4
New Installation Re ace❑ Relocation❑ Addition Alterat on El DATE
i
HEATING
OWNER
CONTRACTOR ' ' —
JOB ADDRESS —
ADORE
PNONEZ�— kg _ APPLICANT-------------
Most Input RatinglPTU per Ho —_-- Vent Size Flue Size i
FUEL OIL❑ GAS ELECT ❑ OTHER
_ --- NO. FEE � ITEM NO. FEE
ITEM ---- 7EE
l For Issunnce of Permit _ .50
SEE BELOW_ Each Air Handling_Unit or Duct S sy tem 6.00 Commercial Commercial Hood S stem _ 7.50 _
New-up to & incl. 100,000 BTU — 4.50
New 100 OCO BUT's & over__ 7.50 Other Equipment Each_ 4.50
Woodburning Stove 4.50 1 Tri Ins ction
Woo Floor- Suspended _ 6.00 Air Condition Com ressor up to&int:.3 H.P. 6.00
Vent System w/Fan 4.fi0 Air Condition Compressor 3.1 to 15.H.P.incl. 11.00
Repair.Heat Cooling 6.00
CITY BUSINESS LICENSE REQUIRED BY ALL CONT ACTOR OR SUB-CONTRACTORS ! !
PERMIT ISSUANCE 10.00 Comments.
FEES _------
SUBTOTAL _
% STATE
TOTAL ,- _ ignature of Applicant