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APPROVED FOR
CONSTRUCTION
CITY OF TIGARD
PERMIT
SITE ADORES- ,:�
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NOTE IF THIS MICROFILMED 3 4 5 6 7 8 9 l Q l l 12
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DRAWING IS LESS CLEAR THAN
THIS NOT ICE--lT IS DUE TO
THE QUALITY OF THE ORIGINAL
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested /'I,- Tir-a A.M._ P.M.
Address X, r (7 61 Permit #. 12'Z'-Z J
Owner _ _ Lot #
Builder -- - - —
The following Building Code deficiencies are required to be corrected:
Presented to _ __ _ C1 Approved
Inspector fJ Disapproved
Date
CALL FOR REINSPECTION
C) YES L-1 NO
sIe w fR! fi w w
INSPECTION NOTICE � -
City of Tigard Building Department
P.O. Box 23397
Tigard. Oregon 97223
Phone: 639-4175
Type of Inspection __-_ —4
1. 1 1 C'l L^l L I
Date Requested / Time A.M. P.M.
Address Permit 4r Z J
owner Lot #
Builder J � % )Ct (I-C
The following Building Code deficiencies are required to be corrected:
Presented to _ ❑ Approved
Inspector u Disapproved
Date —
CALL FO"EINSPECTION
Pr'YES ❑ NO
1,
Iv`lI;::(',HAN3:(: AI... PEPKUT
CITY OF TIFA RD _6_Fn�ARD Pm A NO . : MEAM?23113
CITY011FTIGARD
COMMUNITY DEVELOPMENT DEPARTMENT 011100M D A*1 F.;: 'I.I:i G L)E D 1. 8
13125 S W Hall Blvd..P.O Box 23397,Tigard,Oregon 97223,(503)639-4175
!:;W 1.0711-1 AVI_-7
lox SUB: L'I
I i)Nl*) LPAF �
1.(31 S' 1.'Z1:: .
NO : NO :
01_11JIATTON <100K :1. A144 IAANDLA <1 0
iYP17 : P.:: F"A.M J:1. Y I::*I.JI:','NA(:)*: 1001<+ A111 HANDLY1 1.01<
F1.00P I"'UPISIACAE FV AP ,COULEA
HEATFAQ1 V I.;:N'T. 1:"A N
VI;*N'T VENI' . SY!5'1'r-;.*.M
Ell 1-1001.)
14 L) '.1'101 t I I*._1L.P/(:;(')MI." 315HP 3:NG*I:NF:WA'T(:)r4(D0M
L_ WWVTIit : P"LAWCOMP :[M:I:NE'PA*J*I:)P((:*,*(:)M
11.11:1. ly'Pt: P.1 141/tAmp 30301-1p WIE4:101:1:11 UN:FT'S
.[NI1111, 0 1'FIFNI P
DI'W"145? 01YILETS
0
CAPly $10 00
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R OP, 971223 1M1,,'".1 00
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!(1-1.013 TAYTAL llli.10.1 . it.35
This permit is issued subject to the regulations contained in Title 14NO
............. .......... ..............
of the TMC. State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and It Is hereby
agreed that the work will be done in accordance with the plans and (vi"I"i I ,I:NI
qpecificstions and In compliance with all applicable codes and I
ordinances The Issuance of this permit does not waive restrictive 12(IIILil� 7.PJ
covenants Contractor and subcontractors shall have current city
business lax permits This permit will expire and become null and 1: 1.NAI
void it work is not started within 180 days,or if work 18 Suspended or
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure
all tP.qmred inspections Are requested and approved
Ppirtniftpe Signature
Issued By --TTFTT--I
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF TIGARD MECHANICAL PERMIT
Permit• x b Z S
0::crftlltn
TW*U 1MdwMor Code OTT MMC! AUT
City Tigard
131255 SW Hall Blvd. 1) Permit Fee -0- -0- 10.00
P.O. Box 23397
Tigard,OR 97223 2) Supplon%ental Permit 3,00
639-4175 Fumaoe to 100,000 BTU
1) Incl.ducts&vents 6.00 �r• 61
Fumaoe 100,000 BTU +
2) Ind.duds&vents 7.50
Name of Devok pim 3) Floor Furnace 6.00
` S •3i.�1. �(Y mv Ind.vent
,yob �� 4) Suspended heater,wall heater 800
Address `)7 .j or floor mounted heater
T;u L61 Map No. Vent not Ind.In
_f 1-w m. tam subelvalon 5) appliance permit 3.00
torn. a ► Repair of heating,refrlg.,
; p` 6) cooling,absorption unit 6.00
M#J*V ion.pBoile►oroomp to 3 HP
Owner \ ) absorp.unit to 100,000 BTU 6.00
oftyl ZIP 8) Boller absorp Det to 500,000 BTU P 11.00
Nwft 9) Boiler or comp 1530 HP 15.00
6- Y ., aboorp.unit A-1 ndit
swr�Aeel.r• .1. • 10) eOAeTIDf�llpb'O�tiP fi2fl.50
Convector ` r r I lJ c,�-�( 17 .uM 1-1.751TAm
ZIP t 1) Boller 10 50 14P urk1 7550,MO BTU
0', 31.50
a�I11000mllea ka ab e1..TWc No. 12) 1 irOO hwv$Fl tx*to 4.50
—
I hM*biu
y twwbdp.IMI hM rW w4 rppkeem Mw ft Adml,m n 9lmn is Air handlingununit13) 10,000 CFM + 7.50
�TcL tw I Mn(10 Owner or WAmfiwd� d M MM twnuier,to pRf nIMMd N—
oomprr m w1w 944 howl,ow 1 ern nplAwrd w1h M 94iM 9irdus'&md.ow sm Non I:v table
mrd-gk—M we -(11 am 10 Atm Simms "a" 04r8 pM Neon EMow). 14) evaporate cooler 4.50
Vent fan oonnected
----- ____�_-+___-- ------ -- 151 to a single duct 3.00
) Ventilation system not
16 Included In lance it 4.50
Hood served by
{ t 7) mocheirkisl exhaust 4.50
(omw or m9m) Deb �
Dlc typs
Describe worts O addition O alteration E) repair C1 19) Incinerator/►'� 7
to be done residential O non-residential O Commercial or industrial
19) type incinerator 30.00
Existing use of
building
io r properly 20)) Other i.e.,woodstove,water �"
Ped use of heater,solar,ck*m dryers,etc X44- 4,50 To
building or property---_._-- _.___-- 21) Gas piping one to four outlets 2.00
Type of fuel- oil 1_1 natural pas { LPG l l electric i ! -_� -_.
22) More than 4'Pk a t181
SUB-TOTAL
THIS Nt-RMl1 BECOMES NULL AND VOID IF WORK OFA l;()N — ---- ---- - �� ;
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 _ S&10 4116 SURCHARGE j
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR I
ABANDONED FOR A PFRIOD OF 1F111 DAYS AT ANY TIMF AFTF Fl -- - -- --
WORK IS COMMENCE U — TOTAL J
Spedel Conditions