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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639 4
Inspection: Ce:
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Footing Sus,,. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in fireplace
Post/Beam Struct. P'bq. Top Out Elec. Rough-in FINAL: f
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation Mech
Underflr. Insul. Shear Wall Gyp. Bd. Elect
Date Requested: s 5� Timer PM
Addrass: 163 :210
Builder. I Permit
THE FOLLOWING CORRECTIONS ARE EQUIRED:
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Inspector: Date:
—APPROVED _DISAPPROVED PPROVED SUBJECT TO ABOVE
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_Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Lire (,Rec-O-Phone): 639-4175 Business Phone: 639-4171
inspection: WItt =
Footing Susp. Ceiling Sprink. Rough in Appr/Sdwlk
Foundation Plbg. Underslab ec Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec, Rough-in FINAL:
Post/Beam Mech. Sin. Sewer <as -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear W 11 Gyp. Bd. Elect.
Date Requested: 2 Time AM PM
Address: C�
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Builder: Z- Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Date:
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_APPROVED —DISAPPROVED _APPROVED SUBJECT TO ABOVE I
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—Call For Reinsp.
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MEC14AINICAL
CITY OF T19GARD � PERMIT
F'CRMII' #. . . » . . . : MrC9�.,-.rZr'�E17
COMMUNITY DEVELOPMENT DEPARTMENT DA.E ISSUED: 04/06/95
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171
PARCEI..e cS102CC•-&,..800
':jITI_. 103_1111 5W 1EW i
(1ktDIVISION.
. . » : FRFL_EON HEIGHTS 1\10. "ZONING. 9--3. 5
0L0CL;. . . . . . . . . . LOT. . . . . . . . . . . . . .- 14
CLASS SOF WORK. . ;:AI_T FLOOR f-URN. . . . : ( VAP COOL.I- RS:
TYPE OF USE. . . . :-P)F UNIT HEATERS. . : VENT FANS. . . a
OCCUPANCY GRF='. . : R3 VCNTG W/0 APDL. VENT SYSTF_'MS:
3TURICS. . . . . . . . . BOILERS/COMPRESSORS HOODS. . . . . . . s •
FUEL TYPES..__.__._._.._._.._____. 0._3 11P. . . . : DOM11,5. INCIN:
3-15 HP. . . . a COMML. INCIN:
MAX X INPUT: BTU 15 30 lip. REPAIR UNITS;
FIRE DAMPERS?. . : 30 50 HP. . . . : WOODSTOVES. . a rr
CAS t'RG$aURG. . , ,`0 r 11F'. . , . . CLO DRYERS. . :
NO. OF UNI_"r_._-_._._._.__.._._. AIR HANDLING UNITS OTHER UNITS. : 1
rU1%N ( 100K BTU.- ! <= 10000 cf m : GAS OUTLETS. :2
F URN >=100K PTU: > 10000 cfm:
Rerm7rks: INSTALL RESIDENT1A1_ FURNACE AND WATER HCATE:R.
Owner•. -------------- FEES
MULLENS type amaLrnt by date r-ecpt
103 ?0 SW HILL VIEW 5T PRMT $ 25. 00 5W 04/06/95
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F'CT 1 1.. aW 04/17IG193 '"-
TIGARD OR 972u,3
Phone #:
Contr'actar^:
CLIMATE CONTROL. 11Tr a A-C
3315 NW 026TH AVE
PORTLAND OR 972,11
PI1onF 1#:
2:23--4303 d, 2.6. t5 TOTAL
Reg #f. . 621196
_._..._._..___ REWIRED I NS3PECT I ONS
This permit is issued subject to the regulations contained in the GaS r_.ine Irls•,p
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp
applicable laws. All work .+ill be done in accordance with Fino' Inspect iOn
approved plans. This permit will expire if work is rot started -
within 1.80 day, of issuance, or if work is suspended for sore
than 182 days.
Permittee GigncqA,
Call fc,r, inspection - 639—•4175
City of Tigard" MECHANICAL_ PERMIT Planck/Rec. #
1312-5 sw Ha!! Blvd. APPLICATION Permit # 0l6-005`7
PO Box 23397
Tigard, OR 97223
(503) 639-41?1
Dosciripd an
j \ Table 3A.Mechanical Code CITY PRICE AMT
Job (l_)� (`}�) `IM1& 1) Permit Fee 0- '0- 10.00
Address cirAr
2) Supplemental Perm;t 3.00
•^+ r•^»• �•»• Furnace to 100,000 TO--
�� 1) incl. ducts& vents 6.00
1,�• �1 "' — -
-- urnace 100,000 +
Owner U_.T_.LJCJ�.� II f UJ��� 2� incl ducts&vents 7.50
Floor loor Furnance
/ 0C t 3) incl. vent 6.00
- .«^+�(a •d «• suspended eater,wall hoaiur
4) er floor mounted heater 6.00
Occupant ant ry, �• Vent not inc in
P appliance permit 300
5)
+r• n -AW air of heating,re ng.
6) couling,absorption unit 6.00
or comp, hoat pump,as con
`• I 7) to 3 HP aVsorp unit to 100K BTU 6.00
»• oder or cornp, heat Tu—.p .,,con-T-
2 )c L6 2(_j ) ( 8) 3 15 HP absorp unit to 500K BTU 11.00
Contractor — p ioi er or comp, heat pump,air cund.
L,r ,_ ��,_•,��) 9) _ 15 30 HP absorp unit.5-1 mil BTU 15.00
�• •�•+ ^r •. Boiler or comp,heat pump,air conk.—
q 1' 10) 3050 HP absorp unit 1-1.75 mil BI 22.,50
era y acknowledge that I have road this pplication,that the ---Tioi o-T r oomp, hoot pump,air cond.
infoimation given is correct,that I am the owner or authorized agent 11) > 50 HP absorp unit 1.7 5 mil BTU 31.50
ul the owner,that plans submitted are;.i compliance with State Air handling unit to
laws,that I am registered with the Construction Contractors Board, 12) 10,0X0 CFM 4.50
that the number given is correct. (It exempt from State registration, — Aiirhan i�C ting unit
please give reason below.) 13) 10,000 CTM + 7.50
Non portable
14) evaporate cooler 4.50
�—' -Vem an connect@
15) to a si.igle duct 3.00
—�. A enthla ion system not
.dL � 16)—iincludud in appliance permit 4.50
Tood
17) mechanical exhaust 450
Describe wo rew ) iuon alteration n ');Hr Commercial or industrial
to be done residential t non residential O 18) type incinerator 30.00
xisting use o _ 7511101 i e,woo-&S—me,water �-
building or property _ _ 19) healor, solar, clothes dryers,etc 4.50
Propose%:use of 20) Gas piping one to four outlets 2 200 2 ,�
building or property -`
Type fuel -oil 21) More than 4 per outlot .5n
rp Q natural gas 0 LP.-O electric Q
Minimum Fee$25 00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AU rHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE 11
I IF CONSTRUCTION OR WORK IS.SUSPENDED OR --
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAi.
AFTER WORK IS COMMENCED
Special Gonditions -
►�)�r`.. 1L ti
Date issued --W by
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CITY OF TIGARn uF PnYmFt.T FIE=C:FIF�T Nil. :95--263,81
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(" Cl', AMOUNT s 26. 25
NAME, n Cl_IMslTI" (A.)NTRr'!t_, INC:. CASH AMOUNT z 0. 00
Af1PREg5 331 NW "£, fFl f?Uf: PAYMENT DATE c 04/06/95
PORTL_i4ND, OR SUBDIVISION
97p10w-
P1_liP013,E; OF PAYMC:NT AMOUNT PAIV PURPOSU OF PAYME"N'T AMOUNT PAID
,� r ili=1NIE A1.. f��: MCL:�3�.•-1�1Q�1�7 k !i. 00 EiT, Rllll.[) F''f:E'1' 1» r'°r
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1,11330 SW HILI_ Ii:tEW ST
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T'f:1TAL AMOUNT Prot - r16. CPS 1
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