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is\rec'Ards\microtl m\targetstuilding.doc
INSPECTION N(1TICE e'
city of Tigard Building Departisent
X3125 SSI Hall Blvd. Tigard, Oregon 97223
In,spoction L'ne (Rec-O-Phone)s 539-4175 Business Phone:
7TH,
Inspection: -- -- -----'-`-
�_.'
Footing Plbg. Underelab ( Nect.. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINAL:
Poet/Beam struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. U.derfloor Nater Line Gyp. Rd. -Hoch.
Data Reqs 4 ��J /J ---T i:se s /\ AM PN
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1►:Idreaas y 1 C� Permit 1: 1, '-
�. 1 �- �
Builders --
TE! 1pOLIANING CORRECTIONS ARE REQUIRED:
UP
41
_(::�i 04
_ n
rnepectoc•__ __.� _ Dates /
APPROVED DISAP D APPROVRD BUWICT TO APMR
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Call For Rsinsp.
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CITY GF T I GARD . .. . T
�'EF7MIT #. . , . : MEC;94-•0I4 i
COMMUNITY DEVELOPMENT DEPARTMENT DATE. 15GUF_D: 06/0.3/94 �
13125 3W Holl Blvd.Tlpud,OnQon 8727.3.8199 (503)639-41T
F'ARCEL: 2S 102DD--0080:3
SI TI'- NDDRLISS, Uw 1-1ALL BLVD
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SUED,.V I Sa I ON. . . . : EDGEWOOD ZONING: R--4. 5
Bi-OCK. . . . . . . . . . LOT. . . . . . „ . . . . . . :`;
CLr a OF WORK. . :ALT FLOUR FURN. . . . : EVAP COC'iLERS.-
TY UF USE. . . . :COM UNIT HE iTERS. . : VEN'T FANS. . . s r'
OC�oPANCY GRP'. . :Bc' Vk_NTS W/O ADPL: VL-N1 S'rSTEMS:
S7ORIES. . . . . . . . : BOILERS/COMF'RESiSORSS HOODS. . . . . . . :
FUEL TYF'E.B-— —_.____.__._.___ 0.-::3 Hp. . . . : DOMES. I NC I N:
: /GAS/ / / 3-•15 HP. . . . COMML.. INCIN:
MAX T NPUT: STU 1`i-3Q, HP. . . . : REPn I R UNITS.
FIRE: DAMPERS% . :. : 30-50 HF'„ . . . : WOODS I'OVES. . :
OAS PRESSURE. . . : 50+- HP. . . . s CLO DRYERS. . :
NCI. UF UN 11 S---•-------- AIR HANDLING UNITS O THE R UN ITS. : 1
F-URN ( 1001•( BTU: ( 10000 cfm : GAS OUTI_..ETS. :
FLIRN ) =100K BTU: ) 10000 c:fIn
Remarks :
e' Owners
DURBIN type amoi.tnt by date recpt
13')95 SW HALL BLVI:) PRMT $ 25. 00 FILT 06/03/94
5PCT $ 1. 23 01-A' 06/03/94
TIGARD OR 97223
Phone #:
Contractor:
F"ITZPATRICK HEATING
8900 SW BURNHAM, SPACE E.-19
T1GORD OR 97223 _--
Ph o n e #; 245--3870.1 $ 26. 25 TOTAL
Req #. . . 52335
REQUIRED INSPECTIONS
--- ---This periit is issued subject to the regulations contained in the Final Inspection
1 Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with
epproved plans. This pernit will expire if work is not started
within 180 days of issuance, or if work is suspended for core
than IS@ days,
P e r m i t t e e S in a t�.t r•e � C�•---�� ----_._.__.�_�_________._._. ~J___._._._ __.
9
Issi.red By •
Cal l for inspection - 639-4175
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City of'Tigard MECHANICAL, PERM!I Planck/Rec. # __ P
13125 SW Hall Blvd. %^f PLICATION Permit # 0�),rc lig
Tigard, OR 07223
(503) 639-4171
_ _ _ •
3-1 J� Table 3A Mechanical Code _—� (QTY PRICE AMT
Job1) Permit Fee 0- -0- 1000
Address !
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��a2� •. _ 2) Furnace to 1 Permit 3.00 I
Furnace to 1 f
ti 1) incl. ducts 8 vents / 6.00
••• — urnac` 100,000 BTU + I
Owner -f* LL 1 L 2) incl. ducts 8 vents 7.50
•< Floor Furnancp
f C3) incl- vent 6.00 it
«^<^<° •^< uspen eater, wa eater
4) or floor mounted heater 6.00
u ••• �� -- en notins in
Occupant 5) appliance permit 3.00
• '°'• oRepair of qa-t—ing rE rig.
6) coofng, absorption unit 6.00
^`
Boiler orcrxnpTieat pump, air con —
r 7) to 3 HP, absoq) unit to 100K BTU 6.00
°" °^•
Bole, or comp, Fe at pump, air con
Contractor << `� aai • i 8) 3-15 HP. absorp un@ to 500K BTU 11.00
Boiler or ccmp,heat-pump, air con . i
d 9) 15-30 1-IP, absorp unit .5-1 mil BTU 15.00
' <Q•zt^N`-- •• Offer oo.comp, heat pump, air cona.
' 10) 30-50 H:1; absorp unit 1-1.75 mil BTU 22.50
ere y a now ge (mat ave reads app—licatTolc t-fiaI tTe of er of comp, ,e pump, r ri coa .
information given is correct, that I am the owner or authorized 11) >50 HP, absorp unit 1.75 nil B1 U 37.50
agent of the owner, that plans submitted are in compliance withi�C'r7a-n rl'ng`unit to -
State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 4,50
Board, that the number given is correct. (If exempt from State Air anWr irro un
registration, please give reason below.) 13) 10,000 CTM +
7.50
-- on porta _.
14) evaporate cooler 4.50
Vent an connects 1!
15) to a single duct 3.00
—
Ventilation system not
;r is y 16) included in appliance permit 4.50
--90-0-Tservc y
17) mechanical exhaust 450
Describe wort newa ition allerahon repair omme�cia ori u na
to be done residential J1, non-residential Q 18) type incinerator 30.00
Existing use oT—� 77her ie., woodstove, water
building or property _ _ 19) heater, solar, clothes dryers, etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
I building or property -
---- I.
Type of fuel -oil Q natural gas 9 LPG Q electric Q 21) More than 4 per outletNOTMr—
-- --_
L_----
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PERMITS BECOME VOID IF WORK OR CONSTRUCTION Minimrm Fee 525.00 SUBTOTAL 01V--
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR
5%SURCHARGE j
IF CONSTRUCTION OR WORK IS SUSPENDED OR —
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PIAN REVIEW 251/e OF SUBTOTAL
AFTER WORK IS COMMENCED.
TOTAL
Spedal Conditions l---'— — --
-- Date Lssuad ._..__._ bY -- -- ------
1<IMEC11'MT
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I Y 11V I II:iORP HI-1:;F :IPT CO" K:,0`iMFNT R (I-APf NO. s94
rli4-:r;lt AMOUNT a a
WF1MF. I I I :F,(41 H t,.I L1,.:141 1 N CASH AMCIUN'I OW
,101)HV Vil., PHYMEN 1 DI'1 1 E 0 IAEA i 4y.5!9,ti
J I'91)1 V 1�,f ON �
'lJI2F'L1 >Ic: t7F 1�NVInf. J'I rah1�:11.11+1 I 1'N l l:) PIARFOCI A-, 11.411i
�J K N l M.;AL PIU ORA, 14 1 rr 0 1,;1'. I'M I I I,J) I,-1I, R
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l OTAI., AMOUNT 14411)
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