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CITY OF TIGARD F''ILDING INSPECTION NOTICE
Inspection Line:639-4175 Business Phon 639-4171
Footing Rain Drain Cover/Sen, ce FINAL: r
o
Foundation Water Line Ceiling Plumb
Post/Beam Mach. Shear/Sheath Framing (-Se .
PIbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect.
ate Post/Beam Struct. Mach. Rough-in i'Gyp. Bd. -Bldg.
San. Sewer as Line A r/Sdwlk Reins.
> , pp
Other:
Date: _ M. P.M. "try:
Address:
Tenant: te: MST
p _`� BLIP: n
/Own: L� O '"7j 5( fP � �r ,
MEC: —?-- s
PLM:
TH FOLLOWING CORRECTIONS ARI
I r EOU)RED: ELR: _ f
r13 - -
`-I-ool.A.-L
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rctor+ � Dater^
PROVED _DISAPPROVED/CALL FOR REINSP. CF CO
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CITY OF TIGARD0
MF.CHAN I CAL
DEVELOPMENT SERVICIFS PERMIT i
13125 SW Hall Blvd., Trgard,OR97223 (503)639.4171 PERMIT #. . . . . . . : MEC96-O41ZA9
DATE ISSUED.- 11 /25/96
PARCEL: 2S11OBB--02100
SIT ADDRESS. . . : •1.4390 SW HALELHILL DR
SUF ')T.SlnN. . . . : AMTS ORCHARD ZONING: R--1 •
61-OCA;. . . . . . . . . . LOT. . . . . . . . . . . . . •2
CLASS OfWORK. . :NEW FLOOR FURN. . . . : 0+-`-« -- -EVAP-COOL.EdS:-0---_._..___._ --
TYPE r)F USE. . . . :SF UNIT HEATERS. . : 1. VENT FANS. . . . 0 •
OCCUPANCY GRF,. . :A 1 VENTS W/O APPI_: 1 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPOS--- --- _--- 0-3 HP. . . . : 0 DOl"IF_S. I NC I N: 0
3-15 HP. , . . : 0 COMML_. I NC I N: 0
MAX INPUT: 0 BTU 1.5--30 HP. . . . : it, 'REPAIR UNITS: 0
F'IRE DAMPERS?. . 30-50 HP. . . . : 0 WOOiOSTnVES. . : 0
GAS PRESSURE. . . : `iOi- HP. . . . : 0 CLO DRYERS. . : 0
NO., OF UNITS ------ - AIR HANDLING UNITS OTHER UNITS. : 0
F-URN < IiTOK BTU: 0 (= 10000 cfm : 0 GAS OUTL..ETS. : 1 �
FL;�N ', =10124K BTU: 0 ) 1O000 cfm : 0
Remai-ks : ADD HEATER 9 VE=NTS 6 GAS PIPING OUTLETS
Owner: -_-__-_.___________.__.____._______.-..._.._.______.___-___.____.._. FEES
EDMUND WOODARD type amoi-int; by date r ecpt
14390 SW HAZELHT:_L. DR PRHT $ 25. 00 TAT 11/25/96 96-28691
;PCT $ 1. 25 TAT' 11/25/96 9L-,-L,36 915
TI GARD OR 972-24 PLCK $ 6. 25 -FAT I 1/25/96 56-2:3f.,915
Phone #^ 624`3345
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Contr^actor: _ -
-
GP&W SYSTEMS INC
732 MARBLE RD
WASHOUGAL WA 98671-9601 -
Ph o n e 4- 360-835--"516 $ 32. 5'2" TOTAL_
Reg #. . : 001081
-- --_-- REQUIRED T NSPECT I L'NS -- --
lhis perait is issued subject to the regulations contained in the Gas LA ne Insp _
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp
applicable laws. All work will be done in iicrordance with Mi sc•. Inspection
approved plans. This perait will expire if work is not started Final Trispect ion
within 180 days of issuance, or if work is suspended for sore
than 180 days.
Permittee
I 5si_ted By /Ut
C; l fort inspection - 631--4 '.- 75
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City of Tigard MECHANICAL PERMIT Planck/Rec. # _ � • �
13125 SW Hall B;v(i. APPLICATION Permit #
Tiqard, OR 97223
(503) 639-4171
Description ����
Table 3A Mechanical Code _ QTY PRICE AMT I
Job u2, mak+�r f �,t. !!Y 1) Permit Fee -0- -0-
Address .. ff —
I-� 2) Supplemental Permit 3.00
""' a •" Furnace to - 11?
1) incl. duct-, 8 vents 6.00
y_ 4 S Furnace 100,000 BTU `
Owner t _.__ 2) incl. ducts &vents 7 50
onr urnance �
3) incl vent 6.00
'77- ° SusDended heater, wall eater ;
t i
.y,y ,Y � .0..,m• 4) or floor mounted heater � 6.00 t
occupant Vent not nc1+ in
Y `• 5) appliance permit ( 300ap i
-,pair of heafing--re-Frig-
6) cooling, absorption unit - 100
of er or comp, eat piT ump, a;r con .
7) to 3 HP, absorp unit to I OLIK BTU 600
Boiler or comp, heat pump, air con .
Contractor ~l', yAb 8) 3-15 HP; absorp whiff 'o 500K BTU 11.00
of er o1— r comp,"heat p,imr, air con —
f. i.•� 9) 15-30 HP; absorp unit 5-1 mil BTU _ 15.00
Poiler or comp, heat pump, air con
A �t , 2 0r 10) 30-50 HP, absorp unit 1-175 and BTU —_ 22.50
hereby acKnowie ge mat I nave reams application, that the of or or comp, eitt pump, air cons.
information given is correct, that I am the owner or authorized 11) >50 HP, absorp unit 1 75 mil BTU '.7 50
agent of the owner, that plans svbmtted are in compliance with aan ing unit to
State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 450
Board, that the number given is correct. (if exempt from Stateit an incl ng on t--
registration, please give reason below.) 13) 10,000 CTM + 7 50 t`
Non portable t
14) evaporate cooler 4 50 l
Vent fan connected —
15) to a single duct 300
enti.ahon system lot —
16) included in appliance permit 4.50
'• o serve y i
1 7) mechanical exhaust 4 50 i
Describe work-- new a ion alteration report CJ ornmercia or rn.,u,tna
to be dons resident+al non-residential Q 18) type incinerator 30.00
Existing user-- Off&rT.e., w000sto,,e, water
budding or property 19) heater, sola:, clothes dryers, etc. 4.50
roposed use of CY) 20) Gas piping one to four cutlets
building or property (jI f � 2 OO � l
21) More than 4-per outlet each) 2.00
Type of fuel -oil natural gas� LPG f l electric Q
NOTICE
Minimum Fee 525.00 SUBTOTAL h
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5",/o SURCHARGE c
IF CONSTRUCTION OR WORK IS SUSPENDED OR — -
ABANDONED FOR A PERIOD OF 190 DAYS AT ANY TIME PLAN REVIEW 25 OF SUBTOTAL c
AFTER WORK IS COMMENCED — _ t
TOTAL
Special Condlhins
Date ssued _ b '
—� Y
H 1Loaoa0eMMICIOUr
I
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:4
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II
C i 1'ti [tl 1 I[►a1�C:► — kk C,1- 1 FIT 01 PAYMEN'1 kF.UL I f',T NU. r�f+-'c?E�l6�i ►:..,
NAME P A W t'Pales GASH AMC.IUNT a 0. 00 '
ADDRESS t 732 MARDL..[. RE) PAYME.N I DATE 7 A 1 /2'110'9E,
3UBDIVISIUN t
WASHOLICNI.., WA g86'71-9E+01
V 4..)RI''C.ISF ;;If= PAYML.NT AMOUNT PA I U PUF p0ti-;k CIF' !-lo YMl,NI AMOUN T W)H I I1
MF(",HAN I C:AL PE Rt). 00 MECHANICAL I-'LAN CHLCIA 6. c b �
9T. BUTLU PER 1. 845
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FUR 14390 SW HAZELHIL1_ DF?
FOR PLRMII 0 M1-.C96-0409
TOTAL. 14MOUNT PAIIti _ ._ .._ ..; ;0
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