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_ - CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639 4175 Business Phone: 639-4171 t,
Inspection:
Footing Susp. Ceiling Sprink. Rough-ir, Appr/Sdwlk
Foundation Plbg. Underslab (�e^ . Rough-ir -1""' Fireplace
Post/Beam Struct. Plbg, Top Out Elec. Rough-in FrN_A
Post/Beam Mech. San. Sewer CGas�l •� Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation
Underilr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: J.� i Time: AM PM
Address:
Builder: Permit #:Mec_c1, -Ocsv
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Insp,sctor. --�--~ pate: rJ 115"
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
� D- Call For Reinsp.
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r1irCHCahI I L:C-it_
OF TI "' QRD PERMIT #. . . . .PERI
CITY .I : MEC95-0054
COMMUNITY DEVELOPMENT UEPARTMENT DATE ISSUED. 03/09/95
13125 SW Hall Blvd.Tigard,Oregon 97223°8199 (503)839-4171
PARCEL: 2S 1 1 1 VU3-1210140+;3
11 L. ADURESS. . . . til:i 10") SW MUUN I A 1 N VIEW L.I`v
SUBU I V i S I UN. . . . . ZONING: R--4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .
CL()SS OF WORK. . :AL_1' FLOOR 1=URN. . . . : L'-:VAP COOLER;:
r TYPE. OF USE. . . . :SF* I.+NIT HEATERS. . : VENT FANS. . . '
CJLLUPANCY GRP. . , R;;; VENTS W/0 NPPL , fvEN1' SYSTEMS:
4.3 i[HIES. . . . . . . . : 1 BOILERS/LOMPRESSORS HOLDS. . . . . . . :
1:.UE.L 0._3 HP. . . . : DUMEb. I NC:I N:
t' :/L-30 a/ i 3-15 HP. . . . . COMML. I NC;1 N:
MA X I NPtJ'T: 13 1 U 15-30 HP. . . . : REPAIR UNITS:
F I HE 1jFiMPERS?. . : 30_501 HP. . . . : WOODSTLIVES. . :
C-4-tS PRESSURE. . . . 50+ HP. . . . : CLO JJRYf=RS. . :
NO. OF AXR HANDLINGS CJNITf.") OTHER UNITS. - 1
TURN ( I1Z0r2 13'IU: <= 1000+0 c:fm : GF45 OUTI.-ET S. . 1
F1JRN )=100K BTU: > 1121000 ufm :
Remar"I:ti : C3Ari F1F{EI-'L.FIC:I�
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FEES _ _..._._. _._....
j JEROME PE3TRIN C yi.)'e ;amo'.rnt by ,A at 9 r^ecpt
910b LW MOUNTAIN VIEW LN PRM-1 $ L5. 00 JF 013/1119/95 -
�G 25 JF- 013/09/95 _.
T'IGARD OR WEa4
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Phone #:
C.Ontv,actor,.
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i1One #: : L6. 2:5 1UI( L
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this permit is issued subject to the regilations contained in the Gar, Line Ins;F7
Tigard Municipal Code, State of Ore. Specialty Cedes and all other Ihec,hanic:a1 1 n s p
applicable laws. All work will be done in accordance with F inaI I n5pect i On
approved plans, This permit will expire if work is not started
within 180 days of issuance, uo" if work is suspended for more --....._,__.......
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,;clan 1W days.
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(.cr11 f err• irlspectiOn 639--4175
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Ciiy of Tigard MECHANICAL PERMIT Planck/Rec. #
1312- SW Hail Blvd. APPLICATIONOb Permit
Tigard, OR 97223 �J� ,
(503) 639-4171
Tablr,iA Mechanical Code QTY PRICE AM-r
Job �i G' Svr /�/Oii�.: r.z ✓i r, 11 Permit Foe -0- 0- 10.0'j
Address ---
//C 2) Supplemental Permit 3,00 —�
—'
Furnace
1) incl. ducts&vents 6.00
Furnace 100,000 BTU +
i Owner 2) incl. ducts&vents 7.50 -
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Floor Furnance
3) incl. vent 6.00
—Suspended heater,wail eater -
�r��-rr 4) or floor mounted heater 6.00
Occupant Vent not inc.in
o) appliance per-nit 3.00
DID repair o heating,refng. —
6) cooling,absorption unit 6.00
Boiler or comp, ea pump,ump,5-7 65-63—. '
.
✓� � 7) to 3 HP;absorp unit to 100K BTU 6.00
Boiler or comp, oat pump,air con
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C OntractOr — 8) 3-15 HP; absorp unit to 500K BTU 11.00 4
i e-T i or camp,heeapump,air cond. - —
9) 15-30 HP;absorp unit.5-1 mil BTU 15.00
swe `"- 01y Wn.T-No Boilor or comp,hoat pump,air cond,
10) 30-50 HP;absorp unit 1.1.75 mil BTU 22.50
-TTier�y ac ow gea avo res Sis app icr ation,that the Boiler or comp, heat pump,air cone.— -
information given is correct, that I am the owner or authodzed agent 1 1) >50 HP;absorp unit 1.75 mil BTU 37.50
of the ow-im, that plans submitted are in compliance with State Air handling "it to
laws, that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50
that the number given is correct. (If exempt from State registration, Air fien in�g unit- --� -
please give reason below.) 13) 10,000 CTM 4 _ I 7.50
—Non porta-6Te--- -- I{— -
14) evaporate cooler 4.50
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15) to a Ju..i 3.00
tianalati('r+system not
16) inr''udeu in appliance pormit 4.50
�- oi�sarved��
�-' 17) maaianicai exhaust 4.50
escn a wo new aca8'it"ion U after—at—ion U repair Commercialor rn us na --
to be done residential Q nonresidential Q 18) type incinerator 30.00
Exis ting i se a -- "-- —� 0 i;e., vov s"'o.W7
building or property _ 19) heater,solar, clothes dryers,etc. 4.50
Proposed use of CC 201 Gas piping one to four outlets 2.00
building or property
Type of fuel oil(D natural gas 0 L 21) More than 4 per outlet
PG Q electric Q — --_--�----
Minimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF WCRK CR CONSTRUCTION ---
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE
IF CONSTRUCTION OR W,)RK IS SUSPENDED OR - ---
ABANDONED FOR A PERIL.r)OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL-
AFTER WORK IS COMMENCED -- - ----- — - .-
TOTAL
Special Conditions =------- — ---1
— C3te issued by
Ma MEAN WA!
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CITY Or- TIGARD - RE:CE IF=,T or, r=ONIME"r1T RL=CEIPT NO. :95—F62700
i CHECK AMOLRIT s t":El. 21..3
(NAME s PETRIN, Jin-R0ME (.ASH AMOUNT 0. 00 ;.
�I)DDRESS, s PAYMENT t)ATF
SUBD I V 19)1 ON a
17'1 JRPO yEc OF PAYMEN 1' AMOUNT PAID PURPOSE OF PAYME~NT AMOUNT PAID
P-5. 0 -h ST, BUILD PER
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MEC95-0054
T'C1TAL. AMOUNT tyA i t) P6. IRS
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