9135 SW MOUNTAIN VIEW LANE ■
9235 SW MOUNTAIN VIEW LANE ..._-
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IN6PECTION NOTICE
Ci y of Tigard Building Department
P U. Box� on 97
Z /
Tigard, Oregon 97223/4�L/zP,ione 639-4175
34 Ct
Type of Inspection _ _— --------- - ----- - -- - _
Date, Requested -- -- Time_L< A.M. --- P.M.
C' 2 Jam'!.✓ �ry/�(.v h �1 Permit #. --
Address _ ----- -
Owner -- Lot # —
Bui;,ier ---
The fotlowinn [,filding Code deficiencies are required to be corrected:
-
i
e
Presented to —_ _ _ k) Appr#,ved
Inspector _ -- _ —_. '�, --- Disapproved
CALL FOR REINSPECTION
YES O NO
U I Y VI- 1 IUAHU MECHANICAL PERMIT '
Permit N
0e1:crlptlon
Table 3A Maohsnlc,rl Code OTr PRICE AMT
City of Tigard
13125 S.W. Hall Blvd. 1) Permit Fee 0 0 10.00
P.O. Bot 23397 2) Supplemental Permit 3.00
Tigard, OR 97223
639-4175 1) Furnace to 100,000 BTU / 600
incl.ducts 8,,ants
2) Furnace 100,000 BTU + 7.50
incl,ducts a vents_ _
Name of Develcifxnpnt 3) Floor Furnace 600
incl.vent
------ ---------
Job Address _ -- )4 Suspended heater,wall heater 600
Address or floor mounted heater
Tax Lot Map No. 5) Vent not incl.in 300
Lot Block Subdivision appliance permit --
Name(or name of business) 6) Repair of heating,refr Ig., 600
cooling,absorption unit —
c L/Aur. '0C—z/G/C — —
Mailing Address phone 7) Boiler cr comp to 3 HP 600
Owner 2 3S absorp.unit to 100,000 BTU
cnyisate Zip 8) Boiler or comp to 3 HP_15 HP 1100
�- absorp.unit to 500,000 BTU
Nams 9) Boiler or comp 15-30 HP 1500
absorp unit 1/t2-1 million
M&IWV Address pry 10) Boiler or comp to 30-50 HP 22.50
absorp,unit 1 -1.75 million _
Contractor city/State Zip 11) Boller or comp to 50 HP 31.50
absorp.unit 1,750,000 BTU
State Registretlon No City Bus.Tax No. 12) Air handling ur tit to 450
10,000 CFM _ _
I hereby adcrx,wtedge that I have read thisapfrbcalion that the mlonnaticn given vi13) Air handling unit 750 10,OOG CFM t
correct,Ihat t am the owner or authorized agent of the owner,that plans submitted are in ---- --_.
crrnpliance*,f#*State tows,that I am registered with the State Othiders'Board,that the 14) Non portable 4.50
numtnr given is correct (If exempt from State registration please give reason belnw) evAporate cooler
15) Vent fan connected 300
to a single duct
- ----- 16 Ventilation system not 4.50
included In applianre permit
17 f )od served by 4.51
) mechanical exhaust
Date is) Domestic type 7.50
Describe work f._l addition Incinerator
(i alteration I 1 repair Oto he done residentia�XJ non-residential f 1 _-_-I 9) Commensal or Industrial �0 00
type Incinerator
_-. --
I :xlatrg use of
building or property
2,-(-Oth,ir-I.-r , ,-ids-tove,water
-- - _
-
50
heater,solar,clothes dryers,sic—
Proposed
tc4
I Proposed use of — --
I! building or property /c�- � �a •,.____ 21) teas piping one to four outlets 2.00
1 Type of fuel- oil F1 natural gas y1 LPG C.1 electric E) -
-` - --� 22) More then 4-pet outlet
Ells-TOTAL
THIS PERMIT BECOMES NULL AND VMD IF WORK OR CON• ------
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 '�%���RM ?R
DAYS, OR 17 CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 26%OF SUB-TOTAL
ABANDONE;)FOR A PERIOD OF 180 rAYS AT ANY TIME AFTER TOTAL
WORK IS COMMENCED. JL
3ptltolalCtxtdltlone ____-,_.---_- _----.__—..._•--__.._.__ ".''
- - __-_------ - --____..-__. ----- -•------
Date Issued by
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