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jNSpg�_.'ION NOTICE ������
City of Tigard Building Depnr,:ment
13125 811 Ball Blvc'. Tigard,, O—gon 97223
Inspection Lin± (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspectin.,, --
Footing Plbg. Underslab (N•ch. Rough-in Appr/Sdwlk a
Found. Plbg. Top Out r�Liin ) F ::
Post/Beam Strur-t. San. Sewer Framing./ t.
Post/Beam Mech. Rain Drain Insulation ^�b.
Plby. Underfloor water Line Gyp. Bd. n.
nate Reguented' 7^� -7 �-.-.� _—Time:, _L(__ IW E'M
Address: _ it
Builder:
TRS FOLLOWING CORRECTIONS ARE F.EQ111RED:
Inspector:- T` -------- .� _. Date:_
`,/- APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE
Call For Reinsp.
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CITYOFTIOAOWN RD
Y � MECHAN I CAL ✓J
COMMUNFTY DEVELOPMENT DEPARTMENT omlmoo" K'ERt�1I f
13126 BWHWIBWP.O.Elm 23397,7*d,Or*pon47223(5W)63"175 ��J PE:RMIT #. . . . . . . : MEC92 01`,.'1`'1
,5-41 '11 IDOfE 1SSUEGs (717110/92
SITE ADDRE:SS. . . : 1.2712 SW SORREL(_ DOCK CT FARCE'-: iS03AD- 14600
q SURD I V I ra I06). . . . : SUMME RLAI',E 7(7N 1 IvLi s It 7 •
BLOCK 9 LOT. — . . . . . . . . . . .27
CLASS OF WORK. . :ADD FLOOR FURN. . . . s EVAP COOLERS:
TYPE OF USE. . . . ..SF UNIT HEATE:RS. . : VENT FANS. . . : �
0CCUPANCY GRP. . sR3 VENTS W/O AF'PLA VENT SYSTEMS:
ST0RIES. S01LERG/C0MF'FRE:SS0RS ROODS. . . . . . . :
FULL 0-3 HGF. . . . : 1 DOMES. I NL 1 N:
:/ELF:/ / / 3-1 5 HP. . . . : COMML. INC:IN,.
MAX INPUT: H(U 15--30 HP. . . . r REPAIR UNITS?
FIRE DAMPERS''. . :s0-50 lip. . . . e WOODSTOVFS. . :
GAS PRESSURE- - 50+ HP. . . . : CLO DRYERS,-
NO.
RYERS. . :NO. OF UNITS-- _--- _ - AIR 1-40NDL11'03 UNITS UTHER IJNT TS. :
f`URN t 100K BTU: (= 10000 Cfm: GAS OUTLETS. :
FUFN ) =100K BTIJ: > 10000 r f m :
11 marks: AIR CONDITIONER i
I
FEES _.-...__-_______
D Bbla ME.NDE:Z type 'Amount by da'-e r•recpt I
le8le SW SORREL DOLK PRMT $ j'S. 00 JH 07/10/92 -
5PCT $ .TH 07/10/9;
i•IGARD OR 97. 2
F')i a n e #:
/ 1
Contractor:
BELL HEATING
15550 SE PIAllA AVE
W4CKAMAS OR 91015
Phone #: 8 -.2.6. 12TOI AL
Reil #. . : 00447
- - --_-- REWIRED INSPECTIONS
This permit is iclued subject to the regulations contained in the Final Inspection
Tioard Municioei Code. state of Ore, specialty Codes and all other
apolicable laws. All work will be done in accordance with
approved plans. This permit Mill expire if work is me started __,.._...___,.,_�__,_•.__.____ �. _,,__ _.—__�_., ..__
within 188 days of issuance, or i; work is suspended for more
than 188 days.
F-'et•IV ittee Sign4.t1.it.,., i724-44t./
1-'Sue() By : ^
i_.-i11. for inspection - E39-4175
0
CITY OF TIGARD Receipt N��-��-'7
MECHANICAL PERMIT Permit tw /r
13125 SIN HALL BLVD.
p. O. BOX 23397
Description
TIGARD, OR 97223 Taij� pglf.E AMT
ble 3A Meic
chanal Code —._
—�—�"—
1 Permit Fee -0- -0 10.00
(503)63.9-4175 )
Name of Development 2) Supplemental Permit 3.00
Furnace to 100,000 BTU —
Job Aad`eu 1) incl.ducts 8 vents 6.00
Andres: - �
Tax Lot Map No 2) Furnace 100,000 BTU + 7.50
incl.ducts 8 vents
t Lot Block Subdivision --
Name(er name of business) w. y 2 S 9 9 Y 3) Floor Furnace 600
I
v(nt _
Mailing Address -Phone 4) Su,(.ended heater,wA1 hoatar 6.00
ilwner _ S or hoor mounted heater _
'7 ' 4 L.J �
cltyfstata bp 5) Vent not incl.in 3.00
appliance permit
Repair of heating,refrig., i
Name(or name of business) i 6)
� cooling,absorption unit 6.00— `
Maakr p� Boiler or cora to 3 HP
6.00
w Address 7) absofp.unit to 100,000 BTU �,'!X
Occupant I '
_
Boiler or coto 3 HP 15 HP
GfyrState � @) comp - 11.00 �
_ absurp.unit to 500,000 BTU
Boiler or comp 15-30 HP 1500
Name _absorp.unit Yz-1 million _
Boiler or comp to 30-50 HP
Malfing Address Ptlorte 10) 22.50
ahsorp,unit 1-1.75 million
ContrarlorGtyrsrNe' �D 11) Boiler or camp l0 50 HP 31.50
absorp.unit 1,750,000 Bl"U
State Registration No. CMV Sus.Tax No. 12) Air handling unit l0 4.50
/�j ,� 10,-01)OCFM - --
Air handlina unit 7.50 ,
hereby acknowiadge that I have read this WVk',atron that the InlPmation given is 13) 10,000C411 +
oared,that I am the owner or suftwized a(tent M the owner,that plans submitted are in --
comprtanoe with State taws,that 1 am registered with the StirV dumers'Rnard,that the t 4) Non portable 4.50
ntimben pavan is oonmi,(if exempt from State registration p6ease give reA,on M!{ow) evaporate cooler
1St Vent tan connected -- 3.00
tc single duct
Verdilation system it.- d"50
16) included in appliance perr. _ _ _
I
Hood served by — 4.50
17) mechanical exhaust �-
sv.aa,ne nx arm) __
owe 18) Domestic type /.50 �
Describe work ❑ addition [) a!leral ❑ repair ❑ incinerate,
to be done residential ❑-- non +dentty: t.] 19) Comrnercia,it in. .1 30.00
Existing use of _ type incinerator
buttairg or property `0) Otter i.e.,woodstove,water 4.50
heater,solar,clothes dryers,etc.
Proposed use of —-- - - --
building or property 21) Gas pipitvg one to four outlets — 2"00 _ 4
Type of fuel- oil ❑ natural Q LIDO I electric Q' 1
- 22) More than 4-per outlet
SUB-TO-AL
THIS PERMIT BECOMES NULL AND V011" ;F WORK OR CON- ' "--
a%SURCHARGE
STRUCTION AUTHOitIZED IS NOT COMI ;EU WITHIN 180 _—
DAYS, OR IF CONSThUCTION OR WORK IS SI-_MENDED OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIC'D OF 180 DAYS AT; TIME AFTER
WORK IS COMMENCED. TOTAL Z I�-
Special Conditions
i
Date issued---- - --by-- - -- i
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