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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 ,
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/
Foundation Plbg. Underslab Mech. Rcugh-in Fireple
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
PosUBeam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation Mech. (A-C
Underflr. Insul. Shear Wall Gyp. Bd. / Elect.
Date Requested:� L �(___:' Time: AM PM
Address: `-
Builderll G ; I `' Permit 1k:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:__ Date:_
_�PPROVEl) __DISAPPROVED APPROVED SUBJECT TO ABOVE f
Call For Reinsp.
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CITY OF TIGARD BUILD!NG INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 ,
Inspection: _
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plurnb.
Alarm Water Line Insulation ec
Underflr. Instil. Shear WII Gyp. Bd. -Elect.
Date Requested:__ 2 �,� Time: AM PM
Address:__ Z w
Builder.
— L � r _Permit q v
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THE: FOLLOWING CORRECTIONS ARE REQUIRED:
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gr5')--z- lie)IZ S�J��/.�tSJ Dim
Inspector. Da+e:��0�
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone' 6394171 �. .
Inspection: • C —
Footing Susp. Ceiling Sprink. Rough-in dwlk
' Plb Underslab Mec . Rough-in Fireplace
Foundation 9•
Post/Beam Struct. Plbg. Top Out Elec. Rou h
FINAL:
Post/Beam Mech, San. Sewer Gas Line -Bldg.
Plbq. Underfloor Rain Drain Framing -Plumb.
Alam
Water Lina Insulation -Meth.
Underfir. Insul. Shear Wall Gyp. Bd.
-Elect.
Date Requested: �L% Time: AM PM
Address:____�_�2_,�
.. '
Builder:
" Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED: A-0 0 AlLe
v1.�JiH FST" �ti
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Inspector:— Date
_APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
all For Reinsp. _
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1rIE HAN I CALPERly '
CITY OF TIGARD PERMIT #. . .. .i . : MEC95-020' ,
COMMUNITY DEVELOPMENT DEPARTMENT GATE_ ISSUED: OG/28/1
0146 BW Hal Blvd.Tigard,Oregon 97223.8189 (609)830.1171
PARCEL: 25114BB--01700
3ITE ADDRESS. . . : 16315 SW SYLVAN CT
:�UBDIV.IGION. . . . : PICKS LANDIN(3 NO. I ZONING: R-4. 5 PI)
BLOCK. . . . . . . . . . .. 1-01.. . . . . . . . . . . . . :31
CLASS Of WORK. . :AGD FLOOR FURN. . . . s EVAP COOLERS.
FYPE OF- USE. . . . :SF UNIT HEATERS. . : VENT FANS— :
OCCUPANCY GRP'. . :R.? VENTS W/O ADPL: VENT SYSTEMS:
STORIES. . . . . . . . :2 BOILERS/COMPRESSORS HOODS. . . . . . .
FUEL l'YF'CS- ---__- --- 0--3 HF. . . . : 1 DOMES. I NC I N:
: /OIL/ / ! 3-15 HP. . . . s COMML. INCIN:
MAX INPUT. LTU 15-30 HP. . . . : RC_PA I R UNITE.
FIRE DAMPERS?. . : 30-•50 HP. . . . : WOOLGTOVES. . :
GAS PRESGURF . . . . 5i�+ I1F'. . . . . CLF] DRYERS. .
NO. OF UNITS--------- - - AIF HANDLING UNITS OTHER UNITS. t
BURN ( 100K BTU: (= 10000 cfm : GAS OUTLETS.
FURN ? =1001-( PTU: > 10000 cfm:
f<emai-ks : INSTALL REaIDENTICIL CARRIER AIR-••CONDITIONER
(Jwrner, __-_...____________.__.___.__._._-_---__-- ___-_---___________ FEES -•-_--__-_-_.__._
MIKE NEWMAN type amount by date r•ecpt
; ,315 SW SYLVAN COURT PF<M'F $ 2'51. 00 SW 06/28/95 -
Z1--"C i 9, 1. L5 SW 06 95 ._.
IGARD OR 97224
Phone #:
Contractor:
>UN SET FUEL CO
f-D BOX 4,:',-;:137
!'ORTLAND OR 9724:: __.._____________._-----_-...____...__-._-___
F'h an e #-. 2:34 0G 1 1 4 26. 25 TOTAL
Rey #. . , 002374
_._._.._ _._.._. REQUIRED INSPECTIONS
This Ferrit is issued .,�b,ject to the regulations contained in the Gas Line I n s p _
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp
applicable laws. All fork will be done in accordance with Final Inspection
approved plans. This pereit will expire if work is not started
within 160 days of issuance, or if work is suspended for Moro
than 1.60 days.
17'ermi'ttee Siynatur e:
Call for- in=pection - 6,39-4175
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City of Tigard MECHANICAL PERMIT Planck/Rec. # 40
1;,125 SW Hall Blvd. APPLICATION Permit # . C"'1'r(TL.0q
Tigard, OR 972.23
(503) 639-4171
Table 3A Mechanical Coda CITY PRICE Am-r
Job ! �eJ Jl-J 1 f\ 1) Permit Fee -0. 1 -0- 1u.o0
Address rLO-
2) Supplemental Permit 3.00
Furnace to
1) incl. duds 8 vents 600
,a ,,... \ umaca 100,000 BTU . '
1\Q—, � ��l 1�5 2) incl. duds 3 vents 7.50 4
Owner �_—�"-'
oor urnance
l� �-1 r 3) incl. vent 6.00
.>.,...rSuspended heater,wall heater
4) or floor mounted heater 6.00
Vent not incTin
Occupant 5) appliance permit 3.00
-----T—— repair o eating,re ng.
6) cooling,absorption unit 6.00 Ip.QU
Boiler or comp'heat pump,air con
7) to 3 HP absorp unit to 100K BTU 6.00
�...�.•'.'.`�I — �^• oiler or comp, heat pump,av cond. j
atIt 8) 3.15 HP absorp unit to 500K BTU 11.00
Contractor Boiler or comp, eat pump,air cond.
r4" oz �1 9) 15.30 HP absorp unit.5.1 mil BTU 15.00
....ox rw n ���• oder or comp,heat pump, air Gond.
6 4j -'1A-1 `�L- 10) 30-50 HP absorp unit 1.1.75 mil BTU 22.50
hereby ac ow(dge ataiT ve rea this app reat_i on,that the Boiler or eoml,,heat pump,air cond.
information given is correct,that I am the owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 31.50
of the owner,fiat plans submitted are in compliance with State Air handling unit 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 an ing unit
please give reason below.) 13) 10,000 CTM« 7.50
Non portable
14) evaporate cooler 4.50
Vent tan connected
15) to a single duct 3.00
4
Von b ation system not
--yl � . (,,Lt/- ((J'�5�(` 16) included in appliance permit 4.50
-STg' -r .�, o served y
17) mechanical exhaust 4.50
Describe work naw a on alteration repair Commercial or industrial
to be done residen non-residential Q 18) type incinerator 30.00
sting use o er i.e.,w stove,water
but'lding or property 19) heater,solar,clothes dryers,etc. 4,50
Proposed use of 20) Gas piping ane to four ouUets 2.00
building or property
g 21) More than 4-per outlet
C Type of fuel-of natural gas Q LPG Q electric Q
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NOTICE
Minimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR _ 5%SURCHARGE I 'G
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED.
TOTAL b�
Specal Conditions ��_
�_ �C L_IJV ��✓1C�11� �te issued ` by r7 t�v Vyr-f k51�'l_ _r
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VMCOSeY jF W F:IC: w
PRISE
2944 S.E. POWELL BLVD. •P.O. BOX 42267•PORTLAND, OR 97242-0287•(503)234-0611 • 1-800.878-1285• FAX (503)234.0380
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