11970 SW LINCOLN AVENUE 11.970 SW LINCOLN AVENUE
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INSPECTION 'NOTICE
City of Tigard Building Departnu,nt
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639.417 i
Type of Inspection —"--
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Date Requested__- __� / me_ A.M. K M.
Address / Zv �"—� yG-L4 �O6'��� Permit
/ — # _..
Owner__ — -----..--- __ __ Lo' #
BuilderThe following Builz.:ng Code deficiencies are required to be twrecct_ed:
- I
-- - -- - -- - Approved
Presented to _^ -�5 ----- J�
Inspector ----- T' ` i Disapproved i
Date
CALL FOR RF.IN,,,�.ZPF,C.TION
[--1 YES IGJ NO
Address Permit No.
Name of Occup;9nt ermt;charge
Oqzll Paid by.........
Date connected
Type of Building Inspection fee,--.--
Service Rate
Paid by Date
Contractor Assessment Paid_
Size of connection V-
City Of Tiaar'd Mcchanical Permit No Permit__ ��30Q �I
Fee If
New Installation ❑ Replace X Relocation Addition ❑ Alteration ❑ 47 State_ __
HEATIVG ' ` �a TOTAL_ ._ ��
CC)t JTRACTOR,41,r �4� 4-' _ 0WNER
A1.)0R=- /,;; LTJ -S' . . Z>'/eZ.t WORK ADDRESS
PHONE Y/L'L _ _ APPLICANT ,C
Heat Input Rating BTU Per I Y S•
> 9 ( -- _S- _ -----— Vent Sire 5rd Flue, Size _
I UEL OIL GAS CT' E_ECT ❑ OTHER I
ITEM NO, FEE ITEM NO. FEE
.70 r Issue ice o' nit _ 1rE ABOVE - _ Air Condition Compressor 15 to 30 HP 10.00
Pa
Nerv_-t:p to & ,.:LC .100,000 BTU _ __ 4.00 Air Handling 10,000 CFM_ 3.00 j
New-100,001 ATUTs & over _ 5.00_— Air Handling Over 10,000 CFM
�:oor Furnarr. 4.00 Evaporative Cooler
s:3o
0ja!I rloor • Suspended �. 4.00_ Range Vent Fan _ 2.00
install Vents Only 2.00 Vent System
Reoair •Heat& Cooling 4.00 _ Hood Commercial__ V 3.00
Air Condition Compressor Under 3 HP 4.00 _ Commercial Duct System _ 10.00
47 Condition Compressor 3 to 15 HP 7.50
!`: PECTUR'S COMMENTS
CITY BUSINESS LICENSE REQUIRED FO° ALL CONTRACTORS OR SUB•CON f TRACTORSv---
i--.I'PROVED BYDATE ISSUED BY — DATE___
r1ECEIPT N0. .�
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Signa•ure of Applicant U