9580 SW LAKESIDE DRIVE-2 AN""W I
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CITY OF TIGARD BUILDING INSPECTION :4OTICE
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Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
j1Ju �t t 1r In lection:
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�' Footing Susp. Ceiling Spink Hough-in " Appr/Sdwlk
rkfi Foundation Plbg. Underslab Rough-in Fireplace
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Post/Beam Struct. Plbg. Top Out Elec. Rough in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation e-Q ech
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Underflr. Insul. Shear Wall Gyp Bd. -Elect.
Date Requested: t r
q �• Time: AM� PM
Address: 115
Builder: .�� -33 ) Permit
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Date:
L OVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspgrti,n Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:""-'- -
Footing Susp, Ceiling Sprink. Rough-in Appr/Sd-xlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plt j. Top Out Elec. Rough-in FINAL:
POst/Beam Mech. San. Sewer Gas L'ne -Bldg.
Plbg. Und'arfloor Rain Drain Framing -Plumb.
Alarm Water L:ne Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. , n
Date Requested:
Time:_—AM —PM
Address:
Builder: —
— I Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Date:��� �
/ APPROVED DISAPPROVED
_ _APPROVED SUBJECT 'I O ABOVE
–_Call For Reinsp.
IPA VIVO
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CITY OF TIG_ ARD �'f=''RiWIT #. .. . . .
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COMMUNITY DEVELOPMENT DEPARTMENT A T 1E 5"1U[7,D ui<,r�z~:rr,;
i 3125 SW Hall dNd.Tigard,Oregon 9722198199 (503)639.4171
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..T E ADDPE"t;y. . . 171"il' 1 Stij
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UZDIVISWN. . . . 5LJ1YMC'.PrIELD N0. 12 WNI.NGs R-'7
c_OUX. . . . . . . . . . . . . . . . . . .
.4-ASS OF WORK. . a REP rs_Clt7 f« FI,RN,
Yr'E OF USE. . . , ..GF UNIT I- 'ATE'RS. . : VENT FANS. . . a
1'CUPPPJCY CRF'. . .R? �LN7�,'. , rt.; ADPL . '•1E1'd''' ,71'.H ,
B0It_ER S/C 0 MPRi. 130P ' HggD;' ., . . . . . :
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3 15 HP. . . . a COMML_. INC IN';
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fIX INPUT. DTi! nF-PA T R UN 1 T;3
__ rf:E DCiMt''CRr)". . . 30 11''. . . . Wgf1l7E:TC)VCS. . .
GAC PRESSURE. . Mr. . . . CLtl T'W(Cn'
NO. O17 UNTT13----- --- AIR riF'iNIA—ING UNITS CITi-CR UN17S3.
r-Ullhi ( 100K 0K DTU a
URN > :=100K STIJ; 1. 'I000 f m
RF7lnidt"k= s R1::Pi_AC.E I;XIG3T.%h1C IT'nT P!.!M'_ 14171-1 NC`W TRANS Hrlf"T F11.,;MP MODF.L. TWROWC100a
Ciwna+r,, _.. _,_.._ ... .._.__......_ ..__--_...._..._..__._ .... _....__ .._.._.�._.. ._...._ .._. ._._.... _.»__ FEES ......_._.__...._ _ __..._..
Wocwe FRgCh1 tvi.;F, airaun t toy' (I-ate i Fr_n.l
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i,�3G1 7W I_F11�,ES71�'� T7R1VF 'RMT P> .=S. Q.0 FEW V.IE�/03/9 i
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-CALL HEATIP•ii:, CO
S50 NE ► OMBARD
ORTI..AND OR WE!,?. t _ _......._ . __. ...... _...._....
;31 ,:s.'11 't ':0 TSTA;._
_.-..._._.... RE'G►U I RED INSPECTIONS
._._._..- -- ....
i5 persit it issued subject to the regulations contained in the MPc:hAnir:EA" ;riot,
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.gard Municicaal Crde, 5ta�r : ,��. apss.is:ty �,aues an:, all other - 9 riot I I r��,peer:t t can
Dolicable !&wt. All work will be done in acco+dance with
>prii>Fed plans. This ne,,oit will ebpire if work is not started _,_._. .. ....._..-._.... .___
.thin 180 days of 445�,uance, or if work :s suspendei, for acre
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City of Tigard MECHANICAL PERMIT Planck/Re:. # _
13125 sw Hall Blvd. APPLICATION Permit # q<- 010
Tigard, OR 97223
(503) 639-4171
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Table 3A Mechanical Coda CITY PRICE AMT c
Job 9580 SW Lakeside Drive 1) Permit Fee -0- -0- 10.00 {;
Address -ri
Tigard Or 97224 2) supplementalPormit 3.00
�... j Furn ce to 100,000 BTO
Wood Froom 620-2478 1) incl.ducts a vents _ _ 6.00
�- h'umace 100,000 BTU
Owner Same - 2) incl.ducts 3 vents 7.50
.. oFloor Furnance
3) incl. vu,it 6.00
5uspexedTaa, tot.wcater I
Same 4) or floor mounted heater 6.t.
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Vent;Tat incl.in
Occupant 5) aprliaire perm:t 3.04
"�i..rs... Q zi,dir a eating,re�ng.+
6) cooling,absorption unit 6.00
.m. Boiler or romp.heat pump,air cond.
M��11 I;eatin4 Co 231-331 7) to3HPabscrpunitto100KBTU 6.00
Boiler or comp,heat pump,air cond.
1650 N.E. Lombard 8) 3-1�HPabsorp unit to500KBTU 11.00
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Contractor -,. oi er or comp,heat pump,air co .
Portland Or 97211. 9) ,5.30 HP absorp unit.5-1 mil BTU 15.10
..: ....« ��. Boder or comp,heat pump,air cand.
102030 3408 10) 30.50 HP absorp unit 1-1.75 mil CTU _ 22.50
-FTFora y acknowledge at I uav3 read is app ication, i- Tie Boiler or comp, at pump,air co
Information given is correct,that 1 am the owner of authorized agent 11) >50 HP absorp unit 1.75 mil BTU 31`50
o(the owner,that plans submitted are in compliance with Stats -/Udlusl unit to
laws,that 1 am registered with the Construction Contractor's Board, 12) 10,000 CFM 1 450 4 .50
that the number given is correct (If exempt from State registration, r handling unit
please give reason below.) 13) 10,000 CTM+ 7.50
Non portable
Replace existing heat pump with new 141 evaporate cooler 4.50
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Vent fan connect
Trane heat pump Model TWR03OC1OOA 15) to a single d..ict _ 3.00
Ventirhon system not
16) included in appliance parmit 4.50
pT—�T«vI -67y—
(0
y —
(0 < -� 5 Z Z ` S 17) mechanical exhaust 4.50
Doswbe wa new addition C3 alteration 0 cepa Gommornal nr indjstna!
to be done raskjohdal10 non-residential Q 18) type incinerator 30.00
isbng—UW-0-F er i.e..w stove,water
b(dlding or property Residence 19) heater,solar,clothes dryers,etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
! building or property -
91) More than 4-per outlet
Typo of]tial-of Q nr lural gas Q LPG Q electric --
OTC
Minimurn Fee$25.00 SUBTOTAL 25.00
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE 1.25
IF CONSTRUCTION OR WORK IS SUSPENDED OR -'--'
ABANDONED FOR A PERIOD OF 18O DAYS AT ANY TIME PI.-AN REVIEW 25%OF SUBTOTAf. 6.i
AFTER WORK IS COMMENCr-D.
TOTAL 32.5qj
--- ------ --- —- Date issued 57 by -
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NAME s MtvC;(�I..L. HEATINWCt'.1C?i..ING p(,)YMF-,NT I ATL t 06 05/9
iaL>liRf�4; ; t t E 650 NE L OMBARD i-iIJID M S I ON s
F--'C1FtTLAND, OR I
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AMOUN-r r-,A T D F'ufiPc S17 t 1F' PAYMENT EaMal NI
t 11AI I C AL PE'— MEC9 R�-016 F5.
t. N CHECK FE h. 25
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