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i:\records\microflm\targets\building.doc
CITY OF TIGARD BUILDING INSPECTION NOTICE r t
Inspection Line (Rec O Phone): 639.4175 Business Phone: 639.4171
Inspection: %L-P�
Fuoting Susp. Ceiling Sprink. Rough-in pp;Sdwlk
Foundation Plbg. Undorslab Mech. Rough n'./Fireplace
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PontBeam Struct. Plbg. Top Out Elec. Rough-in FINAL: #IJ
Post/Beam Mech. San. Seweraas irt-9 -Bldg.
Plbg. Underfloor Rain Drain rF aming -Plumb.
Alarm Water Line Insulation
UndedIr. Insul. Shear Wall / Gyp. Bd. Elect.
Date Requested: I Time: AM PM
Address: `1 I '14 ■
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Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Date: _l
APPROVEG DISAPPROVED APPROVED SUBJECT ABOVE
Call For Reinsp.
♦
F'ERMI T'
CITY OF TIGARD
FERMI"f SUED: . . : �139L�
''`a'CE ISSUED: 11/27/95
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW hall Blvd.Tigard,Oregon 97223.8199 603 039.4171 '�aRCEL: 1 S 13 SCI)- 11+631L11Z1
SITE AvORr=SS. . . : 0.)716 SW L_ r�Dc�r! r 1
SUBb I V i S T ON. . . . : LONDON SQUARE NO. :!' ZONING: R-icy
BL-O(-'V. . . . . . . . . . LOT. . . . . . . . . . . . . : 15
_ASS OF WORK. . :ALT FLOOR FURN. . . . : 0 EVAP COfll_ERS: 0
YPIE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
4 OCCI.IF'ANCY GRP'. . :A1 VENT`_ 14/0 AF'F'L: rlr VENT SYSTEMS: 0 ■
STORIES. . . . . . . . : 0 BOTLERS/COMF'RECSORS HOODS. . . . . . . : 0 I
FUEL_ TY1='F:S--.__.-_____.._.__ 0 HF-,. DOMES. TWIN: 0
: /GAS/ / / 3-•15 HP,. . . . 0 COMML.. INCIN: 0
MAX INPUT: 0 BTU 15•--317.1 IAP. . . . : 0 REPAIR UNITS: 0 ■
FIRE:. DAMPERS''. . : 30-5121 HP. . . . : 0 WOODSTOVES. . : 0 1�
GAS PRESSURE. . . : 50+ H(D. . . . N CL.0 DRYERS. . : V_1
NO. OF UNITS--- -- AIR HANDLING UN I TS OTHER UNITS. : 0
FURN ( 100K BTU: J (= 1001)17r cfm : 0 IFAS OUTLETS. : J. �
FURN )=100K BTU: 0 ? 101100 cfm : Q1
Remarks : Install. gas fr_irnace.
Owner.; -_. ._._---____._.______._.___._----.___..__.___.___________.._._.___-_ FEES
THE HEATING C-PECII._I ST INC type 'Amor-int by date rer_pt
9300 NE HALSEY F'RMT $ 25. 00 00 CJS 1 1 /27/95 95-2732014
5F'CT $ 1. 25 CJS 11 /27/95 95-2730,04
!='ORTI_AND OR 972-120
Phone #: 503-P-57-70011
THE HEATING Sr'EC I AL I aT
r-)300 NE HALSEY
PORTLAND OR 97220
Phone #: 257--7000 $ 2G. 25 TOTAL
Ren #. . . 56628
REQUIRED INSF'CCTIONS
This permit is issued subiect to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mperran i(:a I I n ss p .......
applicable laws. All work will be done ie accordance with Mi sc. Inspect i on
approved plans. This permit will expire if work is not started
within 160 days of issuance, or it work is suspended for more
than 190 days.
;Det,n7.i t t e e T•i g n,a t 1-tt-e :
T s s r-t e d E')
Call for inspection - 639"-4175
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City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 sw Hen Bird. APPLICATION Permit #
Tigard, OR 972.23
(503) 639-4171 —_^_---___�_ - ---------- -- -- ----
Table 3A Mechanical C, 'e Q Y PRICE AMT
- --.
Job q"J I (o `.�A) -Url 3U ►1 -i 1) Permit Fee -0- -0- 1G.00 t
Address - I ■
rt)c cx+ 2) Supplemental Permit J 3.00
-_---- -a._ -urnace to 100,000 '
� 1) incl. ducts &vents 6.00 [e
<lr
• F urnac-•e i-O�,bQb��+
w "�cJ �' T 2) incl. ducts &vents - 7.50
Owner
urnaore
72225 3) incl. vent 6.G0 -_
Suspended heater, wall eater-
4) or floor mounted heater 6.00
,���;,— �• - entr cnT in
Occupant 5) appliance permit 3.00
Repair of eating, re ny. __
6) cooling, absorption unit - 6.00
of er or comp, heat pump, air cond.
v,oc 7) to 3 HP; absorp unit to 100K BTU 6.('0
a S 7 over or comp, heat pump, air con .
cj-3c�c� N'L 1�d l 5��.t 8) 3-15 HP; absorp unit to 500K BTU 11.00 --
Contractor Boiler or c heat pump, air ran .
Q_�L'V A'4- LQ A cj -12 Z� 9) 15-30 HP; absorp unit .5-1 mil BTU - 15.00
•„ .,,,,,,. o ler or comp, eat pump, air conte
10) 30-50 HP; absorp unit 1-1.75 rni BTU 22.50
lereny - now a go tatI have read tis application, tat : e Boiler or comp, heat pump, air cond,
information given is correct, that I am the owner or authorized 11) > 50 HP; absorp unit 1.75 mil BTU 37.50
agent of the owner, that plans submitted are in compliance with r and my unit to
State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 4.50 _
Board, that the number given is correct. (If exempt from State A-irfi-andling unit
registration, please gree reason below.) 13) 10,000 CTM + 7.50
'- on portable
14) evapo ate cooler 4.50
Vent fan connected
- 15) to a single duct 3.00
Ventilation system not
_�•i 16) included in appliance permit 4.50
,.NHood serveu y l
17) mechanical exhaust 4.50
escn e wor new U- arc iuon� a teration repay Commercial or industrial
to be done residential O non-residential C) 18) type incinerator -- 30.00
'177isting use or ter i.e., woo stove, water
building or property F _ 19) heater, solar, clothes dryers, etc. — 4.50 -
Proposed use of 20) Gas piping one to four outlets 2.00
building or property -`-_ ------
21) More than 4-per outlet
Type of fuel -oil Q natural gas IN LPG U electric Q -
NUI-CE__--__
Minimum Fee S2500 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION — -
AUThORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE l S
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 1, Z'
Special Conditions
Date issued 2 7- `yg- by
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