8910 SW OAK STREET 8910 SW OAK STREET
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INSPECTION NOTICI
City of Tigard Building Department
P U. Box 23397
Tigard. Oregon 97223
Phone: 639-4175
Type of Inspection
Time--- A.M.- { P.M.
Date Requested
Address
- ='—_-_ _ - Permit
Lot #_ ------
Owner_— -
Builder --'-
The following Building Code deficiencies are req,,ired to be corrected:
Approved
Presented to
Disapproved
Inspector
Date -
CALL FOR RZINSPF,CTION
�� YES 0 NO
CITY OF T167A RD
cw4n( T AND MEC:+IAN]:(::AI_ Pk`..KiM:I:T
COMMUNITY DEVELOPMENT DEPARTMENT °�1O0M PE:PMI'T NO . . ME881.750
13125 5.Hall Blvd_P.O.Box 23397.l Igard,Oregon 91223,(Y)11 trig all
-- — - - —_— — .... .. . 0
-- PRIM 1:'-M'T' NO. 8617:50
.JUR ADDRESS : 891.0 SW OAK WAY
TAX MAP/1_. TT !iil)b: I...T : HI< .
I.-AND LJSE :
1..01' SIZE:
11'H.M: NO : NO :
WONK (:A..ASS : AI_.'T'EPA1 T JN FUPNAC:E: <1 UUK AIR HANDL-P <1 U
USiE TYPF, : SINt'..A..k FAMIL-Y F'IJPNAC:E 1.00K4• AIR (•IANgL_N 1.0K
CONST . 'T`r'Gyl-: FI..00P FURNACE' EVAP.t':g01...E1.1
OC:f;LIP. Op;). : HE—ATL'—:P ."EN'T' FAN
VE:N'T' VE::N'T' . SYSTE'M
911 P/C:OMP (31.4p HOOD
NO SiT01141ESi : r:tl...P/t::OMP 31.M1-lp INC'1NEi:NATOA(DOM
DWld:l_.I._ .L.INIT'li : Ii3L.R/t't7MF> 1."1-:'S01-IFS IN(-.,I:NERATOP(COM
FJJF':.. TYPF.i: WOOD 13I...F7/(.'DMP 30- 501-11� PEPAIP UNITS
MAX . INPI.1'T Itl...i'�/tw(:)Mlry "SU+1+F' OTHER :l
I' :I:1'ar DMPP57 (.,AS PIPING OUTI...E:'T5
I:_:'MAr4I(!) :
:I:NS'T'AL.I...
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NMOOC-+F:: 'TINOTHY A PERM11, $10 . qU
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R (391.0 SW C)AK WAY PI-AN R .VIEW
'T:IL-JAnD OP 9'72P*,3 F' IXIII JP S f4. 50
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This permit Is issued subject to the regulations contained in Title 14
of the TMC State of Oregon Specialty Codes, zoning regulations Ar-J"FiJ.P'T NO. /`fx)
and all other applicable codes and ordinances, and it Is hereby ••....
agreed that the work will be done In accordacce with the plans and RI:::(.!l l:r fFr) INraI:;�E:;C;T tC1N5
specifications and in compliance with all applicable codes and FIPF"F'1 ACE:
ordinances. The issuance of this permit does rot waive restrictive
covenants. Contractor and subcontractors shall t•ave current city
business tax permits. This permit will 3xpire and become null and
void If work is not started within 180 days,or If work Is suspended or
abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibility of the permittee to assure
all required ins actions are requested and approved.
A
Permittee Signature
Vy a
+slued 8yC7-'0
SEPARATE PERMITS REOUIRE[)'0614 Vi►dgh dt"M t"Ar#bt9dAft3ED ABOVE
CITY OF TIGARD .MECHANICAL PERMIT Receipt#
Permit# J
"Ion _—
City of Tigard Table 3A Mechanical code CITY PRICE AM'
13125 S!N. Hall Blvd. t) Permit Fee
P.O. Box 23397
Tigard, OR 97223 2) Supplemental Permit - -- —
639-4175 ----_ 3.�0
--------- ---
Furnace to 100,000 FTU --
incl.ducts 8 vents 6.00
2) Furnace 100,000 BTU + - — — --
_ in_cf.duels 8,vents 7.50
Name of Developrrmnl Floor Furnace
_ 3) incl.vent 6.00
Jots Addrae� Suspended heater,wall hector
Address ;�i O S r ;ol, 4) or floor mounted heater 6.00
rax Lot Map No. 5) Vent not'incl,in
�
BIa k gMWw appliance permit 3.00
Nai»e ip(name of t*usiness) Repair of heating,ref r ig.,
') cooling,absorption unit 8.00
Owner MarRrgAddreas Phom Buller or O)mp to 3 HP
(��rp Sr r C'ry<<<vr97) u
�Y Y-T( ) -- absorp. to 100,000 BTu 8.00
Cr 1y .to 8) Boiler or
-
ni comp to 3 HP-15 HP
/� absorp.unit to 500,000 BTu 11.00
NaT° Boiler or comp 15-30 HP _
SI'l"A L 9) absorp,unit 112-1 million 15.00
Ma"Addren Ph" 10) Boller or comp to 30-50 HP -- ----
Contractor t. absoip.unit 1-1.75 million 22.50
City/State Zip 11) Boiler or comp to 50 HP
absorp.unit 1,750,0_00 BTU 31.50
State Ftetgistration N,-'- C�Bus.Tax No. t 2) Air handling Unit to
10,000 C1'M 4.50
1 hereby acknowledge that t have read this application that the information given is 13) Air handling unit
omect,that I am the owner or authorized agent of the owner,that plans submitted are in 10,000(:FM + 7.50
compliance wi',State laws,that I am registered with the Stato Builders'Board,that the --
nttrnber given,s correct.(if exempt from State registration please give reason bekw Non potable
i t 4) evaporate cooter 4.50
--_ 15) Vent tan oc nnected — -'
-- to a single duct 3.00
16) Ventilation system not
---7a - _ included in appliance permit_ 4.50
I IItju, lal . Oj,'((liJl� t T) Hood served by
mechanical exhaust 4.50
Slpnafure(owner a ni► Date — `_—
Describe work ------- 18) Domestic type
❑ additign Iteration f_7 repair Q incinerator 7,50
to be done residential'Z non-residential ❑ --
19) Commercial or Industrial
Existing use of type incinerator 30.00
building or properlyOther i.e.,woodstove,water
building — —
Proposed building
or property use of 20) heater,solar,clothes dryers,euc. 4 50 r�
� -
— 21) Gas piping one to four outlets 2.00
Type of fuel- oil ❑ natural gas [I LPG I I electric, l.J - ------ �_
22) More than 4per outlet
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- SUB-TOTAL
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR &_610 'SURCHARGE
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER PLAN REVIEW 25%OF SUB-TOTAL
WORK IS COMMENCED —`—"'—"------
TOTAL
Special Conditions
-- --_ Date Issued. by --
ars