11515 SW 70TH AVENUE 11515 SW 70TH AVENUE --
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INSPECTION NOTICE
ty of Tigard Building Department
P.O. Box 23397 w
�. Tigard. Oregon 97223
Phone: 63'1-41'15
Type of In ection
Date Reques!::A 1 ime-=U_I_—OA I. y_P.M.
Address __+'�.- ��— 14% ��� Prrmit *&E!!' io
Owner __ —� _ Lot # COU y.
Builder .- — - - -- ---The follov ing Building Code deficiencies are required to be c-, rected:
i
ame -- -- --- ----
aR.S lJic//i rE•� SlD�=___-,��c' cho,,.�1�`z
Pr,,sented to _ M_.__ 44pproved
Inspector _--�1. � —_— ❑ DIapproved
riate ----
CALL FOR REINSPECTION
❑ YES ❑ NO
i�urs nri9in
CITYOFTIFARD b--
Ci Y OF TWA;1
COMMUNITY DEVELOPMENT DEPARTMENT OREGON
13125 SW Hall Blvd. P.O.Box 23397,Tigad,Oregon 77223 (50-1)839-4175
1M,ECHANICALO
1PERMITO
xxxx PERMIT #. . . . . . . : MEC90-0004
639-4171 PRIM. PERMIT P. : mEc90-0004
DATE ISSUED: 01/16/90
. ITE. ADDRESS. . . : 11515 SW 70TH AVE PARCEL: ISl.36DA-
UBDIVISION. . . . : ZONING:
LOCK. . . . . . . . . . . LOT. . . . . . . . . . . . .
tLASS----OF-----WORK--.•-.-:-ADD------------------ ----------__-------------------------------
(CFLOOR F URN. . . . : EV:'.P COO.'_,ERS
HYPE OF USE. . . . :SF UNIT NE:ATERS. . : VENT FANS. . . :
6CCUPANCY CRP. . :R? VENTS W/O APPL: VENT SYSTEMS:
$TORIES. . . . . . . . : BO:"LF.RS/COMPRESSORS HOODS. . . . . . . :
DUEL TYPES------------ 0-3 HP. . . . : DOMES. INCIN:
ijWOD/ / / 3-15 HP. . . . : COMML. INCIN:
iAX L im r W.7 BTU 15-30 HP. . . . : REPAIR UNITS:
DIRE DAM1?RS, . . :? 30-50 HP. . . . : WOODSTOVES. . :1
AS PRESSURE. . . : 50+ HP. . . . : CLO DRYERS. . :
0. OF UNITS---------- .AIR HANDLING UNITS OTHER UNITS. :
Up•: -.. 100K SPU: <= 10000 cfm: GAS OUTLETS. :
1URN =100K BTU: > 10000 cfm:
emarks: Woodstove permit
ner: ---_______... -- --- -------------- ------------ - FEES ---..----------
ICHARD GORGER type amoL by date recpt
3235 SW 72ND PRMT $ O.UO
PRMT $ 14.50 i / Ic 6 Q ff `'
IGARD OR 97223 PRMT $ 0.00
"one N: PRMT $ 0.00
PRMT $ 0.00
ontractor: •------------------------------ 5PCT $ 0.73
i'0NTRACTOR NOT ON FILE PAYM $ 15.23 JLH 01/16/90
----------------------------------
hone #: $ 15.23 TOTAL.
Reg t. . .
------- REQUIRED INSPECTIONS -------
his p^rmit is issued vubject to they regulations contained in the Gas Line Insp -
iyard Municipal Code, State of Ore. Specialty Codes and all other Post/Beam ':nap _
pplicabl-e laws. All work will be done in accordance with Mechanical Insp
pproved plans. This permit will expire if work is not started Woodstove Insp
#ithin 180 days of issuance, or if work is suspended for more
than 180 days.
�ermittee Signature:
�nsued By: -- ---- -- -- —=—T_ _— —
CITY OF TIGARD MECHANICAL PERMIT r " lorijL-orl '?a ( Cr
1.3125 SW HALL BLVD. -\ \ Permit N _
P. O. BOX 23397 oescripoon ---�--
, T I GARD, OR 97223 7 Table 3A Mechanical Code QTY PRICE AMT
(503) 39-4175 1) Permit Fee -0- -0- 10.00
Name of De ocokpinenl
S &2 —A)2?1_ i 2) Supplemental Permit 3,00
Job Address1 Furnace to 100,000 BTU 6.00
Address % 0 incl.ducts vents
Tax 4:d Map No. ) Furnace 100,000 BTU +
incl.ducts 8 vents _— 7.50
Lot Back SutAivision 2
Name( name d buskteaa) Floor Furnace
3) incl.vent 6.00
MairirgAddresa phone 4 Suspended heater,wall heater
Owner S W Z ) or floor mounted heater 6.00
City/Stag /+1 zip Vent not incl.in 3.00
t C(✓t C•ly �f 7 S) appliance permit
Na («name d basin esa) 6) Repair of heating,refr lg., 600
SGP � r cooling,absorption unit - _
c e.
Mailing _ pho„a p�
7 Boiler or comp to 3 HP 6.00
ant
P ����d.t`,1C
i V%Xu _ ) absor unit to 100,000 BTU
�� S �s -s"
tgrState zip 8) Boiler or comp to 3 HP-15 HP t 1.00
p( Z Z 3 absorp.unit to 500,000 BTU
Na )
9 Boiler or comp 15-30 HP
i U w P�� absorp,unit 1h-1 million 15.00
Mailing Address Phone 10) Boiler . comp 1. 5 mill HP 22.50
absorp.unit 1-1.75 million _ _ _
ContractorCity state ---^-- zip --- 11 Boiler or comp to 50 HP 31 50
absorp.unit 1,750,000 BTU _
State Registration No- v City Bus.Tar No. 12) Air handling unit to 10,000 5G
10,000 CFM
Air handling unit
I hereby acknowledge that 1 have read this application that the information given is 13) 10,000 CFM + 7.50
aired,that I am the owner or a(tlionzed agent of the owner,that plans submited are in —
rbrrrpliance with State laws,that I am registered with the State Builders'Board,that the14) Non portable 4.50
number given is rxarect (If exempt fmm Stale registration please give reason below). evaporate cooler
- 15) Vent fan connected 3.00
to a single duct
----- ) Ventilatbn system not
1 b included'n appliance permit 4.50
17) Hood served by Y 4.50
��„ G�- /fir Y •,� �6 -LL�0 mechanical exhaust
store(owner or agent) Date 18) G. -estic type 7.50
Describe work Cl addition 171 alteration [ repair C) Incinerator
to be done residential non-residential ❑ 19) Commercial or industrial 30.00
Existing use of / .,r / type incinerator
building or properly_ IF S or,Ot orw I i"' C 70) Other i.e.,woodstove,water 4.F0
Proposed use of
heater,solar,clothes dryers,etc. L�
^� Lo —
building or property --- - 21) Gas piping one to four outlets 2.00
Type of fuel- oil L7 natural gas O LPG p electric (* —
22) More than 4-per outlet
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- --- - 5U8-TOTAL—
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 5%SURCHARGE 7�
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPFNUFD OR PLAN REVIEW 25'X.OF SU13-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIMI:AFTER -- -- -- -- -
WORK IS COMMENCED. TOTAL S ,d .
Special Conditions
- ---- --- — —----- --- —_— Date issued _-- -- -- ----by— -- - -
INSPECTION NOTICE
City of Tigard Building Departmen:
12420 S.W. Main St.
Tigard,Oregon. 97223
Phone: 639-4171
�.,r,
Type of inspection ___. le-!,�_ 4,0.1-------__ ----_-..
Date Requested _- _7 Time_ _ A.M. P.M.
Address _ �_-� _____ Hermit
Owner_.�1 �G1 r"//lCt�'1� ----- Lot # _— ----�-
Builder
The following Building Code deficiencies are required to be corrected:
�E
Presented to Approved
Inspector _ �_ �_� Disapproved
Date - ----—' - -- -----
CALL FOR REINSPECTION
0 YES 0 NO
a INSPECTION NOTICE 3jI 1
\� I City of Tigard Building Department
12( S.W. Main 'Tigard,
Oregon 9772.22 3
Phone: 639.4171
Type of Inspection
Ddte Reques er; ', Time A.M. P.M.
Address
Permit
Owner. 7 r1' �n. ���C) Lot #
Builder
The following Building Code deficiencies are required to be corrected:
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Presented to t. I [] Approved
1
Inspector �~ SCG�, (^
❑ Disapproved
Date U
CALL FOR REINSPECTION
❑ YES 0 NO
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