13235 SW 72ND AVENUE I■► Is � lair � � tir er
13235 SW 72ND AVENUE _
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I
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
01
Type of Inspection
Doe Requested '/0 - >�— T>ma A.M.X P.M.
Address / 3 _'�_ �,� Q Permit
Owner - Lot #
BuilderThe following Building Code deficiencies are required to be corrected: 1
Presented to —_ RApproved
Inspector _�_ I I — I I Disapproved
Date -
CALL F R REINSPECTION
M YES D NO
It 1 !•' ! � It � �
INSPECTION NOTICE
City of Tigard Building Departmen
P.O. Boy 23397
Tigard, Oregon 97223 ,
Phone: 639-4175
Type of Inspection
Date Requested_ _�%Q / y�
Time P.M.
Address
— Per
Owner
Lot #
Builder � _ lC ii t l�
The following Building Code deficiencies are required to be corrected:`
-Tom`------
r�
Prtantrd to �,
��`� Approved
Intpmof' _
�.� Disapproved
Date
CALL FOR REINSPECTION
C 7 YES (.--I NO
. 11 ..
11 L CH%A IA I(
A L.CITYOFTIrAD FI' R111,T
CFTYOFTWARD 'I—RI11'T' it. . .. . . . . :c
IIIEC,90 -0219 029
COMMUNITY DEVELOPMENT DEPARTMENT ORFOON F`RIIII PLAIlI IIt. : IECS0--0219
M25 SW Hall Blvd. P.O.Box 23397,Tigsid,Oregon 97223(003)6?94175
--I I)A'T'F.
S I 11K f4 D D R E'S S. 132 35 GW /2N1) 0 V PS lWlDP 0071.0
ROLLING HILLS) ZONING: R-3. 5
0 C,I'll. . . . . . . . . . . .. . : '30
CILASS OF' WORK. » ::ODD F1.0 0 R F'U R N. . . E'.VAFI COOLERS:
,1,yPE OF USE'. . . » -Sr.- UN11' HEAI'ERS , VEN'T' FANS. . .
0 C C U PO N G Y C3 R P. :R3 'A:NTS W/O AV-'r'L-. V K'N'T S Y IS 11'ITIS
STORIES. » » .. .. . . . . B 0 1 L E"R S C,'C)11 P R L*1,3 S 0 R S HOODS.. . . . . . . .
0-3 14F'» 1N('J 11:7
/G
3---15 HP.
(IS/ INCIN.-
110X 1:Iq P Ul E0,U 15-30 UN11*S:
F'IRIZ DAMPERS?. » » 1-30-50 1-11:. WOODSTOVES. . -
G r,S I",R E'1.3 S 1.)R 1; 50+ HP. .. 1:! 0 'DRYE RS.
N(J. OF' AIR HONDI ING U I-A I I S 01HER UNITS.
i•URN < 100K L*T(J-. <:.- 1.0 0 0 0 (:�f ni-. GAS OUJ I-F.T'S. n .l.
FURN )n::100K > 10000 c-frn-
C)wrie-r.-
Rl(.',K GORGER type a100L111t 13'y date -r e let
13235 1GW 72ND PAY11 q; 20. 48 JLH -.1.0/11/90
P R 111'1* $ I I.?. b0
T10ARD OR 9722.3 5 F,C T 1i 0. 99
Ptic)rie It: 620----'1665
C,c.)11 t,-r a C t(I r: ...--..——....-... .......-- - - ---.. - -—...-- -- ....-----..
C,'01A)ME(JO HE:'O1'1*NG
8900 13W 1AURIAH()III
SPAC11L F,—111.0
1'113ARD OR 97223
Phone-, It:: GP4----2?04 20. 48 1'0 I'A L_
Reg 0. 38026
REAWIRE'D INSPECTIONS
Tris permit is issued subject to the regulations contained in the F'inal lrispecAiall
Tigard Municipal Code. State of Ore. Specialty Codes and all other ........
applicable laws. All work will be done in accordance with __.„.___._w__.._._._. ....
aparoved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is susnended tor more
than 181 days.
Fle-unlittpe
......................... .......... ...............
Call far irispectiori 639----41'15
CITY OF TIGARD MECHANICAL PERMIT Receipt#_
13125 SW BALL BLVD. Permit #
F. O, BOX 23397
Description
T I GARD, OR 97223 S `� I� Table 3A Mechanical Code CITY PRICE AMT
(503)639-4175 '✓) ' U
•� � 1) Permit Fee - -0- -0- i0.00
Name of nevelopment
2) Supplemental Permit 3.00
��
011
Job Address Furnace to 100,000 BTU
Address I 1) incl.ducts&vents 6.00
Tax Lot Map No. Furnace 100,090 BTU +
Lot Block Subdlvfslon 2) Incl.ducts&vents 7.50 f ,
Name(or name of business) 3) Floor Furnace
Qi_ I incl.vent 6.00
MaiW,gAd ime Phone Suspended heater,wall heater
Owner ) _� JW -- � -�� 4) or floor mounted heater 6.00
City/Statq t z 5) Vent not incl,in 3.00
'j t 1C1 � Z23 appliance permit
Name( Hama of business) — Repair of heating,ref rig.,
6) cooling,absorption unit 6.00
Mailing Address �' Pte Boiler or comp to 3 HP
Occup''l — 7) absorp.unit to 100,000 BTU 6.00
CityrS�ale 7jp 8) Boiler or comp to 3 HP-15 HP 11.00
absorp.unit to 500,000 BTU
Nam - 9) Boiler or comp 15-30 HP
absorp.unit 1/2-1 million 15.00
Mailing Address phpty Boiler or comp to 30-50 HP
t , y 10) absorp.unit 1 -1.75 million 22.50
Contractor Cityrstatq ZipCJS Boiler or comp to 50 HP
absorp.unit 1,750,000 BTU 31,50
State F1111glistratIS No. City Bus.Tax No. 12) Air handling unit to
10,000 CFM 4.50
'i*aC l � Air handling unit
I he,eby acknowledge that 1 have read this application that the information given is 13) 7.50
cortw;t,that I am the owner or authorized agent of the owner,that plans submitted awn
1(],000 CFf�i +
compliance with Slate laws.that I am registered with the State Builders'Board,that the Nor portable
number given Is correct.(if exempt from State registration please give reason below). 14) evaporate cooter 4.50
15) Vent fan connected 3.00
y to a single duct
V --- - -- Ventilation system not
16) included in appliance permit 4.50
`i' -- Hood served by -
L Ct�t (° r r-�) t 7) mechanical exhaust 4.50
Slgnatu ,(owner or agent)
Date Domestic type
Describe work ❑ addition El alteration �9. repair Cl 18) Incinerator 7.50
to be done residential �. non-residential ❑ Commercial or industrial
Existing use of 19) type Incinerator 30.00
building or properly_- _ ) Other i.e.,woodstove,water
heater,solar,clothes d 4.50
Proposed use of dryers,etc.
building or property
21) Gas piping one to four outlets r 2,00
Type of fuel- oil C] natural gas f I LPG Cl electric O
22) More than 4-per outlet
NQTI `E
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- SUBTOTAL
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 100 5%SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25'x6 OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER ----- ----
WORK IS COMMENCED. TOTAL D
Special Conditions
Date issued by - -
1
ENT RECEIPT NO. -. 90-205726
-,i,ry OIL' TIGARD RLCEIPT OF PAYM CHECK AMOUNT 20�48
NAtil. CM.UMBIA HFATINO CASH AMOUNT a 0.00
ADDRESS a PAYMENT DATE 1 /9()
SUBDlYISION
TIGAPD, OR 97223— 13=t SW 72ND
Purrorw* OF PAYMENT AMMINT peA I PURF-11SE 01-- PAYMENT AMOUNT PAID
MCC'HANICAL. F'E' MC C:94--0219 19.`SG ST. BUILD PER 6. 9B
Amourn, r*A.iD
CITY OF
BUILDING PERMIT APPLICATION TIG,ARD DATE � 19. 'rj N-0
0107
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE _
OWNER David Hurt ADDRESS 13230.► ';,Li. 72nd Av,e BUILDER PHONE
United Molar Tiel Co* *
NEER
BUILDER ARCHITECT DESIGNER _
STRUCTURE ❑NEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL. ❑FIRE DAMAGE [:]DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PCaT ❑GARAGE ❑STORAGC❑SLAB C]FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED IISIGNS
OCCUPANCY—_—__LANG USE ZONE BLDG,TYPE FIRE ZONE— PLAN CHECK BY HEAT—
re-roof----33
EAT _re-root----33 square* -- — --
OCC. LOAD ! FLOOR LOAD HEIGHT NO.STORIES AREA �^ VALUE ° A ?('Z
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit -------
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL. APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANC'.WITH THE PLANS AND SPECIF'CATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND OR9.VANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State • e LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total
BV j
APPLICANI OR AGENT
Approved Receipt No.
ADDRFSS PHONE
s....._..._...—_..-_..»,....a.....�__._..,...._.,......._..r.u.u.,ux.J......s...,..,..,-..t.,_... c..�.._.u.,.a_,,.o,,. ...«u..,........ra...an..rW.a�1M.Hw....N.m,r......w;....i.. .... .. .. .,
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
11-7-,71 Contractor _
Permit No.
Rough-in
Fixture
Final
HEATING
Contractor
Permit No.
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drains Final
Sidewalk
EAroach
treet Final
BLDG.DEPT, FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Cing
inal