9510 SW 74TH AVENUE 9510 sw 74th Wenue _
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INSPECTION NOTICE
City of Tigard Building Department
13125 ON Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 3u9iness Phone: 639-4171
Inspections
Footing P1�bq. Und7errelabb Mach. Rough-in Appr/3dwlk
Found. PLbg. Top Out Gas Line 1IMALt
Pont/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam MR+ch. Rain Drain Insulation -Plumb. t f.
u't
Plbq. Underfloor Water Line Gyp.�)Bd.
Date Requested:
Address:_ '� Permit #s _
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED-
X302
—.— //Y"�.'= rte.�a:�� 1�L/C�a 7 / =�7j �,��.�/t 1�L•�� .
Y
11PPROVED "S"PROV!.D 4 11PPROLRD SUBJECT TO ADM
_Call For Relnep.
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MECHAN I CA1-
CITYOFTIFARD PE R IT!I T
CITY Of COMMUNITY DEVELOPMENT DEPARTMENT TWAID MEC90-026,8
oN
13126 SW Hell Blvd. P.O.Box 23397,Tigord,C9 97223 467."175
11/�20190
5 1 TE ADDRESS. 09510 SW 74 TH AV PARCEL: IS125DB-0370,
SUBDIVISION. , DOULE-VORD 1--IEIGFI,rs ZOIqING- P-4. "5
BLOCK. . . .. . . . . . . 2 LOT'. . . . . . » . . . . . . ..23
CLASS OF WORK. . :ADD F"LOUR F*URN. . . . EVAP COOLERS-.
TYPE OF USE. SF' UNIT HE-.OTERS. . .- VENT F--ANS.,
C)CCUPANCY GRr.". ,. -R3 VENTS W/O APDL: V EN T S Y S T E'11 S
!:JORIES. B 01 L E R 13/CO IyI P R[--1;S 0 R S HOODS.
U I.L 'TYPE:.:; 0-3 HP-- S DOMESt. INC'IN-,
/WOD/ 3-15 H P. ., . . . COM11L. TI%JCJNz:
MAX INPUT: BTLJ 15-30 HID. . . . REPAIR UNITS-
I F*%` :343-_S0 WOODSTOVES— : 1.
i-IRESSURE. . . 504- HP. CLO DRYERS. . -.
NO. OF" U11111's--, AIR IJNIT�3 OTHER UNITS.
1!'URN < J.00K BTU: <== 10000 (-,fni-. GAE OUTLUTS.
!:,IJR:q DIU: 1.14000
1;:emav,rks -, Woodstove Fm-pmit
F.,EES
D U R D I`:L typce a m C)Lt 1-11; by (I a t-o -v v V�)-t
155 S. LEVI RD PAYM J.5. 23 JLH 11/20/90
14. '5)0
PEAVIERCRF.:'EK OR 97004
W N E R/C 0 WTR()C'TO R
$ 15. 23
CWISI ER
REQUIRED INSPEC ' IONS
1his persit is issued subject to the regulations contained in the h i.1,a1a 11-Isf)Pr-tioll
Tigard %ricipal Code, State of Ore. Speciaity Codes and all ether
applicable 1405. All work will be done in accordance with
inprovpd plans. This permit will expire if work is not started
+ithin 180 days of issuance, or if worI, is suspended for eve
Ih,ir 198 days.
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I ley'mi ttee 131
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I 9SUed By i: A—
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Call -ft)v 6 39-•4175
CITY OF TIGARD MECHANICAL PEI'MIT Receipt q
13125 SW HALL BLVD. Permit #
P. O. BOX 23397 Description
T IGARD, OR 97223 Table 3A Mechanical Code _ CITY PRICE AMT
(503)639-417.5 � l r ��6?� -1) Permit t ee -� — -0- -0- 10.00
Name of Development —
2) Supplemental Permit 3.00
JobAddasa 11 Furnace to 100,000 Bl-U 6.00
Address t "� (h fl v` incl.ducts&vents
Tata Map No - 2! Furnace 100,000 BTU + 7.50
Lot Block BloSubdivision incl.ducts&vents - -
Nwne(or rune(if business) Floor Furnace
3) incl.vent _6.00
WftAddranPltona S-6 3 4 Suspended heater,wall heater
Owner -4) or floor i_ounted heater 6.00
Gly/Sime ZIPVent not incl.in
J OU 5) appliance permit 3-
Narm(or newts cd bwirwas) Repair of heating,rof r ig.,
6) cooling,absorption unit 6
Mailing Addreas pha„a - 7 Boiler or comp to 3 HP
Occupant ) absorp.unit to 100,000 BTU 6.On
City/State ZipBoiler or comp to 3 HP-15 HP
8) absorp.unit to 500,000 BTU 11.00
Name -- 9) Boiler or comp 15-30 HP
absorp.unit 112-1 million 15.00
Mailing Address pho„a Boiler or comp to 30-50 HP
10) absorp.unit 1-1.75 million 42.50
Contractor cey/State Zip 11) Boiler or comp to 50 HP
absorp.unit 1,750,000 BTU 31.50
State Registration No Ctty Bus Tax No. 12 Air handling unit to
450
10,000 CFM
,� acarxwr
Iwr terfge .fMt I have read this application that the information given 13) Air handling unit10,000CFM + 7.50
rxvrect that I am the owner or authrinled agent of the owner,thet plans submitted are
rtwryrlranoe with State laws,that I am registered with the State Builders'Board,that the Non portable
rrurnhor given is coned (if exempt from State regiotration please give rewwn below) 14) evaporate cooler 4'50
Vent fan connected
5) to a single dud 3
- Ventilation system not
18) included in appliance permit 4 J0
Hood served by
J a,, �i rte-`-� 17) mechanical exhaust 4.50
signaltas(curter or -p _kala 18) Domestic type v 7.50
Describe work f 1 addition F 1 alteration p repair [] incinerator
to be done ___ residential p —non-residential ❑ Commercial or industrial 30.00
Existing use of t g) type incinerator —
building or property Other i.e.,woodstove,water
Proposed use of �- 20) heater,solar,clothes dryers,etc. 4.50
building or property —_—__ -- 21) Gas piping one to four outlets 2.00
type of fuel- oil ❑ natural gas f I LPO F l electric ( I -`—`
--- 22) More than 4-per outlet
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- SUB-TOrTAL
-
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 5%SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLIkN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER —
WORK IS COMMENCED. TOTAL
Special Conditions
Date issued--- --by —
T'ry nr nu,r-irr Of-I f"AYMENT RECTA PT NU. ;90--.2069-10
N-. ME: DI-ADEL, 13ARY AMOUNT 3 (.1.
C'ASH AMOUNT 15.
PAYMENT DATE Ci,,9()
-REAVERCREEle,, OR SUBDIVISION
9510 SW 74TH AVE
PURPOSE OF rAyt-'lF:NT AMOUNT Pklr) P"UNPOSE OF PAYMFNT AMOUNI 7jA
E. A N I CA L. PE' MEC90-0-�L --l—-----
..Q 5. '31", BUILD PER
C). 71-1.
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'4(.')?D9TovF_ PERM17
TOTOL AMOUNT'
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