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11615 SW PACIFIC HIGHWAY-1 Un Z W 1� N n 1 Io I ', �'W iNSPECT'JN N01 ICE City of Tigard Building Department P O Box 23397 Tigard, Oregon 972.23 Phone: 639-4175 Type of Inspection Date Requested�_� --�-�— Mime A.M .P.M. Address � P mtt17 ' Lot � Owner Builder The following Building Code deficiencies are required to be corrected: Yq83 Via= /S N4,Ny7"c=5 ucr F'v�:ssv¢� J75 04A04 P/n•�� i�+aTtl ( T� i✓�. E�� r'�cTT"�:Ci,,y� i3tarc'tz.�,.:R—ra' l�ff�7��` gs ,r. -rte S L1 LL 7'0!�- j'r.�•�c� 1 �S'��s � i u � � i ,4c:-Cp,L t^XAj is Cocur�t�i�i� Al Presented y _ Presented to _ �P-Approved ❑ D"approved Inspector Date -L�y CALL FOP. RFINSPECTION ❑ YES 0 NO 1 INSPECTION NOTICE —� I City of Tigard Building Department P O Box 23397 1'igard, Oregon 97223 Phone: 639-4175 Type of Inspection (S.4" -_ _ �,. Ny Bate Requested_]����� Time A.M._ P.M. M Address J/L/.5 , �1�1� �w t� -- -__-- Permit #_ _Uie2�_ Owner -------— -- --- Lot 1 Builder --- r The following Building Code dt,ficiencies are required to be corrected: ^ne-�wgLr,4.� %A,e.r1� Presented to _ Arproved 'nrpector _ -- _- Disapproved Date CALL FOR RNIMPECTION { YES L�] NO INI 1 C A L. CITYOFTIIFARD COMMUNITY DEVELOPMENT WYOF R�D -- PIE.L90 0126 DEPARTME NT ORIGON I1T vir.:C90 01.,_m, 13126 SW He i3iv,i 1'0 Box 23397 11gard,Or9gon Q7=(5m)M-, M DATE" :- :Cf-)�;U 0 6, 2 9/9 0 HWY Fk,I FI I 13CK„ I CH 21 ............. ............ ... ......................... W U.)1.ti 1:. A I.. F.I F_URH. I.YPF- oF, - — "REL U N T f 1-4 L A I E'R S C,00LER!3: VENT FANG'. . . 0 C,('U P`A N C,Y G 1_�P` B 2 V E N'T S W/0 'n F"P L sysn:. PIS. H(JIM-3. . T Y r,I.. ....................... 0....3 HP. . IN C.1 N IIAX BT0 5 0 VIP— . RL-PAYR 1.)111:, DAIIPEW(.;­' . :,- TG G A Fi) I::'R Ei*(31 8 U R F, 30--50 HI::,. . W00DST'C)vES_ 1 . . 5 0+ HI:'. . . . 14 1 Tc, 1. 1 1.............. A.1 R H A 14 1)L H(,7 tj -t T- L 0 1)R Y I.:.R(3. I ul:m < jqT,IJ,- OTHER U1,11 11-6. 10000 cfnl:: I`:URhI )= I-00K 11-11J.- I 10000 G W.3 C)U T*L F, Is. R UNION GMSPEJ.. HIN - GTRIFFIG 1 type A ni u ii t. :)y (iate SE. ANKEMY 'rec,pt PAY11 �?:30. 4(3JLH 06 g," 12go P(JRTL,AND OR `)7214 P R ITI 1, 9. `.i0 2.35 4481-3 `)PCT' 9 0- 1.98 ................. Re.q (.)WI,II T� 20. 48 TDTAL This permit is issued subject to the regulations contained in the REOU-TRED 1H!3PU,'T10NS Tigard Municipal Code, State of Ore. Specialty Codes and all other ............................ .............. Applicable laws. All work will lip done in accordance with ..................................................... ..... approved plans. this r1preit will expire if work is not started '......................w._."....._.­­ .............. within 180 days si issuance, or if work. is Suspended for sore .... .............. ........ than 180 day,,. ................................................... ........... ........... Pe"110.t-tee G i 14 14�tU VC1 . ............... u e d BY .......... ........... ..............I................................. ................. ............. ........ 639-4 - (OF ';'11Y.1RD PF,c.r-:ir"r cF7 P-ECEIPT 1'10. o 4C'; CHECF;.' o-MOUITT CASH AMOUNT NAME a UNION Cjf)ISPEL MINISIPIES PPiYMENT DATE 1 1',16 4.9 A ID D P E S n SUBD I v I s I ON I 1161*5 pA,,-,IFIC HWY POPTI-AND. OP rIJPPOSE OF PA'YMP-il FAjF*'T'OSE OF PAYMENT AMOUNT FIA I 1,jEcHAt4l CAL PE MEC 9 1 4-6 50 (yr. BUILD PEP 2Q. 48 r0TAL. AMOUNT I CITY OF TIGARD MECHANICAL PEWAIT Receipt # _--- ----_-_-_ __ Permit # 131-25 SW BALL BLVD. P. O. BOX 23397 T IGARD, OR 97223 of 151 Table 3A Mechanical Code — OTY PRICE AMT (503)639-4175 1) Permit Fee -o- -0- 10.00 Name of rh+velotynent 2) Supplemental Permit 3.00 �� u t in i S �E�'— 1) Furnace to 100,000 BTU Job ti.00 Address nos o S P ci 11 W µ� incl.ducts&vents _ Tax Lot rt Map No. 2) Furnace 100,000 BTU + , 7.50 incl.duds&vents _ frit Bloelt Subdivision - Furnace Na (or nerne a incl.vent buskon) — 3) Floor vent nta 6.00 'Y� � Ph" 4) Suspended heater,wall heatermaiiiing 6 � orfloormountedheater -_ — .00 --=��M Vent not incl.in zip r �, .00 � 3 flan 0/ �K 9 7� ,y _)-appliance permit _ --- 1 Repair of heating,ref rig., Name(or name of business) 6) 6.00 cooling,absorption unit - -- Boiler or romp to 3 HP _ OccupantOccupantMarling Address P1io^° 7) absorp.unit to 100,000 BTU 6.00 -_— - -- — CitylSiate Tip - 8 Boiler or comp to 3 NP-15 HP r500 absorp.unit to 500,000 BTU — ) Boiler or comp 15-30 HP Name — 9 absorp.unit 1h-1 million _ _Tu �in:S�izi�S Boiler or comp to 30-50 HP . Mailing Address �K'^a d Vt absorp.unit 1 -1.75 milli.-in __. Contractor CltyfState ZIP 11) Boilero. compto , HP 31.50 absorp.unit 1,750,000 BTU — state Registration No. City B .Tax No. 12) Air handling unit to 4.50 10,000 CFM - I Air handling unit I hnreby adcnowledgo that I have read this application that the information given is 13) 10,000 CFM + 7.50 - coned.thet I am the cw,nter or autori hzed agent of the owner,that plans submitted are in ( -- rximpl-anx+with State laws,that 1 am registered with the State Builders'Board,that the 14) Non pon3ble 450 number giv in is vred (If exempt from State registration please give reason bnbw) evaporate cooler - 15) Vent fan connected 3.rw - - to a single dud --- - _ - _-_ -- - Ventilation system not 16) 4.50 included in appliance permit — 17) Hood served by 4.50 mechanical exhaust Signature(owner or agent) Dale- 18) Domestic tv,;,a 7.50 Describe work ❑ addition [Ialteration f4 repair El Commercial to be done res!_3ntial ❑ non-residential 11i 19) Commercial or industrial 30.00 ttrpe incinerator _-- Existing use of (� 1 t Other i.e.,woodstove,water building or properly 4 R� 1 __ 20) heater,solar,clothes dryers,etc. _ 50 Proposed use of (� l building or property IS 4 �ar 1 21) Gas piping one to four outlets 2.00 Type of fuel-- oil I 1 natural gas ❑ LPG ❑ electric ❑ - -. - -- 221 More than 4-per outlet Nf�TfCE - SUB-TOTAL // 5t THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- STRUCTION ON -- - SX SURCHARGE STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 _... _ -__-__ DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN OEV1EW 25°X.OF SUB-TOTAL ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER - - TOTAL L+ Ell WORK IS COMMENCED. _ ,.- Special Conditions _-- -.---__-- Dade i3sued_. _—_-- _- by �'— sexst