15685 SW 76TH AVENUE Ww a / ! r IN
15EP5 SW 715TH AVENUIa
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WIWINE
INSPECT-:6N NOTICE
City of Tigard BLH ding Department
P.O. Box 23307
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection ,��
')ate Requested 3- IL7 Time _�A.M. P.M.
Andress �(p t�1�" C/,L�R.�" permit #4,2,6,6
Owner /Ji <a– �,.. J Lot #
Builder
The following Building Code deficiencies are reqs iced to be uorreoted:
el
_ i
A/ T —
Presented to — IApproved
Inspector
U Disapproved
Date
CALL FOR REINSPE(TION
❑ YEB 0 NO
��.�rrrae
Wn
ME*CHAN I CAL
CITYCSF TI67ARD
(cUnWOFTWARD F"r R P11'r #. . . . . . .. ITIEC190---015 7
COMMUNITY DEVELOPMENT DEPARTMEW *ON ) I_'r
#. , Iq ,(._9 C
13125 SW Hall Bbd. P.O.Box 23397,Tigard,Oreq.,)-9722.1[503)6
75
DA'rE' ISSUED: 08/02/90
si: rE ADDRESS. .. . V
SUBDIt"YSION., DURHAIII ACRES,— FIARCEL: 2S 2CD� 00200
AZONING: R---4. 5
BLOCK. . . L 01*. . . . . . . . . . . . .
CLO51.3) OF* WORK.. . r ADD F*LOOIR F'URN. . EVOP COOI I--R S-
TYPL`:-* OF* USE. . . . ASF* UNIT H E A T E R G. . Vl-lq'T' FAW13. . .. -
(N."CUPANCY GRVI. . r R3 VEN'1'13 W/O ADPL.- VEN1 SYS'T'EIIS.-.
G'T'O R I E S. . .. . . . . . . DOILF.-R S/C 0 111 P R E S S 0 R S . . . . . . . .
F'UEL 0-•;;g
H ID. DONES. 'flqCIN".
./WOD/ 3 15 HP. . COPIML. INCIN:
NOX 1111PU'V: B111 15-30 IIF," . . . REPAIR UNII'S".
F' 1.*R 1)P 11 P E R S?. . 30-50 I-IF'. . . . . W0ODS1'OVES— : 1
C37AS F-*LbS1JRE. . . - 5)0 CLO DRY[--'*IRI:.).
N0 F' U W I (5- ...... AIR HANDL.'I NG O`T'HER UN'I'TS.
I-'--I.)R Iq 1.0 0 K JR T U- <= .10000 efnl: GAG OUTI EIS. r
F'URN =100K PTU: > :1.0000 -f ni
R,.-A ni a r si
F'F'ES
I.--'H I'A- A SALLY CHRISTENSEN type anlot.olt by " (i,-Ate t rerpt
.1.5 68 5 5W 7 6'1*H PAYA 3.5. 23 JLVI 08/02/90
P R 111' 14. 50
71:C ORD OR '37224
5 1:1 C*T $ 0. 73
#-
ri t (:.,t o-r
OREGON CH)AINEY REPA!;,�
11318 SE RIAONL
POWFLAND OR 97202
P-I tori(- lit: 1; 1'.,,. 23 TO F AL
R e Gl It 5.19 67
RENUIRED 1NSI'1CJ'[OIqS
This permit is issued subject to the regulations contained in the F*irial 1i1sp(:-ctio11
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with
approved plans. This Permit will expire if wvrk is not started
within 180 days of issuance. or if work is suspended for mare
than 189 days.
—---------
P e r ni i t t e P S i. A Lt r ca
1.s, c.c er d 14
...............
Ca Ll. for il-IsPec.-tion 639-4175
don
r?CCC IIT NO.
CHECk., A110tiolT 0,
NAME t CHP I STEWFiEN. PHIL CASH AMOUNT
PWIENT DATE
ADDPESS
SUBD IV I�-.;I ON
cip 9'T 4 -
r-iiPPOSE OF rp.,YMENT Af,UUNT P�,ilr) Of" PAYMENT AMOUNT FAID
MECHANICAL PE MEC-c,?Q--Q 1 14.50-1 ST. SUIL.D F"'FP
;.01OLINT F-AID
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 6394175
Type of Ins action �4-')
Date Requested ,cL U ^2— o Time x A.M. P.M.
Address __,
/S O 7Q J Permit
Owner— _ Lot #
Builder __ — ------The following Building Code deficiencies are required to be corrected:
Presented to -_ __ Approved
Inspector ❑ Disapproved
Date.
CAL FOR REINSPECTION
!::] YES 0 NO
-- - — MECHANICAL PERMIT'
CITY OF TI17A R®
r>EIPraa:T NO. : MF1391922
CITY mm
COMMUNITY DEVELOPMENT DEPARTMENT �� DAT'E: I S'�rUE::IJ: 9/13 1 C39
13125 S.W.Hall Blvd..P.O.Box 23397.Tigard.Oregon 97223.15031639-4175
— — — I'aP1:M . PM'T.NO. E39192P.
JOB ADDRESS : 1.:568:5 SW 76TH AVE:
TAX MAP/I...OT 5l.)E3: LT : 13K :
LAND USE:
ITEM: NO: NO*
WORK CL k^%':;S : ALTERATION V UgNACE 0.00K :I. AIR Hr•' .DLII (1.0
USE 'T'YP'E: : !i1NGL..E: FAMILY r: Ut'.*NAC IE 1.00K+ AIR HANDI_.R 10K
CONST .TYPE: FLOOR FURNACE El;AP.COOLER
OCCUP. GRP. I••II.ATE:R VENT FAN
VI:::NT VENT . SYSTEM
BLP/COMP (31-11P I-1006)
NCI. STORI:E S: 8LR.1COMP 3-15HP INC 1:Nf:-.:RA'T OW(UOM
DWELL .UNITS : 13L.R/(*.X)MI:) 1.:5 :501•4P TNCINERAT•OR(COM
V 0EI._ T•YF'E:: FI...R/C:OMP 30--50HP REPAIR UNITS
MAX . INPUT 131...8/COMP 1504;14113 0VHE.A ].
FIRE:: DMPPS? LEAS PIPING OL)TI._f 1!; I.
H:.GH PP1':S5'?
.'.. ...
REMARKS ;
i.n to t ta,l l J.rt t;1 Suis
FIWE:.S
C
W r-,h r�i%to ri tu o ri PERMIT
E V-5685 law 76t.h lave. PLAN PEVIEW
R t.:l ga l"(1 cir 97i-2i:!ZI F:[X'T'UFiES $1.2 . 50
PHOi\E: (:303) 620--(11367 ST'A'TYi•:: TAX Ik 1 . 1.3
OTHER
C
C HOL.SC:HE::R MICHAEL
N
T COI...LIMBI:A HEATING
A e 1.:30esw go-T-1.4
C tl.ialP. tJ.r1 ur, 9706P
TT PI-4ONC:: (50.3) 692-4320
JR1 RE::6115T'RATION NO. 3e02A TOTAL: lie3. 63
This hermit Is Issued subject to the regulations contained In Title 14 RECEIPT 140.
of thr, T'AC. State of Oregon Specialty Codes,zoning regulations
and ell other applicable codes and ordinances. and it is hereby REQUIRE.D INSPECTIONS
agreed that the work will be done in accordance with the plans and (:;AS L.I:NE:.
specifications and In cor^pliance with all applicable codes and VOS l' It REAM
ordinances The Issuance of this permit does not waive restrictive ROUGH-1.N
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and I• :I:NAL.
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 requir d inspections are ren.uested and approved
Perm t e Slgnature J
199Ued By
FOR TIN115PIEC-11 ION 6 ---417!5--
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
City of Tigard
13125 S.W. Hall Blvd. MECHANICAL PERMIT 11rx.niplN
P.O. Box 23397 f omit a
Tigard, OR 97223 oe"ritton ---
639-4175 Table 3A Mecf efd,�al Code _ Ow PRICE AIdT
1) Permit Fee -0- -0- 10.00
Name o(Devel fa 2) Supplemental Permit 3.00
.lob Ali,*"= / — 1 Furnace to 100.000 BTU
Address � )0 J c' l'V ind.ducts&vents - j 6.00 - -
TaxLol MP No. FUm30e100.000BTU i
2) incl.dud i&vents 7.50
lar Block SlbdrMsion — -
Naffw(or nam o1 ) 3 Floor Furnace
ind.vent G
t�r1Se h 4 Suspended heater.wall heater —
Owner ��Adt�rss 4) or floor mpunted heater 6.00
5-(0 85 W Aa !�2.D-431 ( — — --
ch rst,,b Vent not ind.in
5) appliance permit 3.00
Repairo(heating,rtefrig., —
G) cooling.absorption unit 6-00 -
Trp
Phone Boiler of or)mp to 3 HP
absorp.unit to 100,000 BTU 6'00
Occupant cky/Staw zip 8 Boileroreompto3HP-151-113
absorp.unit to 500,000 BTU 11.00
-- -- Name 9 Boilerorc�omp15-3011P(.t ) absorp.unit 1h-1 million 15.00 --
Mar„p A ddrm Nata Boiler or comp to 30-50 HP
10 i0
absorp.unit 1-1.75 million
Contractor ' W) (-")2 3 2 , m'
(:UtyrStale ZIP 11 Boiler or comb;to 50 HP
>� t)6^ ) absorp.unit 1,7511,000 BTU 31.�0
State Reyrstration No. a1y MAL Tax No. Air handling unit to
12) 10.000 CFM --� 4.5U
I henvtyr acknowledge that I(vve reed d,is app"fion dial d,e kdomiation emm es 13) Air handling unit 7-50
correct,that 1 am din owner a AtMxxited of bhe cr m w,d,al a 10_000 CFM 4
a4efw Ifs alxf' ed uo n ---- _
0orrprian0s with stain Yews.aur I am registeted with d•-state VAAdem*Boarit dial dM 14 Non portable .
lumber given is correct (d exempt inion Stale registratkxf release vivo reawm beWw) ) evaporate cooler 4.50
Vent Ian oonneded
- - - ----- 15 3.00
to a single dud
-- -- —-- Ventilation system not
) included in appliance permit _ 4 i0
-�-- -- — - Hood served by
17) mechanical exhaust 4.50
ate
_ Domestic type
Describe work 11addition (Ialteration 10 repair (:118) inclnefalor 7.50
to bc,done residential 0 non-residential I] Comrnercialorindustrial
Existing use of - 19) type incinerator 30.00
building or property Other i.e.,woodstove,water / I
Proposed use of 20) Other
solar,clothes dryers,etc.
cl4
building or property
?.t) Gas piping one to hvor outlets 2.00 2 ,(1(
Type of fuel- oil C-J natural gas ❑ LPG (] electric O
22) More than 4-per outlet
NO_ TILE -
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- SUB-TOTAL
STRUCTION AUTHORIZE() IS NOT COMMENCED WITHIN 180 5% SURCHARGE
DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PIAN REVIEW 25'X.OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 18o DAYS AT ANY T IMF AFTER -
WORK IS COMMENCED. TOTAL j (�
Special Gonditions
■e► w w w w w tis w w
CITY OF TIGARD MECHANICAL PERMIT Receipt #
13125 SW HALL BLVD. Permit # _
P. O. BOX 23397 Ili C 0U Description �—
TIGARv, OR 97223 I Table 3A Mechanical Code _ _- _CITY PRICE AMT
(503)639-4175 1) Permit Fee -0- -0- 10.00
Name of Development 2) Supplemental Permit 3.00
r Job Aedre3s �! 11 Furnace to 100,000 BTU -6.00
Address 1_56S5 incl_ducts&vents__
Tax Lot — Map No. ) Furnace 100,000 BTU -1 7'50
tAl 8kdc 8tbdltdabn 2 incl.ducts&vents
���y,N,�) _ ) Floor Furnace - - --
6"
3 incl.ven6.00Mailing Address �/�\1 (��r le 113 V� 4) Suspended healer,wall heater 6.00
Owner ,-- /y -ZO- 3G7 - or Ilow mounted heater _^ _
��9tw 5) Vent not incl.in 300
l U 9 appliance permit
N lx t+trrtedbtwktasts) 6) Repair of heating,refrig., 6.00
cooling,absorption unit
Maing wr, p Boiler or comp to 3 HP
Occupant 7) absorp.unit to 100,000 BTU_ _ _ 6'00
c nwslate rip 8) Boiler or comp to 3 HP-15 HP 11.00
absorp.unit to 500,000 BTU
—� NarTw �'- - Boiler or comp 15-30 HP
/ 9) absorp.unit 1h-1 million 15.GJ
Mail,ng Addresn Pf101N t 0) Boiler or comp to 30-50 HP 22.50
absorp.unit 1-1.75 million
Contractor City/Stale ZIP 11 Boiler or comp to 50 HP u 31.50
absorp.unit 1,750,000 BTU
State Registration No City Bus.Tax No. 12) Air handling unit to 4.50
10,000 CFM
I l omby arAnowiedpo that I have read this l Air harx4ing unit
plication that the iMrwrtation given is 13) 10,000 CFM + 7.50
ala
•�ed,that I am the owner rx auttized agent M tMe owner,that plans mArrlittrNI are in -- M —
oornpkw"with State taws,elat I am registered with ttw State RL kkws'tkm(d,that Ow! 14) Non port?.JIB 4.50
rwotlber given is coned.tit everro hom, ale regestratrnrl please qwu reawwl hek)W) evaporate cooler
Vent fan connected
1'I to a single duct 3.00
-- -- 16) Ventilation system not -- 4.50
_ included in appliance permit _
17) Hood served by 4.50 �-
mechanical exhaust
signature towner or agent) onto ) Domestic type
Describe work ❑ addition F_] afteratiore F] repair F 1 i8 incinerator -_ T50
to be done resident'al O non-residential ❑ 19) Commercial or industrial 3000
Existing use of type incinerator -
building or property �) Other i.e.,woodstove,water 4.50
Proposed use of healer,solar,clothes dryer;,etc.
building or property -- 21) Gas piping one to four outlets 2.00
Type of fuel- oil l_) natural gas O LPG 1-1 electric I,I
22) More than 4-per outlet
NOTIC --- - -^ -- SUB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- ---- -
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 5%SURCHARGE
DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN 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