15630 SW 79TH AVENUE 1
15630 S.W. 79th Avenue —
Mi
INSPECTION NOTICE
City of Tigard Building Departoeot
13225 SII Ball Blvd. Tigard, Oregon 97223
Inspection Line lRee-O-Phone): 639-4175 Buuaaiinena Phone: 639-4171
Inspection:__, __
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rail Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested:- �U - ^71� T'Lme: --- AM -),----_PM
Addrowsa:
Permit : �C
THE FOLLOWING CORRECTIONS ARF REQUIRLID:
Inspector: _ _ Date:�(`� �
�-APPTIOVRD DTBAPPROVED APPROVRD susiR T Tc) ABOVF.
-,---.Call For Relnap.
EMMUF-IlTimIl11 ISI IWW W
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CITY OF "TIVA GtTYOF?1GAD MEP ERM T TAL
F'ERM.TT #. . , . . . . MEC91-02'2'1
COMMUNITY DEVELOi-MEN DEPARTMENT" ORm9�Oq
13 1 k5 SW FWI Blvd. P.O.Boot 23397,Tood,Or"m W223(603)839.4176
'.j7-F(= ADDRESS. . . : 156:30 SW 79TH AV PARCEL.: 2S112CD-02000
SUBDIVISION. . . . : DURHAM ACMES ZONING: R-12
BLOCK. . . . . . . . . . . L.OT. . . . . . . . . . . . . : 14
(:LASS OF WORK. , :f?nD FLOOR FURN. . . . : EVAP COOLERS:
l YPE OF USE:. . . . :SF UNIT HEATERS. . : VENT FANS— :
OCCUPANCY Gk. '. . :R3 VENTS 14/0 APPL: VENT SYSTEMS:
STORIES. . . . . . . . : BOILEPS/COMPRESSORS HOODS. . . . . . . :
FUEq-_'L. TYPF'S-- _____.__-__ 0-3 HP. . . . : DOMES. INCIN:
: /WOD/ / / 3-1.5 HP. . . . : COMML. INC:IN: �
MAX I IyPUT: BTU 15-310 HP. . . . : REPAIR UNITS:
FIRE DAMPERS?. . : 30--50 HP. . . . : WOODSTOVES. . : 1
G 3 PRESSURE. . . : 50+ HP. . . . . CLO DRYERS— :
NO. (.)I: UNITS-------- ---- AIR HANDLING UNI TS OTHER UNITS. :
FURN ( 100K PTU. cfm : GAG OUTLETS. :
TURN ) =100K BTU. ? 100v o (-fm :
Remarks : EyISTING WOODSTOVE_
OWTI01-: ------------- — - - - ___ __- ----- -- ------_-__- ----- FEES ---- ------ ----
FRANK RAAB type amount by date r^ecpt
1.56:30 SW 79TH F'RMT $ 25. 00 JLH 09/6/91 -
SPCT $ 1. 2'5 JLH 09/26/91. -
T I GARD OR 97224
Phone #:
Ec)ntractor: --_--.__-__-_-------------------
CONTRACTOR, NOT ON FILE
-------------------------------
f-41 o r)e #: $ 26. 25 TOTAL
REQUIRED INSPECTIONS ------___
This periit is issued subleci to the regulations contained in the Final Inspection
Tigard Auricipal Lode, State cf Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 18@ days of issuance, or if work is suspended for more
than 18@ days.
='er mtttae S. gnat�irea __•.. ,4 �4
Iss�sed By :
Call for inspection - 639--4175
i',ITY OF TIGARD — RECEIPT OF PAYMENT RECEIPT NO. :91--217934
CHECK AMOUNT :
NAME RAAB CASH AMOUNT : 0.00
ADDRESS PAYMFNT DATE i 09/c?(#/91
SUBDIVISION :
PURPOSE OF PkYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
R-6 F44wi—CiZ PF: 25.00 MECHANICAL. PE 25.00
ST. BUILD PER 1.25 ST. BUILD PER 1.25
WOODSTOVE PFR141TS 15630 SW 79TH AVE
14665 SW 79TH AVE
TCji*AL. AMOUNT PAID — 52.50
l�
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION Permit #
PO Box 23397
Tigard, OR 97223 S a
(503) 639-4171
Description —
Table 3A Mochanicai Code OTY PRIG AMT
JOU ••• 1) Permit Fee -0- -0 10.00
Address _ - —
2) Supplemental Parr it 3.00
" '° ^'"' °•t – Furnace to 1 �—
. (.' 'y� p. t) incl. ducts&vents 6.00
'' •°• — — ur�nace 100,000 i.T+
Owner L✓ y ��` 2) incl.ducts&vents 7.50 t
za2��/,
oor -urnance
�' 3) incl. vent 600
Suspended eater,w4717eater
4) or floor mounted heater 6.00
Vent riot inc. in
occupant �7) appliance permit 300
epaf� r�eating,reTg.
6) cooling,absorption unit 6.00
Boiler or comp, ea�pump,air con
7) to 3 HP absorp unit to 100K BTU 6.00
Boiler or comp,heat pump,air cond.
8) 3-15 HP absorp unit to 500K BTU 11.00
Contractor — w Boiler or comp,heat pump,air cond.
9) 1530 HP absorp unit.5 1 mil BTU 15.00
y •'" Boiler or comp,heat pump,air Bond.
10) 3050 HP absorp unit 1-1.75 mil BTU 22-50
hereby acknowQgo t hatit ave ead this app ication,t at a BctIQr or romp, heat pump,air coiO.
information given is correct, that;am the owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 31,50
of the owner, that plans submitted are in compliance with State handling unit to — �—
laws, that I am registered-,4n die Construction Contractor's Board, 12) 10,000 CFM 4.50
that the number given ir.correct. (If exempt from State registration, Air na#.',1nq unit -- ----
please give reason bo'ow.) 13) 10.000 CTM. 7.50
'go—n'portablo --
_ 14) evaporate cooler 4.50
enl tan connected -
15) to a single duct _ 3.00
anti anon system not
16) included in appliance permit 4.50
O( served by
17) mechanical exhaust 4.50
)esmbe wo- new addition alteration repair 0 Commercialor in ustnal— —
to be done residential Q nonresidential p 18) type incinerator 30.00
Existing use of e.,woodslove,water
building or property _ 19) heater,solar,clothes dryers, 9tc 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
building or properly
Type of fuel -oil21) More than 4-Fier outlet
Q natural gas Q LPG Q electric Q —
NOTICE Minimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR –
I ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED,
,1 TOTAL
SSpecial –al Conditions --- ---
_ Date issued— by
awrrarwr
.oiemnd..