11103 SW 81ST AVENUE-1 SJUN !1
1110 SW 81st Av.
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INSPECTION NOTICE
City of Tigard Building Department a
P.O. Box
Tigard, Oregonon 97 97223
Y.horw:_r Q.4175
Type of Inspection `Z���"7C_
Date Requested C'- Z C.--- 9 Q Time A.M.
Address !f I
Permit
Owner
t2'I"y-R N v
Builder _ -� Z L,= .r ��r��reZU_--!4 cr
The following Building Code deficiencies aro required to be corrected.
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Presented to _ F Approved
Inspector � _ [ Disapproved
Date
CALL FOR REINSPECTION
DYE$ ONO
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INSPECTION NOTICE
of Tigard Building Department
P.O. Box 2.3397
/ 3U Tigard, Oregon 97223
30 Phone: 639-4175
Type of Inspection -----
30 3
Date Requested.—q—/3—
equested. —/3— �� Ti -A.M.--_—P.M.
Address 3S t Permit #24�_�l
Owner Lot
Builde, _1Z Z21-1-111-1&
The following Building Code deficiencies are required to be corrected:
i
Preser.,ed to — ❑ Approved
Inspector i Disapproved
DALE
CALL FOR REINSPECTION
Q YE >s ❑ NO
W 1W WI W
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W W W
HECHONICAL
FTYOFTWARD r-'r.-.:R III I T
C17YOff° TIFARD #— . —. - :
COMMUNrrY DEVELOPMENT DEPARTMENT 011INKM A P.1,,1,N r.E.-R III I I it. - III I.:,Cl 1:)rh-01.8:3
13125 SW Hail Blvd. P.O.Box 2.3397,Tigard.Oregon 9724 15031611C I75 I"LL 15"S UF.:-D- 09/07/90
3 1'. T I;: A 1)D R E S S). 1. 10 3 W B.I.ST AV l-'ARC:E*I-: 1.5136LB-07400
PEGGY' S PLACE ZONING: R-4. 5
BLOCK. .. LOT. 9
t::LASS OF WORK. . AL'I FLOOR FUR'N. EVAP COnLERE- :
TYPE OF* USE. . . . ..SF UNIT HEATERS— VENT FANS. . .
13CC'UPANCY GNP. . R13 VE N f W/o VE N T S Y':)T E III S
STORIES. . . . . . DOILERS/COMPRESSORS HOODS. . . . . . . .
F 1.1 L T y P ES-•--_------._-_- 0--,.3
1-41-D. . . DONES., INCIN-
.--1.tb
/G013)/ 3 Hl). COMML. INCIN:
R E PA I R U N 11 G
1.5--30 1-1 P.
FJRL DAMPERS'?. . » 30 50 H V-'.. WOODSTUVES. . :
CiAS PRESSURE. — 50+• HP. CLO DRYF.".RS. . -
NO. OF' (.JNII*S------------------- ------ AIR VIANDLINU UNI I S OTHER UNITS- --
FURN < 1.00K BTLI-. 1 <::n 1.0000 (:fm:: G A S 0 U T I F-.:T S.. : 1.
TURN )"-100K BTU: > :1.0000 cfni:
R e ni iA-r 1-�i:,-, I
Oviiier.. ................. FEES
GREC., ANGLFY type Anicit.iiit by (:I A t c-A -r re c-p-t-
1:1. 103 SW 81ST P A Y III $ 18. 90 JLVI 09/07/90
I-',R.M T T 18. 00
1`16ARD OR '97223 5PC,1 0. 90
P ti C)))e 14
(.11 c)ri t-rA c t o,r .......-
IIETRO-WIRE PORIA-011D
PORTLAND METRO-AIRF.
887'3 SW 1-4 1:L.I 13DAIA. HWY
P 0 RTL.0 111) OR 97225--0000
VIt1c)1-le tf» 0OV-000 01117100 11.4. 90 TOTAL
R f:?q 44. 6:1219 REQUIRED INSPE1,1 IONS
This permit is issued suble-t to the regulations contained in the Fiiia l Ins pec tioil
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 work is not started
within 188 days of issuance. or if work is suspended for more
th-.n 180 days.
.....................
U'All f(:)r i.iisr.)vc.,tiari 639--41-75
UL-# UU. u,uuu UUU
CITY 01- TICid-ARD RECEIPT OF' PAYMENT RECEIPT NO. :90-204516
CHECK' AMOUNI IC3.90
NAME. METRO--A IRE CA%i AMOUNT 0.00
ADDRESS PAYMENT DATE (.)9/()7/1?0
SUBDIVISION
PORTL..AND, OR
PURPOSE OF'. FP ,'MENT OMnUNT PAID PURPOSE Ot-- r,AYMEN'r AMOUNT F"Al D
MECHANICAL 1a. 00 ST'. PUIL-D PU? 9t
71
1
I I 10�• 5W GIST
TOTAL. AMOUNT PAID 18. 90
CITY OF TIGARD MECHANICAL PERMIT ReceiptN _- - ------ -- -
131.25 SW HALL BLVD. Permit k
P. O. BOX 23397 I I 1 �C ; Description
T I GRRD, OF 97223 J Table 3A Mechanical code _ CITY PRICE AMT
(503)639-4175 v ? 1 1) Permit Fee _ -0- -010.00
Nana'of tev P^+a^t 2) Supplemental Permit 3.00
Furnace to ss 100,000 BTU 6.00
Job Amfess 11 (t
Addre � ey 3 J LA) 5--f incl.ducts&vents -
Tax Of map No2) Furnace 100,000 BTU + 750
incl.ducts&vents
Lot Block Subdivision — — —'
--' Name(or name of buslimm) 3) Floor Furnace 6.00
6-re, ^,���� incl.vent
Mailing /'� Pion G 3 4) Suspended heater,wall heater 600
owner 111")-3
j{_,t S,t ---or floor mounted heater - _
11 Vent not incl.in 300
City/State I 5) appliance permit
Name(«Warne d business) 6) Repair of heating,refr ig., 6
i cooling.absorption unit __F _
I .00
r tie."w_ek C —_ .—
Mailing Address Phone 7) Boiler or comp to 3 HP 6
Occupant absorp.unit to 100,000 BTU
cayrsDate - .00
Zip 8) Boiler or comp to 3 HP-1 a HP 11.00
absorp.unit to 500,000 FITU
-�--- Name 9) Boiler or comp 15-30 F,P 15.00
Po absorp.unit 1/_1 mill;on
Mailing Address Phone 10) Boiler or comp to 30-51 HP 22.50
- l r s w, u 1 1 J= ) I 27.7-3 E4 absorp.unit 1-1.75 millknn _
Contractor City/State L� (�X.'�C W zo 11) Boiler or comp to 50 HP 31.50
r absorp.unit 1,750,000 BTU
State Registration No. CRY Bus.TAX No 12) Air handling unit 10 4.50
10, 00 CFM
13) Air handling unit 750
d
1 hereby auv wit-dge that I have read tlus application that the rrdomu+tton given is 10,000 CFM +
c«►ed.that 1 am thr owner«authnnrnd agent of the owner,that plans submitted are m — —
onmpGance with State taws,that I am registeted with the State&Alders'Board,that the 14) Non portable 4.50
number givon is aired (II exempt from State mgtstratiom please give reason below) _ evaporate Cooler
15) Vent fan connected 3.00
to a single duct _ __-
- - Ventilation system not 4.50
16) include.!in appliance permit
17) Hood sen ed by 4.50
mechanical exhaust
signahae(owttar or agent) -- Dad 18) Domestic type 7.50
Describe work ❑ addition [Ialteration Rifrepair I 1 incinerator
to be done residential ❑ non-residential O 19) Commercial or industrial 3C.00
type incinerator
Existing use of � - --
building or properly . id-P-1410 -_ 20) Other i.e.,woodstove,water 4.50
heater,srtlar,clothes dryers,etc.
Proposed use of -
building or property_-_ 21) Gas piping one to four outlets 2.00 ;
lype of fuel- oil F] natural gas Pf LPD; ❑ electric F1
- 22) Mona than 4-per outlet
NQTWE 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