11734 SW 90TH AVENUE 111134 SW 90TH AVENUE
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INSPECTION NG1 ICE
City cf Tigard B1.:ilding 'department
P.O. Box 23387
Tigard, Oregon 97221 r
Phone:_63,99--4175
Type of Inspection ��:�dd = `e.,
Date Requested__ !/ "
/ Time A.M. P.M.
Address 1_ Z3
#`%L CZ)
_
Owner Permit Lot #
Puilder
The f 'lowing Building Code deficiencies are required to be corrected:
Presented :o
< - — Approved
Inb,nector !/� ❑ Disapproved
Date __-_.� t
CALL FOR REP;SPECTION
❑ YES U NO
MECHANICAL
CITYOFTIFARD
CWOFTIVARD 1::,F::RI*I1 T ##. . . . . . . . ME C9O-••O006
COMMUNITY DEVELOPMENT DEPARTIVENT OREGON 1.:1R1111. I--1ERMi T ##. : I*IEC9O 086
13125 SW Hall Blvd. P.O.Box 23397,Tigard,Oregon fl l�(¢03jf8r fl-.X76 \�`Y�s D O T E. ,I S S U h D: 015/0'2/90
Via]: T'F faDURE:S':i„ . „ : 1.1.'7;34 SW '�O'T'Fr PARCEL: IS9999 ."3`�` 99
SUBDIVISION ZONING:
BLOCK. . . . . . . . . . ,. LOT. . . . . ., . . . . . . . ..
.......... .........__._._..._.._ _ .
CLASS OF WORK. ,. a PDD FL OOR I-URN. . . . � E-VAI COOLERS-
TYPE OF' USE. .. . . :SF` UNIT HEATERS. . : VENT FANS. . . :
OCCUPANCY GRP. . »R13 VE'N'TS W/O AF'1:r1._: VENT SYSTEMS' .,.
f:;'TORIES. . . . . . . . : __._._ E40ILE:RS/COMPRESSORS HOODS. . . . . . .
F:'UI:L. TYPE'S-__.__..____..._ 0-3 HP. . . . : DOM1wS. INCIN;;
3-15 HP. . . . ". COMML. INCIN:
MAX INPUT: WT LJ 15 30 HP. . . . c REPAIR UNITS:
FIRE DAMPERS?— ". 30-50 HP. . . .. : WOODSTOVE S— : :1
GALS PRESSURE. , . : 50+ 111:r. . . . .. CLO DRYERS., . ;;
NO. OF UNI'1S ---- _. AIF; HANDLING UNI'T'S OTHER UNIT'S. :
F UPIA < :1O0K BT'Uc <== 1.0000 oft: GAS OUTI._E:TS.
FURN >--1OQK BTU: > 10000 c-,fm:
Relna-W s: irista].:I. i.t•tr1 a Pel l-et; StOve
Ow rt e r: _._...._._.._._................._....._....._.._._._._._........_.__._........ _.._._.__.. _._........._.._...._...__.._..__ F'F'::Ei:S ....._._.......
RIC1',OR'D BADE R type ant(oLlnt lay (late p c;
111' 44 SW 90TH PRM'T' $ :14.50 / !
5 P C T 'r 0. 73 ! /
11GARD OR `*7c"'..r 3 P A Y M 4 1.5. 2.3 DE:W 05/02/90
I'!h()ne b:
NATURAL I.,.iGH'T SKY LIGHT CO
8965 SW OXB(:)W TERRACE:
F11-1at•te N» r.''f., C!1i'ra; $ 15. 2,1 TOTAL.
_._. ..._._......... RE OU:IRED INSPECTIONS .._ .._..__..... _.
This pedal: .s ;.cued subject to the regulations contained in the F: incl ins pec.t ian ..._.........._.__._.....-
Tigard Municipal Cc1e, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with __.__..__ ___.._ _____..._.._............
approved plans. %is permit will expire if work is not started �._�.. ____.. ....__._...___._._._._.._.__._..._....
within 18B days of issuance, or if work is suspended for more
than 188 days. _. _ ______ .......... __..__...._._.................
__.__
1
Permittee ...._..........
_._..___.,____._._.........
_._.._............
______..
639--4:17 i
Call far i.t7sPec flan
I"['1"`r' OF' TIGAF 11 RECUIPT OF PAYMENT Rrl,,FlPT NO. :X70-'"A.'0 G 17,
CHECIP Ft's'OU117 p 1 15. .2'
NAME, �ALJER, PICHAPY) AND LENA CASH AMOLIN'T 0. 0C)
ADDRESS 11734 SW 913TH PAYMENT DAM W-J/(32 90
SOHDIVISION
POR-TLAND, CIRSGON 9 7
PURPOSE' OF PAYMENT AMOUNT FAID PURPOSE OF PAYP-ENT AlloUrAl
" ST.E�"4 0 61 513 BUILD PF---P
4�'-F-H'�W f&Z i7"WEE -006
.INSTALLING A PELLI'T srov�
TOTAL i)MOIJNT PAID t 5. 71
CI'T'Y OF TIGARDMECHANiCAL PERMIT t,��`I,'t"q��� .�L�_
13125 SW HALL BI.VI)_ Permit r/�l�s.. ��)n �67
P. O. BOX 23397 Desc:,ilIion
T IGARD, OR 97223 Table 3A Mechanical Code v_ OTY PRICE AMT
(50.1)639-4175 1) Permit Fee -0- -0- 10.00
Name gl,'leve
2) Supplemental Permit 3.OG
Job ecu e t) Furnace to 100,000 BTU
Address �/ 7 3't � 7 incl.ducts&vents — 6.00 --
Tarlol Map No. Furnace 100,000 BTU +
W Block Subdivision 2h incl.ducts&vents 7-50 ___j
Na"(pr name of busyness) 3) Floor Furnace
incl.vent 6.00
Mai"Address PhoneSuspended heater,wall heater
Chun,_ 4) or floor mounted heater 6.00
City/State lip A' 1 Vent not incl.in
5) appliance permit i.00
--- — Name(or name of business) 6, Repair of healing,reft ig., 6.00
cooling,absorption unit
Mailing Address Phone Boiler or comp to 3 HP _
(krupent 7) absorp.unit to 100,000 BTU 6.00
City/Slate 7.p — Boiler or comp to 3 11 P-15 HF
8) absorp.unit to 500,000 BTU 11'00
NameBoiler or comp 15-30 HP
',_ 'I 'z)4- S C ci 5� (-,jq 9) absorp.unit'h-1 million 15.00
Mailing Adores Ph" t 0) Boiler or comp to 30-50 HP ?2.50
A") absor unit 1 .7S million
Contractor �<«� ��y� p' �-
Cityfstate - ) Boiler or comp to 50 HP
-- �' 11 absorp.unit 1,750,000 BTU 31.50
State Reoistration Ito. N( Ctry Bus.TL.No. 12) Air handling unit to 4.50
I '� (�✓ �1r/ (� 10,000 CFM
I _ J ` 7 -3-3 Air handling unit
I hereby acknowledge that I have read this application that the information given is 13) 10000 CFM + 7.50
M. ,
Trid,that I am the owner or authorized agent of the owner,that plans submitted are in _
corr>(>tiance with State laws,that I am registered with the State Ruiklefs'Board,that ttr14) Non portable 4.50
number given is correct.(It exempt from State registration please give rea son below). evaporate cooler
15) lent Ian connected 3.00
- � --T rc a single duct
- — -- ) Ventilation system nt-i
16 included in appliance permit 4.50
Hood served by
e / / c 17) mechanical exhaust 4.50
Signature(owner or agent) -- Date 18) Domestic type 7.50
Describe work ❑ addition [9j alteration ❑ repair ❑ incinerator
to be done residential ❑ non-residential ❑ 19) Commercial or industrial 30.00
Existing use of type incinerator
building or properly _ i_— Other i.e.,woodstove,water
20) healer,solar,clothes dryers,etc. 4.50 Proposed us, �t / `
-
building or r jperty. 2;) Gas piping one to four outlets 2.00
Type of fuel— oil Q natural gas ❑ LPG ❑ electric v
22) N, a than 4-per outlet
NOTICE SUB-TOTAL
TIIIS PERMIT BECOMES NULL AND VOID IF WORK OR CON-
STRUCTION AUTHORIZED IS NOT COMMENCED WITH114 180 5%SURCHARGE
DAYS, on IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR i PERIOD OF 180 DAYS AT ANY Tf'.;c AFTER -----—
WORK IS COMMENCED. TOTAL
Special Conditions
.- � y _
- - -- - — Date issuef� " C b L� L/
I
I
lam/
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4
Ad areas-jl'7 3 4 n
ermit
Name of Occupant _ Permit charge-
-- ------------ - Paid by -�-�
- -- - -._-- Date connected_-_�} ` S 7
'type of Building; -_-�
Inspection fet,
Service Rate --_
-. Paid by -_ _ W--Date-
Contractor -
Assessment /��� �� _paid_ .
Size of connection
,;j