11770 SW 90TH AVENUE 11770 SW 90TH AVENUE -
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INSPECTION NOTICE Q�
City of Tigard Building Department
P.0 Box 23397
Tigard, Oregon 97223
Phone. 639-4175
Type of Inspection
Date Requested_ S! G7 Time �J 3b A.M. P.M. �
Address 7,'1 �� L ice)- ------ Permit L�o/ r
Owner Lot #
Builder
The following Bui og Code deficiencies are required to be corrected:
Presented to Approved
Inspector � '_ Q �J Disapproved
Date.
CALL FOR REINSPECTION
G' YE• 0 NO
I�
INSPECTS^,,j NOTICE
City of Tigard Building Departme n'
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested "" 0 Time A.M. P.M.
Address �' / �� . L� Permit
Owner Lot #
n
Builder f
The following B01cling Code deficiencies are required to be corrected:
AL-
Presented to
� r�Approvwd
Inspector 1�. — I" Disapproved
Date
CALL FOR REINSPECTION
f"_7 YEi M NO
r F rK
PEAMIA'
CITY OF T'OA RD -.44- PEAt'ITT NO . : MEK8901.61.
CerYOFV100
COMMUNITY DEVELOPO.'IENT DEPARTMENT OREGON DA11-: 1 30/89
13125 S.W.Hall Blvd.,P.O.Box 21397.Tigard.Oregon 97223.(503)639-4175
ADDPE'155 : 1-1770 SW 901+1 AVE:
MAP/L.01'
T TTA: NO: N;)
WOr-W 1(11-0�:'!, ALAIEPA 1 :1 ON ::* <1.00K 1. AIP HANDL-14 0.0
tp: '1'yPl' F-ONILY F'tJWN(-'kCA-. J.O()I<.f- A- 11:4 HANDLP 10V
C-ON51 T YPEF : VN [Tv A. P.COOLEA
(:;PP VF-.N'T' FAN
VEN1 Vl:::N'(' . GYS'T1'-.:l1
HOOD
:l:NC1NEAA*T('.1r4
1INTI'S EA P/COMP 11-5-30HP, I N(:..'.I:NE.RA 1'01.1(C'OM
F GAS 13L.141,111.1OMP 30--."50HP HH,P,AS W LJN I'TLi
I.NI::'U'T' 731000 A/(:,()MI.'." ".50-1-1-I1=, C)THEA
DMPP!;0 NO CAS PIPING OLJ*TLE'1!:;
NO
Y Idi:5
J.1. T ti 1 1*1 W i i,I I cl al.
L.5
0 I 11
W $10 . 00
N 0 W 9 0 t I (A I ON
E
R r OR 19'7(2 2 Z� 1116. 00
I'I 10 N li:. :3031 6,21 1. /'o
.if TAX 1111 .90
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NO
This permit is issued subject to the regulations contained in Title 14
of the TMC. State of Oregon Specialty Codes zoning regulations
and all other applicable codes and ordinances, and It is hereby
agreed that the work will be done In accordance with the plans,ind Fj I INF.
specifications and in compliance with all applicable codes and mE XIAMNLIL 5 y S I'E 11
ordinances. The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and
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. 11 shaill be the responsibility of the permittee to assure
all required Inspections are requested and approved
or flee ig tu
Issued By
SEPARATE PERMITS REOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
/CITY OF TIOARD MECHANICAL PERMIT Receipt#'���jl
Permit#
Description
_Table 3AMachan cal Code CITY PRrCE AMT
City of Tigard � v
13125 S.W. Hall (Blvd. 1 Permit Fee -0 0 t0.00
P.O. Box 23397 _--� ------------ -- i-
Tigard, OR 97223 2) Supplemental Permit _ 3.00
639-4175 5 1) Fuma,. to 100,000 BTU 6.U0 U
incl.ducts&vents
en v v 2) Furnace .00.000 BTU -f 7.50
v/ incl.ducts&vents
Name of Developmenviw��k
" - 3) Floor Fumare 6.00
' _ -_incl.vent__ _- -Job Address /,4 Suspended heater,wall heater 6.00
Address
1 ,7 1 ) or floor mounted heater
Tax Lot Map No. 5 Vent not incl.in 3.00
L'
_) appliance permit
Lot Block Subdivision --
----�- - Na name of loos/ ss) n ��/-' 6) Repair of;tea:im;,refri^., 6.00
-� -17 V cooling,absorption unit -
Malting rig Address ���� Prtone 7 Boiler or comp to 3 HP 6.00
Owner '77-, /' ) absorp.unit to 100,000 BTU
Ci /State Zip 8) Boiler or comp to 3 HP-15 HP ' ^- 11.00 --
�/ absorp.unit to 500,000 BTU
NL1fT1e r -- )9 Boiler or comp 15-30 HP 15.00
absorp.unit 112-1 million— ,--
Mailing Address 10) Boiler or comp to 30-5n HP 22.50
I ; absorp.unit 1-f.75 million
Contractor ,i Boiler or compto 50 HP ^�
Cl i 7J /t 11) absorp.unit 1 50,000 Bl I 31.50
Air handlingunix to
s ion No City Bus.Tax No. 12) 4.50
-._._...10000 CFM -----------__---- - -
I here acknowledge 13) Air handling unit 7.50
by edge that I have road this application that the information given Is 10,000 CFM i
curtec!,that I am the owner a authonzed agent of the owner,that plans submitted are in - - -- -
compliatire with State laws,that t am registered with the State Builders'Joard,that theNon portable 4
number given I 14 correct.(l1 exempt from State regisiption please givo re below) ) evaporate-ooler
.50
- ) Vent fan connected
15 to a single duct 3'�
Ventilation system not
V)3 7-S � 16) Included in appliance permit 4.50
T---� ' 1 Hood served by 4.50
mechanical exhaust
Signature(owner or agent) -� - na1v 18) Domestic type —'-- 7.50
Describe work FA addition ❑ alteration repair (J Incinerator- _to be done residential P-' non-rasidential ❑ 19) Commercial or industrial 30.00
Existing use of type incinerator _
building or property._ i_ 20) Other i.e.,woodstove,water 4.50
Proposed use of heater,solar,clothes dryers,etc.
building or property — 21) Gas piping one to four outlets 2.00
Type of fuel- oil CI natural gas LPG ❑ electric 1 1
22) More than 4-per outlet
IS)T10E SUB-TOTAL I1JIa
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON-
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 f-)&/o 411116 SURCHARGE ,90
DAYS, OR IF CONSTRUCTI'jN OR WORK IF. SUSPENDED OP 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 ._
i
f�
Address
Permit 13-0_
--� No.
Name of Occupant
, tttcharge
1,044— - --
-�� Vey Y"
(J - -- Paid by.---
-
--- -- Date connected _
Type of Building
_ Inspection fee
Service Rate_ _��_Q � Paid by - ----- Date----
Contractor—
ateContractor - _ _ Asweament ,G0
. ._Peid (&�_�
Size of connection
Ik