11440 SW 91ST AVENUE _ 11440 ,SW 91.-QT VENUE -�
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WWSWEWL1111111"111 W 111,11,
INSPECTION NOTICE
City of Tigrird Builriing Department
Lf/ P Ci, Box 23397
Tigard, Oregon 97223
Phon(--.. 639-4175
i
Type of Inspection
Date RequestedA.M.L?�� P.M.
Address y�[� � _4er niT"_�Q=Q/ 7
Owner-------^7, Lot
Builder L C ._
l �3�
/�rJK
The following Building Code deficiencies are required to be corrected:
PruentM to Approved
In �,r trr
Dis• proved
CALL FOR REINSPECTI,)A'
i] YE8 ONO
ME CHANT C A L
C17YOFTIFARD PERMI'T
PNOFTWARD PERMIT H. . . MEC90-0178
COMMUNrrY DEVELOPMENT DEPARTMENJ OR100N 1:'RI!'11. 111IRM11 1yK:.C,90---0178
13125 SW Hall Blvd, P.C. Vc,-23397.Tigard,Oregon 97223(503)639-4 75 DAT(:: ISSUED- 09/05/90
SITE ADDRESS. — . 1.1.440 sw 91ST Ak" 1 0R C.F:.1_.,: 1.SJ.,35D14 0:1.9(a 0
SUI.*41)TVISION. CHARDEN ZONING.- R-4. 5
BLOCK.
I C)1'..
----------------------------------------------------------
C LASS OF WORK. ALT FLOOR FURN. .. . .. '. EVAP COOLERS:
TY 0F USE::.. . . .. 5F' U N 11' 1-4 E A TE.R'6., . -. VENT r:ANS. . . :
C)C C U PO N C,Y GRP.. . :R 3 VENTS W/0 A P I."L-. VENT SYSTEMS:
ST 0 R 1 E S. . . . BOILERS/COMPRESSORS H 0 0 D,:,). . . . . . . ..
F U E L TY r-,E S.......... ......... -- 0-3 HP. . . .. *- WMES. INCIN:
WGAB/ 3-15 HP. . . . ., COMML. INCTN:
MAX INPUT: 1.4 T*U 15-30 HI'. . . . . R E PH I R 1.1101'13 J.-
FIRE DAMPERS?. . : 30-50 HP,— . -. WOODSTOVES. . :
GAS PRESSURE:. . . :: 50+- CLO DRYERS. . :
NO. OF UNITS--------W----- AIR HANDLING UNI IS OTHER UNITS. :
FURN < 100K. PTU:: 1 (- loom@ cfm: GAS OUT'LE.TS. -. 1
TURN >-100K BTU: j JOE20 cfm:
Remarks:
Owners ---------------------------------- ---------------- FEES --------------
MIKE MC HERSF..: type amount by d a Ise Y 1cpt
11.440 SW 91ST 1::,A Y M $ .18. 90 JLH 09/05/90
PRM I' $ 1.8. 00
TIGARD OR 9722,3 5 P C'T $ 0. 90
Phone N3
Contractor:
SUNSET FUEL CO
SUNSET FUEL CO
PO BOX 48287
PORTI ONP OR 97242-0000
Phone 1#.o e.:34-..0F.',1.1 9 18. 9B TOTAL
Reg W . c E374
------- REQUIRED INSPECTIONS
This iprmit is issued object to the regulations Contained in the Final Inspection
Tir,rs Mu%^ival Code, State of Ore. Specialty Codes and all other
app:icable laws. All waTI, will be done in accordance with
approved :flans. This permit will expire if work is not started
within 181 days of issuance, or if work is suspended for sore
Bar too dq..
Permittee Sig"Aturex-OAQW1
Issued By::
Call for inspection 639-4175
WNUMUS
C�TY OF TIGARD - RECEIF',)'!' OF PAYMENT RECEIPT :40. :91..).,--"'C)439(:)
CHECV'. AMOUNT 18.9(,.)
NAME e SUNSET FUEL COMPANY CASH AMOUNT o.0
ADDRESS PO BOX 4^_1.87 PAYMENT DATE (.')9/oltl 19('l
SUBDIVISION
PORTI....AND, OR 97242-0207
PURPOSE '0F PAYMENT AMOUNT PAID PURPOSE OF PAYMENT !-)MOLJN*r PAID
MEGHANICAL FE MEC90-017B I t-1
31'. BUILD PER 0.90
.1 t44("i sw gts*r AVE
10TAL A1101..INT PA11)
� A O
U1 E Y Ur- i OUAHU MECHANICAL PERMIT N —
Permil N __.-------- —
"� Descriptbn
Tabla A Mleehanlem Code CITY PRICE AMT
City of Tigard
13125 S.W. Hall Blvd. t) permit Fee _ _ _ _ 0 -010.f1�
P.O. Box 23397 1
Tigard OR 97223 2) Supplemental Permit - _ , 3.00
X39-A 115 Furnace to 1 OO,OO BTU Kf,
6
1) incl.ducts&vents L lu
Furnace 100,000 BTU +
2 50
incl.ducts i3 vents 7'
Name of DevebpilemFloor Furnace
Hit-�L) �� C, S 1 3) incl.vent 6.00
Job AddressSuspended heater,wall heater 6.00
Address 4) or Moor mounted heater — --
Tax Lot Map No ) Vent not incl.in 3.00
Lot Back Subdwisw 5 appliance permit
Name(or name of busa,ess) r 6) Repair of heating,refrig., 600
cooling,absorption unit_
M.,a,g, es, p Boiler or comp to 3 HP
Owner , L � CA (S+ - c 1 7) absorp.unit to 100,000 BTU 6.00
COWSlase � Boiler or comp to 3 HP-15 HP 11.00
0 L "t--j:1� 3 e) absorp.unit to 500,000 BTU
I-
w ) Boiler or coin 15-30 HP --
)LuFU e,( 9 absorp.unit 1h-11 million 15.00
Mailing Address Phone10) Baler or comp to 30-50 HP
absorp.unit 1-1,75 million 22.50
Contractorlate t cJ.r7 Boiler or comp to 50 HP
On 1 ..�n � -� Y S 11) absorp.unit 1,750,000 BTU 31 50
Stat&Roostration No. City Bus.Ter No. 12) Air handling unit to 4.50
1
�4 10,O00 CFM
Air handling unit
t hereby acknowle ige that I have read this applicatan Mat tle information given is 13) 10,OOOCFM + 7.50
coned.Met I am Me owner or auttgrisod agent of the owner,that plans submitted are in
compliance vlth Stale laws,that I am regis1w tt with tle date Builders'Board,that the Non portable
number given is correct.(If exonv hom Slate rogistratan please give reason below) 14) evaporate Cooler 4.50
ITC ___ 15) Vent fan connected 3.00
to a single duct _
Alf, -j Lejj HCE- -- - Ventilation system not -
t 6) d•50
included in appliance permit
- ----� ��
17) Hood served by
mechanical exhaust 4.50
Signature(owner a agent) bele ) Domestic type 7.b0
Describe work CJ _ addition l J alieralion � repair ❑ 18 incinerator
to be done - residential non-residential (7Commercial or industrial
19) type incinerator 30.00
Existing use of - ------- -- --- -------
building or property2(1) Other i.e.,woodstove,water
heater,solar,clothes dryers,etc. 4.50
Proposed use of ---
building or property ----- 21) Gas piping one to four outlets 2.00 2 l.
Type of luel- oil E-) natural g e.0
LPG C) elec' C) —
22) More than 4-per outlet
NQTICE - -- ---- - ... -SUBTOTAL -
THIS PERMIT BECOMES NULL AND VOID IF WORK On CON- - ---- 4
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 5410 4@6G,`,SURCHARGE IV -
DAYS, Olt IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED SON A PERIon OF 180 DAYS AT ANY TIME AFTER -- - -- - - -
WORK IS COMMENCED TOTAL
S�p]mccciaal Contlitio/ns
q
Address IV,41 �9I -a. Dermit No.
Name of Occupant_ _ Permit charge
ba 41
r Paid by v _ -
--- Date connected--
Type
onnected_-Type of Building ��� �� x�¢ _ Inspection fee __
Service Rate____ j� _ Paid by ___
Contractor _ Assessment-LV--, -�G_Paid
Size of connection_ �y�,
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