14802 SW 91ST AVENUE ADDRESS:
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lArecotdsim(croffniVargels\t)uilding.doc
CITY OF TIGARD
OREGON
June 1, 1995
R£: BUILLiNG PERMIT #
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Inspection(s) have been conducted on this project. gowever, we
have no record of any subsequent or final inspections within the
past 180 days.
Please note that permits become void if there has not been an
inspection performed for over 180 days. In that case, the Building
Division may require a new application and fees to continue :work.
A notice of non-compliance against the property may also be
recorded by the City.
Please advise the Building Division, IN WRITING, within 15 lays of
this letter, the status of this project . lc% may request
additional time to complete the project .
Respond IN WRITING to: Building Divisi,-)n, 13125 SW Hall Blvd. ,
Tigard OR 97223 . Be sure to include the following information:
1 . Bui'_ding Permit ff .
2 . Address of property.
_ 3 . Your name.
R'
N 4 . Your phone number 8 :00 a.m. - 4 : 00 p .m.
~ If you are ready to schedule your next inspection, please call our
24-hour Inspection Recorder at 639-4175 .
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13125 SW Hall Blvd., Tlga►d, OR 97223 (503) 639-4171 TDD (503) 6134-2772
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^ INSPECTION NOTICE `J
City of Tigard Building Departaent `v
'3125 SM Ball Blvd_ Tigard, orogon 97223
Inspection Lyne (Rec--O-Phone)s 639-4175 Business Phone: 639-4171
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Inspection: �..---- -- ----- ----
Footing 1bg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALa'
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/neam Mech. Rain Drain Inqulation -Plumb.
Pl.bg. Underfloor Nater/Line G Gyr, Bd. �-Mech.!
Date Requested: /L TL[�_ Times AM _ PH
Addreess��? lJ Z— !Z/1 ___ Permit i/2EL!L[— cJ "
Builders
THE VOU OWING CORRECTIONS ARE REQUIRED:
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Inspectors �� Dates Q 7 ��C
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APPROVED DISAPPROVED � APPRGNED SUBJdrf To ham 1
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INSPECTION NOTICE ( \
City of Tigard Building Department
1 13125 SW Hall Blvd. Tigard, Oregon 97223
�\ 404apection Line (Rec-o-Phone)t 639-4175 Buaineas Phone: 639-4171
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Inspection:________
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Footing Plbo. Underslab Hoch. R uqh-in Appr/Sdwlk
Found. Plbq. Top Out Gas Line
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Medi. Rain Drain Insulation -plumb.
Plbg. Underfloor Water Line Gyp. Bd. -OR I
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Date Requested: I Un Z7—� Timet -X—AM n PH
Address t D �- «c�'1 Permit +:
THE FOLLOWING CORRECTIONS ARM REQUIRED:
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inspectors `�'V �l.r�� nrte: a
APPROVED -----JDI SAPPROVPJ APPROVED Stinirr_'T TO ABOVE
1 - -�' Call For Reinnp.
INSPECTION NOTICK
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 63
Inspection:
Footing PLbg nderslab Mech. Rou h�n Appr
/Sdwlk
Found. Plbg. Top Out Gas Line CFINALr
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd.
Date Requested:
l ` � Iq q Times AM PN
Address:
�/ q b D Z �� .�C� Permit #
THE FOLLOW CORRECTIONS ARE REQUIRED:
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Inspactor:_, Dates_/ �� /
APPROVED DISAPP VED APPROVED SUBJECT TO ABOVE
Call For Reinep.
q!IXOF TIGARD MECHANICAL
DEVELOPMENT DEPARTMENT PE Rlyl I T
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171 PE R lyl I T #. . . . . . . : MEC940269
DATE ISSUED: 09/30/94
PARCEL: 2S111AD-14900
SITE ADDRESS. . . 14801'2 SW 91ST AVE
SUBI)l V I S I ON. . . . MALLARD LAKES ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 16
CLASS OF WORK. . NEW FLOOR TURN. . . . : EVAP COOLERS:
TYPE OF USE. . . . :SF UNIT HEATERS. . : VENT FANS. . . :
OCCUPANCY GRP. . :R3 VENTS W/O OPPL: VENT' SYSTEMS:
STORIES. . . . . . . . :2 BOILERS/CoMpIRESSORS HOODS. . . . . . . :
FUEL TYPES-------------- 0-3 HP. . . . : DOMES. INCIN:
: /GAS/ 3-15 HP. . . . : COMML. INCIN:
MAX INPUT: BTU 15-30 HP. . . . : REPAIR UNITS:
FIRE DAMPERS?— : 30-50 HP. . . . : WOODS-fOVES. . :
GAS PRESSURE. . . : 50+ HP. . . . : CLO DRYERS. . -
NO. OF Ul\ll'[*S-------------- AIR HANDLING UNITS OTHER UN17S. :
FURN ( 100K BTU: 10000 cfm : GAS OUTLETS. : I
! (JRN > =100K BTU: 1 > 10000 cfm:
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Pemar,ks : install inq gas
Owner,: FEES
STEVE & CARLA SMITH type a M 0 Un t by date i-ecpt
14802 SW 91ST AVE J71RMT $ a5- 00 MRS 09/30/94
5PCT $ 1. 25 MRS 09/30/94
'TIGARD OR 972,24
Phone #- 6E`4-9747
FIRESIDE CONTRACTORS
18383 SW POONES FERRY RD
PORTLAND OR 972214 -----._-.-_--_---__._.__.______.___----•-.-_._._..
Phone
-----
Phone 0.: 684 -8535 26. 4 5 TOTAL
Reg #. . : 40979
REOUIRED TNSPECTIONS
This permit is issued stib'lect to the regulations contained in the Gas Line Insp
Tigard Munic!pal Code, State of Ore. Specialty Codes and all other Meehan ical Insp
applicable laws. All work will be done in accordance with Final Inspection
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
hAr IS@ days.
e i-in i t t e e S i nat i-tv e -
I �;5ued Ely :
Call for inspection 639--4175
G*I I Y
NAME SM I I H, "112(_f-41'' 01,1
ADJYRFA-19 t k)LIBU 1.V
PURPOSE OF PHYMF,N r AMOUNT 141 L 0 r,URP(T,.*: OF PAVIVIFbIf
M :fj(,4NICAI PF HUII 1.) P E H
EI. 6 ) b. LAV) 9
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ity of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SW Haig Bivd APPLICATION Permit #
Tigard, OR 97223
(503) 639-4171
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Table 3A Mechaniral Code CITY PRICE AMT
,lob [44?Q'� 1) Permit Fee -0- -0- 10.00
Address
2) Supplemental Permit 3.00
Furnace to 100,05-179—
ter( C!t✓ (fit Jr 1) incl. ducts &vents 6.00
u ••• °• Furnace +
Owner /99N �(Jt b z q- 1q �y � 2) incl. ducts &vents 7.50
Floor Furnance
Ll 3) incl. vent 6.00 I
NO" «^•° •^••• uspen a eater, wa eater
'Stt 1 bt-c 4) or Floor mounted heater 6.00
o ••• — —Writ not me. in
Occupant 5) appliance permit 3,00
• ^ Repair cf heating, re ng.
6) coding, absorption unit 6.00
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Boiler or comp, heat bump, air cond.
1.-c 1e Q 7) to 3 HP; absorp unit to 100K ETU 6.00
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Boiler or comp, eaTi t pump, air con .
Contractor ,• 8) 3-15 HP; absorp unit to 500K BTU 11.00
Zo Boiler or comp, heat pump, air cond.
1:, 9) 15-3r HP, absorp Unit 5-1 mil BTU 15.00
•�•'•°°^ ••
Boiler or comp, ea pump, air cond.
/ , 10) 30-50 HP; absorp unit 1-1.75 mil BTU 2250
hereby ac now a ge at I have read this application, that the Boiler or comp, heat pump, air con .
information given is correct, that I am the owner or authorized 11) > 50 HP; absorp ,snit 1.75 mil BTU 37.50
agent of the owner, that plans s.ibmitted are in compliance with Air handling unit to
State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 4.50
Board, that the number given is correct. (If exempt from State Air handling—uni
registration, please give reason below.) 13) 10,000 CTM + 750
Nor portabVe
14) evaporate cooler 450
Vent an connect
15) to a single duct 300
Ventilation system not
16) included in appliance permit 4.50
^•^• ««w+' 1Hood served by
(r t ) )t ' _y �� 3 /3Q �1 17) mechanical exhaust 4.50
escn a work n addition an--ration U repair U Commercialor industrial
to be done residential (f nos,-residential Q 18) type incinerr' 30.00
Existing use ot 77tier i.e W. - water --
building orpropert/ �P�'rLP1t�!'irX ���'nu.l' 19) heater, ; or, clod, dryers, etc. 4.50
F--
N Proposed use of 20) Gas piping one to our outlets 200
building nr property
J 21) More than 4-per outlet
Type of fuel -oil Q natural gas (g( LPG Q electric Q
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WNOTICE
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Minimum Fee $25.00 SUBTOTAL 7
PERMITS BECOME VOID IF WORK OR CONSTRUCTION _
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR —
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL
AFTER WORK IS COMMENCED --
TOTAL
Special Conditions
Date issued _ by
IWECMMT
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