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13325 SW 110TH AVENUE 13325 SW 110TH AVENUE _ I P4 R I i 0 L14 fir E-4 Q 1 J cr cm E-4 !kk O Ci, w M N� M M Kim ■ INSPECTION NOTICE Gliy of Tigard Building Department - P O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of :i,sp<ction -'1y Date Requested__ r 3 Time A.M.__P.M. Address .' _ �- J-�•' Perr:st Owner Lot _— Builder L.5--O .l' The following Building Code deficiencies are required to be corrected: 1 � ys Presented to / Inspector _ _ ❑ Disapproved Date CALL FOR REINSPECTION El Y E 8 [ 6#1G n CITY OF TIGARD MECHANICAL PERMIT Receipt# Permit#_ Description Tab,e 3A Mechanical Code CITY PRICE AMT City of Tigard 13125 S.W. Hall Blva. 1) Permit Fee _ 0 _0 10.00 P.O. Box 23397 Tigard, OR 97223 2) Supplemental Permit 3.00 639-4175 1) Furnace to 100,000 BTU 6.00 incl.ducts&vents _ 2) Furnace 100,000 BTU + 7.50 incl.ducts&vents Name of Development 3) Floor Furnace 6.00 incl,vent Job Address 4) Suspended heater,wall heater 6.00 Address or floor mounted heater Tax Lot Map No 5) Vent not incl.in 3.00 I.ot i3lock subdivision appliance permit Name(or name of business) 6) Repair of heating,refr ig., 6.00 cooling,absorption unit Mailing Address Phone 7) Boiler or comp to 3 HP 6.00 Owner absorp.unit to 100,00 BTU City state Zip 8) Boilor or comp to 3 HP-15 HP 11.00 absorp.unit to 500,000 BTU NameBoiler or pomp 15-30 HP 15.'00 9) absorp.unit 112-1 million Mailing Addr•.8a Phone 10) Boiler or comp to 30-50 HP 22.50 absorp.unit 1-1.75 million Contractor city State _ Zip 11) Boiler or comp to 50 HP 31.50 absu,N.,mit 1,750,000 BTU State Registrati , No City Bus.Tax No 12) Air handling unit to 4.50 10,000 CFM I hAreby acknowledge that I have read this application that the information given Air handling Unit 7.50en is 1(,000 CFM + correct,that I am the owner or ai ithonzeU agent of the owner,that plans submitted are in compliance with State laws,that I am registered with the Slate BuildersBoard,that the 14) Novi portable 4.50 number given is correct.pf exempt from State registration please give reason below). evaporate Cooler 15) Vent fan connected 3.00 - -- — to a single duct -- ---- ,-- ,__------- --- --- 18 Ventilation system not 450 included in appliance permit Hood served by 4.50 17) mechanicale;,r,aust -- 6gnature(owner o,age,:rr _ Date t 8) Domestic type Incinerator 7.50 Describe work r-1additionfD alteration I_l repair CI — to be done residential ❑ non-residential D 19) Commercial or industrial 30.00 Existing use of type incinerator building or property_ _�_A _ 20) Other i.e.;wbodstove,water 4.50 Proposed use of heater,solar,661hes dryers,etc. building or property_—__—_ -- 21) Lias piping one to four cutlets 2.00 Type of fuel- oil U natural gas LPG electric i 1 22) More than 4-per outlet NOTICE SUB-TOTAL THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL ABANDC: iD FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. TOTAL Special Conditions ---._ Date Issued, -by-------- I< VFW W >! W !! W I I City of Tigard INSPECTION REQUEST i for INSPECTION TIME : PERMIT NO. : .___ __� i DATE: ? 11, X73- DATE ISSUED*— /' OWNERS NAME * - IADDRESS : — _L3�� ��. i►�; ��,, - - -- i CONTRACTOR : -- TES ( ONTRACTOR : -- 1 ESf A r D, Water 7 , klisl,cl O , La'• .rator J n RESULT: Approved , Disapprovers 1 �!hnding SI"ETCH: I I I INSPECTGR DATE �N1F At,crh upplementul fes+ u0 hnrgIn� 1 i o f Tigard g INSPECTION REQUEST I for l / Al c:— -------— . -- -- I —INSPECTION TIME : 3� � PERMIT NO. . .--- - DATE O. . . -- _DATE : 11k12.3 DATE ISSUFD'_.LL, OWNERS NAME . ADDRESS I C0NTRACT0R J TEST � r .3, Water r] , I RESULT. Approved O DiscpproveJ-A_ , r,.rd,ng L—i I SKETCH' _ I I I �E_rTOR DATE I `Nu f E . Attach suppismentoI teat arc heret] 1 1 V - City of Tigard INSPECTION REQUEST for INSPECTION TIME : 3'3o P-0, PERMIT NO. : _,;L -; DATE: --ZLI U-7-7DP,rE ISSUED:_11 OWNERS NAME : -- f&,,04142ADDRESS ' _— CONTRACTOR -- TEST' Air ❑ , Water Ll , Visual El , Laboratory ❑ RESULT: Approved L- Disapproved U Pending ❑ SKETCH: INSPECTOR DATE FN-oIF Attach supplemental test data heret01 CITY OF TIGARD MATING ?ERMIT y PERMIT NO. lh /- - - RE(_31 PT NO. PEC t �rm t shall he obtained prior to commencement of installation, 1 2. Permit shall be obtained for nil a,_p' i -;r•ces which are to become a fixtutf, to the building 2. Relocation.., replacemer• chs^gE9 tc• h•.rnera and duct work 1 require petm.:r 4. All wor'! tr bo- concealed mi-s' ut: �..3 before cover uv. ow Installation L Nepl�ce�y/ Fel�cat.ion ❑ Addition �� Alteration ONTR. �,!IL�,.,f t, -- OWNEF t� �...� 'r-r-•.._i_�, v / DalQ88 ��--� r .. :'. :_I ./ ,� WGPK ADDRESS APPL CANT ` TL..FPHONE NO URNACE - MAWJFAC""1Rf H J• - ,_. ": TELF.FHCNE HO SAT Ir put rating (8L j Per Hors � ��'.: . , Vent Size w,-7e _ Flue Size _ rr'' r LEL OIL 0 GA:- EI.t(T71'HER OTAL S0. P"f Top F lo.ir '��Main F l�)or �_ Basement r E14F.RAL ITEM NO FEI.. AM C ITEM NO. FEE AN'T br Issuance of Pg.-r"t_ 3_0 >• `>[''' E :,l,ers ever 50 Hg___ 5.0 ew - Under 100,000 E'"A 4 OC Ak_r Hsndi nq_ 10 CCO CFM _ _ 3.0 jVw=Over .00,000_fit. 5_t, a' ;A _Hend l i rg_Over _20.000 CFM 5.0 �aor Furnace _ 4 C.- F..dpgtat:ve Coole:_,_..___i 3 ,0 all - Floor - Sug�ended q U( sin tall- vents ?o •irnt_Sj s em .--_� _----- epsir - Heat 6 �ool>_ng _.. 4_ `_c _ _ �N�ori ___�. �— _3.0 ioilera Under 3 H� A 1 S' 'gmeSt e.'1nerat?r,. 5.00 !oi ere 3 •n i5 H 'l5� nm :::c �..rrator----_ __ _ 0,0 bilere 15~tu 3G N� i U or pother N( t , fisted ` — _ _ 0 toilers 300_ to 50 —_ _ 5 o-_ INSPECTOR'S COMMENTS ILPPROVED BY r' il'E .;M ISEt1EC nl _ _ _._ _ DATE �.gr.'WI—are of Applicant IY t - it YUUU ' UUUU ., p l PLUMBIW, PERMIT APPLIGATIUPI aYurisdi ction of ' permit Feet 1 40. Tye of Fixture Fr:F P.�rrit 1d6. Permit. f ee _ Water ©et's (Tioletr) Normlt Issued Al-1.2 T9ath Tl!i, ; -. Approved - 't " �1141sl� "Sltl --� Building Pe .t _ a $bv'•'r:r _ Rr.•c'r;ipt. W, *,,. ._ter ......r.. , ._,._...�._ )17:.}t�, tr."ly!;'4A1:�.....,...�....�....................�.�._.... aa1''dBj.,L�'rl r,tj• q�;«.:tl.l.::� 7�,�, �. i�ur•Ary r,,; 48"- P., kl jrese of XTAer ek �'r��x 3+fir;_. t :t�• r+s•.,.. 01 � l H S ..._._ �._... �._,., ►i i `V�, ...rr --Rom17005 N' . ZaRt3�[ r".:a ir«.. ' .' �. ...A.........._•. ...« ..._.., . BEnvERr�SN;... ON '.!I IrLa I. P•1: ldtru• �(•lra. Q1 ?+t'. A,l.t.i•rr Fe.j)air or Install �1,::h•r,,' 1•'• - Yea+ .t �-___.r_..N_��5�. .. . _. _._�-_ _ta+rl+1 :'.r1�- 1'Iklt•r �i Ic��• _......�..3Mtnlfilnu Pool Sir Ink' Tnts },vvit1 I t r W91A cr �onstr .. ,; •hr rf rc t.r lt3 not co mmmenced within I3e,+.!>r ':1 I ' i. 1 1._,''1 C,I M.•,r A 1.:; sar,�r. ,., :r;k }' �1, •,...rt } , •j'jfld t)�•�i20 days iltt Ar'' Lr'rr llt. J• �' u I + trt.Ill't.'tl. 3415" / All. plt. ►. ro.r.;. t,. 1.1 L'r:t 3 t . t.ra. tart', �5.,, Xtra bond. l hCrr_►: �r t,I C i t'vw- read %nd t-emw rl {.111s •lt pi 1 . st•l in and kxtrrt '.hf flame to be true aw"I corrr-' . Ai ' } I _t 1 '1' S law;: ;,nli orrtlriArvez F'c w r•r tits t'111s t.,(rw. ct' vork will be eclir1,11,' W+tr. v)it •-d hr: Irl cr i',o, , t.t't, rrrsl,t .l a Farmlt dc:cs not presume: to t;;l VC suer+.;r ' I t r t . "r tit r, +.'r• local 1w regulating SOMERS11 PI.UB M"I & HLA I INB 17005 N w CURNELL RD. BEAVERTON, OREGON Sigr.!st o Appl c-Ant w.�t t�1413 f. Addrdrs 1, 25 S.W. IlUth ,_ Pmrmit No. Percoit charge Owner Edwards Industries (contr$gjar) Connection fee Lnn Paid by Type of building Residence _ Date connected -1 Service rate 1�3.�00 •ger month Inspection fee Contractor Edwards Insuctrl^.7 Paid by Date Size of connection 411 _ Assessment Paid ; y L PERMIT TO CONNECT 3 Tigard Sanitary District PE'RMIT N? 1588 DATE - 7 PERMIT IS GIVEN TO OF TO CONNECT A TO THE SYSTEM ()F TIGARD SANITARY DISTRICT AT THIS Pt:RMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON- NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN PLETED. PERMIT FEE PAID $............/— ........;ow...TIGARD SANITARY DISTRICT By CONNECTION INSPECTED AND APPROVED Date Su perintin—do—it V/ # = BUILDER _.VALUE ,A oma G FEE /-yi DATE LOCATION s" OWNER JOd , MAk —ii > ' J TYP —,3:lc PL BER r'% E MIT - -v SEWER PEHMIT „_; w�� FEE MECHANICAL PERMIT D A T 4 BY DATE _ _ _ ____._ _9Y EXCAVATION-FILL AIR CONDITIONING _ FOOTINGS FOUNDATION r;H VENTILATION _ FORMS SPRINKLER SYSTEM SLABS MASONRY FLUES _ REINFORCING STEEL FIRE DOORS EXITS STRUCTURAL STEELGARAGE FLOOR___ PLUMBING R. I . W DRIVEWAY ROOF/FLASHING 6//j SEWER (P_Y FRAME /j,H STORM DRAIN _... LATH WALLBOARD PARKING HEATI",G FENCE/SCREEN WATER HEATER i Y I e�.�7f' ✓c�-7a o rzc_� 7 — i Z -7 2 -- cmc i Ile CITY OF TIGARD 11!40 S. W. Mian Stroe "GAR:,, ^A9GON 97M APrL:CATION FUR BUILDING PE1+MIT New Coc.struction C^J bemolishlJ Addition ❑ Remodel ❑ Move❑ BONING _ R-7 DATE ISSUED'g-23_•g__ BUILDING PERMIT BUILDING FEE S m No. - •,-�>c )ATE RECEIVED 2-12- c A. 01- 3Y 1 3Y PLAN CHECK $ 47.00 VALUATION $ 27)000 OTHER $ TOTAL $ 141.00 RECEIPT No. 5 7y TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION :,OT A 4 MAP A Q P CENSUS TRACT W-19 JOB N Nrchitect or [.ngineer—__ M.L. Jackson _ - Address_— Ed �rr�d�,at.r+g© _. — Phone Owner Hoilday Homes, Inc_ Address 8925 S.W. Beawrton2=914gdy),!_1OIy� ___.__�_____ Phone_ 2W .,160j Builder �ri.iyr Hrune.,-S:a.— Address_ ram _ _ Phone-- BUILDING USE Single Res. ❑ Multi Res. ❑ Comm. r-1 Industrial❑ OCCUPANCY GROUP 7 No. of Stories Total Height_ ,dU_, Area of Loth_ Type of Construction X--NIONIUM V Floor Area B_IIOL 1. 1107 .__ 2 -- Set Backs: Front _>u Back_ Q_ L.Side___4.__— R.Side_4 Private Sewer Pipe Size 4 Sewer U.S.A. Septic Tanl ❑ Water Service Pipe Size j/4" __— Storm Sewer © Ditch ❑ Drywell ❑ Street and Curb Requirements__EXISTING Driveway Width III _ — No. of Parking Spaces____W_ SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION NO CUYAN-- UNTIL STREET IMPROMWNTS AOA MA[Z AND _ _— ACCFA1 MD BY THE CITY OF TIC --- ADDRESS A:SIGNED g34L#.W• 110tb - FIELD CHECK BY _� __. — _-. -- . _ DATE— W-t!! Ye PERMIT APPROVED BYw'�, c _ It is understood that all work will conform with applicable codes and ordinan as, of the State of Oiegon and the City oflTigard, oreyon, and that the building will not be occupied until a Certificate 00 oc agcy has been issued b ta City o' Tigard Buildin,l I:ispector. L_-. cl(1 S na ure of'Ap�cant