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11970 SW 118TH AVENUE • ' SW 118TH AVENUE i 00 I �.. • C , INSPECTION NOTICE City of Tigard Building Department✓J P.O. Box 23397 v Tigard, Oregon 97223 Phone 639-4175 Type of inspection — � �C�' T ._ .M. �P Date Requested — ime A��, E.. Address 11970 / Permit Owner -_ __— _ Lot # _ Builder _-- The following Building Code deficiencies are required to be corrPc:ed: Presented to __- — �`I Approved Inspector ^1 _ ❑ Disapproved r� Date CALLFOR REINSPECTION 0 YES NO E• � INSPECTION NOTICE City 9 g of 'Tigard Building Departmenlo� P.O. Box 23397 Tigara, Oregon 97223 1 Phone: 639-4175 Type of Inspection — — Date Requested a AX P.M. Address i' �✓ Permit # Ci U<XJ . Owner Lot # Builder — The uilder .The following Building Code deficiencies are required to the corrected: r �✓ i r Presented to Approved Inspector --- KJ-Disapproved Date CALL FOR REINSPITTION ''1 YES U NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Orogon 97223 Phone: 639-4175 Type of Inspection Date RequestAt—AL". P.M. Address Permit Owner Lot Builder The fullowing Building Code deficiencies are required to be c9rected: Presented to proved Inspector Disapproved Date CALL FOR WUNSPECTION 0 YE3 L� NO CITYOF TIGARD CIlYOF T16ARD COMMUNITY DEVELOPMENT DEPARTMENT OREGON 13125 SW Hall Blvd. P.O.Bax 23397,Tigard,Oregon 97223(503)639-4175 1MECHANICALO 1PERMITO xxxx PERMIT 1k. . . . . . . : MEC90-0002 639-41.71 PRIM. PERMIT ;II. : 14EC90-0002 DATE ISSUED: 01/04/90 ITE ADDRESS. . . : 11970 SW 118TH AVE PARCEL: 1S99999-99999 'UEDIVISION. . . . : ZONING: LOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . 'LASS OF WORK. . :ALT FLOOR F'URN. . . . : EVAP COOLERS: XPE OF USE. . . . :SF UNIT HEATERS. . : VENT FANS. . . : CUPANCY GRP. . :R3 VENTS W/O APDL: VENT SYSTEMS: TORIES. . . . . . . . : BOILERS/COMPRESSORS HOODS. . . . . . . : UEL TYPES------------ 0-3 HP. . . . : DOMES. INCIN: /GAS/ / 3-15 HP. . . . : COMML. INCIN: INPI".:100000 BTU 15-30 HP. . . . : REPAIR UNITS: IRE DP. PER ?. . :? 30-50 HP. . . . : WOODSTOVES. . : AS PF-,SSURE. . . : 50+ HP. . . . : CLO DRYERS. . : O. jF UNITS---------- AIR HANDLING UNITS OTHER UNITS. : URN < 100K BTU:1 <= 10000 cfm: GAS OUTLETS. :l URN >=100K BTU: > 10000 cfm: I�temarks: putting In gas furnance and ducting 17wner: ----------------------------------- __------ ------- FEES -------------- �MPIRE HEATING type amount by date recpt 4275 NW SCIENCE PARK DR PRMT $ 18.00 5PCT $ 0.90 PORTLAND OR 97229 PAYM $ 18.90 DEW 01/04/90 106717 Phone #: 503-644-1992 Contractor: --------------•----------------- �MPIRE HEATING 14275 NW SCIENCE PARK DR PORTLAND OR 97229 ---------------------------------•--- Phone #: 503-644-1992 $ 18.90 TOTAL 57830 ------- REQUIRED INSPECTIONS ------- This permit is issued subject to the regulations contained in the Gas Line Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Poet/Beam Inep applicable laws. All work will be done in accordance with Mechanical Inep approved plans. This permit will expire if work is not started Within 180 days of issuance, or if work is suspended for more than 180 daym. Oermittee Signature: _ esued By: -- _ I I Call for inspection - 639-4175 CITY OF TIGA RD CfIYOFTI6ARD COMMUNITY DEVELOPMENT DEPARTMENT oaEoo;+ 13125 SW Hall Blvd. P.O.Box 23397,Tigard,Oregon 27223(503)639A175 � 1MECHANICALO 1PERMITO xxxx PERMIT #. . . . . . . . MEC90-0002 639-4171 PRIM. PERMIT #. : MEC90-0002 DATE ISSUED: 01/04/90 ITE ADDRESS. . . : 1.1970 SW 118TH PXE PhRCEL: 1S99999-99999 UBDIVISIGN. . . . : ZONING: LOCK. . . .. . . . . . . LOT. . . . . . . . . . . . . . -------------------------------------------------------------------------------- 'LASS OF WORK.. -ALT FLOOR FURN. . . . : EVAP COOLERS: FE OF USE. . . . :SF UNIT HEATERS. . : VENT FANS. . . : CUFANCY GRP. . :R3 VENTS W/O ADPL: VENT SYSTEMS: 'TORIES. . . . . . . . . BOILERS/COMPRESSORS HOODS. . . . .. . : UEL TYPES------------ 0-3 HP. . . . : DOMES. INCIN: /GAS/ / / 3-15 HP. . . . : COMML. INCIN: INPUT:100000 BTU 15-30 HP. . . . : REPAIR UNITS: IRE DAMPERS?. . :? 30-50 HP. . . . : WOODSTOV.?S. . : ,AS PRESSURE. . . : 50� HF. . . . : CIC DRYERS. . : O. OF UNITS-•------•--- AIP HANDLING (WITS OTHER UNITS. : URN < 100K BTU:1 <= 10000 cfm: GAS OUTLETS. :1 ?URN >=100K BTU: > 100001 cfm: emarks: putting in gas furnance and ducting Uwner: ----• ------------------------------ ------------------ FEES -------------- �,MPIRE HEATING type amount by date recpt 1114275 NW SCIENCE PARK DR PRMT $ 18.00 5PCT $ 0.90 ORTLAND OR 97229 PAYM $ 18.90 DEW 01/04/90 106717 ( hone #: 503-644-1992. Contractor: ----------------------------- �MPIRE HEATING h4275 NW SCIENCE PARR DR I�l_ORTLAND OR 97229 ------•-----------------------••------ khone #: 503-644-1992 $ 18.90 TOTAL 57830 -••----- REQUIRED INSPECTIONS ----- �his permit is issued subject to the regulations contained in the Gas Line Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Post/Beam Insp _ applicable laws. All work wtlll be done in accordance with Mechanical Insp pproved plans. This permit will expire if work is not started ithin 180 days of issuance, or if work is et,Rpended for more han 180 days. _ r hermittve Sic-,natures �raued By: ----- —Call for inspet tion - 639-4175 CITY OF TIGARD MECHANICAL. PERMIT "��"��r/��. - 1312 5 SW HALL BLVD. Permit k[� �'ZI�- P_ O. BOX 23397 Description — T I GARD r OR 97223 Table 3A Mechanical Code —_ d]TY PRICE AMT (503)639-4175 1) Permit Fee -0 -0- 10.00 Name of Development 2) Supplemental Permit 3.00 _ 1 Job /uklr�ss — 11 Furnace to 100,000 BTU f Address I incl.ducts&vel its 6.00 Tax Lot Map No. Furnace 100,000 BTU + Block subdMitiort 2) incl.ducts&vents 7 50 - Name W{fie of business) ) Floor Furndce 6.00 �( 3 incl,vent Ma1W,gAcldress--' phontSuspended hc7 alar,wall heater �(- J LK��/-/[� 4) or floor mounted heater 6.00 ciyista ZIP 5) Vent not incl.in appliance permit 3.00 Name(oidarria of business) Repair of heating,ref r rig.,6) 6.00 _-� 6_1\ cooling,absorption unit Meiling Addrsas - PhoneBoiler or comp to 3 HP Occupant ) absorp.unit to 100,000 BTU 6.00 Cityrsrate ZIP - 8) Boiler or comp to 3 HP-15 HP 11.00 absorp.unit to 500,000 BTU Name 9 Boiler or comp 15-30 HP k'o k" r-�-i f.r ) absorp.unit 1/2-1 million 15.00 M 0 Mailing A ssU Pftorte Boiler or comp to 30-50 HP L/� r I- '� 1 ) absorp.unit 1 -1.75 million 22.50 Cftttrstate >Jp 11) Boiler or comp to 50 HP 31.50 � , absorp.unit 1,750,000 BTU State Registratlon No. Cory Bus Tax No. 12) Air handling unit to 4.50 10,000 CFM a S- O -- Air handling unit I hereby acknowledge that 1 have read this applicatio i that the infonnation given is 13) 10,000 CFM + 7.50 correct,that I am the owner or authorized agent of 41e owner,that plans submitted are M compliance with State laws,that I am registered with thic State Builders'Board,that thet 4 Non portable n0Mbef given is rXNred.(it exempt from State registration please give reason Wow), ) evaporate cooler 4.50 Vent fan connected /T '7-- --- - 15) to a single duct 3.00 16 Ventilation system not Included in appliance permit 4.50 Hood served by - - -- 17) mechanical exhaust 4.50 Sl�natura(owner or agent) Dale Domestic type Describe work Cl additiorn C3alteration L►5 repair ❑ 18) incinerator 7.50 to be done residential [7 non-residential ❑ Commercial or industrial Existing use of 19) type incinerator 30.00 building or properly _ _ Other i.e.,woodstove,water Proposed use of `— 20) heater,solar,clothes dryers,etc., 4.50 building or property _ 21) Gas piping one to four outlets 2.00 Type of luel- nil [7 natural gas (Y1 I.PG ❑ electric ❑ - �- 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 5%SURCHARGE (� DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUI:+-TOTAL ABANDONED 1 011 A PERIOD OF 180 DAYS AT ANYTIME AFTER ----- - - WORK IS COMML:NCED. TOTAL Special l oIldltion s Date issued A-- �� ( %- ff N ® t i It S e .City of Tigard IOil1U) r'ermit 2412 1 New Installation. 11 Replace C Relocation Addition Alteration �, D.ATC _ HEATING CONTRACTOR _.� _ — OWNER ADDRESS----------_____ JOB ADDRESS_ _ --- PHONE_ —� APPLICANT--�-- _---- __--.^ --__— Heat Input RatinglBTU per Hour) ..– Vent Size___. Flue Size-- FUEL OILE] GAS [:] ELECT OTHER ITEM y _ NO. 'FEE ITEM --- NO. FEE For Issuance of Permit —_ SEE BELOW_ Each Air Handling Unit or Duct System 7.60 New-up to & incl. 100,000 BTIJ -_ 6.00 Commercial Hood System 7.50 New j00,000 BUT's & over —_ _ _ 7.50 Other Equipment • Each 4.50 y Woodburning Stove _ 4.50 1 TripInspection4.50 Wall-Floor- Suspended 8.00 Air Condition Compressor- up to& incl.3 H.P. G.00 Vent System vv/Fan _ — 4.50 Air Condition Compressor•3.1 to 15.H.P. inc,. 11.00 Repair-Heat Cooling____._ 6.00 CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS ! ! — PERMIT ISSUANCE 10.00 Comments: FEES _.-- SUB•TOTAL _ /-- % STATE_ Issued By 25_%PLAN_CHE_CK TOTAL _ —__ _ REC. Signature of Applicant i INSPECTION NOTICE City of Tigard Building Department 12420 S.W. Mair St. Tigard, Oregon 97223 P!none 639.4171 Address_—------- ? t _ PG..nit # - 'rype of Inspection The following Building Code deficiencies are required to be corrected: Prevented to Inspector La _ Date _ _ - (.'ALL FOR REIWF.CTION ❑ VES ❑ NO h 1 Address + Permit No. i Name of Occupar;+__a_ _ Permit char e . y -- - - -� Coanection fee_ A 6 F ---- — _ Paid ------- 4 - --- hate connected 3 -Je Type of Building — _. Inspection fee Service Rate _ Paid by nate Contractor Assessment____--___ Paid Size of connection_______ PERMIT TO CONNECT f �G ! Tiga,d Sanitary District PERMIT N° 929 I'i?RAIIT IS GLEN TO OF TO CONNECT A �•+ �____. TO THE SYSTEM OF TIGARD SANITARY DISTRICT AT 5 _ THIS 'PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON. NECTION IS MADE AND INSPECTION OF CONNEC`XlON HAS BEEN COM- PLETED. PERMIT FEE PAID $..._.............................TIGARD SANITARY DISTRICT By CONNECTION INSPECTED AND APPR0►%1 1) 0, Dates