11720 SW 68TH AVENUE-1 11720 3W 68th Av. '
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 972.23
Phone: 639-4175
Type of Inspection -
Date Requested___.__ 4 p Tuna A.M�(. P.M.
Address _ 2 Pe11i11t
i
Owner _. _ Lot / -7 /h�
Builder .
The following Buildirn Code deficiencies are required to be corrected:
Presented to _. —.. Approved
Inspector --- LJ Dimpprovad
Date
CALL FOR REINSPECTION
YE8 ❑ NO
NECHA F'E R N I GAL.
I'l IT
CITYOFTEFARD #. . .. . . .*. ::
cnyOF P
I-"RIII. ERMYT M. n ITIE.C,90 01.8115
COMMUNITY DEVELOPMENT DEPARTMW (I rameooH
i3125SW Hall Blvd. P.O.Box233;7,rVerd,0vMn 97223 (503)914-4i76 DAT'1-.':-' ISSUED. 09/12/90
1. 1 L A1)1)1• L S;:i.. .. . » 1.1'7c:(%) -":;W '-61 H 1.1V PARC'EL.- IS1.136DD-03402
G D D I V I S 10 N.. WEST* P 0 R I'L.A N P H E I G 1-4 ZONING.- C-F'
BI OCK. . . . . . . . . . .. LC)1'. -8
CLASS OF' W 0 RK. ALT FLOOR F*URN. EVAP C;OOLERS.-
'T*Yl::'L-': OF* USE. . . . »SF' U N I T 14 E A*r Ei%'S. VEI-41 FANS. . .
0 C C U F'A 11 C`Y G R P. R 3 VEWS W/O APPL. - V E Iq'T S y 5 T E 1,1!:
S 1'(.')R I ES. POTLERS/COMPRESSORS HOODS. . . . . . . .
F U 1::,L. 'T y F,1::S- 14--.
H P.. DOME'S. INC'I N
AS/ 3 5 HP. COMML. INCIN-
1110X TNPLYT-, PTU 1.13--30 1-1 P. R EF'A I R U N
FJR F-' DAMPERS% -
3050 HP. WOODS]'OVES.
G A S P R E S S U R F. 4-
111. . . . . .. CLO DRYERS. .
NO.. OFAIR HANDLING UNITS OTHER UNYTS.
F'URN < 100K BTU.- I <:= 1.0000 (:fni.- G A S C)1.1 T' FT(':i .1.
FURN >=100K BT*U.- > 10000 (:,fni-
N e III A-r t
Ovirip-r- - FEES
IRV,F.N G I A R G 0 N type A1110LIVIt 1)y date recut
1.:1."I20 SW 6 1AT'H AVE P A y ITI $ 1.8. `:10 JLH 09/10/90
TIGARD OF,' 97223 5PC1, $ 0. 90
Pharie W:
C,c))-1t-rAC,tC)-f—
COLUNBIO illA'TING
21.'308 S W 90TH
'T t.)n L..A'r.1 N OR 97062 .......... .......
P li c)ri(-:� It 6`32--.4320 1', 18. 90 TOTAL
Ren ft., 38026
--- REQUIRED INGFIEVITIONS ------
This permit is issued subject to the regulations contained in the F'inal Iiispectiari
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
Man 180 days.
I s;ii;t.t e d Pr -
C'A I I for j.ri%pectioii 639-4175
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I TY OF T I GARD •— RUCE I P'f
Of PAYME;NT fr'EC[:Irf NO. e 90-204680
tJ"aME. e
COLUMBIA MEAT J NG CHECK' AMOUNT 18.90
IADDRESS e CASH AMOUNT 0.00
PAYMENT DATE 12/90
I T I GARD OR 972,23, SUDD N I ST ON
F-"-)Rf':,USE OF PAYMENT AMOUNT PAID F'I.JFr'PC1uECIF PAYMENT f
AMOUNT PAM,
C, I
MEDIAN I CAL �.C.__MEC90—o
1Q.r BUILD PER
I
SW 68711 AVE: I
I
TOTAL AMOUNT F'AfD -
1ta, � ,
CITY OF TIGARD MECHANICAL PERMIT Receipt#
13125 SW ):TALI, BLVD. Permit#
P. 0. BOX 23397 ", l�� ) Description
'PIG ARD, OR 97223 I iz/ Table 3A Mechanical Code CITY PRICE AMT
(50.1) -,39-4175 I .r" ''l� 1) Permit Fee _-0_ -0- 10.00
Name of Development 2) Supplemental Permit 3.00
Job Address Furnace to 100,000 BTU 6.00
Address // f
'/ �G' s ilti� �' ����- 1) incl.ducts&vents
Furnaces&vents
_
Tax Lot Map No. 2) 0 BTU +
incl.ducts 8 vents 7.50
Lot Block Subdivision
Name(or name of business) 3) Floor Furnace 6.00
�l�G. incl.vent
Mailing Adore Phone 4) Suspended heater,wall heater 6.00
Owner L or dloor mounted heater _
City/State Zip 5) Vent not incl.in 3.00
appliance permit
Name(or name of business) 6) Repair of heating,ref ig., 6.00
cooling,absorption unit
Ment rem Phone 7) Boiler or comp to 3 HP 6.00
Occupant absorp.unit to 100,000 BTU
CityrstAw' Zip 8) Boiler or comp to 3 HP-15 HP 11.00
absorp.unit to 500,000 BTU
--- Boiler or comp 15-30 HP 15.00
Name M�? C �p. ' 9) absorp.unit 1/2-1 million
MellingAMMU G�Phoft 10) Boiler or comp to 30-50 HP 22.50
DX ,� `�� -� absorp.unit 1-1.75 million _ __
Contractor N gufe U -�7�Y 11) Boiler or comp to 50 HP 31.5U
ti ) � absorp.unit 1,750,000 BTU
State#6gistration No. City Bus.Tax No 12) Air handling unit to 4.50
J� 10,000 CFM - _ _
13) Air handling unit 7.50
1 hereby acknowledge that I have read this application that the information given is 10.000 CFM +
correct,that I am the owner or authorized agonl of the owner,that plans submitted are in
compliance with State laws,that I am registered with the State Builders'Board,that the Non portable 4.50
number given is correct.(If exempt from State registration please give renson helow) 1^) evaporate cooler
15) Vent fan connected 3.00
to a single duct
16) Ventilation system not 4.50
Included in appliance permit
r 17) Hood served by 4.50
mechanical exhaust _
Signa re(owner or agent) Date18) Domestic type 7.50
Describe work C1 addition ❑ alteration`Q repair ❑ Incinerator
to be done residential non-residential ❑ 19) Commercial or industrial 30.00
type incinerator
Existing use of
building or properly __ 20) Other i.e.,woodstove,water 4.50
heater,soler,clothes dryers,etc.
Proposed use of --
building or property -- 21) Gas piping one to four outlets 2.00 ;U Gi
_ r
Type of fuel- oil ❑ natural gas I❑ LPO 0 electric ❑
22) More than 4-per outlet
NOTICE SUB-TOTAL ,9 C O
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- - - ` — —"
5%SURCHARGE ,'a
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR 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__