11600 SW MANZANITA STREET X1600�nl Maz►ita axeet —
I
I
�NSFSGTIO�f riarxcs __
City of Tigard Building Department
13125 Bit' Ball Blvd. Tigard, Oregon 97223 1
Inspection Line (Rec--O-Phone): 6)9--4175 Husineau Phone: 639-4171
i
Inspections
---47
tooting Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Can Line FINALS
Past/Beam Struct. San. Sewr_r Framing -Bldg.
Poet/Ream Mach. Rain Drain Insvlation -Plumb.
Pl.bg. Underfloor Water Line Gyp. ed. -Hoch.
Date Requested: 1 �) -�� Time: AM PM
Address:—�L r� 7
era, s: f.- �� G� �/
Builders_
THE FOLLOWING OORRR ONS ARE REQUIRED:
1 1�L STA►l=LC= t7 Com'
Inspector:
—�•"!•---------------------------- Dat o!
—__APPROVRD _—z DISAPPROVED �-^-7t1rp1�OVED SUBJECT TO hoovic i
_Call For Relnap.
MECHANICAL
CITY OFTIFARD PE RM I T
COMMUNITY DEVELOPMENT DEPARTMENT I C OR100#1 ERMIT #. . . . . . . .. MEC9 1-0011
13125 SW HWI Blvd. P.O.Box 23397,TIWW,Oregon 97223(503)83941715
)ATE ISS
SITE ADDRES`a. 116160 SW MANZANITA ST PARCEL:
'S
)UBt)I V 1: 10N. PANORAMA NO. 2 Z01,4ING: R-4. 5
FLOCK. . . . . . . . . . i LO"f. . . . . . . '39
CLASS OF WORK. . zADD FLOOR FURN. . . . EVAP COOLERS:
TYf-',,.,7 OF USE. . . . -SF LINIT HEATERS..: VENT FANS . . :
OCCUPANCY GRP,. . :R3 VENTS W/O APPLi VENT SYSTEMS:
STORIES. . . . BOILERS/COMPRESSORS HOODS. 11 . 1 11 . . �1
FUEL 0-3 HP. . . . DOMES. INCINt
,. /WOD/ 3-15 HP. . . .
MAX INPUT: BTU 15-30 HP. . . . REPAIR UNITS:
F I RE DAMIDE RS 30-50 HP. - - . t WOODSTOVES- 1
GAS PRESSUPE. . . 50+ HP. . . . : CLO DRYERS. . :
MD. OF UN I I S.. ._....__. A I R HANDL I NG UNITS OTHER UNITS. -
FURN < 100K BTU: 10000 cfml GAS OUILETS. -
FURN ) -100K DIU: 10000 cfm :
Remarks : Woodstove permit;
C)wnet,.- FEES
PAUL APRIf- SPII-EY t v pe amol.int t+v date t, i-
11600 SW MANZANITA s*r PAYM $ 15. ,-'3 JLH Q.11/23/91
PRMT' $ 14. 50
T 1(3 A R D 0R ':)7='c:;3 5PCT $ LA. 7...,
Phone #: 639--1147
Cant v,a c t u r
,HIM PRO CO.
;."HIM PRO CO.
'306 SE 190TH AVE
,ORTLAND OR 97233-0000
hone 503-6-69 -9301 $ 15. 23 TOTAL.
14eg #. 60969 ------- REQU I REI) INSPECTIONS
,lis permit is issued subject to the regulations cont_Invd in the Final Inspection
'iqard Municipal Code., State of Ore. Specialty Codes and all other .......
�oplicablv laws. All work will be done in accordance with
approved vlans. This permit will expire if work is not started
lithin 181 days of issuance, or if work is suspended for more
ha, 140 days.
'sated Bv :
Call for inspection 639-4175
—J
CITY OF -1 IGARD RECEIPT OF F"AYAENT FSE C:[I PT NO. .9 1—20AI-4,3"')
AMOUNT - 1,5. �.�
14AME BAIL-EY, ARFt',_. CWA-i AMOUNT 0. 00
ADDRESS 11600 SW MAN7ANITA ST PAYMENT DATE 01;2 3/c�j I
c-'
GART), OR 9722-3— SUBDIVISION
TI
PURPOSE' OF PAYMENT AW)UNT PA I V PURPMF OF PAYMENT (-IMOUNT V,AID
- .........-1-1—.---
MPF MEC91-0011 14. ',50 ST. BUILD PF' 0. 73
WOODqT(3VF FBF;RMIT
r0TAl AMOUNT PATI)
r• el. s .w � ani .. wt
:'ITY OF TIGARD MECHANICAL P
i-3125 SW HALL BLVD. Permit ay—
. O. BOX 23397 Description
rIGARD, OR 97223 Table 3A Mechanical-Code- OTr PRICE AMT
,-503)639-4175
1) Permit Fee -0- -O- 10.110
I -
Narne of
2) Supplemental Permit 3.00
Job Address Furnace to 100,000 BTU
Address 1 I �1<PL C:)H - 1 incl.ducts&vents 6.00
Tax La —Map No, Furnace 100,000 BTU +
I.ot Block Subdivision 2) ind.ducts&vents — 7.50
Nems(or name of business) Floor Furnace
�.�({`_i I I ) 3) incl.vent _ 6.00
Owner MaUV Address Phone ( `ISuspended heater,wall heater
4) or floor I-sountedheater
-_ 6.00
Ctyrsute Zp Vent not ind.in
_5) appliance permit 3
N—(or rune d business) - -Repair of heating,refr
19•.
6) holing,absorption unit 6'�
�Addressgnome _—— Boiler lx comp to 3 HP _
Occupant 7) absorp.unit to 100,000 BTU 6.00
ciyrs oe�— zo Boiler or comp to 3 HP-15 HP - _-
�) abs_orp,unit to 500,000 BTU 11.00
N ,. 9) Boiler ef comp 15-30 HP
r C, absorp.unit 1h-1 million 15.00
bAa&V Address MIDI 1 - Boiler or comp to 30-50 HP
N.r, 't U) absorp.unit 1-1.75 million 22.50Contractor
cityrstate Boiler or comp to 50 HP
1 1 abso unit 1,750,000 BTU 31.50
state Registra No. CityWT&x NO� 12) Air handling unit to
10,000 CFM 4.50
.�{- -Air handling unit ---. --
I hareby act- a ct,nr I I. ad a{> atron a,at orM makn given is 13) 10OOOCFM + 7.50
axreM Dud I am the or~, x suQrorized agmA of tike owner.that plans sutxndled are in — --_
ooffrkame with State taws,ttut I an registered with the St ae BuNdery Board,thai tlm Non portable
r"anber given is orxred (M esernryt from State registration please g-reason below),
1 evaporate cooler 4'50
Vent fan connected
15 to a single duct_ 3.00
--- -------_----- - - - Ventilation system not
16) included in appliance permit 4'50
Hood served by
17) mechanical exhaust 4.50
So-bae(owner or agent) __ ----- ----Date Domestic type -- _._---.
Describe work (I addition f] alteration ❑ repair [It l3) incinerator 7.50
to be done residential ❑ non-fesidential ❑ Commercial or industrial
Existing use of --- — 19) type incinerator - 30.00
building or property-_ Ottxwr i.e.,woodstove,water
---- 20► heater,solar,dollies dryer,etc. 4.50
Proposed use of -._---- _ -. -
b illing Of property------_--
_..-_-_—� --- 21) Gas piping one to four outlets 2.00
Type of fuel- oil f 1 natural gas [I LPG ❑ electric ❑ -
`- --` 22) More than 4-per outlet
NOTICE - -
SUB-TOTAL
THIS PERMIT BECOMES NULL. AND VOID IF WORK OR CON- ---
STRUCTION AIITTTOLIIZFD IS NOT COMMENCED WITHIN 1805%SURCHARGE
DAYS, OR IF CONSITIUCTION OR WORK IS SUSr -_NDED OR PLAN REVIEW 25%OF SUB-TOTAI_
ABANDONED FOR A PERIOD OF ISO DAYS AT ANY TIME AFTER ---- —
WORK IS COMMENCED. TOTAL
f4mcial Conditions _
Date issued_ by
MECHANICAL
,�,: NO. : ME139.1.0L19
�I�OF TIGARD Cny to
COMMUNITY DEVELOPMENT DEPARTMENT C5/ 1:1/B9
13125 S.W.Hall Blvd,P.O.Bort 23397.Tigard,Oregon 97223.(503)639AI75
(39:1.029
1-13.600 !:iW
VAX MoPll (:)'I' !:i(J L.
I AND
WNW 1:ITEM: Nn
01 P:IMNACE: < 1.()()I<
FUl"MACE, 3.001<4- ATA FIANDI.,174 10K
JS 1::: 1* A114 HANULP <10
(.x)Wi I 1 yr,r, 1-1-0014 F URNACE.
E!V A- r' . c'
VENT F AN
Vli.'N*T' . EiYSI 1::.M
1A.14 ('10111', < 31••1P HOOL)
NO , ':00G4:11: ', L.A.-1:4 C 0 M 1:'-' 3 :L;1AP 'ENCYNE.AA-14)[4( I- (:)M
DWE:L.1, , UNJ: I '., EA.-1:1 LIOM F." V1.5
:ir I.N(:;J:Nl::,PA U011((.X)M
I yl. 1:4 (:"(:)Ml::'
m) PF"PA] 1:4 UNTAS
MAX I, 1::1 14/il.'am) n()+ T'l-KEP
HIGH ("A5
(ME. (IN1. Y
0
W I .1e,10 0 !:i W 0
MONZA:N.A. 0) S 1' $1-0 o
N I I ''�J-q) I'l '1 ' I 'l I
E or" t
R I I it)i,;I: J 1111/11 ,'.i0lir63Y 1.1.11 Ax !11 . '7:3
0 11 Ii. 1!
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RI 111.1.5 . V.,
I his permit Is issued subject to the regulations contained in Title 14 /0.3 7 Y�
of the TMC, State of Oregon Specialty Codes,zoning regulations PF.W1.1 1
A) INS1, U1,110NEi
and all other applicable codes and ordinances, and it Is hereby I MN
agreed that the work will be done in accordance with the plans and
specifications and In compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
business tax permits. This permit will expire and become mull and
void It work Is not started within 180 days,or it work Is suspended or
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure
all required inspections are requested and approved,
rbCIA*�
/15
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
s: se asst sir si �. art as = Piss
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection — _� --------- -
D��'O
Date Requested Time A.M. P.M.
__ _ �_ /
Address ���L'Z�-cam' – PermitOwner
______ Lot # — --
Builder
The following Building Code deficiencies are required to be corrected:
7
Presentpd to ❑ Approved
Inspector -- Disapproved
_
Date
CALL FOR REINSPECTION
21 YES ❑ NO
Permit
Name of Occupant _____ Permit charge I'"
Connection fee-2$0"0
Paid by & ll?AtI
Date connected 3 io-0
Type of Building—Re-j .- Inspection fee A0
Service Hate, Paid by
Contractor- Assessment—
Size of connection
1M1 i4 1RWIfqwifMa
l4MMOKAmw
PERMIT TO CONNECT
Tigard Sanitary District
PERMIT N° 1005 DATES
PERMIT IS GIVEN TO
OF NL J
TO CONNECT A �
TO THE SYSTEM OF TWARD SANITARY DISTRICT
AT
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION 1S MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID ...... ..............TIGARD SANITARY DISTRICT
ww ON A01,410
CONNECTION INSPECTED AND APPROVED
Date - - Superintend,ent
ILA f Y ul- I IUAHU MECHANICAL PERMIT 0w., N
Description
Table 7A Mechanlcel Code CITY PRICE AMT
City of Tigard
13125 S.W. Nall Blvd. 1) Permit Fee 4. -0- 10.00
P.O. Box 23397 �^
Tigard, OR '97223 2) Supplemental Permit y 3.00
639-4175 1) Furnace to 100,000 BTU 6.00
Incl.ducts&vents
Furnace 100,000 BTU +
2) incl.ducts&vents 7.50
Name of Development - Floor Furnace '
3) incl.vent 6.00
Job Address - Suspended heater,wall heater —
Address 4) or floor mounted heater 6.00
is LM Map Nn `^ Vent not incl.in
5) appliance permit 3.00
Loi Block Subdrvlsgn _ --_
Name(or name of business) — Repair of heating,refrig.,
t, 0) cooling,absorption unit 6.00
Mailing AddressBoiler or comp to 3 HP
Owner 7) absorp.unit to 100,000 BTU 6.00
otyrstate zip _ Boiler or comp to 3 HP-15 HP
8) absorp.unit to 500,000 BTU 11'00
Na,ne 9) Boiler or comp 15-30 HP
absorp.unit lb-t million 15.00
Mailing Address PhoneBoiler or comp to 30-50 HP -
10) absorp.unit 1-1.75 million 22'50
Contractor .Ci Mal" � ZipBoiler or comp to 50 HP
1 t) ab!.orp.unit 1,750,000 BTU 31.50
Slate RegistraliaNo i CMy Bu,.Ter No. 12) Air handling unit to — 4
10,aw CF_M_
.50
I hereby acknowledge that I have road it"application mat the Information "°"is t 3) Air handling unit - 7.50 --ocxred,that 1 am the owner a authorized agora of the owner.That plans aubnrtled win 10,00(?(;FM +
crxnpliance wi,h State laws,mat I am registered with the Stale BuMw,.&'Board,that he 14 Non poi1pble
nu nt-given n correct,(II exempt t•om State registration piesse give reason below). 14) evaporate cooler 4.50
- -- ---- _.._. --- ---- ) Vent fan rxmnected — -
t 5 to a single duct 3'00
----- _ - ---_ i Ventilation system not
F'1 included in appliance permit 4"50
17) Hood served by
mechanical exhaust 4.50
Signature(wmer or agents - - - - -- - Date t 8) Domestic type 7
,50
Describe work ❑ addition Q alteration ❑ repair ❑ _ incinerator -`
to be done residential ❑ non-residential ❑ 1 ) Commercial or indusir
type incinerator 90.00
Existing use a1 --
building or properly_-_ ) Other i.e.,woodstove,water
20 heater,solar,clothes dryers,e1c. 4.50
Proposed use M ----— _-------• — -- --- ----- --
building or property 21) Gas piping one to four outlets 2.00 -
Type of luel-- oil (_1 natural gas (I LPG O electric ❑
22) More than 4-per outlel
OTICE FUB-TOTAL
THIS PERMIT BECOMES NULL. AND VOID IF WORK OR CON -- --- -- - - --
STRU-'TION AUTHORIZED IS NOT COMMFNCED WITHIN 180 aI0 4%SURCHARGE
DAYS, OR IF CONSTHUZ;I ION OR WORK 15 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
-- Dale Issued . - hy