9680 SW MURDOCK STREET 9650 SW MURDOCK STREFT
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard. Oregon 97223
Phone: 639-4175
Type of Inspection --
Date Requested "" � —_ Time A.M. P.M.
Address tl .l��-- Poirmit
Owner _ __ Lot #
BuilderThe Following Builo:na Code deficiencies arm required to be corrected:
Presented to _ _ pproved
Inspector [,) Disapproved
Date —
CALL FOR REINSPECTION
L? YE8 ❑ NO
ML(!.I-IAN:1CAI PERM11'
PERII4.1,11, No. : ME1139173A
C w IN MJF T
COMMUNITY DEVELOPMENT DEPARTMENT DATE 15SUED: a/15/69
13125 S.W.Hall Blvd.,P.O.box 23397.Tigard.Oregon 97223.(503)639AI75 j PRIM. PM'T .NO. e91734
%A]F's ADUPESS : 9680 SW M',JPU()r.K S'T
TAX MAP/L-0'T SUB: L'T' ; FJK :
LAND USE:
1-01 SIZE : T'TEM: NO : NO:
WORK GLASS: AL'TERA110N FURNACE <1001< .11 AIP HANDI A <10
tJSr--': 'TYPE : SiNGLE FAMILY FUANA(,E 1.001<4- AIP HANOLP 10K
CUNS*T , *TYPE : FLUOR FUPNACIi:. LVAP.COOLER
OCC'UP .GAIJI . H!�A'rEll VEN'T FAN
VENT '.'ENI' . SYS*TEM
BLIVCOMP <31AP HOW)
NO . 51'UPSES : F3I-R/C'0MP 3-4.151-lp 1NIC'ENERATICIP(00M
DWELL , UNI"I'l-is : IN I.I/COMP 1.!5-30HI'-' 1W*I:NEV4AT0R(C0M
F LJEL 81.-P/CUMP '.30-50HP REPAIR UNII'S
MAX . TNI**'11'1 01 P/COMP 50+HP 0'THEP
FlAp., D11114-157 UU'ri-E-Vi
I-LI:GI-I PRESS?
LOW PWL!'5(3'?
RKMADW-5
,14: 13 fUrnace
0 go]. r'Z e a t I li --A PFAMI'T $11:1 . 00
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N 9688 '.W ml.tl-(Jock PLAN REVIEW
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0 pil,'f; rs-T-nA-T-3:1.11N NO. 3FI026
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L-j— AECEJP'T NO 74
This permit is issued subject to the regulations contained in Title 14
of the TMC. State of Oregon Specialty Codes,zoning regulations EQUIRED '.I:N!5PE:CI*T.(:)N5
and all other applicable codes and ordinances, and it is hereby 'GAS LINE
agreed that the work will be done in accordance with the plans and
specifications and In compliance with all applicable codes and 13051 A DEAM
ordinances The issuance of this permit does not waive restrictive 111,F)UGH IN
covenants Contractor and subrontractors shall have current city V I NAL
business tax permits.This permit will expire and become null and
void it work Is not started within 180 days,or If 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
Permittee Signature
Issued By 4 -- CW- -14�4 '4444W-449-44-4&--
LAI,�, .*
SEPARATE PERII,li REQU,RF0 FOR WORK OTHER THAN DESCRIBED ABOVE
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City of Tigard
INSPECTION REQUEST
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for
INSPECTION TIME: ` PERMIT NO. :
DATE �DATE ISSUED
OWNERS NAME : `
ADDRESS:
CONTRACTOR :
TEST : Air O, Water)(, Visual, laboratory ❑ I
RESULT. Approved Disapproved O , Pending I
.�..�_._._—' .ice. I�•�. � , .�_
SKETCH.
INSPECTOR DATE
COTEAttar, eup,p omental ►s-' data he►etI
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UNIFIED SEWERAGE AGENCY NO. 5090
WASHINGTON COU N i Y 0AI F - 9-21-75 _
Cl - Y OF I"i,gnrd
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: ____ James Arthur
OWNER'S ADDRESS: ____ 9660 S.W. Murdock Stroet
STHEFT
Tigard Oregon -�_ 97223
- -- -- CITY --- STATE ZIP
BUILDING SITE: LOT___ BLOCK ADDITION --- -_—__
TAX LOT NO. --.-.-.-- -- _ TYPE OF OCCUPANCY residence
ADDRESS 9680 5.1J. Murdock Street
DWELLING UNITS_--_- 1 _— FIXTURE UNITS _—
SURCHARGE IF APPLICABLE —
PERMIT FEE _.__ 300 _ INSPECTION FEE 25- TOTAL DEPOSITED 325.
(NEW) (EXISTING) BUILDING SEWER SYSTEM Fenno Creek
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
APPLICANT.
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
LINE SIZE --_-411 __--- INSTALLER _._- - _--owner-- _T.____
R E-C E I V E D B Y_- _-4�C ��s rte. -- —_ ( ___--
I�AGEhI1rY OH ITS AGENT)
COMMENTS: srwer connection only -
This Application and permit expires in ninety (90) days. The amount paid will he forfeited
should expiration occur.
CITY OF TIGARD MECHANICAL PERMIT Receipt#_
Permit#
Description
Table 3A Machanirel Code QTY PRICE All
City of Tigard 1) Permit Fee -0- -0. 10.00
13125 S.W. Hall Blvd. --
P.O. Box 23397 2) Supplemental Permit 3.00
Tigard, OR 97223 --
639-4175 1� Furnace to 100,000 BTU 6.C)0
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
or floor mounted heater
Address
Tax Lot Map No. 5) Vent not Incl.in 3.00
appliance permit
Lot Block Subdivision
Name(or name of business) 6) Repair of heating, u i 6.00
cuoling,absorption I:nit _ T
L'I -- Boilermp to 3 HP 6.00
MailingAddress ' or co
Phone 7)
Owner absorp.unit to 100,000 BTU
Sdvnvt. Boiler or comp to 3 HP-15 HP I
City/statE �— Zip 8) _absorp.unit to 500,000 BTU 11.00
Boiler or cot,:^15-30 HP 15.00
Name 9 absorp.unit 1/2- i million
Boiler or comp to 30-50 HP
Mailing Address Phone 10) 22.50
o ,r c. u 9 t-437-c
absorp.unit 1 1.75 million
Contractor �t 3rJ �— Boiler or comp to 50 HP 31.50
City/Stale Zip 11) absorp.unit 1,750,000 BTU
11
State Registration No. City Bus.Tax No 12) Air handling unit to 4,50
10,000 CFM
0114 rrw�r° IZY2 Air handling unit 7.50
I hereby acknowledge that I have read this application that the information given is 13) 10,000 CFM +
correct,that I am the owner or authorized agent of the owner,that plans submitted Are in
compliance with State lawn,that I am registered with the State Builders'Board,that the 14) Non portable 4.50
number given is correct (If exempt from Stale registration please give reason below). evaporate Cooler —..
Vent fan connected 3.00
-- — - -- -- - ------ _---- ----- 15 to a single duct
16) Ventilation system not 4.50
Included in appliance permit
17) Hood served by 4.50
mechanical exhaust
Slgnatur6(owner or agent) Date 18) Domestic type 7.50
Describe work [-I addition Cl alteration repair I-1 Incinerator _ _
to be done residential Ot- non-residential ❑ i 9) Commercial or indust)lal 30.00
type incinerator
Existing use Other i.e.,wocdstove,Nater
building or properly_-__._ -_ -_. 20) 4.50
heater,solar,clothes dryers,etc.
Proposed use of
building or property -- -- - - 21) Gas piping one to four outlets ( 2.00 c
Type of fuel- oil I I natural gaV 1 LPG i I electric I 1
—--- 22) More than 4-per outlet
WTIQ E SUB-TOTAL I `'
THIS PFRnAIT BECOMES NULL AND VOID IF WORK OR CON-
STRUCTION
ON - 4°k SURCHARGE
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 _ TOTAL
WORK IS COMMENCED.
Special Conditions.. _ T_-
Date issued - —by —_.-
PERMIT NO.
A f►D R E S S_ ..���.��. - —
PERMIT CHARGE none
OWNER CONNECTION FEE ac) -
PAID BY
TYPE OF BUILDING ` c t. DATE CONN�tCTED
SERVICE RATE
INSPECTION FEE , _
CONTRACTOR C
G PAID BY .�.L: DATE
fi�+�°n�
• ASSESSMENT PAID
SIZE OF CONNECTION t --
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