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CITY OF TIGARD
OREGON
June 1, 1995
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RE: BUILDING PERMIT # m CG C, 3'C'3 L{�'
Inspections) have been conducted on this project . However, we
have no record of any subsequent or final inspections within the
i past 180 days .
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Please note that permits become void if there has not been an
inspection performed for over 180 days . In that case, the Building
Division may require a new application and fees to continue work.
A notice of non-compliance against the property may also be
recorded by the City.
Please advise the Building Division, IN WRITING, within 15 days of �
this letter, the status of this project . You may request
additional time to complete the project .
Respond IN WRITING to: Building Division, 13125 SW Hall Blvd. ,
1 Tigard OR 97223 . Be sure to include the following information:
- Bi ilding Permit # . M EC ':�l 3 a 3 4(5
2 . Address of property. 4099/ 5 ,o Men 6<3 �J kj ST
3 . Your name .
4 . Your phone number 8 : 00 a.m. - 4 : 00 p.m.
/'If you are ready to schedule your next inspection, please call our
f�S 24-hour Inspection Recorder at 639 -4175 .
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13125 SW Hall Blvd., Tigard, OR 97223 (503) 634 4171 TDD (503) 684-2772
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INSPECTION NOTICE
City of Tigard Building Departaent
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Lina (Rec-O-Phone)t 635-4175 Business Phone: 6.19-4171
Inspection:_
Footing Plbg. Underslab Hoch. Pou`gh-in AnprfSdwlk
Found. Plbg. Top Out Cas Una / FINAL:
�r sy
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
�.�Date Requested: - 2 1 Timet AM
Address "l'�i n [�nr ► Q� Permit #t Fr' 3 'S
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
-- &
Inspectort ✓ z �5 _ N Date: / Z_ /
L/APPRO':0 DISAPPROVED APPROVED SUBJECT TO ABOVE
f Call For Reinep.
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CI1Y OF TIGARD MECHANICAL
,� Y
PERMIT
COMMUNITY DEVELOPMENT D P R_���7p' T PERMIT #. . . . . . . : MEC93-0 345
13125 3W Hall Blvd.Tigard,Oropcn 87223.8166`( 53)'OUP71 DATE ISSUED:
PARCEL: 291 1 1 BA-•0071171
SITE ADDRESS. . . : 0991.0 SW MC DONALD ST
SUBDIVISION. . . . : TIGARDVILLE HEIGHT'S ZONING: R--4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :25
CLASS OF WORK. . :ADD FLOOR FURN. . . . : EVAP COOLERS:
TYPE OF USE. . . . :SF UNIT HEATERS. . : VENT FANS. . . :
OCC1 'r'ANCY GRI='. . :R:3 VENTS W/O APPI_.: VENT SYSTEMS:
STO,.IES. . . . . . . . . I BOILERS/COMPRESSORS HOODS. . . . . . . :
FUEL TYPES--•-----.-------- 03 HP. . . . : DOMES. I NC I N:
: /GAS/ ! / 3-15 HP. . . . : COMML. I NC I N:
MAX INPUT: BTU 1.5-30 HP. . . . . REPAIR UNITS:
FIRE DAMPERS?— :: 30-50 HF'. . . . : WOODSTOVES. . :
GAS PRESSURE. . . : 50+ HP. . . . : CLO DRYERS. . .-
NO.
RYERS. . :NO. OF UNITS-----------•-- AIR HANDLING UNITS OTHER UNITS. :
FURN ( 100K BTU: (-• 10000 cfm : GAS OUTLETS. :
F•URN ) -100K BTU: ) 10000 cfm:
Remarks : adding gas line to klim
Owner: ___.._____________.___.____._____..-•--•------....._.__.__.._.______.__-- FEES -
DEBRA SHAPIRO type amol.int by date recpt
9910 SW MCDONAL_D PRMT $ 25. 00 �
5PCT $ 1. 25
TIGARD OR 97�--�:4
Phone #:
L:Orrtr-actOr'
GAFROKEN ENERGY CO.
3975 SW 113TH
BEAVERTON OR 97005 ---------.--_.___.________________._
Phone #: 641--6410 L 26. 25 TOTAL
Reg #. . 431:'4
- - ---- REQUIRED TNSPECTIONG - ------
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This perait is issued subject to the regulations contained in the Final Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with
approved plans. This perait will expire if work is not started
within 188 days of issuance, ar if work is suspended for sore
than 180 days.
F='e r•m.i t t e e Signature: �
s _ _
I s s lA e d B y :
// Call for- insper_tion - 6:39-4175
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City of Tigard MECHANICAL PERMIT Planck/Ree. #
13125 sw Hall Blvd. APPLICATION Permit 13
PO Box 23397
Tigard, OR-97223
(503)'639-4171
sCrpUon
Table 3A Mechanical Code QTY PRICE AMT
Job <1q/p �u, Md L�ona�d 1) Permit Fee -0- -0- 10.00
Ackiress
= G;e 9 7 r;,,l 2) Supplemental Permit 3.00
«nnrOR wwwww f Furnace t0 100,6M BTU
n b h
"e, `j�� �r 1) incl.ducts&vents 6.00
«� p' w unlace 100,000 +
Owner C1n1I o `�eu l-`-bor%a'�� 2) ind.duds&vents 7.50
umance
T on 12 3) incl.vent 6.00
I.= si�+�ater,wala it eater
4) of floor mounted heater 6.00
mwrvv ~ eat not i in
Occupant 5) appliance permit 3.00
wRepair of heating,re ng.
6) cooling,absorption unit 6.00
.,�. -�-
Boiler or comp to
-y ` G,t lip c 7) absorp.unit to 100,000 BTU 6,00
«" i er or comp W 3 HP- 1
Contractor �'' ` ' l c .(j 8) absorp.unit to 500,000 B'lU 11.00
MP Boiler or comp to
v{ ti L`116 6" 9) absorp.unit.5- 1 mullion BTU 15.00
no ��oi er o,-comp to 30-
?; Ll
10) absorp-unit 1 - 1..75 million BTU 22.50
re y acknowledge at I have read this application that the Boiler or comp to 50 HP
Information given is correct,that I am the owner or authorized agent 11) absorp.unit 1,750,000 BTU 31.50
of the owner,that plans submitted are in compliance with State r an ing un Coto
laws,that I am registered with the State Builders' Boaid,that the 12) 10,000 CFM 4.50
number given is correct. (It exempt from State registration,please Air handing unit
give reason below.) 13) 10,000 CTM+ 7.50
Non portable
14) ovaporate cooler 4.50
Vent Lan connociM
15) to a single dud 3.00
c ` - entrahon system not
1� yam", �a til�C (9 --I- 16) indudad in appliance permit 4.50
• « Hood serviid by
17) mechanical exhaust 4.50
sm w new a •tion C5 alteration repairDomestic type
to be done residential Q not-residential Q 18) incinerator 7.50
7sbng'us o ----7,"o—mrm(cial or industrial
building or property. --� 19) type incinerator 30.00
Other i.e.,w0 Stove,water
Proposed use of 20) h9ate(,solar,clothes dryers,etc. 4.50
building or property —
21) Gas piping one to four outlets 2.00 r t
Type of heel-0 Q natural gas :_PG O electric O
22) More than 4-per outlet
A_�_ .cam---------- - —
Minimum Fee$25.00 SUBTOTAL
PERMITS BECOME NULL AND VOID It WORK OR
CONSTRUCTION AUTHORIZED IS NOl COMMENCED 6%SURCHARGE
WITHIN 180 DAYS,OR IF CONSTRUCTI DN OR WORK IS —
S JSPENDED OR ABANDONED FOR A PERIOD OF 180 PLAN REVIEW 25%OF SUBTOTAL
DAYS AT ANY TIME AFTER WORK IS CC MMFNCED.
TOTAL
Special Conditions—--
Date i.uied b,,
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It SMI I tARUKEN r.NERGY CO. , INC:. t;,l l r aMt lt_IIV I a], rha
n,975 k;W ii3' I.1 I,(.IY1(l1NI I)Ftll.
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BEAVt..'.R'rl-)N, OR 9-/+/I0!5,-
,killp1C)SE OFF' 1-'AYMt.N'T AMOUNT PAII:) tlf: PAYMI::N, WOUNt' F'F- lo
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INSPECTION NOTICE
City of Tigard Buildinq Dep8rt0ent
13125 SN Ball Blvd. Tigard, Orn-gon 97223
Inspection Line (Rec-O-Phone): 639-4175 Buoineos Phone: 639-4171
Inspection: _ _�_--__— ---------- /
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found.
Plbq. Top Out Gas Line FINALS
�.
-Bld
Post./Beam Struct. San. Sewer Framing q'
poet/Beam Neck, Rain Drain
Insulation -plumb.
Plbq. Underfloor Water Line Gyp. Bd.
-Mech.
Date Requeeted: � - ---Time: AM PM
C-9 Permit #t L41
Address:
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: —....._� _ Data:��
DISAPPROVED APPROVED SUBJECT To ABOVE
__APPROVED 'i
Call For Reir np.
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COMMUNITY DEVELOPMENT DEPARTMENT PLUMB I NG PERMIT '`'
13125 SW Hall Blvd. P.O.Boot 23307.TIWW.Onto^07223(603)630.4175 y ;c
PER1111' #. . . . . . . Pl_M92 -Q�160 Y#a:L
639--4171 DATE: ISSUED: 11/16/92
SITE ADDRESS. . . : 09910 SW MC DONALD ST
PARCEL: r S 1 1 1 BA—Qi0701
SUBDIVISION. . . . : TIGARDVILLE HEIGHTS ZONING: R-4. 5
BLOCK. . . . . . . . . . : LOT.. . . . . . . . . . . . . :25 ■
CLASS OF WORK. . :ADD GARBAGE DISPOSALS. . : MOBILE HOME SPACES;. :
TYPE OF USE. . . . -SF' WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. .
OCCUPANCY GRE,. . :R3 FLOOR DRAINS. . . . . . . : TRAPS. . . . . . . . . . . . . . : .,
STORIES. . . . . . . . : 1 WATER HEATERS. . . . . . . CATCH BASINS. . , . . . .
FI XTU12E5------- _— -- LAUNDRY TRAYS. . . . . . : SF RAIN DRAIIVSi. . . . . .
SINKS. . . . . . . . . . : 1 URINALS. . . . . . . . . . . . . GREASE TRAPS. . . . . . . ,
LAVATORIES. . . . . : OTHER FIXTURES. . . . . : .
TUB/SHOWERS. . . . . SEWER LINE (ft ) . . . . -
WATER CLOSETS. . : WATER LINE (ft ) . . . . e
DISHWASHERS. . . . : RAIN DRAIN (ft ) . . . . :
Remarks.-
Owner:
emarks:Owner: -_.__.___________._________._______._...____.___.._.___. FEES -----------_--_
DEBRA SHAF'IRO type amol.knt by date recpt
9910 SW MCDONALD PRI17 $ 25. 00 JH 11 /16,'92 —
5PC•T $ 1. 25 JH 11/16/92 ••-
TIGARD OR 972214
Phone #:
Contractor.
MICHAEL AND CO.
15575 SW 74TH AVE.
T•IGARD OR 97224
Phone #: E 26. 25 TOTAL
Rey #. . : 67877
.__---_-- RLOU I RED I NS[-', ; l r o: ------
This persit is issued subject to the reguiations contained in the Top-••out Insp
` Tigard Municipal Lude, State of Ore. Specialty Lodes and all other Final Inspection
1''.. applicable lapis. All work will be done in accordance with
approved plans. This persit will e.pire if work is not started
within 180 days of issuance, or if work is suspended for sore
than 180 days.
Permittee
Isst_ied Byi(
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Lral l t car,. inspection 639-4176,
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C I TY OF Rr-CE I F''"r OF PAYMENT RECE=T PT NO. 9 98—._':33724 e
CHECK AMOUNT f-�'.6. 215
l: � CO AMOUNT
0. 00 j
ACIIJREE,O a 1:,AYMrN'r HATE: a 1 1/16/9,?
/9,? 4
08DIVI91CSN a
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PuRF`'osi"- Or MYME:NT AM(IUN'r PAID PURPOSE Or' F,)AYMt-.NT AMOUNT PAID
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