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CITYOF T16AIM
August 2, 1988 OREGON
Ted Van Schalk Permit #: 5303
13605 SW Ash Date Issued: 4/4/85
Tigard , OR 97223 Address: 13605 SW .Ash
.Job Description,: Addition
Date of Last Inspection: 7/12/88
Dear Contractor: (i
Our records indicate that the above described .job has not been completed as
noted:
Needs approved final inspection
Needs Certificate of Occupancy
Please advise us of the status of this job immediately. Permits become void
If no action his taken place for more than 180 days from date of last
inspection.
Sinecrel.y,
Brad Roast
Building Official
ht/6241D
I
I
13125 SW Hall Blvd.,F.O.Pox 23397,Tigard,Oregon 97223 (503)X539-4171
I
INSPECTION NOTICE
City of Tigard b�.!+l,fing Department
P.O. Box 233x'
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection CW r C
Date. Requested � Time—_— A.M._L---"-P.M.
Add.assS ._._ _ Permit
Owner.__ _ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
i
---------- ----- -
-
Presented to r Approved
Inspector Disapproved
Date -- - '��
CALL FOR REINSPECTION
❑ YES ❑ NO
k"`11'L 'r
CI IA OF TIGAR;I MVVIIAI' CAI, PERPfIT
t�z
I:ily of 'Tigard Permit #_q -3 _
13125 SW Hall Blvd. waortptforl _
Box 23397 Table 3AMechorAcalCrdo QTV PRICK AMT
Tigard OR 97223 --"---` —
639-4175 1) Permit Fve -0- -0 10.00
2) Supplemental Permit 3.00
n 1) Furnace to 100,000 BTU
�'1 /, V D Z L incl. ducts & vents 6.00 r0
(1 2) Furnace 100,000 9TtJ + --
N of D• I ms incl. ducts& vents 7.50
3) Floor Furnace - -
Job " incl, vent 6.00
Sw - --
Address Tax Lot Map No. 4) Suspended heater, wall heater
or floor mounted heater
La Block Subdivision 5) Vent not incl. in - - 6.00
Name �,orn.me of buslnses)
( appliance permit 3.00
Malllng—Kiddreas Phone 6) Repair of heating, refrig.,
Owner _—cooling, absorption unit 6,00
City/slate __--`- np 7) Boiler or comp to 3HF' ---
_ absorp, unit to 100,000 BTU 6.00
Name 8) Boiler or comp to 3HP-15HP —
� __ absorp. unit to 500,000 BTU 11.00
Malling Address Phone 9) Boiler or comp 15-30 HP -
absorp. unit V2-1 million 15.00
Clt
Contracicr y/sate zip 10) Boiler or comp 30-50 HP --
absorp. unit 1-1.75 million 22,50
Stats Registration No. City Bus. Tac No. 11) Boiler or comp 50 Wn
absorp. unit 1,750,UyO BTU 31.50
1 haaby acknowledge that I neve read this appncallon that the Information 12) Air handling unit to
given I• oorrect, that t am the owner or authorl-ed agent of the owner, that 10,01 CFM
flans eubmllled are In compllnam registered w1th State laws, that 1 aregistered with _ 4,50
the State Builders' Board, that the number given la coned. (If exempt 13) Air handling unit
from State regla!retlon please give reason below).
— 10,000 CFM + _ — 7.50
14) Non portable
evaporate cooler 4._50
15) Vent fan connected _
-- — - to a single duct _ _ _ 3.00
16) Ventilation system not
Signature (owner or agent) Date included in appliance permit 4.50 _
17) Hood served by
Describe work ❑ addition[] alteration 3 repair mechanical exhaust 4 50
to be done residential (� non-residential ❑ _ _ -___ _
-- -- 18) Domestic type
Existing use of incinerator
building or property -- 19) Commercial or industrial
Proposed use of type incinerator_ 30.00
building or property 20) Other i.e., woodstove, water -�
Type of fuel — olI❑ natural gas(] LPGE1 electric❑ heater, solar, clothes dryers, etc X1.50
NOTICE 21) Gas piping one to four outlets 2.00 if p v
THIS PERMIT BECOMES NULL AND VOID IF WORK OR 22) Fore than 4-per outlet —
CONSTRUCTION AUTHORI7ED IS NOT COMMENCED WITHIN SUB-TOTAL
180 DAYS, OR IF CONSTRUCTION OR WORK. IS SUSPENDED
OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY �X SURCHARGE
TIME AFTER WORK IS COMMENCFD PLAN REVIEW 2aX OF SUB-TOTAL
--..--- -------- TOTAL
Special Conditions
--------- ---�--__.._�.---J Dale issued - - hv
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection //V
Date Requested .— Time, A.M. P.M.
Address z- A=a*4 permit
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
171
Presented to --Ip42 Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
0 YES (�hlo
INSPECTION NOTICE
City of Tigard Building Department �.
12420 S.W. Main St. G
Tigard,Oregon 97223 P1,5 �Q 6
Phone: 639-4171
Type of Inspection
Date Requested_ � � Time A.M. __-P.M.
Address _-- -_ �.(� Permit #,g-n p _
Owner..,-,--- — — Lot #_ -- --
Builder
The following Building Code deficiencies are required to be corrected:
d
Presented to _ Approved
Inspector ``� ❑ Disapproved
Date
AL FOR REINSPECTION
E YES ❑ NO