9265 SW EDGEWOOD STREET ADDRESS:
is\records\microflm\targets\building.doc
NSP WON NOTICE
City or Tigard Building Depar»ent
13125 8R Ball Blvd. Tigard, Oregon: 97223
Inspection Line ( .-U-?hone): 639-4175 Business Phones 639C/,Lj,---__'
Inspection:
Footing Plbg. Underslab Much. Rough-in Aper/8dwlk
Fo•ind. Pl.bg. 'fop Out Gas Tine F2IgL'
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underrloor Mater L n. Gyp. Rd. h.
Date Requesteds _T AM
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Addy... \/
Builders Y
TBR FOLLOWING CORRECTIONS ARE REQUIRBDs
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Inspectors _ Data:
APPROVED l/tISAPPR7VED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Depat-twwnt .X
13125 SM Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Buiineee Phone: 639-4171
Inspection:___ _
Footing Plby. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Meeh. Rain Prain Insulation -Plumb.
Plbg. Urderf.loor Water Line Gyp. Bd. `-Hoch.
er-
Date Requess:eds (�� Times Y AN _PM
Addresses_ %r��sG,z� Permit #:—'�C�oO /y
Builders _ � ��3 s 5 717W
THE FOLLOWING CORRECTIONS ARF. REQUIRED-
f �02�1��7c�-!
Inspectors __._
APPF.OVED __V DIBT_PPROVRD APPROVED SUBJECT TO ABOVE
Cell For Reinsp.
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MECHANICAL !/
CITYOF TIFARD PERMIT
�OF11 .ARD PERMIT #. . . . . . . .. MEC91.-0214
COMMUNrTY DEVELOPMENT DEPARTMENT awl*"
131268WHa{IBlvd P.0.Bak 23397,TOM,Or �+ �� :71
`J/ DATE ISSUED: 09/27/91
SITE ADDRESS. . . : 09265 SW EDGE_WOOD ST PARCEL: 2SI02DC-00400
SUBDIVISION. ., . . : E:DGEWOOD ZONING: R-•4. a
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 16
CLASS OF WORK. . :ADD FLOOR FURN. . . . E Vr-1P COOLERS:
TYPE OF USE. . . , :SF UNIT HEATERS. . : VENT FANS. . . :
OCCUPANCY GRP. . .- R3 VENTS W/O APF'L: VENT SYSTEMS:
STORIES. . . . . . . . : 1~0ILERS/C:OMPRESSORS HOODS. . . . . . . :
FUEL TYPES------------- 0-3 HP. . . . : DOMES. I NC I N:
:/WOD/ / / 3-15 HF'. . . . : r_OMML. INCIN:
MAX INPUT: PTU 15-30 HF'. . . . : REPAIR UNITS:
FIRE DAMPERS?. . a 30-50 HP— . : WOODSTOVES. . : 1
GAS PRESSURE. . . t 504• HP. . . . : CLO DRYERS. . :
NO. OF UNITS----------- AIR HANDLING UNITS OTHER UNITS. :
FURN ( 100K PTU: (- 10000 r_f m: GAC OUTLETS.
FURN ) =1001( BTU: > 10000 cfm :
i
iRemarks : EXISTING WOODSTOVE
Clwn e r: ------------------------•----------- ------- - - FEES Y____
DENVER & MARLENE SASSER type amount by dateY _.__
ecpt
9265 SW EDGEWOOD PRMT $ 25. 00 Jl_H 09/27/91
SPCT $ 1. 25 JLH 09/27/91 -
TIGARD OR 907'-23
Phony #: 620-0741
Contractor: --------_,__-______ _________-__
CONTRACTOR NOT ON FILE
--------------------------------------
26. 25 TOTAL
11 e g
-------- REOU I RE:D INSPECTIONS -----
This permit is issued suhiect to the regulations contained in the Final Inspection
Tigard Municipal Code, State w; CMe. Specialty Cndes and all other
applicable laws. All Mork will be dont in accordance with _
approved plans. This permit will expire if work is not started
within 160 days of issuance, or if work is suspended for wore
than 168 days.
Permit' ee Signature:
Iss�.1P(� By : _
Call for inspection - 639-4175
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City Of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SW Hail Blvd. APPLICATION Permit #
PO Box 23397
Tigard, OR 97223
(503) 639-4171
Table 3A Mudianic:rl r;Lda QTY PRICE AMT
Job 1) Permit Fee 0• •0 10.00
Address "_--"'. __ ""_ —2) Supplomental Permit 3.00
" •"• •umtsce w 1 , -
tia C f' 1) incl.ducts 3 vents 6.00
urnace 1 Ori Tf T-._
Owner ,i lll.. s" ��D-5y � 2) incl.ducts&vents _—� 7.50
rap oor Furnance
�r
77,42 3) incl.vent 6.00
Suspon�xcxff�ieatNr,
4) or floor mounted heater 6.00
Went not r-'Alin-.-�"_
Occupant 5) upplian,ye permit 3.00
LP Repair of hea g,reffig.
6) cooling,absorption unit 6.co
.•. - Boiler cr comp, eat purnp,+sv cond.
7) to 3 HP absorp unit to 100K BTU 6.00
iWig A&*-
Boiler or camp�iAat pump,air co. .
8) 3-15 HP absorp unit to 500K BTU 11.00
Cantu Aor %iler or coma,host pump,air oond.
9) 15.30 HP&,6t rp unit.5.1 mil BTU 15.00
"•» ,••'° ---7t%j'WW " of eror comp et pump,arr oond. -
10) 30-50 HP absorp unit 1.1.75 ml BTU 22.50
i I"u►re6y'ack11 list I have readp is`apr-i'Wv-3n t rai Tof comp,Tat puinp, 1 co.
Information given of correct,drat I am the owner or aud,orized .,,_.rt 11) >50 HP absorp unit 1.75 mil BTU 31.50
of the owner,that plans submitted are in compliance with Stats Air handling unit to
laws,that 1 am registerar+with die Construction Contractor's Hoard, 12) 10,000 CFM 4.50
that die number given Ia correct. (If exempt from State registration, Xrriariei n unit -'--
please give reason below.) 13) 10,000 CTM+ 7.50
on p_ taBle -�
14) evaporate cooler 4.50
Vent inn cortnact _
15) to a sitigle duct 3.00
-V9nnTabol.syetem n !
16) included in appliance permit 450
---Ao served -- -
1 i) mechanical exhau»t d.50
ea w new a .mon alit erauon repair' -ommercraT or rn u'-c U al-`!to be done residential 0 non-residential f") 10) type incinerator 30.00
ads ng use or-- -- ` " --�--" er i.e.. o stove,water -
building or property - 19) heater,solar,clothes dryers,etc. 4.50
Professed use of 20) Gas piping one to four outlets 2.00
building or property - _ -_ ---- -
Tyoe of fuel-oil21) K re than 4 per o:itlet --
Q natural gas Q LPG Q electric(�
—� Minimum Fee$25.00 SUBTOTAL
PEfIMITS BECOME VOID IF WORK Oil CONSTRUCTION -- -
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED on --
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER VJoRK.1S COMMENCED. --- •--
TOTAL
511edal(:onddnns
Date b-
isuQd b-
AMAF.CYi�MT
raAVrnwf/r
CITY OF TIGARD — RECEIPT OF PAYMENT RECEIPT NO. :91-217973
CHECK AMOUNT a 8.00
NAME a SASSER, MARLENE CASH AMOUNT a 26.25
ADDRESS a 9265 SW EDGIEWCOD PAYMENT DATE a 09/27/91
SUBDIVISION a
TIGARD, OR 97223—
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AML' 'tiT PAID
MECHANICAL PE 25.00 ST. BUILD PER1.25
a
WOODSTOVE PERMIT
1OTAL AMOUNT PAID — — — —> 2r,P9
INSPECTION NOTICE
City of Tigard Building Departrnent
12.420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-41 11
Type of Inspection
Date Requested Time A.M. _P.M.
Address --«'��'� tom/ 9' •%�.a�rc Y _ Permit
Owner Lot #
Guilder
The following Building Code deficiencies are required to be corrected:
Presented to — _ —.____. Approved
Inspe for _- / —/�_ -- ❑ Disapproved
Date
CALL FOR REINSPECTION
L_] YES O/NO