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1 CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171 ' a
Footing Rain Drain Cover/Service FINAL.:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing -Mech.
I
Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect.
Po6t/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gad,Line Appr/Sdwlk Reins. •
Other:
Date: `� A . inM En d
Address.
Tenant: __-- Ste: MST:
BLIP: _
Con/Own: MEC:
PLM:
THE FOLLOWING CORRECTIONS ARE J REQUIRED: ELR:
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Inspector: _ _ Date:
91_-ftPPROVED DISAPPROVED/CALL FOR REINSP. CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171 ?`
• ►
,1 Footing Rain Drain Cover/Service FINAL:
t Foundation Water Line Ceiling -Plumb. i
Post/Beam Mech. Shear/Sheath Framing -Mach.
„IE Plbg.Und/Fir/Slab Plbg.Top Out Insulation -Elect.
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Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg. I
y
an. Sewer Gas Line Appr/Sdwlk Reins.
P�� e
Other: ? ' M
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Date: A.M.— .M. Entry:
Address: t) U2-� K
Tenant: S�tQe:�� MST:
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BUP: _
Con/Own: MEC:
PLM:Q�_
Z L/L/ I R G O ELC:
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THE FOLLOWING CORRECTIONS ARE REQUIRED: EL.R: - —
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Ins ector: ----- Date:✓ __----�__
APPROVED —DISAPPROVED/CALL FOR REINSP. CF CO
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APR-01-1997 07:31 POWER PI_UMBINU CO. 503 244 8825 P.02
SANITARY SERVICE
P.O. Box 309, BANKS, OREGON 97108
644-2797 548-6254 639-5188
ADDFE53: --
CITY: ? STATE: _ ZIP: q�•�
PHONE: 5dQ _` WORK:
Joe SITE: a/-A _ 11%� _ P.O.#: - - -- 1
PAID BY CHARGE / CHECK Cl CASH ❑ CREDIT CARD Cl
DATE -j-Y - o DRIVER Alf ^_ 'fes AMOUR
ff PUMP SEPTIC TANK -
❑ MATERIALCl INSPECTION PEE
_ ❑ SERVICE CALL
❑__ LABOR, LOCATING, DIGGING & BACKFILL
--•THIS ►S NOT A SEPTIC SYSTEM INSPECTION REPORT--- TOTAL
- - REMARKS - -
TYPE OF TANK: STEEL-Cl CONCRETE f PLASTIC ❑ OTHER
HORIZONTAL C, VERTICAL Cl RECTANGLE 6 OTHER _
SIZE OF TANK: 350 ❑ 500 ❑ 750 ❑ 1000 C--1 1250 ❑ 1500 ❑ 2000 n 3000 ❑
LID LOCATION: INLET ❑ OUTLET ❑ MIDDLE C7 OTHER
TANK CONDITION: GOOD ❑ FAIR ❑ POOR ❑
FrrnNG3: BAFFLES (r) CONCRETE ❑ CAST IRC ❑ PLASTIC i1
NEEDS NEW LID? ❑ VES SIZE
GROUND COVER OVER fANK
COMMENT ON CONINTION OF DRJUNFIELD ETC.
IT
SIGNED BY \ / DATE
i(IT{AL F .��
CITY OF TIGARD SEWER CONNECTION
QEVEL'- QMENT SERVICES PF..RMTT
13125 SIN Hall Blvd.,Tigard,OR 97223 (503)639.4171 r F RM T.T 4k. . . . . . . :�SWR97-0078
DATE ISSUED: •.:;/._ r, 97
"ITE ADDRESS. . . : 09O25 SW NORTH DpHn,rA ST 4•r.^'
)LIBDIVTSION. . . . : rRAHAM ACRES ZONING: R-4. 5
ni OCl.. . . . . . . . . 1 : I_OT. . . . . . . . . . . . . •t,�
TENANT NAME. . . . . :H I Nr, DICK
ISA NO. . . . . . . . . . : FT.XTURE LJNT.TS. . . : 0
17LASS OF WORK. . . :AI T M4171-LING LJNTTS. . : 0 w
TYPE OF L.)F;E. . , .. . ;!� r- Nn. OF SU I LD I NGS a 0
?NSTALL._ TYPE. . . . :I.Tr) TMPERV SIJRFACFc 0 .,f
9emav,k�> : Conner~�- t:tr tinw�+r� 'I ine.. •..
1wner. _-_._ _......._..._ ___._._ _.-__.___----_____.___.____..__ ____...__..._._.__.___. FEES __....__._---_—__
r)TCK HTNG type xmotrnt by date rer_pt
9025 SW NORTH pAKOTA PRMT $ ,='200. 00 DRA 03/25/97 97-292146
INISP t 371. 00 DRA 03/25/97 97- P9Pt46
T MARI) OR 97P27,
V)hone it:
7ONTRArTnP NOT ON FTL.E'
00 TOTAL.
req
--------- REPtl T RED t NSPECT T.ONS -- --
This Applicant agrees to coeply with all the rales and regulations Sewer- Tnvhpc.-t: i nn
cf the Unified Sewage Agency. The pereit expires 180 days frov
the date issued. The total amount paid will be forfeited if the
Permit expires, The Agency does not gt►arantee '.he accuracy of the
Side sewer laterals. If the sewer is not lor_ated at the measurement __ __ _ ____.____ _ ___-__• ,,___._,,.__.
riven, the installer shall prospect 3 feet in all directions from
the distance given. If not to located, the installer shall purchase
A "Tao and Side Sewer" Per+it and the Agenry will ins all a lateral.
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Call for- i.n srer_�t i on _ F_3,9-4175
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CITY OF TIGARD
DEVELOPMENT SERVICES r-1J)MRING PERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : PLM97-0091
DATE ISSUED: 03/25/97
PARCEL: iS135DA-02602
TTE ADDR!'?35. . . : 09025 SW NORTH DAKOTA ST
!..113D T V 15I ON. - • . : GRAHAM ACRES 7.0N I NG. R-4. 5
AI._OCK,. . LOT. . . . . . . . . . . . . :2
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�_��.r_.-- ��_��_�.._�.___—_,--•----.__._-MORII_E—HC)tdF SPACES. ---�...__..CLASS OF IJORK. . :ALT GARBAGE DI SPOSAI.S. : 0
TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW GREVNTRS. , : 0
OCCUPANCY GRP. . ;R3 FLOOR DRAINS. . . . . , : 0 TRAPS. . . . . . . . . . . . . . : 0 �
I STORTFS. . . . . . . . .. 0 WATER HEATERS. . . , . ; 0 CATCH RASTNS. . . . . . . ; 0
FIXTURE --___.. ____._..._ LAUNDRY TRAYS. . . . . : 0 fiF RAIN DRAINS. . . . . : 0
S T.klK . . . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . : 0
I_.AVATORIES. . . . . . 0 OTHER FIXTURES. . . . : 17.1
TiJB/SHOWERS, . . . : 0 SEWER 1-.INE (ft) . . . : 1.
WATER CLOSETS. . : 0 WATER I._i 7'!' (ft) . . . : 0
DTrI-(WASHERS, . , , : 0 RAIN DRAiN ( ft) . , . : 0 ;
Remarks : Connect t,7 sewer 101P.
nA.
9wnerr. -_ FEEL
DICK HTNG •1-ypm 1mni.trni- by da+ea re c-pt
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90'25 SW NORTH DAKOTA PRMT 1- 7',0. 00 T)RA 03/�.5/97 97-29='146
.;Pr^T t .1 . 50 DRA 03/225/97 "..)7--2:92146
i TiGARD OR 97,-r=:3
I Phnne #:
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17ontrar.tor: --- .__.__....___...___.-__.___.._.__._....__.._......._.. __.
j POWER PLUMPTNG CO ,
0 SOX E-31.44
T TGARD nR 972PI
4 Pli o n e #: 244-1'301 `k 31 • 50 TOTAL.
� eg #. . : 0005^c3
--- - REOU T.RED I NSPCCT I ONS
'his permit is issued subject to the regulations contained in the Sewer Tn spe r-t ion
'igard Municipal Code, State of Ore. Specialty Codes and a?l other Mi sur. . Tn spert i on
annlicable laws. All work will be done in accordance with Fi.n il. T.n>Fiectinn _____�_• _ __--..__.__.-.
lonroved plans. This permit will expire if work is not started
yin 191 days of issuance, or if work is suspended for rare
hon 191 days.
't'r^mit;#:� ., . ;a I: ...�►M,µ,,.,
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CITY OF TIGARD
� February 1, 1996
OREGON
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RING, CHARLES R DARCIA L — w
9025 SW NORTH DAKOTA
E TIGARD,OR 97223
RE: Permit#MEC92-0271 6t 09025 SW NORTH DAKOTA ST
Plans were submitted for review on 10/21/9 ,however,we have not issued a permit for this
project. 1
Please note that plan reviews become void if permit is not obtained within 180 days. One
extension of 180 days may be granted. After xpiration, further action will require resubmittal of
7
plans and payment of new fees.
i
Please advise the Building Division, IN W ITING,within 15 days regarding the status of this
project.
Respond, IN WRITING,to: Buildin Division, City of Tigard, 13125 SW Hall Blvd.,Tigard.
OR 97223. Be sure to include the f lowing information:
2. Address of Property. 1
3. I Your name.
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4. You day time phone / /
13125 SW Hall Blvd., Tloard, OR 97223 (503) 639-4171 TDD (503) 684-2772
r,wOFTIFARD
CnYOFTWARD MECHAN I CAL
JNITY DEVELOPMENT DEPARTMENT opmooN PERMIT
o HWI Btvd. P.O.Box=97,Tlqwd,Oregon 97223(603)M-41715 PERMIT #. . . . . . . : MF_C92-0C-_,71
639-4171 DATE ISSUED: 10/21 /92 •
SI-(E ADDRESS. . ., : 09025 SW NORTH DAKOTA ST PnRCEL: IS135DA-02602
SUBDIVISION. . . . : GRAHAM ACRES ZONING: R-12
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :25
CLASS OF WORK. . :ADD FLOOR TURN. . . . : EVAP COOLERS:
TYPE OF USE. . . . :SF UNIT HEATERS. _ : VENTFANS. . . :
OCCUPANCY GRP. . :R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES. . . . . . . . . BOILERS/COMPRESSORS HOODS. . . . . . . :
FUEL TYPES-------------- 0-3 HP. . . . : DOMES. INCIN:
: /GAS/ 3-15 HP. . . . : COMNL. INCIN:
MAX INPUT: BT11 15-30 HP. . . - : REPAIR UNITS:
FIRE DAMPERS?. . ' 30-50 HP. . . . : WUODSTOVES. . :
GAS PRESSURE. . . - 50+ HP. . . . : CLO DRYERS. . :
NO. OF AIR HANDLING UNITS OTHER UNITS. :
FURN ( 100K BTU. 10000 cfal., GAS OUTLETS. : 1
FURN ) =100V PTU: 10000 CfM :
Remarks : BOS LOG
Owner-: --- ------------------ FEES ---------------
DARCIA HIND type amount by date recpt
902'5 SW NORTH DAKOTA .,RMI $ 25. 00 JH 10/21/92 —
5PCT $ 1. 25 JH 10/21/92 —
TIGARD OR 97223
F11-ione
Conte-actor:
HOT SPOT FIREPLACE & PATIO
11929 SW CANYON RD
BEAVERTON OR 97005
Phone #: 626-4652 $ 26. 25 TOTAL
Req #. 71782
RL.UUIHLD I N! PELI I 014b
This permit is issued subject to the regulations contained in the Final Inspec,tion
Tigard Municipal Lode, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with
approved plans. 'his permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than 180 days.
...........
Per,mittee Signat i..tt-e :. �J
----------
Issi-ted By :
Call for-, inspection 639-4175
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City of Tigard MECHANICAL PERMIT Planck/Rec. # -2--6�
13125 SW Hall Blvd. APPLICATION Permit #
1 PO Box 23397
Tigard, OR 97223
(503) 639-4171
. .. «v esaiption
Table 3A Mechan;cal Code GTY PRICE AMT
Job •« 1) Permit Fee Y_ -0• -0- 10.00
Address .wzw
2) Supplemental Permit 3.00
to
100,,)00 BTU
�r�,(A H l y�( �, j- l t I 1) incl.ducts&vents 6.00
l «. "''--��» Furnace 100,000— TU+
C, <"I/VI �iOETH �/�,� 2) incl.ducts&vents 7.50
Owner .,. ooor Furnance
7/�7Aiw C)X(- Cf TZ 3) incl. vent 6.00
.„. , — — uspen Hater,wall neater
5"tp-1 r- 95 !IPS+' 4) or floor mounted heator 6.00
,n Vent not incl.in
Occupant 5) appliance permit 3.00
1
„,;.,. 5o Repair o seating,re ng.
6) cooling,absorption unit 6.00
.„ of er or comp,heat pump,air cond.
7) to 3 HP absorp unit to 100K BTU 6.00
Hot Spot Fireplace and Patio Shop Boiler or comp, heat pump.au cond.
11929 S.W.Canyon Rd. 8) 3.15 HP absorp unit to 500K BTU 11.00
Co Beaverton, Oregon 97005 Boiler or comp,heat pump,air con .
(503) 626-4652 9) 15-30 HP absorp snit.5-1 mil BTU 15.00
.. + of er or comp, eat pump,air cone
J10) 30 50 HP absorp unit 1-1.75 mil BTU 22.50
erob y ac kn^A J,.,t777_37T shave re ad Is app I ication,t hat th a Boiler or comp, heat pump,air cona.
information ;. d,, rect,that I am the owner or authorized agent 1 1) >50 HP absorp unit 1.75 mil BTU 31.50
of the owrer,that pla',; submitted are in compliance with State Air handling unit to
laws,tha I am register d with the Construction Contractor's Board, 12) 10,000 CFM 4.50
that the r umber given Its correct. (If exempt from State registration, ir�an ing unit
please gih r,reason bptuw.) 13) 10,000 CiM+ 7.50
Non portable
14) evaporate cooler 4.50
Vent tan coFnectod
15) to a single duct 3.00
enti alion system not
16) included in appliance permit 4.50
•OW,Mr� .r � SBNe y
17) mechanical exhaust 4.50
jDescribe wo new addition a teration repair ommercia or,i ustna
be done residential 0 non-residential 0 18) type incinerator 30.00
xtstmg use of nr i—9woodstovo,water
building or property 19) heater,solar,clothes dryers,etc. 4.50
Proposad use of 20) Gas piping one to four outlets 2.00
building or property
21) More than 4-per oudct _
Type of fuel-oil 0 natural gas 0 LPG G) electric
Minimum fee$2.5.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR -"
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN RE VIEW I %U1'SUBTOTAL
AFTER WORK'S COMMENCED.
TOTAL
Special Conditions
Date issued by
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CITY OF TIGARD - RECEIPT OF PAYMENT RrCEIF T NO. :9,2-23P905
CHECK OMOUNT : 26.25
NAME c HOT SPOT rIREPi-ACE/PAT10 CASH AMOUNT : 0.00
ADDRESS 119e9 SW CANYON RD PAYMENT DATE' t 10/21/92
SUE1MISION
EIEAKRTON, OR 97005-
PURPOSE: OF PAYMENT AMOUNT PAID PURPOSE: OF PAYMENT AMOUNT PAID
MECHANICAL. PF 25.00 ST. BUILD PER_� - 1.25
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9025 SW NORTH DAKOTA 5T
i C1TAl AMOUN'E PAID - - -> �=E •K'��
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