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10200 SW TIGARD STRCET
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CITY OF TIGARD
OREGON
October 30, 1992
Walt Mei.ckaben
10200 SW Tigard Street
Tigard, OR 97223
Re: 10290 SW Tigard Street Permit # NEC 91-0197
Dear Mr. Mackaben:
The last inspection conducted on the above project was a
woodstove .inspection on 10/2/91. The next required inspection will
be a woods Love re-inspection.
Pl(:iase advise the Buildinq Division of the status of this pi.-)J( ct
as soon as possible so the file may be kept current.
Please note that any permit without activity for over 180 days
becomes void. If you need adJitional time to comp'_ete the project,
please contekct this department so that an extension can be
discussed.
Sincerely,
Mike Sheehan
Mechanical Inspector.
Notice.A
1312.5 SW Hall Blvd.. Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772 ------------ —__ _�__
CRY OFYIGA
RD I \ MEC''lRM CAL v�
�, � - F E F:M 11"
COMMUNITY DEVELI PMENT DEPARTMENT `� O: � L:KM I"r • • • ., • „ MEC91-019 7
13125 SW Hall Bald. P.O.Box 2'39",Tigard,Oregon 47229(603)034-4176
i I TF ADDRESS. . . : 10200 SW TIGARD ST PARCEL 1 S I L 5CC-0014 0
SUBDIVISION. . . . : ZOt• rNC: R-4. 5
BLOCK.. . . . . . . . . . : LOT. . . . . . . . . . . . . .
CLASS-OF WORK. . -.ADDFL.OG Z FURN. . . . : EVPP COOLERS:
TYPE. OF USE. . . :SF UNIT HE.ATERS. . : VENT FANS. . . :
OCLUPANCY GRP. . : R3 VENTS W/O AF'`L-3 VENT SYSTEMS:
STORIES. . . . . . . . . B011_.EF\S/COMPRr:SGORS HOODS. . . . . . .
FUEL TYPES•--.__..__.._._______-. 0 HP. . . . : DOMES. INCIN:
: WOD/ / / 3-1:5 IAP. . . . : COMML . INCIN:
MAX INPUT: PTU 15-30 HP. . . . : REPAIR UNITS:
FIRE DAMP'E'RS?. . : .30--`0 Hr-'. . . . : WOUDS 0VE:S. . : 1
GAS PRESSURE. . . s 50+ HP. . . . : CLO DRYERS. . :
NO. OF UNITS------------ AIR HANDI.-.I NG UN I TS OTHER UNITS. :
F URN ( 1,00K BTU: ;= 10000 r..f m: GAS OUTL-ETS.
TURN ) =100K BTU' > 10000 4.f n1:
Remarks; : EXISTING BLAZE KING WOODSTOVE
Owner,: __.__.___...______.._._.__---__.__..----.__._.__._____._ __..______._____.__.__-- FEES
WALT MACKABEN type amount by date reccpt
102,00 SW TIGARD ST PRMT $ 25. 00 JI__H 09/26 '91 -
5PCT $ 1. 25 JLH
TIGARD OR 97223
Phone #: 639•-2449
Contractor,:
CONTRACTOR r o'r ON FILE
Phone 4: t 2'6. 25 TOTAL.
Reg #. . !
REGU I REI' INSPECTIONS
This permit is issued subject to the regulations contained in the Final Inspect ion
Tigard Municipal Code, State of Ore. Specialty Codes and all other _
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than IAB days,
ermittee SiyDat•_1r
ssi.ted By
Call for inspection - 639-4175
i
I
City Tigard of 5k 0 `Q MECHANICAL PERMIT Planck/Rec. #
� o
13125 SW Hall Blvd. APPLICATION Permit #
PO Box 23397U n 1 n ti
y r�- 6t-ick r
Tigard, OR 97223 �'' - -a. ��cCti � .� —=_�----�-- -- - ---
(503) 639-4171 Irrr-R -
•,, ascription
Table 3A Mechanical Code OTY PRICE AfAT
Aid fti
Jot) / ^.l�Q �(� S�• 1) Permit Fee 0- 0 10.00
Address
�4 � 2) Supplement:;Permit 3.00
9.�
�»�tlw ^ Furnace to 1 0
(_ 4 r✓ 1) incl. ducts&vents 6.00
a.,o Afton rurna 100,000 BTU +
)- 11 2) incl ducts&vents 7.b0
C)v der r c14 W oor urnance
C7 A 2 3) incl. vent
6.00
o,,� aspenhe,-3 ,wn seater
4) or flour mounted t,v.r 6.00
ens not incl.,n
Occupant 5) appliance permit 3.00 —
YRepair of heating,re ng.
6) cooling,absorption unit 6.00
Boiler 67 compeat pump,air conn.
7) to 3 HP absorp unit to tooK BTU 6.00
.q ,r.,, «• of or or romp,he-it pump,air cnn .
8) 3-15 HP absorp unit io 50(.X BTU 11.00
Contractor n o7er or comp, ,eat pump,air cond.
9) 1530 HP absorp unit.5-1 mil BTU 15.00
,,,,, N. - "gym7 r-7 Boiler or comp,host pump,air conn.
10) 30-5U HP absorp unit 1-1.75 mil BTU 22.50
hereby ac ow ge 1at ave rea tis app icaUon,t rat t e
Boiler or comp, eat pump,air cond.
information given is correct,that I am the owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 31.50
of the owner,that plans submitted are in compliance with State it an ing uniitoto
laws,that I am registered with die Construction Contractor's Board, 12) 10,000 CFM 4.50
that the number given is correct. (It exempt from State registration, An handling unit
please give reason below.) 13) 10,(x10 CTM + _ '7 50 _
Non porta e
14) evaporate cooler _ 4.50
- Vent tan connect
15) to a single duct 3.00
— anti al,an system not
16) included in appliance permit 4.50
.•.� «�- 5-- .wHood sery y
17) mechanical exhaust - 4.50
Uescn wo new addition a terabon repair 1 ,ommercia or cin ustna
to be done residential O non-residential Q 18) type incinerator _ 30.00
xistmg� use of Other i e.,wo stove,water
building or property __ 19) heater,solar,clothes dryers,etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00 —
building or property —
21) More than 4 per outlet
Type of fuel-oil Q natural gas O LPG O electric
NOTICE Mininwn-,Fee$25 00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORs_'ED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARG_
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 2.5%OF SUBTOTAL — —
AFTER WORK IS COMMENCEC
TOTAL
Special Conditions
Date issued _by __-------
k.%AECHPNT ,• /
1
j Vol
CITY OF T I GARD - REGE I P, OF PAYMENT RECEIPT NO, :91-217907
CHECK; AMOUNT 26.25
L'NSH AMOUNT r 0.00
INAME : hIACkA3F��, WALTER PAYMENI DATE 09/26/91
ADDRESS : 10200 SW TIBAPD SUBDIVISION
ITIGARD, OR 9'7223-
PURPOSE OF PAYMEW AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
MECWANICAL PE. ~~ 25.00 9T. BUILD PER �r 1.25
I
j WOODSTOVE PERMIT
I
c:5
TOTAL AMOUNT PAIL)
I
INSPECTION NOTICE
City of Tigard Building Department
12420,.W. Main St.
Tigard,Oregon 97223
Phone: 639-1171
Type of Inspection �L
Date Requested v _ Time f A.MP.M.
Address --_--- /G�Sl(1_-. 1+�,_ Permit #--_----_--
Owner - _ _ \ Lot # —___—
Buildertl�-Ci �1 -----
The "ollowing Building Code deficiencies are required to be corrected:
Presented to _ �' Approved
Inspector -� -- -- - I Disapproved
Date
CALL FOR REIN PECTION
YES I NO
I
a SE E13 PERMIT
Unified Sewerage Agency CITY OF DA1 r.
of Washington County _ ---- — — -•
OWNER . _U ! � --- --_-- P H O N E :
OWNER 'S ADDRESS: _ �U,Zt�G
..b
TYPE OF INSTALLATION:
SIDE SEWER ❑ LINE TAP AND SIDE SEWER C� LINE TAP
TYPE OF OCCUPANCY:
[] NEW /K EXISTING ElSINGLE FAMILY [jCOMMERCIAL
[VEXIST. (PRIOR TO 7- 1-70 ) [-] MOLT. RES. [] INDUSTRIAL
Tom`` FIXTURE UNITS DWELLING UNITS_- 01I& _
ADDRESS OF STRUCTURE : _ i vim_ ---
Permit
-Permit Conditions: The applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
When calling for Inspecticn, please refer to the Permit Number. The Application expires in one hundred twenty (120)
days. The amount paid will be lorfelted should expiration occur.
The Agency does not guarantee the accuracy of the location of side sewer laterals. If the sewer Is not located at
the measurement given, the installer shall prospect three feet In all directions from the distance and depth given.
If not so located, the Installer shall purchase a 'Tip a-id Side Sewer' Permit at the current charge and the Agency
will install a lateral at the location specified by the installer.
FEES:
3s,o0
PERMIT FEE
ikfCTTON CHARGE 300 'dt>
O - --
LINE TAP INSTALLATION
ISSUED BY
OTHER
TOTAL $�____ ,?��
APPLICANT DATE
SEINER PERMIT
ADDRESS OF STRUCTURE r ( 0200 _—
TAX MAP (S - 3 S C- -- TAX LOT 100 SYSTEM .. V. WAQ.
LOT ^- BLOCK OF
'APPROVED� BY DATE ISSUED BY DATE
�
D.U. 'S L04 REMARKS � N-e i '��� .Q_
1
i
PLUN181NG PERMIT
holder of a valid plumbing contractors license is hereby
auth�o cause plurn't►ing w r•k ai harein noted tori a inspector i �accordance
ccorshall ce with tl-leed plumbing
less than deur
e uire inspection by the City ALicense f uired
Tigard. Such installations r q F
' r to the time the installations are ready for inspection. City of Tigard E3usiness L 4
4 hours prix
ror all contractors and subcontractors. dot)
�b � ..ndcfress.� Date -
QtivnNr ___ TOTAL
l.-----•- �.... �lul�ujata nr•
. ,
17Eh1S _Ft_t Orl r?nrfl 4F..o
TYPE OF PERMIT���._...._,_.,. ,.._.-....... -_•...-•� _" ,�
0C3
25.00 _
3�nale'_� ami�y-1 hath�V�h 26A0
_ -
Ouelex�Each 1 berth unit ,,„,_.,..,,...._...._.-__--•-_- "`”' � _ 10A0 ._ _._..__._.._._---_- -' �
16.00
+Mob0lHcrrmeShe-ea:1_�__IN nn i_v i o u n
_ ac►t_ _ _. .__. ..
t to 50 Fixtures in t t,uilding_ c 250
to 1V Fixtures 1n 1 builnin„1c_each- �. ___�, r _.--- -- —2•0Q� - — - — ----
101 to 200
1—701'0• more F_ ixt:L!q in 1 bulldinq�:each�-».
14ISCELLAN�OLIS
�....--
��S!war-each .---
'Nater Service to buildit,y
Lor'b0 For Plurnhing lnspa�:tlon Phnnr. 63.9.4171
� PFRNII
_---- or Plumbing ContractE� ���
I l�°,State - -
TOTAL y� r�� o� RECEII "I' N0. Ll�� — ;