9650 SW VENTURA COURT t
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It :30Aol INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 27397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
--CELL.-.__—_`
Date Requested d Time ^ 5\, A.M. P.M.
Address . - Permit
Owner _ Lot
Builder
The following Building Code deficiencies are required to he corrected:
Prevented to �'Approved
Inspector Disapproved
Jate -
CALL FOR REINSPECTION
C7 YES ❑ NO
C17Y OF TIVA NO . : MER01.4169
COMMUNITY DEVELOPMENT DEPARTMENT ITYOFTWARD I)ATE ISSUEW: 7/26/08
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223.15031639-4175 PPY.M. PMT .NO . 113a 1 141 if)8
JOB ADI)PE-55: 9650 SW VENTURA GT
f'AX MAP/LOT I Fit<
I. AND USE :
1. 0,11 SIZE'. :
ITEM: NO: NO:
WORK CLASS : Al-.rF:1'4A*11:(]N FURNACE <100K Alk HANOLP <11.0
USE' TYPE : SIWA-E F*AMI:L.Y FURNACE 10OK4, AIR HANDL.14 1.0K
CUNST . TYPE' : FLOOR F;*URNACE 1-:VAP .
U(X' t.jP . CORP. HE'ATEP VF.:N'I' F'AN
VENT VENT . SYS'T'[-':M
8L.,P/COMP <31-4P HOOD
NO. STO 14 1 E S BL.P/(:,OMF) 3-15HP INCINE.PATOP(DOM
DWEL.L. .UNITS : BLP/COMP 15---30HP INCINEPATOR(CUM
'J'yPr-*': WOOD 1:-41-.Fl/[',OMP 30-50HP PEPAIR UNITS
MAX . INPUT BL.WCOMP 504-Hl.*) 0 THEP
FIRIL: DMPPS.? t, GAS PIPING OUTLETS
1.11GI-I PPES57
Pl:::MAPK!5 :
WOUCIMI.ElVill? irmer-t
0 tj & J tl I e.61 PERMIT 1.0
W 9650 !sw V*i!nttiri-;. Ct . P1 AN PEVIEW
N T-1.1par-d Or, 97P.23 FIXTURE'S
E 111-1. 50
R PHONE (303) 246-0533 STAI Fr TAX * . 7111
OTHER
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RECEIPT NO.
This pr's mit is issued subject to the regulations contained In Title 14
of the `MC. State of Oregon Specialty Codes,zoning regulations DEQUIRVO INSPECTIONS
and all other applicable codes and ordinances, and it Is hereby V.T.NAL.
agreed that the work will be done In accordance with the plans and
specifications and in compliance with all applicable codes and
ordinances The issuance of this permit does rot waive restrictive
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and
void if work is not started within 180 days,or if work is suspended or
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure
811 required inspections are requested and approved
Fe tee Signature
if CAL-L. F*OP 'INSPF.I" IJON if)39—el I i 1�
Issued By
SEPARATE PERMITS RFOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
ft
CITY OF TIGARD MECHANICAL PERMIT Receipt# ------
Permit
____Permit#
Description
Table 3A-M_echanical Code CITY PRICE AMT
City of Tigard —
13125 S.W. Hall Blvd. 1) Permit Fee -0- -0- 10.00
P.O. Box 23397 —
Tigard, 7R 97223 2) Supplem3ntalPermit 3.00
639-4175 Furnace to 100,000 BTU -T
1) incl.ducts&vents 6.00
Furnace 100,000 BTU +
2) incl.ducts&vents 7.50
Name of DevelopmentDD Floor Furnace 6.00
-�o �(Aj1 e, 8LY net 3) incl.vent - -
Job Address - A Suspended heater,wall heater
Address _ q(D Sn gw -VQ,�'j M 4) or floor mounted heater _ __ - 6.00 -
Tex Lot Map No, 5) Vent not incl.in 3.00
Lot Block Subdivision appliance permit --
Name(or name of business) Repair of heating,refrig.,
6) cooling,absorption unit 6.U0
Meiling Address _ Phone Boiler or comp to 3 HP
Owner - n,)� S� 7) absorp.unit to 100,000 BTU _ 6.00
ciryisleleZip 8) Boiler or comp to 3 HP- 15 HP
q 3 8) absorp.unit to 500,000 BT'J 11-U0 -
Name Boiler or comp 16-30 HP
9) absorp.unit 112-1 million 15.00
Mailing Address — Phone t 0) Boiler or comp to 30-50 HP 22.50
absorp.unit 1-1.75 million
I Contractor - —-�-- � -- -
ciryistete Zip 11) Boiler or comp to 50 HP 31.50
_absorp.unit 1,750,000 BTU
State Registration No _ City Bus.Tax No 12) Air handling unit to 4.50
10,000 CFM
I hereby acknowledge that i have read this application that the information given is 13) Air handling unit10,U00CFM + 7.50
correct,that I am the owner or authorized agent of the owner,that plans submitted are in ----- -- -
compliance with Slate laws,that I am registered with the State Sullders'Board,that the 14) Non portable 4.50
number given is correct (If exempt from slate registration please give reason below) evaporate cooler
Vent fan connected—
C�(!���
------- 15) to a single durt 3.OG
Z�`- �� �� � � °"r Ventilation system not
16) included in appliance permit 4.50
17 Hood served by -- r0
--
) 4..mechanical exhaust
Signature(owner or agenp Date 18) Domestic type 7.50
Describe work C1 addition Fl alteration f I repair f I incinerator
to be done residential U non-residential ❑ Commercial or industrial
Existing use of 19) type incinerator— 30.00
building or properly_ _ _ _ ) Other i.e.,woodstove,water 4.50
Proposed use of 20 heater,solar,clothes dryers,etc.
building or property ___... _-_ -- - 21) Gas piping one to four outlets 200
Type of fuel- oil ❑ natural gas f 1 LPG Cl electric ❑ -
22) More than 4-per outlet
NOTICE -
--- SUB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK L,, . CON --- - -
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 5%O 406 SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAY,AT ANY TIME AFTER -- - - -------- ---
WORK IS COMMENCED. TOTAL
Special Conditions_-_______
--- -- _-_-- Date issued------.by