9070 SW 69TH AVENUE 9070 SW 69th Ave.
6
ME:CHANXCAL PERMIT
A PEPMXT NO. : MF--091-P60
CITY OF TIFA RD CITY rl6ftill,
COMMUNI I DEVELOPMENT DEPARTMENT DATE ISSUED: 61 2/09
131125 S.W.Hall Blvd.,P.O.Box 23347.Tigard.Oregon 97223.(503)639-4175 P Q*r M QMT bIO--R912_60----1
JOR ADDPI;-".SS : 9070 SW 69TI-I AVI:---
TAX MAPil OT S I ii*-" LT: HK
I AND USI'--' :
L.C.T SIZE: :
3:TI-'M NO : N()
WORK CLA55! AI--'T'E*PA- TJ:t:jN FI.JWNACE: (J.00K 1. ATR VIANDLA (10
IJSr--- TYPE:: SINGLE'. FAMILY FUPNACE 3.00K+ AIP HANDLA 10K
CONST .TYPE. VN f:*I 0OW F:'tJRNAC,'C--' E-VAP . (:'OOLEP
O(:"CUI*-) .G.PP. 143 VIFATE:14 Vl--':N*I' FAN
V i::-'NT VENT . SYS*T*i::M
BLP/COMP (3HP HOOD
NO. STORIES : 1. r-.3LR/(:1'0MP 1NC3:NE:nATOF4(DOM
OWE:I-L..UNITS : 1 81 P/COMP 3.5---30HP 1N(*.'1NL-.AATOA(COM
I::UE:I.. TYPE (.AS BLP/(.0MP 30---50HI:) PEVAIP UNITS
MAX . 1NPUT 45000 131._12/COMP 30+HP oTHEP
F-**IIIE*l DMPPS? GAS r'.I*rP.I'N(*.-, OLTTLF-'T!)
HTGH PRESS,?
L(JW pwLs!i-7
NV'MAPKS :
0lij.0 . 110
IN J -F F4 r y PERMIT
N 90*7() SW 69-ch Avvr PLAN PEVIEU
E
R T:1.1,1 ifL r d OR 9*72P.: FIXTURES $6 . 00
PHONE: (503) 2AzI J-80P STATE TAX 80
OTHER
ON
T
R
A
C
T
0
R TOTAL: N 1.6 .80
This permit is Is-.Lied subject to the regulations contained In Title 14 PECEIPT NO. 41t I-11'
of the TMC. State of Oregon Specialty Codas,zoning regulations ;
and all other applicable codes and ordinances, and It Is hereby PEJ4U1AI_::U 'I'NSPEUT1ONSs
agreed that the work will he done in 1ccordance with the plans and UAS LI:NE*.
specifications and in compliar e with all applicable codes and MKICHAN(.11... SY5TEM
ordinances The Issuance of this permit does not waive restrictive 1:7"r.NAL
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and
void It work is not started within 180 days.or if v.irk is suspended or
abanconed for a period of 180 .' .ys any time after work has
commonced It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
Permitt;,'Signature
ISSL'pd By
SEPARATE PERMITS REQUIRED FOR WORK OTHER I-HL\N DESCRIBED ABOVE
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
/ Phone: 639x4175
XType of inspection - / rI _
Date Requested_�LZI Time A.M. P.M.
Address FQ7D ju/- �`� 41e Permit #_Sgl'2 0
Owner , � –- int #
Builder,flQ� �� 71- ' — ---The foliowing Building Code deficiencies are required to be corrected:
Presented to _ __ _ ___ F Approved
Inspector L_— Disapproved
Date
CALL FOR REINSPECTION
0 YEI El NO
ILA I Y Ut- 116AHU MECHANICAL PERMIT Permit NM � -
--
DsaplPMon .
TAWS 3A nloal Code GTY PRICE AIKT
3125 ) Permit Ft*
S.W. Hall Blvd.Tigard
1 1 -0- -0- 10.00
13125 _ _
P.O Box 23397 —
Tigard, OR '97223 2) Supplemental Permit - 3.00
639-4175 Furnace to!00.00n BTU
1) incl.duds 8 vonts S;�-vy / 6'00
Furnace 100,000 BTU +
2) incl.ducts 3 v-nts 7.50
--—;-Name ul oevebpne�,, - - Floor Furnace—Y --
3) incl.vent 6'0U
Job �ddr« -` Suspended'seater,wall hoater
Address [j �j,�(j, �, ?t� Ur' 4) orfkwrmounted heater
-- -� 6.00
- --1"�- - - Vent not incl.ir.
Tar Lo. � Map No
5) appliarn.a perr iit 3.00
- tut Block Subdivision -- ---- — --
Nam*,o name of I v!.1,i a-, - 6) Repair of heath g,refr ig.. 6.00
Ly , >, woling,absorption unit _-
_ �'r- cin I�,
1Aaiwv AAdrette Phone Boiler or comp to 3 HP 6.00
Owner o 7�� S10 �`�'i� �J� ��� '002 7) absorp.unit to 100,000 BTU ---
t --
cityisute zip 8 Boiler or comp to 3 HP-15 H P
absorp.unit It.500,000 BTL.- _ 11 00 --
Name 9 Boiler or comp 15-30 HP
±1M VJ absorp.unit nh• 1 million 15.00
Mai"Address Phone — Boiler or comp to 30-50 HP
Ezls' ►�� r+,lls le Nr wjj 10) absorp,uni,1-1.75 million 22'50
Contractor Colslale zrp 11 t Boiler or mmo to 50 HP
.1 � q-7h1 s absorp.unit 1,750,000 BTU 31150
State Registration No. City&a.Tax No ) Air handling unit to
12 10,000 CFM 4.50
I hereby acknowledge that 1 ha-tied this application the,the ihtomution plum,is 1I) Air handling unit 7.50
correct,that I am the owrte(Of atrtm ized 10.000..f�M +
agent d the owner,Inst plan:authmitted ars in --
cornpliance with Stats laws,that I am registered with the State nuilders'Board•that the Non portable
rxrmber given is wnect.(II exempt horn State registration please give reason below)_ 14) evaporate cooler 4.50
VIP-w ell LL S S_e 7'V 1 C 'e . ) Vent fan connected -
15 to a single dud 3
16 Ventilation system not 4.50 ---
L�1"Y1�CL', ^f'�,We R ) included in appliance permit
�
17 Hood served by 4.50jj n �.Z-$� ) mechanical exhaus! -
signature II o agenq _ Date Domestic type
Describe work ❑ addition ❑ alteration ❑ repair ❑ L20)
incinerator _ 7
to be done residential non-residential O Commercidl or Ind-istrial
Existing use of type incinerator _ 30.00 '
buildinq or properly _ Otner i.e.,woodstove,waterProposed use of heater,solar,clothes dryers.etc. - 4.50
building or property.____ _ _ \ 21) Gas piping one to four outlets / 2,00 leo
L Type of suet- oil f natural gas.t� I_PG ❑ electric O - ---
22) More than a-per outlet
SUB-TOTAL
THIS PERMIT BECOME.-, NULL AND VOID IF WORK OR CON- --
STRUCrION AUTHORIZED IS NOT COMMENCED WITHIN 180 _S%p 4%SURCHARGE r�l)
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR _ - PLAN REVIEW 25%OF SUB-TOTAL -
ABANDONED FOR A PERIOD OF 180 DAYS AT,ANY TIME AFTER -- -
WORK IS COMMENCED —,_ TOTAL
Special Conditions
- _ _._�_�.___.�_�-_.__.--.--•- --.____-- Date issued I)v