11507 SW PACIFIC HIGHWAY 1`
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11507 SW PACIFIC HW.
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection ' --
Date Requested _ 16; e-� Tlm A.M. P.M.
Address _ 1_ Permit
Owner / Lot #_ _
Builder -_� s5-/,���',� Z�C,'
The following Building Code deficiencies are required to be corrected:
ot
Presented to [Approved
Inspector _ _—_- DisapprOVed
Date
CALL FOR REINSPECTION
❑ YES La NO
p
1
INSPECTION NOTICE
(� City of Tigard Build',,)g Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of In!tn--'on --f'Y�4' 2 —�
Data Rr:que:ted_ ,Time K. _�'�A.Mr._____ P.M.
Address -'
c - Pe rRftt ��
r �
Owner. �t - <. Lot #
Builder
The following 136ilding Code deficiencies are required to be corrected:
Presented to ❑ Approved
Inspector --- Diapproved
Date
CALL FOR EINSPECTION
YES 0 NO
I.C H A N I
C17YOFTIFAKU r1E Rill 11
CiTY01FTIGARD I-:.R In 1''T # MIL-7 C90 0;2 0 5
COMMUNITY DEVELOPMENT DEPARTMENT ong r:11RIM. I::,I1,-J0I1.*T 0. Mr.7'(190 0 0 5
1-3125 SW Hodl Blvd. P.O Box 23397,Tigard,04olron 97M(6W)60"l 75 (C D
A'T'E ISSUED.- 09/211./-90
S 1: 11.505101 r-'0C,'IF1C,' HWY
SUT.."4DIVISION. V'AR(,EL.. IS1136DD
ri L 0 C.K TONING-.
..........
.....
01" WORK. F'LOOR FURN.
I Yl'-"F:' OF�' USE. . . . ..(,,,0 illUNI T HEk'T*ERS, EVoV-' COOLER�)' ,.
0 C*C U P()N C Y G K'I*-" P 2 VENT VANS. .
STORIES. . . . . . . . .. VL.-N*I' SY31'EM'.-i"
E4OILL'RS/COMV'NESSOR�.-;
FUEL HOODS. . . . . . . .
0 DOMES. 1I1(,IN.-
3-15 COMMI.— TNC:[N-
11 r-)X I III V,U T, 15-30 HVI. . . . c REPAIR UNII'S-,
3H 0 HV'. WOODS rOVES. .
OPS) r-*'Rw.SSURE'. . ::;(d Q.-C) DRYERS. .
NO. AIR HANDLING Uhl I TS O'T'HER UNI'rs.
U R III f 10 0 K P T U (n:: 10000 (:�fnl:: CTAS 01.)rLEI'S. - I
)=100K FrU." > :1.0 0 0 0 -r n)
1)D TN G GAS L I III E.
Owrie-rr I"EES
I-'(4C1F--IC, 'TERROCI.H...' 61-101::'r)ING typ( A In 0U VI l-, by dAte
I P N D F(-)C 7'0 R S VIAYM 15. 75 JLH 09/R8/90
1150'/ SW HWY
11G(-)RV OR 9722.J V,R 11'r 1.5. 00
5 F,C'T q; 0. 75
HAYDEN
f.?57E:15 YEW WOOD DR
PORING OR 97009
14:
14. 60615 5 75 1'0 T A L
......................
RF. UUIRED TN5V'EC'1JONS
[his pewit is issued subject to the regulations contained in the
Ticard Municipal Code, State of ore. SPeClalty Codes and all other
applicablp laws. All 000 will be done in arcordance with .......
approved plans. This Pei-lit will Pipire if work is not started
within 186 days of issuance, or if work is suspended for sore ........................ ..........
'h a n 180 days.
.................. ....... ..............
c--f`m 1.t,t f�eri a
........................ ........................ ............................ ..............
"Is r)P(:'t it'll
CITY OF TIGARD MECHANICAL PERMIT Receipt M
13125 SW HALL BLVD. Permit M
P. O. BOX 23397 I �' Description --
T I GARD, OR 97223 Table 3A Mechanical Code i_ 'lTY PRICE AMT
(503)639--4175 1) Permit Fee -0- -0- 10.00
Warne f Development
�- 2) Supplemental Permit 3.00
Sz-
,Jpb cess
G � � 1 Furnace to 100,000 BT U -
Address 11 incl.ducats&vents 6.q0
Tax Lot Map NO. ) Furnace 100,000 BTU i 7.50
W Block Subd�on 2 incl.ducts&vents ----__ -
Name(or name of business) Floor Furnace- {S rE'i
< <'` / a 3) irlrl.vent — 6.00
Addnsas p ,e Suspended heater,wall heater
Owner 6) _ 4) or floor mounted heater — -600
or floor
not incl.in
5) appliance pe,-mit _ 3'00
_-- Narnoor nanM of business) Repair of heating,retrig., -
6) cooling,absorption unit 6.00
awwg Address--"-v -- Boiler or comp to 3 HP
Occupant 7) absorp.unit to 100,000 BTU 6.00
City/Stale _ ZIP 8) Boiler or co,-op to 3 HP-15 HP - 1100
_ absorp.w,it to 500,000 BTU _
Name -- 9) Boiler or comp 15-30 HP _ 15.00
C absorp.unit 112-1 million _T _-
MatNng 4efdliiam Phone10 Boiler or romp to 30-50 HP - 22.50v
'7 65,x_6,'7 ) absorp.unit 1-1.75 million
Contractor Grylstateap ) Boiler or mmp to 50 HP
�f 11 absorp.unit 1,750,000 BTU 31.50
state Regliffrition No. City Rus.Tmx No. 12) Air I.andling unit to 4.50
K r 10,000 CFM
I hereby eL*r o%lodge that I have read this application that the iMorma,WWi given is 13) Air handling unit
10,000CFM + 7'50
Dotted,that I amtF>,i ovmer a auMgrized::gent d the owrwx,that plans srrt�itted are in -
compliance with State laws,that t am registered with the State Boklem'Bnard,that theNon portable
number given is eon" (N exempt from State registration please give reason bekvw) 14) evaporate cooier 4.50
Vent fan connected
--.------------- ------- 15 to a single duct 3.00
-- - -- -
---- -- -- Ventilation system not
16) included in appliance permit 4'50
— - Hood served byi-_- 4.50
t c t�) mechanical exhaust
or Date ) Domestic type
iDesc tibe work ❑ addition U alteration C3 repair H 18 incinerator 7-50
to be done residential ❑ non-residential Commercial or industrial
19) type incinerator 30"0'0
Existing use o1 �;/ -- - _ --__
buildir►g or properly�'-lo�-la!t c Other i.e.,woodstove water 4,50
-- --- 20) heater,solar,clothes cryers,etc.
Proposed use of t -- - -_
building or property.----_ 21) Gas piping one to four outlets 2.00
Typo of fuel- oil f 7 nRtural gas LPG C] electric O
- 22) More than 4-per outlet
THIS PERMIT BECOMES NULL AND VOID IF WORT. OR CON- SUB-TOTAL.
-
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 5%SURCHARGE
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 ---- ---by-
RCCE I FT Of- PAYMt:.NT I PT NO. e
CHECK AMOUNT ; J.5.%'"'
C�AaI-I AMOUNT z
hlA ,.. I.. . Iit�YDFN HVaC. PAYMENT DATE CY{/26 90
ADDRESS '11570-5 CE YEWWOOD DFS aUF:+D I V I v I ON >
BORING, tlF=; 9"7()(.-)9'-
115(-.)7 PACIFIC HWY
FI..IRPOOF OF PAYME"NT AMOUNT PAID p1jtF FOSE OF PAYME=NT AMOUNT f''AI11
_�_t:lt:►
31'. BUILD PER
MFC f•ICwF'E MECgi t:��_-O:ri
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fC)TAI.. AMOUNT PAID
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INSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397
Tigard, Oregon 9722
� ) Phone: 639-4175
Type of Inspection
Date Requested,r �� �. Time A.M.- _P.M.
Address L r Permit
Owner u / T ,r_(
N Lot #_�
Builder _ _ _-----.--_--.,
The following Builoing Code deficiencies arc require(] to be corrected:
L�✓i6ii
--7
Presented to ._ �] Approved
Inspector —� _ �� Disapproved
Date e_2_
CALL FOR REINSPECTION
El YES 0 NO
No. PI 890492
CITY OF T'FA RD
COMMUNITY DEVELOPMENT DEPARTMENT 3,116/69
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 07223,(503)639 042
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ON NO
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This permit is 1991.1ed subject to the regulations contained in Title 14
of the TMC. State of Oregon Specialty Codes,zoning regulations
and All other applicable codes and ordinances, and it is hereby
agreed that the work will be done in accordance with the plans and
specifications and in compliance with all applicable codes and I If loo
ordinances The issuance of this permit does not waive restrictive
covenants Contral;tor and subcontractors shall have current city
hLISiness tax perm is. This permit will expire and become null and
void it work Is not started within 180 days,or it work is suspended or
abandoned for a period of 180 days any time after work has
commenced. It she If be the responsibility of the permittee to assure
all required inspections are requested and approved
Permittee Signature
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE