8710 SW PINEBROOK STREET 00
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8710 SW Pinebrook St.
INSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection 0/ C:�/� ��
Date Requested /1V" '/ � Time_� A.M. P.M.
Address Permit # �
Owner �� �. _ Lot # _
Builder
The following Building Code i ificiencies are required to be corrected:
Fr
oL___.
Presented to
— M Approved
Inspector _ _ -_ ❑ Disapproved
pproved
Date 2.— (O—
CAL _FOR REINSPECTION
❑ YES ❑ NO
NEW
MECHANICAL VIE-AMIT
CITY CSF T167 RD anAx P'll-i'lAIMIT NO . : ME8900.5A
COMM'INITY DEVELOPMENT DEPARTMENT DATE.E, 1:!iiSULD : 1. J.;3/alp
13125 S.W.HA Blvd.,P.O.Box 23397,Tigard,Oregon 97223.(503)639-4175
cim-T. No hk Q U Ilk A
0 ADDPES!Iii 07:1.0 5W PINEMPOOK ST
10)X SUD : I-T : UK :
1. ITT !ii TZE.". ..
.1 TVA : NO No
WOEW CAASC.i - Al. 1:113"NACE: 010010 AIR VIANIN P' <'1.0
JLYI:'F. : - 11E 100K.f. HAND
!;,IN(.-'A+' FAMILY F'UNNAC" AIA A.1:4 10K
44: F I.-0011 FJJPN0CE: [::V(.)I, . C01ClI-E.'14
1-11:.:AYTIEP VE'N'T' FAN
VE"N'T VENT . SYSTEM
P, COM 1:1 <3111P I-11(:1011)
NO , STORIki.15 r31.P COMP" '31-1-5VIP I NCI NE RATO 1--4(DOM
DWEI L. .LIN I P"s VILP 1.!!5---3 0 Fl F" TNIDINEPAT011-1((:.(JM
11.1EA.. TYPE'. E.11.41/c.0fir) '3 0-1-5()Ir-I I..' I.)NITS
MAX . IN!::-t.J 1* 1':1..1:4/('OMP ;'50•"••117? OTIAEF;l
1 TPE: WIP!PS"? GAS F*-'IPTN('.-; 01.111.1ETS
0
W 17"1.11")DY JACK PERMIT
N :1. 514 F)TNE:11:41001< ST 1 ,1 AN PL-:VIfi::W
E
A Pf 1.) UP 97P Al 1 $9 . 00
1:440NE. ( .503) 0539----6952 STATIF I'AX 1111 .105
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This permit 19 issued subject to the regulations contained In Title 141-4FXJ..:TP1 NO.
...........................................................
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
ordinances The issuance of this permit does not walvp restrictive I 11(10;1 I TN
covenants Contractor and subcontractors shall havp current city
business tax permits. This permit will expire and become null and 1 NAL
void It 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 ct the p*.rmItt3e to Mum
all required Inspectiors are requested and approvbri
Permittee Signature
Issued By -7--7--T—, -7'TT-77I`-( I W V:' /I I I
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
�hu�uiyk w
�..� Y ler Il� N►1•iU MECHANICAL PERMIT Permil N
Description ^
ToWe 7A Mothanicah Code OTT PRIC! AMT
City of Tigard 1) Permit Fee -0- -0- 10,00
13125 S.W. Hall Blvd — -
P.O. Box 23397 2) Supplemental Permit 3.00
Tigard, OR 97223 -- ---
639-4175 1) Furnace to 100,000 BTU 6.00
_ incl.ducts&vents
2) Furnace 100,000 BTU + T 7.50
incl.ducts&vents
Nems of Osvelorxnent 3) Floor Furnace 6.00
incl,vent _
Suspended heater,wall heater - 6.00
1 NL 41 or floor mounted heater
' -__
Address r l S 4
Tay Lot Map No 5) Vent not incl.in 300
appliance permit
Lot Block Subdihnaion _
Na (a name a business 6) Repair of heating,i t, ,., 600
k � �(� ��,��cl✓ cooling,absorption unit
U Mai ) Boiler or comp to 3 HP 6,00
Owner r� I 0 00< �[ �,� 7 absorp.unit to 100,0BTU _
Boiler or comp to 3 HP-15 HP 11.00
i. Ca t r D� zip O. 9) absorp.unit to 500,000 BTU _
- Nam. 9) Boiler or comp 15-30 HP 15.00
NIJ absorp.unit Y:-1 million
C,IoIY,� fh� MaitlhgAddressPh" 10) Baler orcomp to3050HP 22.50
LITabsorp,unit 1-1.75 million
Contractor - Boiler or comp to 50 HP 31 50
City/State Zip 11) absorp.unit 1,750,000 BTU
State Registration W r,ry ern re.No t 2) Air handling unit to 4.50
10,000 Cr-M
13) Air handling unit 7�
I hereby acknowledge that I haw reau INS application it st the information given n
coned,that I am the owner or authorized agent of the ow•,er,that plans submitted are in 10,000 ling +
compliance with Stale taws,that I am registered with the State Builders'ploard,that the .1 4) Non portable 4.50
number given is corned.(It exempt from State registration please give reason below) evaporate Cooler
Vent tan connected 300
-__ 15 to a single duct
Ventilation system not
16) 4.50
incl tided in appliance permit
Hood served by
l 17) 4.50
mechanical exhaust
Signature(owner to age _ Delp_ 18) Domestic type 7,50
Describe work O addition [I alteration l repair LI incinerator
to be done residential j>a' non-residential 1-1_ 19) Commercial or industrial 30.00
-- - -- ----- - —
Existing use of _.'
buildingor properly _- __ _.__, Other i. Woods,tove ater �'1 4,50
p P Y---_.-�__._,_ 20) heater,so e_s dryers,etc. oC
Proposed use of --
building or property . _ ___�_.�_.-��_--__ 21) Gas piping one to four outlets 2.00
Type of luel- oil I I natural gas I 1 LPG [I electric [ 1
22) More than 4-per outlet
NOTICE --. � ---' SUB-TOTAL ._0_.
THIS PERMIT BECOMES NULL ANO V0I0 IF WORK OR CON-
C .SUFICHARGE q
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 %p M
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 ` ` - " - `--`" --�- - _.
TOTALJ_j� ��i�
WORK IS COMMENCED _
Special Conditions
l,ttr!ce:aril lid
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phoney 639-4175
Type of Inspection _._. "� -------
Date Requested zzTime ___ A.M. PPP MMM
Address _ ��d ��-�� "� _. — Permit # _
Owner Lot
Builder __
The following Building Code def' cies are required t -Joe co acted:
—(it
Presented to _—__.- --w PProved
�7
Inspector ----� Disapproved
Date --_—.-- —
CALL FOR REINSPECTION
❑
YEA ❑ NO
MECHANICAL PERMIT
CITY OF TIGA RDPERMIT NO. : ME87()126
17YOFWARD
DATE ISSUED: t 1 /16/87
COMMUNITY DEVELOPMENT DEPARTMENT F'R I M. P11 T � NO. 87 1)12 6
13125 S.W.Mall Blvd.,P.O.Box 23397,Tigard,Oregon 97223.(503)639-4175
TrIa 7 1 Ci G JAI F=1ThIl7rjFn'Qn -" CZJ
TAX MAF'/LOT SUB: LTi EIK"
L8IlI1DS1;11§gJ vrEll NO: NO:
WORP.'*. CLASS: ALTERATION FURNACE <10(:►1" AIR HANDLR ..10
USE TYPE: SINGLE FAMILY FURNACE 1000+ AIR HANDLR 10K
CONST. TYPE: VN FLOOR FURNACE EVAP.COOLER
OCC..ItJP.GRE'. : R3 HEATER VENT FAN
VENT VENT. SYSTEM
NO. STORIESi 1104/99MP :!,4P5HP YWC)PNERATOR(DOM
DWELL. UNITS: BLR/COME' 15-30HP INCINERATOR(COM
FUEL 'T'YPE 8LR/COMP 3()-50HP REPAIR UNITS
MAX. INPUT 8LR/COMP 50+HP OTHER
FIRE DMPPS`!:' GAS PIPING OUTLETS
HIGH PRESS,.,
LOW PRF SS7 YES
REMARK'S:
move gas line and meter- only,no apple.
FEES:
rUddy Lack PERMIT $15.00
13710 sw pinebt,00k st PLAN REVIEW - -----
t ige -_if- 9:71012:15 ---f- MIURE9. - -
PHONE (5(..)7,) 639-6952 STATE TAX
0 OTHER
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A RECEIPT NO. 2 6 9
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This permit is Issued subject to the regulations contained in Title 14
of the TMC. State of Oregon Specialty Codes,zoning regulations
and all other applicable nodes and ordinances. and it is hereby
agreed that the work will he done In accordance with the plans and
specifications and In compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shrill hal e current city
business tax permits This permit will expire and bacome null and
void If work Is not started within 180 days.or if wotk 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 assim,
all required inspectio,is are requested and approved
(.."ALL FOR INSPEECTION 639-4175
Xermitte ignature
Issu
y
SEPARATE PERMIT S REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE