8950 SW PINEBROOK STREET 8950 SW PINFRROOK STREET
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INSPECTION NOT ICE
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City of Tigard Building Departm i t—
P.O Box 23397
Tigard, Oregon 9722.3
Phone: 639-4175
Typr, of Inspection _?�11 77
Date Requested _—LTime—X A.M.__ _—.P.M.
Address S.�_S� `S--Zl��—'— - Permit #_�f 'SLGv2
Owner __ Lot ,# --._.��— _
Builder _ _ - --- — — --- —�
The following Build;nq Code deficiencies are required to be corrected:
/A5 7 V16 iQ
77
Present-+d to - --- - _ Approved
Inspector _ __ C, Disapproved
Date
CALL FOR REINSPWTION
Cl YES I A NO
MECHANICAL,
CITY'OFTIFARD PERM I r,
COMMUN" DEVELOPMENT DEPARTMENT onoom �JERMIT #. . . . . , . : iMEC92-0002
Room
1.1125EWHalf Blvd. P.O.BOX 23397.Tqmr.1,LNvWt 07723(503)639-4175
I
,iiL ADDRESS. . . 08950 SW PINEBROOK "'T PARCEL: 2S 1 1 1 AD-03600
SULADIVISInN. . . . « PT.lqr--.BPOOK TERRACE ZONING: R-4. 5
BL-OCK. . . . . . . . . . LJT. . . . . . . . . . . . . a35
CLASS OF WORK. . :ADD FL.00IR FURN. . . . EVAP COOLERS:
TYPE OF USE. . . . :SF UNIT HEATERS. . VENT FANS. . . .
OCCUPANCY GRP. . :R3 VENTS WID APDL: VENT SYSTEMS:
STORIES. . . . . . . . : BOILEPS/COMPRESSORS HOODS. . . . . . . :
F-UEL 0-3 HP. DOMES. INCIN-
. /Woo/ 3-15 HP. COMML. INCIN-
MAX INPUT: BTU 15-30 HP. REPAIR UNITS:
FIRE DAIIPERS" 30-50 HF'. . . . : WOOD GTOVE5. . ,. 1
GAS PRESSURE. . . : 50+ HP. . . . : CLO DRYERS. . :
10. OF AIR HANDI-ING UNITS OTHER UNITS.
--lJRN ( 100K BTLJ. 10000 cfm: GAS OUTl-E"r5.
URN ) =100K BTU.- i 10Q)00 cfm :
Remarks : NEW PELLET STOVE
Owner-: FEES
TOL) EISENBRANDT type amoi-int by (iaLp t-ecpt
SW PINEBROOK CT* PRMI $ 25. 00 J(..t-1 01 /09/9a,
5PCT A 1. 25 JLIA 01 /09/92'
TIGARD DR 97F::,4
Pt'lone #.-
Contractor—
L,UDEMANS, INC
l 615 E,W BEAVERDAM RD
FAL.AVL-RTON OR 970OF'I
I-Jione #- 646-6409 t 26. 0�'5 TOTAL
Req lA. . 11469
REQUIRED INSPECTIONS
This laermil is issued subject
ject to the regulations coitained in the Final Inspection
Tigard OAnicipal Code, State of Ore. Specialty Codes and all other
applicable laws, All work will be done in accor1j'ain:e with
ADVOyed clans, This permit will expire if Mork is not started
within IN days of issuance. or if work is suspended far more
than 180 days,
P to r-m i t;t e e S i q n A t;1.i r e
15,51-led By- —--------
Call for- inspection 639-4175
Cjj,y (.1p, FIGApl) 17 17
RECEIPT NU.
c"HECK AMOUNT
1
XWE EISENBRANDT, TUD .-ASH AMOUNT 0 00
iDDRES)',; 8950 8W PINEBROOK CT PAYMENT DATE t 01/09/92'
SUBDIVISION t
ITUARD, OR 97224-
Pt)HPOSL Or�' PAYMEINT 0MC)UNT P'n I T) PUPPME OF PAYME"N r I'MIOLINT PA It)
FLITs-it.. AMOUNI PAID 26. 25
Gity of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 Sw Hall Blvd. APPLICATION Permit ##
PO Box 23397
Tigard. OR 97223 �.�
(503) 639-4171 _
Table 3A Mechanical Code QTY PRICE AMT
Job •" 1) Permit Fee 0 -0 1000
Address �Y -• —
2) Suprile.rneninl^ermit 3.00
.m. a�.�. .. Furnace to 1 0
1) incl. ducts 8 vents 6.00
_ urnace 100,000 4
Owner ~• I-)tne4.7ra='k- C4 Cv F
%-22) . incl. dt•cts&vents - 7.50
.»
-Ffoo�rurnance
10 v .1 ( k7 I 3) incl. vent 6.00 --
—`— rr7dnrn.ra «.r
Suspended eater,wall neuter
4) or floor mounted'neater E 00
ti:.»•-! r.w ont not inc. in
Occupant 5) appliance armit 3.00
,p- Repair of heating,re ng
L; ooling, absorption unit 6.00
Boiler or comp, eat pump,orcond.
1 7) to 3 HP absorp unit to 100K BTU 6.00
«. of eror corrrip,heat purnp,air con .
C ��« 8) 3 15 HP absurp unit to 500K BTU - 11.00
Contractor Boiler or comp, eat pump,air cond.
F'de5i
9) 1530 HP absorp unit.5 1 mil BTU 15.0010e raillumn 10, COW&a •. on^ i er or comp, eat pump,air cI(� "2 10) 30 50 HP absorp unit 1-1.75 mil BTU 22.50
Boiler or comp, at pump,au co
here acknowledge
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 aie in compliance with State it andling unit to
laws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 450
that the number given is correct. (If exempt from State registration, Air handling unit
please give reason below.) 13) 10,000 CTM f 7.50
_ Non portab n
7 14) evaporate cooler 450
Vent fan connected
15) to a single duct 3.00
Ventilation system not
16) included in appliance permit 450
«qmy o servedy
-. � �r� 17) mechanical exhaust _ 450
escrine addition U .T teiiitiort repair U Commercial or in ustrra
to be done residential U non residential O 18) typo incinerator 30.00
-xisting use a of Cther i.e.,woodstove,water S.y,
building or property � _ 19) heater,solar,clothes dryers,etc. 1' 450 U
Proposed use of 20) Gas piping one to four outlets 200
building or property _
21) More than 4-per outletType of fuel-oil O natural gas O LPG O electric Q —-
I'Anunum Fee$25.00 SUBTOTAL
PERMITS BECOMi VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE
IF CONSTRUCTION OR WORK IS SPSPENOED OR _
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED. v --
TOTALai
J
Special Conditions e
Date issued by _-..
MITECNAAT
raAmnd..
BUILDING DEPARTMENT, TIGARD N°
PLUMBING PERMIT
_ holder of a valid plumb Iny contractors license is hereby
af�tharized to cause plumbing work as herein noted to be installed in accordance with the plumbing rode of
Tigard. Such installations regl!;re inspection by the City Inspector who shall be notified not less than four
(a) hours pt:or to the time the installatica;s are ready for inspection. City of 1 igard Business License required
for all contractors and sub-zontractors.
OwnerY Date-
NUM BLA OF TOTAL �EAMIT NO.'S
TYPE OF PEAMIT ITEMS �V FEE ON EACH _ AR10UNT — (Office Use Only)
R JL4 E N T I A L _ S
Sin Ige Farnily_1 bath—each _ 95.00
Ou I,�x_Each 1 bath unit i� __ 25.00
Additional bathrooms—each _ 10.00
'labile Home Spacs—each 15.00
I N 0 1 V I D U A L c 1::i U R E F E E S
i to 50 Fixtures in 1 building—each 7.00_
51 to 100 Fixtures in 1 building_.eAch _ i 2.50 _
101 :o :00 Fixtures in 1 buildi_9—etch _ �^ 2.00
_201 or _mere Fixtures in 1 building—each R _ 1.50
MIS_r_ELLANE0US _
Building Sewer-1st 50 ft. — 10.00
Sewer—each addir.onal 100 ft_ 10.00
_W_a:er Service to building 3.000
rPPrivate NAater Systems—each100 It. _ 10.00 _
Other !Sn-rifyl:
t PERh11T Far Plumbing lwz: ,,,on Phone 639 4171
345 State Plumbing Contractc- By
T n r a t