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9045 SW PINEBROOK STREET 9045 SW PINEBRCOK STREET I CAIco i ••, '�x �+c� Cry rl11 C �.. I� .:iH �.. ,.. •ill. (c;'`�'jriAl,9��14 � .y -"1,.� I�•, MSI r•!� Tl i1, 1• 111�,+S�it.''+"{7 �i:aa 1 '��i •� E ' I�f- , i F+t 11 1 ",/1 t M•r1 VIl�I �p.�j♦� •r'i .� I {Mlit �� hi �R I.a I 1 , 1, • ,�a� s ��. ...I Ci I,7;j�l,j�—_�J 'L^Ij1+.lU�fC!'.i'!`r.+'. :�.•i'�-.•;.�;, '� O C a cn 0 INSPECTION NO ICE City of Tigard Building [department P O. Box 2.397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested_ J ry � � Time. A.M. P.M. Address _ --` Jy �%����"( Permit Owner _- _ __- --_—._--_ ___-- -� Lot #_ Builder ---------------------_-- _ _.__ The following Building Code def irirn^.ies are required to be corr ted: Presented to _ L� Approved Inspector / ___________- _ ❑ Disapproved Date CALL FOR REINSPECTION C7 YE8 ❑ No CITY OF TIGARD M ._'�HANICl1L. PERMIT Permit8 Deecriptlon J Table 3A Mechanical node CITY PRICE AMT I -- I City of 1 fgard 1) Permit Fee -0- 0 10.00 13125 S'N. Hall Blvd — P.O Box 23397 2) Supplemental Permit 3.00 Tigard, OR 97' L3 - _ 639-4175 1 Furnace to 100,000 BTU 6.00 incl.ducts 8 vents __- 2) Furnace 100,000 B7 + 7.50 Incl.ducts&vents Name of Development 3) Floor Furnace B.00 incl.vent —- Suspertded heater,wall heater 6.00 Job Address �^j�� I S r 4) or floor mounted heater _ Address go 'T' L'Q9J�� T—' Vent not incl,in ' 3.00 Tex Lot Map No 5) appliance permit Lot BOGS Subdivision Repair of heating,refrig., 6.00 Namr name of busioet v) I 6) cooling,absorption unit �n f fit-- Boiler or comp to 3 HP — -__ — -- Mailing A&,ess i'fiore 7) 6.00 Owner �Zp. 3(�9 ab:orp.unitto 100,000 BTU — zip 8 Boiler or comp to 3 HP-15 HP 11.00 City/State ) absorp.unit to 500,000 BTU Name 9) Boiler or comp 15-30 HP J22.50 5.00 absorp.unit 14-1 millior. -- Mnrong Address Phone 10) Boiler or comp to 30-EO HP absorp.unit 1-1.75 million Contractor catyislate zip 11) Boiler or t*mp to 50 HP 31.50 absorp.ultit 1,750,000 BTU State Registration No. Y City Bus.Tax No. t 2) Air handling unit to 4.50 10,000 CFM —_ I 13) Air handling unit 7.50 1 hereby acknowledge that I have read this application that the Information given rs 10,000 CFM i _ corned,that I am th•a owner or authorized agent M the owner,that plans cubmittt,d are In corn pliance with St,lte laws,that I am registered with the Slate Builders'Board,that the 14) Non portable 4.50 number given Is oonred.(It exempt from State regisi,atlon please give reason below'# evaporate cooler — —� 15) Vent fan connected 3,00 to a single duct _ _�!A+qmw,: Ventilation system not 4.50 — 10) included in appliance permit - — Hood served by "'50 17) mechanical exhaust _ Slgnstu r w pent► oats 19 Domestic type 7.50 Describe work 0 addition D alteration repair Elincinerator to be done residential non-residential El t 9) Commercial or industrial F30.00type IncineratorEAlsting use of {{ Other i.e.,woodstove,waterbudding or properly____-g! 20) heater,polar,clothes dryere,etc. Proposed use of building or property _ ------ 21) Gas piping one to four outlets 2.00 Type of fue; oil I I natural gas D LPG ❑ electric ❑ 22.) More than 4-per outlet dl4?SE SUB-TOTAL THIS !-ERMIT BECOMES NULL AND VOID IF WORK OR CON- — 4%SURCHARGE STRUCTION AUTHONIZED IS NOT COMMENCED WITHIN 190 DAYS, OR IF CONs:TRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL ABANDONED FOR A PE-1IOD OF 180 DAYS AT ANY TIME AFTER TOTAL ,08 WORK IS COMMENCED. Special Conditions ---- r / Date issued - _ J1��_..__by _ r City of Tigard INSPECTION REQUEST for iNSPES..It PERMIT NO. :--.-- NON TIME S . DATE: a ' �1 � DATE ISSUED :.__L—L-_ OWNERS NAME : --- ADDRESS: — CONTRACTOR ----- TE:;T : Air 0, Woter 0 , Visual L) , Laboratory [] r,gVILT: Approved 0 Disapproved ❑ , Pending U SKETCH: I OfCT0P DATE FN 07 F.: Attach +urPlOrl O"0l test data herru� PLUMBING PERMIT APPLICATION Jurisdiction of No. Type of Fixture Fee Permit No. Permit fee L�- � Water C1o;�ets Toilets 3 Permit Issued Bath Tubs Approved by Lavatory Wash Basin Building Perai y Siiower "� Receipt No. _ ink, Dishwashing—_ �Sinks, Kitchen, _ I -_ Si.nks� Grd1_.na �� Location of Building Bar -- 'z, 5,w, Pr Sinkst_S1op Automat ;.c_DisFiwasner Disposal I,aurid_ry irays_ Name & Address of Owner Drains, Floor �- - L�KrZ� Srcivnter 'p:•ains, Area Drains.. - _ __.Yr✓ Re rig76r�ar 'Rain Drains R_ - — ,Wtomatic washer ` �2, Name & Address of Plumber ourltain—s, -rinkEng _-.-- ___—Fe/ NK noyes Foun'tains� Soda - Hot Water Tank Water Service_ Sized ____---- Urinals - Buildin 61c� r w Alte� r r chi=�a s in s -'Para ------ Ne . s Repair or _____ o__,_, - Lawn Sprinkler_`Systeti� -� _- ---------------____ Swimming Pool Sprinkler System - T' s permit becomes null and void if work or construction authorized is not commenced within 60 days, or if construction or work is suspended or al.andoned for a period of 120 days at any time after work is commenced. All plumbing firms must be licensed by the City of Tigard and Fost a $1,000 bond. I hereby certifv that I have read and. examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this typ- of work will be complied with whether specified herein or not, the granting of a permit does not presume to give authority to violate or cancel -the provisions of any other state or local law regulating construction or the performance of construction. Sign ture�of-Applicant ' City of Tigard INSPECTION REOUEST for IINSPECTION JhME - PERMIT NO. : { DATE: —141Z�Z X DATE (`',SUED:_. I OWI'NERS NAME : - - Cf Pa-► I A D D R E S S : _G? 0 —q r_ - I C 0 N T R A C T OR TEST'. Air ❑, Water ri , Visual Ef, Laboratory ❑ RESULT. Approved , Disapproved ❑ , Pending ;] SKCTCH: I I I I NSPECT DATE ILNOTE : Attach supp!emental tirst date hereto CITYOF= TIGARD ,11,o S W, Main 51,oW 116AR0. ORIGON V7721 APPLICATI(O�N� FOR BUILDING PERMIT New Construction Demolish ❑ Addition Y l Remodel ❑ Mo'M U —���—r--- DATE ISSUED __._.Ltt11 :-1_0 'T — BUILDING PERMIT ZONING_- �_..__ _ No. BUILDING FETE S / •(.O l DATE FttCFIVFDN._.- PLAN CHECK 9 VALUATION $4 ___ OTHERiif `•li+T. g ��y�I RECEIPT No. AR 7S� TOTAL 5 �s• _ TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION CiCENSUS TRACT JOB / LOT 1 I /iNCIS� k. MAP Architect or Engineer Phone Phone Address ,t1 _ �.)NC i•�j?P/� ____ _�._ Builder t1 ter. ► .t __ _..--__— _.__ Phone Address____�12�! ❑ Comm. El Industrials BUILDING USE Single Res. © Multi Res. oc:CUPANCY C-ROUP_ PFo. of Stories Total Height__-__ Arne of Lot - Type of Construction I II III IVOV Floor Area B1� _ 2 Set Backs: FrontZ 5 t Back�1 Front_l,; # '� L.Side /C --------- _ Sewer____-- Septic Tank El Private Sewer Pipe Size ___ _ ('� Water Service Pipe Size /� 'r / Sewer ElDitch ❑ nrywetl I Street ands Curb Requirements—_, DrivewaywYdth No. of Parking Spaces_—_-_ — SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION ADDRESS AS5ICAS-�-- — DATE FIELD CHECK _.._--- PERMIT APPROVED BY ��•'!..i1_L.-- w k will conform with applicat, a codes and ordinance It is un�erstood that all or cf the State of Oregon and the City of Tigard, Oregon, and that the buAlding not be occupied until a Certificate of Occupancy has been /issued by the City of Tigard Building Inspector. 6.1 A -_- Stgnaiure f!App�icarit Addressy Permit No._Z_L_3 Permit charge Owner _ i Connection feet Paid by /I ��� LL1tr�L�•� 1.6. ,(1-r Type of Building Date connected Service Rate_ ` Inspection fee Contractor�� ' Pai . b Y ��Date - 2 Y J� f�' Size of con~,ection Assessment Paid _ I I PERMIT TO CONNECT Tigard Sanitary District PERMIT V t t t 3 DATE PERMIT IS GIVEN TO OF v TO C')NNECT A TO THE SYSTEM OF TIGARD SANITARY DISTRICT AT a+ THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON- NECTION 19 MADE AND INSi ECTION OF CONNECTION HAS BEEN COM- PLETED. PERMIT FEE PAID $. . .......I....................TIGARD SANITARY DISTRICT BY CONNECTION INSPECTED AND P.PPROVED Date �� Superintendent