9050 SW PINEBROOK STREET i
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_ 9050 S.W Pinebrook Street.
INSFRCTION NO!ICE
City of Tigard Building Departisent
13125 DR Hall Blvd. Tigard, Oregon 97223
Insper_tion Line (Rec-O-Phone): 639�-41755 Business Phone: 639-4171
Inspection: "::I( -Z_
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwll:
Found. Plbg. Tnp Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insul-•:ion -Plumb.
Plbg. underfloor Water Line Gyp. Bd. -Mech.
Date Requesteds, �/ � TiTim�ei AM
Addresst_
BIT del
THE FOLLOWING OORRECTZON3 ARE REQ[1IREOs
- 71-
Inapect:or: _. _ Dates_
APPROVED MRAPPROM APPROVED SUBJECT TO ABOVE
Call For Reinsp.
MECHANICAL
GI�OFTIFARD P,ERMIT
CrrT:�TWAPD T --0 164
COMMUNFTY UEVELOPMENT DEPARTMENT ow ---E RMI MEC-9.1
13126 GW Hull BW. P.O.Box 23397,719@M,Omgon 97223(503)JN-4175 \,
Q——1 "i D"T 1_ I 142[1 14� r —
3TTE ADDRESS. .. . . 09050 SW P'INEBROOK ST PARCEL: 2511 0-04500
'. UBDIV1SION. . . . : F'INEBROOK TERRACE ZONING. R--4. ,j
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :68
CLASS—OF WORK. . :ADD FLOOR FURN. . . . EVAP COOLERS:
TYPE OF USE. . . . :`SF UNIT HEATERS. . : VENT FANS. — :
OCCUPANCY GRP,. . : R3 VENTS WICI AP1P,L: VENT SYSTEMS:
STORIES. . . . . . . . : BOILERS/COMPRESSORS HOODS. . . . . . . :
H'UEL 0-3 HPI. . . . : DOMES. INCIN:
: /WOD/ 3-15 HF-,. . . . : COMML. INCIN,-
MAX BTU 15-3121 HF'. . . . : REPAIR UNITS:
FIRE DOIAP,�RS?. . 30-50 HP. WGODSTOVES. I
GAS PIRESSURE. 504- HPI. . . . CLO DRYERS. . :
NO. OF AIR HANDL..ING UN I TS OTHER UNITS. :
F IRN ( 100K STU: 10000 cfm : GAS OUTLETS. :
FlJ1,k:,1 ) :=1i11t1.1K 6TU: > J 0000 cf in :
Hemar-ks : EXISTING WOUDSTOVE
Uwner-: FEES
WHEELER type affloUnt by date t-ecpt
I
917150 SW PIINEBROOK F,RMT $ 25. 00 JLH 09/25191
5P(.-'T * 1. 25 JLH :-719/25/91
TIGARD OR 97224
FII-iune #:
Loyltl-actor-:
CONTRACTOR NOT ON F=ILE.
26. 25 'TOTAL
Rep
REQUIRED INSPECT IONS
This permit is issued subject to t:-@ regula'.ions contained in the Fina) Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other ............
applicable Id-os. All work will be done in accordance with
approved pl;,ns. This permit will expire if work is n(it started
within 181 days of issuancp, ol if work is suspended for more
than 180 days.
Permittee 5 i q n a t 1-i v e
issi-ted By-
Call fot- inspection 639-41-75
CITY OF TIGARD - RECEIPT OF PAYMEAT RECEIPT NO. ;91-217835
CHECK AMOUNT � 2G.25
NAME WHEELER, NEIL. CASH AMOUNT k7.00
ADDRESS : 9050 SW PINEBROOK PAYMENT DATE a 09/25/91
SUBDIVISION
TIGARD, OR 97224—
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PURPOSE OF PAYMENT AMOUNT PAID PURPOSE: OF PC"IMEN'T AMOUNT PAID i
W-C:HANICAI. PE 25.00 ST.�BUJi.^ PER I,?
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WOODSTOVE PERMIT
TG'TAL. AMCIUMT PAID — - ) c:6.25
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City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION Permit #
PO Box 28397
Tigard, OR 97223
(503) 639-4171
--- . .. escript]on
Table 3A Mechanical Code QTY PRICE AMT
Job 1) Permit Fee 0- 0- 10.00
Address -
2) Supplemental Permit 3.00
Furnaceto 1(S�000 BfU
�l 1) incl. ducts 8 vents 600
uinace 100,000 BIU +
Owner ( �'a�' C 1 - 2) incl.ducts 8 ve-ds 750
a L,t,
Ic ar urnance
1614 3) incl, rent 6.00
Susfencled heater,wa eater
4) or flcor mounted heater 6.00
MWWVAd*w ont not mc. in
Occupant 5) appliance permit 3.00 —
.Ys�.
Repair a heating,re ng.
6) cooling,absorption unit 6.00
... --
Boiler or comp,heat pump,air con .
7) to 3 HP absorp unit to 100K BTU 6.00
.,, «. t— --� Boiler or comp, heal pump,air cond.
8) 3.15 HP absorp unit to 500K BTU 11.00 I _—
Contractor y w. —Tw-- Boiler or comp,heat pump,air cond.
9) 1530 HP absorp unit.5.1 mil BTU 15.00
�r. ...w+N. ----Soi er or comp, eTieat pump,air cond.
10) 30-50 HP absorp unit 11.75 mil BTU 2250
sere y ac owlodge that I have rea is app i5iion,that the Boiler or romp,hwit pump,air cow
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,tha'plans submitted are in compliance with State Tii handling unit to
laws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50 - I
that the number given is correct. (If exempt from State registration, Air haml Mng unit
please give reason below.) 13) 10,000 CTM+ 7.50
Non portable
14) evaporate cooler 4.50
---" Vent tan connected
15) to a single duct 3.00
-- entti a'— ti�I—'on systern not
16) included ininappliance permit 4.50
serWby
—
17) mechanical exhaust 4.50 —
escri w new 0 addition alteration repair UommErcial or industrial
to be done residential O non-residential O 18) type incinerator 30.00
xisting use oOther re.,woodstove,water
building or property _. 19) heater, solar, clothes dryers,etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
building or property— —•.—_—. —�--- -__.
21) More than 4 per outlet _
Type of fuel -oil Q natural gas O LPG O electric Q �^
L NOTICE
Minimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5"'.SUFICHAR43E
IF CONSTRUCTION OR WORK IS SUSPENDED OR ---'
ABANDONED FOR A PER01)OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL _
AFTER WORK IS COMM,:^.ED —
TOTAL --
Specie Conditions _--_--
Date issued
VMrpIFLi
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