14200 SW 93RD AVENUE 14200 SW 9380 AVENUE
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection _�, y�� 5TUL,�C�Y Z'"'
Date Requested 2/` — Time A.M. 0 P.M.
Address __�1l��G� S� /_?~ Permit
Owner // G�.�t�CCi _.— Lot
Builder -------
The following Building Code deficiencies are required to be corrected:
Presented to to __. _ ______ Approved
Inspector � ('�� Disapproved
Date / -�21.-–hL61 ——
CALL FOR REINSPECTION
YE! 0 NO
MECHANILI,AL PEAMI'T
C17YOFTIIFARD C RD I.:'Erim.,ur NO. : MEBSE2213
COMMUNITY DEVELOPMENT DEPARTMENTUATE 1:5 I
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13125 S.W.Hall Blvd..P.O.Box 23397,Tigard.Oregon 97223.(503)639-4175
07 /) 1171141M V-1ml, -NO tat:1 12�?I
J./IPOO Sw 931:111) AVE
I'AX MAI:-"/I..(:)*l SOL' : P-L.I.105h: '1'k;.Rr1A(" ' 1-1 . 1.5 Ell<
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IJUPIK GI ASS : ALAT:PAI'TON F:'(.)PN()(:;F--: 0.00K ATP FIANDLk, <10
USE. T'YPI": : 1,00K+ A'11.11:41 HANIX 1:1 J.OK
C0NST . TyI*-'F:.. FI..00P F1.11:04ACE- EVAP .GOOLEW
OCIL'Up . (3AP . VIEATEP VENT F"AN
VLNT VEN'T . SYSTEM
131 P/(:X)MP <31-1p HOOD
NO. STOPIES BL.WCOMP 3-4451-41 11141[w:KNEWATURMOM
OWL-J...L. , 1.0411*15 : P11-SM11011F) 15-301-41P ]:NC':I:NE14AT(JP(("'MM
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MAX I NPLJ F W 50+11-11::' ()THEP :1.
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W 0 Elf-WAIN MC)Nl('.,A P.104m:11, $10 . 00
N 1,14200 SW 931:11) AVE. PLAN 1:4k.:V:I'.E:W
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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 codes and ordinances, and it Is hereby 1W)PEUTAXIINS
agreed that the work will be done in accordance with the plans And 1"114.14 ACE
specifications and in compliance with all applicable codes and 1: :1.NAL.
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and Subcontractors shall have current city
business tax permits This permit will expire and become null and
void if work Is not started within 180 days.or If work Is su3pended or
abandoned for a period of 160 days any time after work has
commenced It shall be the responsibility of the permittee to assure
all required I ispections are requested and approved
I-leimittee Signature
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
ILA I Y Ur- I IUAKU NiL(6.0'HANIC;AL PERMIT Permit N�-- __—v--
C. Description
Table 3A Mectunlcal Code _ QTY PRICE AMT
City of Tigard 1) Permit Fue T -0- 0 10.00
13125 S.W. Hall Blvd.
P.O. Box 23397 — ---- --
Tigard, OR 97223 2) Supplemental Permit 3.00
639-4175Furnace to 100,000 BTU
1 incl,ducts&vents 6'00
) _
Furnace 100,000 BTU +
2 incl.ducts&vents 7.50
Name of Development 3) Floor Furnace
n� incl.vent 6.00
..lob Address1[rsta Suspended heater,wall heater
Address 1 y rL,r ``� t 4) or floor mounted heater 6.00 -
Tax Lot Map No. Vent not incl.in
�;-' -� 5) appliance permit 3.00
Lot Block Suhdivision -- —
Name(or name of business) 6) Repair of heating,refr ig., 6.00
ID
A / �� 5a cooling,absorption unit
kkQ4tMailing Address " Pho�ne Boiler or comp to 3 HP
14
Owner 7) absorp.unit to 100,000 BTU 6.00
4A ;5W --
City;State zia 8) Boiler or conp t to 31 IP-15 HP
11.00
'-� absorp.unit to 500,000 BTU --
Name9) Boiler or comp 15-30 HP
r absorp.unit Y2-1 million 15.00
Mailing Address Phone 10) Boiler or comp to 30-50 HP 22.50 i
absorp,unit 1-1.75 million
Contractor City/State zip 11) Boiler ur comp to 50 HP 31.50
absorp.unit 1,750,000 BTU
Stale Registration No utty Bus.Tax No 12) Air handling unit to 4.50
10,000 CFM
I hereby acknowledge that I have read this application that the information given is 13) Air handling Linit 7.50
correct,that I am the owner or authorized agent ol'he owner.Thalplans submitted are in 10,000 CFM +—
compliance with Slate laws,that I am registered with the State Builders'Board,that theNon portable
number given is correct (if exempt from stale registral 14 please give reason below) ) evaporate cooler 4.50
L e. E C-1 , r `�._L'L , E , 1�;' f 'W-- --- Vent fan connected
15) to a single duct 3.00
-------------- ------ --- ) Ventilation system not
16 included in appliance permit 4.50
_._.__.---------.-- _-__, 17) Hood served by 4.50
mechanical exhaust _
Signature(owner or agent) s bate t 6) Domestic type 7.50
Describe work El addition C7 alteration I i repo!► FJ Incinerator
to be done residential �-- non-residential FJ 19) Commercial or industrial 3000
Existing use of _ type incinerator
building or property 1' l 1 F'' _ 20) Other I.e.,woodstove,water 4.50
Proposed use of
heater,solar,clothes dryers,etc.
- —
building or property_ e witB'O __ -_.__-� 21) Gas piping one to four outlets 2.00
Type of fuel- oil I I natural gas LPC; I I electric ( 1 _
22) More than 4-per outlet
NOTICE -
SUB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON-
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 S% 06 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 5 1
Special Conditions --
t
Date issued try