11520 SW 98TH AVENUE y
ADDRESS:
TPI
t 'IVV lip AWWur
J
C-0
J
i:Veoods\mlcrotlm\targets\btillding.doc.
MECHANICAL
�'�OFTIGARD i�� PERMIT
WAND
COMMUNITY DEVELOPMENT DEPARTMENT MP'ERMIT #, . . .. . . . : MEC91-0191OM
13125 SW HWI Blvd. P.O.Bout 23397,T;gsM,Oregon X7223(603 639-4 In 1 _ 1 DATE ISSUED: 09/26/91
SITE ADDRESS. . . . 11520 SW *.)a-rH AV PARCEL: 1S!35LD-1b0'79C111
SUED IVIFION. . . . .- GREENLAURG HEIGHTS ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :4
CLASS OF WORK. . :ADD FLOOR FURN_ . : EVAP COOLERS:
'TYPE OF USE. . . . :SF UNIT HEATILRS. . - VENT FANS. . . :
OCCUPANCY GRP'. . : R3 VENTS W/O APDL: VENT SYSTEMS:
STORIES. . . . . . . : BOILERS/COMPRESSORS HOODS. . . . . . . :
FUEL TYPES------_-----_-- 0-3 HPI. . . . - DOMES. INCIN:
:/WOD/ 3-13 HP. . . . COMML. INCIN:
MAX INPUT: BTU 15-30 HP. . . . REPAIR UNITS:
FIRE DAMPERS'?. . : 30-50 HP. . . . . WOODSTOVES. . :
GAS PRESSURE. . . 50+ HP. . . . : CLO DRYERS. . .
NO. OF AIR HANDLING UN I TS OTHER UNITS. : i
FURN ( 101ZIK BTU: 121000 cfm : GAS OUTLETS. :
FURN ) =100K BTU: > 10000 cfm :
Hemark! l install chimney liner "or wood stove insert
Owner: FEES
GLENN LAMM type amoLtnt by date recpt
11520 SW 138TH AVE PRMT $ 5. 00 BCR 09/26/91
5PCT $ 1. 25 SCR 09/26/91
TICARD OR 97223
Phone #:
Contractor:
OWNER
-------------------------------------
Phone #: 26. 25 TOTAL
Req
REQUIRED INSPECTIONS
This permit is issued sub,:ect to thl, regulations contained in t^* Final Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. P11 work will be done in accordance with
approved plans. This permit will expire if work is not started
within 188 days of issuance, or if work is susperldod for more
than 180 days.
Ln
Permittee Siynati.irei
I 's-il-ted BY :
Call for i;ispection 639-4175
CITY OF TIGARD — RECEIPT OF PAYMENT RECEIPT NO. a9l-217891
CHECK AMOUNT a 0.00
NAME : LAMM, GLENN CASH AMOUNT a 26.25
ADDRESS : 11520 SW 98TH AVE PAYMENT DATE 09/26/91
SUBDIVISION
TIGARD, OR 97223—
PURPOSE Or PAYMF',NT AMOUNT PAID PURPOSE OF PAYMENT PMOWNT PAID
ST.
MEC 91-0191 (WOODSTOVE)
TOTAL AMOUNT PAID — — — —> r6,,25
W oil
PERMIT TO CONNECT
Tigard Sanitary District
PERMIT No 1355 RATS 7 C —
PFR311T IS GIVEN TO,',; ( (,�
OF 1 L�,1 3[7 Z Ali' `f+
TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
CL
— --THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MALE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
m1 a o
c-0PERMIT FEE PAID a... T.1 TIGARD SANITARY DISTRICT
J1.iA ��.e........... /
t? _
4- o By
CONNECTION INSPECTED AND APPROVED
Date Superintendent
Address 115a ' 5{-'9P-'k Permit No.
Permit charge_,,�,
Owner ,c� ,� s`�: ,x ill> / Connection fee� 1'J"
Paid by _...,.,_
Type of building s. Date connec Led ,
a Servi-ue rate_ Inspection fee_ S
Ul Contractor Paid 'by Date
Size of connection �� �� AssessmentPaid