9720 SW FREWING STREET 9720 SW FREWING STREET
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City of Tigard Building Departaent
131.25 SN nail Blvd. Tigard, Ormlon 97223
Inspection Line (Rec-O-Phone): 679-4175 Business Phone: 6.19-4171
1napect on:T
Footing Plbg. Unducslab tech. P�+�_ Appr/Sdwlk
" Pound.
Plbg. Top Out C Ras Line F1pALt
Poet/Eeam Struck. San. Sewer Frami.n, -Bldg.
9
Post/Ream Mach. Rain Drain Insulation
-Plumb.
Plbg. Underfloor water Line Gy;. Bd. -Mech.
Date Requestedt yp i � Times
AN XPH
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Address: ccs�� 7 —� Ec
I ormit
Builder: -
Tf1E FOLLofiING CORRECTIONS AM RggUIRECD
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I napeotor i
APpROVlD DisAI'^ROVRD Arl'ROVRD SUBJECT 1O
----- ABOVE �
Call ►ur lbiny.
1
MANICAL
P L:R 11 1.T
C17YOFT160
COMM01.0141TY DEVELOPMENT Df ..;NT Cfn'OF TMW R ii IT N E C 0 0275
13125 SW Hmi blvd. P.O.Saw 23397,Tigiud,Orogor
X1767�7 DATE ISSUED- 11/P8/r"10
S11 E ODDRESS. L49/20 SW FREWING PARCE.I. 25102CA-00500
SU11DIVISION., I`.')RC:HAR-D TR(ACTS ZONING- R-4. 15
BLOCK. . . . . . . .. . . .I LOT. . . . . . . . . . . . . : 1.7
I-LASS OF' WORK. . :ADD t=LOOT; PURN. . . . 9 EVAP COOLERSc
TYPE OF UNIT IAEOTERS. .. - VENT FANS. . n
(.XCUPAHCY GRP. . ZR3 VENTS W/o AFJF)L- VEN'r sys'n-Li.,is..
B 0 1 L E R S/C'O 11 PR EP G O'-�9 HOODS. . .
TO R I ES« . . . . . . . .
F*U E L T Y P FS 0-3 HP. . . . DOPIES. INCIN:
::/G 0 S/ 3 - 15 HP. . . . COMMI—, :I.'N(.'1TN:I
MAX INPUT- FIT U 15-":10 HP. . . . - REPAIR UNITS:
F"IRF.- DAMP,ERS?. . : 30-50 111:1. . . . WOODSTOVES. .
CiAS PRESSURE. . . a 50-4. HP. . . . CLO DRYERS,. .
NO. 01 UNITS.......-------- fJR HANDLTN6 11KITTS OTHER UNIT!:").
FURN < 100K PTUsl < 10000 cfni: (.3AS OUTLETS. 1.
�:'URN >=100K BTU: 1.0000 C,fn)-,
F;rm41'k RSIMOV9 existing oil furnace R install new 60% Aniana pas f Lt r I-)a. c e
Owner-, F'E'ES
R. Y. HAYMAN type amount by date reept
9720 SW FREWTNG 17, Y111 18. 90 JLI-I 11/c`28/90
P HT d 18. 00
r.T.GARD OR 97223 5PCT 0. 90
BELI... HEOTINC3 INC'
1.5550 r)TAzzA AVE
['I AU'KIIPS OF, 9701.5
1:)hanp 0- 1.8. 90 TOInt.
Reg 1#- - 44/
RE(MIRED INSPECTIONS
This persi* -s issued subject to the regulations runtained in the Final Inspec%,ion
Tivaro Municipal Code, State of Ore. Specialty Codes and all other ................
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started . .........
within 181 days of issuance, or if work is suspended for more
than 189 days.
PV-rniittPf5iqI1,AtLt-f'CI-
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Call for inspection 639-417b
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i
SEWER PERMIT
Uf
nfied Sewerage Agency
of Washington County CITY OF —, DATE
OWNER : (3egn 1 GG T. A iwtdh PHONE : 6 3 1/
OWNER 'S ADDRESS: zy 7� mw n� ��-
TYPE OF INSTALLATION:
❑ S;.I# SEWER ❑ LINE TAP AND SIDE SEWER ❑ LINE TAP
TYPE'`Qf +KCUPANCY:
❑ NEW ❑ EXISTING SINGLE FAMILY ❑ COMMERCIAL
EXIST. (PRIOR TO 7– , --70 ) ❑ MULT. RES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNITS
ADDRESS OF STRUCTURE : A Oti&_ _
Permit Conditions* The applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
When calling for Inspection, please refer to the Permit Number. The Application expires in one hundred twenty (120)
days. The amount paid will be forfeited should expiration occur.
The Agency does not guarantee the accuracy of the location of side sewer laterals. If the sewer is not located a,
the measurement given, the installor shall prospect three feet in all directions from the distance and depth given.
If not so located, the ;-staller shall purchase a "Tap and Side Sewer' Permit at the current charge and the Agency
will install a lateral at - ;e location specified by the installer.
FEESi
4'r't 0 M I T FEE $
COfJNECTION CHARGE r] 7A
1` LINE TAP INSTALLAT;ON
OTHER
IS5UED BY
--
TOTAL.
APPLICANT – DATE
SEWER PERMIT N?
< < �, o �. 23332
AD0RF. S OF STRUCTURE 90 0 F th4 .a`�• –+ _ __
TAX MAF' Z S� - 2. G TAX LOT 1�D}C�_ —`;Y;TEM AMNO ------
LOT BLOCK _ OF
APPROVED BY y DA �#Arhp#&
E ISSUED BY DATE
D. U . 'S REMARKS Gr`:c S
CITY OF TIGARD MECHANICAL PERMIT Receipt#C I L`Gl0 -v> 7S`
Permit#
Description
Al Mechanical Code CITY PRICE AMT
City of TigardI �a
13125 S.W. Hall Blvd. / 1) Permit Fee -0- •0- 10.00
P.O. Box 23397
Tigard, OR 97223 2) Supplemental Permit 3.00
639-4175 11 Furnace to 100,000 BTU
incl.ducts&vents / 8.00 -V-
2) 100,000 BTU a
2) incl.ducts&vents �'0
Name of Oevebl.mant Floor Furnace
1 --, �u 3) incl.vent 8.00
J s .410
Job Address Suspended heater,wall heater
Address ,y p �f �C� ,�� 4) or floor mounted heater — 8.00
Tex Lot Map No. 5) Vent not incl.in 3.00
Lot Block Subdivision appliance permit
Name(or name of business) 8) Repair of heating,refr ig., 8.00
� cooling,absorption unit
Mailing Address Phone Boller or comp to 3 HP
Owner 7) 8.00
71 f� 5 w Y.'t°u% absorp.unit to 100,000 BTU
City/State — Zip Boiler or comp to 3 HP-15 HP
8)mabsorp.unit to 500,000 BTU 11.00
Nae / 9) Boi!er or comp 15-30 HP 15.00
C< �,�/ , 1. absorp.unit 112-1 million
Mailing Address � R-19 Boiler or comp to 30-50 HP
153-57' 10) absorp.unit 1 -1.75 million 22.50
Contractor CRY/State Zip1 1) Boiler or comp to 50 HP
absorp.unit 1,750,000 BTU 31.50
State Aegistration No. City Bus.Tax Nn. Air handling unit to
12) 10,000 CFM 4.50
I hereby acknowledge that I have read this application that the information given is 13) Air handling unit 7.50
correct,that I am the owner or authorized agent of the owner,that plane submitted are in 10,000 CFM +
compliance with State laws,I..at I am registered with the State Builders'Board,that the Non portable
number given Is oared.(if exemi, .rom State registration pleesa give reatwn below). 14) evaporate cooler 4.50
P.oro✓C L � _,tr1� �a� -�- Vent fan connected
15) to a single duct 3.00
Ventilation system not
✓ �vv c.< 18) included in appliance permit 4.50
Hood served by
-_11�- 17) mechanical exhaust 4.50
Signstur ner or agent) Date Domestic type
Describe work ❑ addition ❑ alteration [ repai,- D 18) Incinerator 7.50
to be done_ residential D non-residential L] _ Commercial or Industrial
Existing use of t 9) type incinerator 30.00
building or properly_ P� _ 20) Other i.e.,woodstove,water 4.50
Proposed use of heater,solar,clothes dryers,etc,
building or property 21) Gas piping one to four outlets 2.00 ,
?ype of fuel- oil O natural gas,,@ LPta D electric ❑
221 More thar,4-per outlet
N�I'1�E
S c
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- SUB-TOTAL
-
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 So-10 416 SURCHARGE y�,
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
Special Conditions
_ — - ---- --�— Date issued by