10935 SW MIRA COURT 10925 SW MIRA COURT
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LNSPECTION_NOTI
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City of 719ard Building Dr4sartment T
/ 13125 SW Ball Blvd_ Tigard, Oregon 97273
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Inspe^_tion Line (Rec-O-Phone): 679-41.75 Bus.ineen Phone 639 1
Inspection:________._.__._. I �. ��-
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbq. Top Out ciao Li,A FINALS
Pont/Beam Struct. San. Sewer Framing -Bldg.
Pont/Ream Mech, Rain Drain Insulation -Plumb.
Pthg. Underfloor Water Lino,/ Gyp. Bd. -Meeh.
4&v
Date Requestedc �..' �?- Times __AM PM
Addresss�Q�S ,�,'/��__. c�' -- Permit 1:
Builder:
THE FOLLOWINf CORRECTIONS ARE REQUIRED:
1 N.l STa�t •�I�_ `TSL l w-�_C __ _
_�__�121= ✓^d Sf�i1C1-7u^J ---_--
i
1
Inspec:tors_y - ------ Dntes_�L�L_� �0
if--APPROVED DISAPPROVED APPROVED SUBJECT 7b ABOVE
call For Reinep.
CITY OF TIGARD MECHANICAL PERMIT Receipt#
3.3125 SW HALL BLVD. Pei ntit#
P. O. BOX 23397 Description -
T I GARD r OR 97223 .� / /�� Table 3A Mac-hankal Code OTY PRICE AMT
(503)639-4175 (�� Cw 1) Permit Fee _ -0- -0- 10.00
Name of Devetopnent 2) Supplemental Permit 3.00
Jobs ---- Furnace to 100,000 BTU 6.00
Address In/ F1;r R C14," r t incl.ducts&vents
Tat:tat'_� Map No. 2) Furnace 100,000 BTU + 7.50
incl.ducts&vents
Lot Bloat Sub*Aebn ---No w to name of busklesa) 3) Floor Furnace 600
" m incl.vent
f MW*gAddress 4) Suspended heater,wall heater—_ 6.00
Ofilmer . ��_ I� M�� 4 f or floor mounted heater
Vent not incl.in
okYt9tow ZIP 5) 300
1 ]lance rmit
7-"q,( � CL � 'f� 17< _ ,PP vpe � J
NSM to WOM of bwkws.) 6) Repair of heating,retr 1g., 600
cooling,absorption unit
MSWVAddrm Phone 7) Boiler or comp to'3 HP 600
Occupant _ absorp.unit to 100,000 BTU _
CRY/state aP 8) '.;oiler or comp to 3 HP-15 HP 1100
absorp.unit to 500,000 BTU
Boiler or comp 15-30 HP
Name ,T 9) 15.00
absorp.unit million
Matting Address pt,o,la - 10 Boiler or comp to 30-50 HP 22..50
x /�3 W.R J,6'7_1
E' /*
1yJ _) absorp.unit 1-1.75 million f _
Contractor CAW ZIP 11_ Boiler or comp to 50 HP 31.50
701 f/4 Id OC V 7, _3� ) absorp.unit 1,750,(00 BTU � _--
state A"fatradon No, CRY Bus.Tax No. 12) Air handling unit to 4.50
10,000 CFM
13) Air handling unit _ 750
I twrotry ada�owleck)e that I have rend Nris appkc�trxt that tt,e kAormurxxis i given 10,000 CFM +
oomwt that I am lira owner(x aWhadzed Ment of Itw owrwr,that plans suUmitted are in --- --- — -
cxxnpMnoe with State taws,that I am registowed with 9w State Bokfers'Elowd,that" 14) Non portable 4.50
member given is correct (if exempt from State mostralion phase q"reason tvlow). evaporate cooler
15) Vent fan connected 3.00
-- - -- - to a single duct
--- ----__ __.-- -_ 16 Ventilation system not 4.50
included in appliance permit
17) Hood served by 4-50
mechanical exhaust
or agent) --- -- Date 18) Domestic type —' 7.50
Describe work ❑ addition ❑ alf,,r ation U repair ❑ Incinerator _
to be done residential ❑ non-residential ❑ t9) Commercial orindustrial — 30.00
Existing use of _ type it
building or properly—_ _ 20) Other i.e.,woodstove,water 4.50
Proposed use of heater,solar,clothes dryers,etc.
tKiilSing or property __ 21) Gas piping oro to four outlets 2.00
Type of fuel- oil f I natural gas IA LPG ❑ electric ❑ _
------ -- 22) More than 4-per outlet
NOTICE SUB-TOTAL
THIS PERMIT BECOMES NULL ANC. VOID IF WORK OR CON
STRUC1ION AUTHORIZED IS NOT '�OMME14CED WITHIN i60 S%SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25r/a OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER ----
WORK IS COMMENCED. TOTAL
Special Conditions --
-____ _ Date issued__—_�_ by _—__
W
MECHANICAL
PERM 11*
C'�OFT-II ----- f)ER111.1*T 0., MEC90-021 I
FA RD
C17YOF TWARD F,R111. PERIIII, 0. 1111-T,90-02 1:1
COMMUNITY DEVELOPMENT DEPARTMENT 02NOON DOM ISSUE'D: 3.0/08/90
1312E SW HWI Blvd. P.O.dar 23397,Tigmid,O"Pgon 97223 (603)AWAl 76
.1 W 9 a. 5 13 W !1110 R A (7
MIRA PARK ZONING: R-4. 5
LLYT.. .. . . . . . . . . . . . ..6
............. ......
CLASS OF WORK. . .-ADD FL.0 0 R 1-"URN. » . . : EVAI.-.' C.001-ERS.-
'T'Y PE 07 W.3 E S F
LJM I T F 4'TERS. VENT FANS.
OC.'1CUF,0W: Y GRFI. ., :R,3 VIEW'S W/O APPL'. VENT' 9)Y S'T L..M1 G
G;'T ORT ES. . . . . . . . a B 0 1 L E R S/C,0 P1 P R E6 3 R5 HOODS . . . . . . .
F UI L I Y F'E G....... DG 14 t:U,.. .1 N(M.I N
::/WOD/ 3••-1 5 HP. . COMM.. 111CIM ,
MAX TWILYf-, BTU 1,':;--1-30 lip'. . 1. REPAIR UNII'S.-
r"IRE: D A M P E'R S 30-50 HP. - WOODG'TOVES. . '. :I
(3(•G PRESSURE. . . » i0+ I.-IF,. . . . t: CLO DF*%1YEF%'S. ., .
HO. (:)F AIR HANDLING UNLU), 01'HER UNITS.-
F U RN < 10(a K 14'T 1.) 10000 (�fn,-. GAS ()irl El"'I.i.
FURN )=100K ICTU, > 1.0000 U ni
FEES
3 U A N ITA HUNT t Y P C..? a ni 0 ck 1 13Y (iate? -re(:Pt
:1 (%)':3;:35 13 W 111 RA CT POYPI $ 15.23 JLH 10/08/90
PRNI, 1.4.50
TIGARD OR 97223 W'C'T' (x. 73
F,1-1 C))-I e ft-,
CHIMNEY IN("
1.2322 Els E 147TH AVE.
P 1'.)RJA-A N D 0 R 97x2 36
#-. $ 15. 23 TOTAL
R P q W, W474
R E a U I R E D r.NSPEC1JONS
This permit ii issued subject to the regulations contained in the F--.JIIAI IrISPLOCIti011 ......
Tigard 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 expi-e if work is not started —-----
witNin 180 days of issuance, Or if work is suspended for more ............
than 166 days.
..........
I i.t t e P C.3 j.g r)a t LtPe 1: 7
......___.._.... .......
wedBy-. ............ ........ .........
(.-'ak 11. ft,Y, i ii s(:)e c t i c)vi C3'3--A1'75
------------
PAYt,Ei,4,r ncccirl No . go 2o2i',544
IT'..' OF 71(jARD P'L .17IP'r Or CliF.(;K AMOUNT 15. Z-
NAME', MUNTZ, JUANITA CW�H AMOLIN I
PAYMEN'T DAIT'
c1Lli)Fir aha I(.,)9`:ter SW M I RA C I CSUFAD I V,S I Ml
TiCiARD, oR, 177227- AMOUNT PA I tj
F"UPPOSE OF PAYMEN'T AMCK.)NT rAm PURPOSE OF' PAYMENT
-V. 7
MCC AAANICAL FS i.I . 15C 9 BU I L D PE
-0TAL AMOUNT PAID 15. 2"*.11
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Address 10�3�5 S.Y]� Mir„ ra �....•,, ,��� Permit No.
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Permit charge
ownerCormection fee „,_u_400
_ . ,..._._...��m...�_d.
Paid by
Type of building Date connected
Service rete
Inspection fee
Contractor .�n..l�r ._..w_.�.� .., .-_._.,. PsId by _ , .W.DDate
Size of connection #. � �' MsessWellt Paid
' SSo - 3 S
R o
PERMIT TO CONNECT $�2 9 �
Tigard Sanitary District
PERMIT V 1-580 DATE_
PERMIT IS GIVEN TO
4
OF
TO CONNECT A �.
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT
TRIS PERMIT MUST BE POSTED ON THE DFISC,RIBED PREMISES UNTIL CON-
NECTION 19 MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID a.... ... .. .....................TIGARD SANITARY DISTRICT
B5
-------- -- - - ---- - - - - --
CONNECTION INSPECTED AND APPROVEP
Date Supeclntendent /