Permit CITY OF TIGA ME C:I IANIC:AI ». PE:RMI 1" ;
crrY ?RD PERMIT NCI. . ME89175!I
COMMUNITY DEVELOPMENT DEPARTMENT OREGON
13125 S.W. Hall Blvd., P.O. Box 23397, Tigard, Oregon 97223, (503) 639 -4175 DATE ISSUED: 8/29/89
PRIM.PMT.NO. 891725
I
JOB ADDRESS: 15143 SW KENTON DR - -
TAX MAP /LOT 2S1 12 SUB: ASHFORD OAKS LT:91 BK.:
LAND USE: R . 5PD •
LOT SIZE:
. ITEM: NO: NO:
WORK CLASS :. NEW , FURNACE <1OOK AIR HANDLP <10 '
USE TYPO: ,: SINGLE. FAMILY FURNACE 100K+ 1 AIR HANDLP 10K .
CONST . TYPE: VN ... _ FLOOR FURNACE EVAI :' . COOLER
OCCUP . GRP . : P3 _ HEATER VENT FAN q
... VENT VENT . SYSTEM -
.F3LR / COMP <3HP HOOD 1 .
N(I 15 TOI't l :E Si : 2 I ; E31._R /i::CIMP :3--15 HP' INC:INE BATOR (DOM',
DWELL. UNITS : , 1 BLR /COMP" 1 5 -•30HP INCINERATOR (COM
FUEL TYPE GAS . EILR /COMP 30-50HP REPA :I :R UNITS . .
MAX. INPUT 13LP /COMP.. 50 ±HP OTHER 2 '
FIRE: DMPPSi 1 GAS PIPING -OUTLETS 1
HIGH PRESS'! .
Low I=' R f_ :::i S '7
REMARKS: . - • •
O
W F
, E S:
N MILLER JAY . PERMIT $10.00 _
E
R p . rt .. BOX 23291 PLAN REVIEW $11.25.
TIGARD OR 97223 FIXTURES $35.00
PHONE (503) 68A-7543 STATE TAX $2.25 .
C 1 • - OTHER ,
0
N
T I
R BELL F•Ii :A'T :I : N(:G INC ..
C 15550 SE PIAZZA AVE: '
T O CLACKAMAS _ OR 97015 - .
R PHONE: ( 503) .2-A3•• -1 181 ,
•
- C- RC : :CS I` ST RAT IO N O .. 1 1417 . TOTAL : $58.50 .
This permit is issued subject to the regulations contained in Title 14 PIECE]: PT NO . Wit U -- �,(7/o
of the TMC, State of Oregon Specialty Codes, zoning regulations 4
•
and all other applicable codes and ordinances, and, it is hereby "` "» __---
agreed that the work will be done in accordance with the plans and RE WUI RED INSPECT:I.ONS
specifications and in compliance with all applicable codes and GAS .LINE; •
ordinances. The issuance of this permit does not waive restrictive POST T• & BEAM .
covenants. Contractor and subcontractors shall have cur c
business tax permits. This permit will expire and become null and FdC) I - :1 :N
void if work is not started within 180 days, or if work is suspended or - 1•• .LNAL. .
abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibility of the permittee to assure .
all required inspections are requested and approved.
f
.C .. ' . . . — — — —
Permitt • g nature )
Issued By: . - ,
FOP OR INSPECTION 639 -4175
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE