Permit 1
CITYOFTIRD � 'J MECHANICAL
CRYOF WARD PERM I T
COMMUNITY DEVELOPMENT DEPARTMENT �� / PERM I T # • MEC91 —� 224
13125 SW Hall Blvd. P.O. Bac 23397, Tigard, Oregon 97223 (603) 639 -4176 /
639 -4171 DATE ISSUED: /0 / a / 97
SITE ADDRESS...: 12250 SW PARR FOUR ST PARCEL: 25115 * * —KINGC
SUBDIVISION • KING CITY ZONING:
BLOCK • LOT •
CLASS OF WORK.. :NEW FLOOR FURN • EVAP COOLERS:
TYPE OF USE •SF UNIT HEATERS..: VENT FANS...:
OCCUPANCY GRP..:R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES • BOILERS /COMPRESSORS HOODS •
FUEL TYPES 0 -3 HP DOMES. INCIN:
3 -15 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 UNITS AIR HANDLING UNITS OTHER UNITS.:
FURN < 100K BTU:1 <= 10000 cfm: GAS OUTLETS. :1
FURN > =100K BTU: > 10000 cfm:
Remarks: KING CITY GAS FURNACE
Owner: FEES
ETHEL DI RR type amount by date recpt
12250 SW PARR FOUR PRMT $ 25.00 PLL 10/02/91 —
SPCT $ 1.25 PLL 10/02/91 —
KING CITY OR 97224
Phone #:
Contract or:
COLUMBIA HEATING
8900 SW BURNHAM
SPACE E -110
TIGARD OR 97223
Phone #: 624 -2704 $ 26.25 TOTAL
Reg #..: 38026
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Final Inspection
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 expire if work is not started
within 180 days of issuance, or if work is suspended for more
than 180 days.
Permittee Signature. _
Issued By:•
Call for inspection — 639 -4175
lAif KING CITY
15300 S.W. 116th Avenue, King City, Oregon 97224 Phone: 639.4082
COMMUNITY DEVELOPMENT
APPLICATION FOR BUILDING PERMIT
(Instructions on reverse)
DATE It 2- ''
1. NAME OF APPLICANT: E `l-ive 1 ;)-t r( Phone No. ( .o 2-D - ( e7
ADDRESS: ) Z-7-50 544 ever 4-
ADDRESS OF PROPOSED IMPROVEMENT 7k1k4147
2. TYPE OF CHANGE, IMPROVEMENT OR CONSTRUCTION FOR WHICH PERMIT IS REQUESTED.
DESCRIBE BRIEFLY - ATTACH TWO COPIES OF PLANS OR DRAWINGS OF
PROPOSED PROJECT: Q l.e rc Hro 34a.4.5 ' .CA
3 . NAME AND ADDRESS OF CONTRACTOR b w ,
P D ea-oy PHONE NO. to 234-2'7 4 LICENSE NO. W 2-11
Oi % 7 ZZ3
4. NEIGHBORS WHO MAY BE AFFECTED BY THIS PROJECT WILL BE NOTIFIED BY THE CITY.
5. APPLICANT OR HER /HIS REPRESENTATIVE MUST BE PRESENT AT THE PLANNING COMMISSION
MEETING NEXT HELD ON
REPRESENTATIVES NAME PHONE NO.
(The King City Planning 'ssi ill consider only those applications received at least five (5) days
prior to a ling )
SIGNATURE
* * * * * * * * * * * * * * * * * * ** ****************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION RECEIVED BY 11 "\ c C. � ,� J � Q �e -k DATE A i - 2, / i 9/
APPLICABLE FEE RECEIVED $ .� A ' TOTAL / /� v
PLANNING COMMISSION DECISION: Approved Denied
CONDITIONS
Approved applications are valid for six months only
Signature Date
NOTE: Oregon Bomebuilders Law requires that all persons who contract for work on their residence be
registered with the Builders Board which means the contractor is bonded and insured on the job site.
For your protection, be certain your contractor is registered by calling City Ball Ph: 639-9082.
NOTE: A permit must also be obtained from the City of Tigard Department of
Community Development Yes No
*************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
CITY OF TIGARD INSPECTION REPORT
The above listed project has been inspected and Approved Denied
Date Comments
Signature
(Wadding .uvspe e.to4. ptea4 e. na tt,vut. one. (1) copy to King City)
CD 2-87
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Li (Rec -O- hone): 639 -4175 Business Phone: 639 -4171
Inspection: ./ e,e-6
Footing Plbg. Underslab Mech. Rough -in Appr /Sdwlk
Found. Plbg. Top Out FINkL:
Post /Beam Struct. San. Sewer gaming -Bldg.
Post /Beam Mech. Rain Drain Insulation - Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: /V Time: AN s lt
Address: - ■ _ �K/ 1 , '2 i1_ - Permit 1: / -e- 9/
Builder: /r / ./ .. I e � - �� 4/4
THE FOLLOWING CORRECTIONS ARE REQUIRED: /
/
/ /
7
?-tF.--.0 "2-21,e-4 0 A'
Inspector: Date: / 0-0- ,
v APPROVED y DISAPPROVED APPROVED SUBJECT TO ABOVE
,4 4/Call For Reinsp.