Permit I
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CITY OF 11GARD.. r,,rr;- , ►;� Tcai._ ,
` 4� \ DEVELOPMENT SERVICES - • P ERiII. ~ ►
- • 13125 SW Hall Blvd., Tigard, 0R'97223 (503) 639.4171 DATE I SSUE D ; 11/10/97
• . • • . •
. _ PARCEL '2S 1 15BC 16110 0
aITE 'ADDRESS... [� ; •%LI',IN.O R1ci• _ EID_,. , . . . • . . .
SUPD' V.I'SI ON. . ... . • ,. . . . ZONING ; .
JURISDIC7 TON, 1:" KIN '
•C'_ASS OF WORK. ; ALT .. F CICR Ft.9RRC >i . „ ... '0 , EVAP .COOLERS ^ 0�1 • .
TYPE USE; . SE: � . . . .i
. UN I T 'HE AT.ER S.. ; '
Gt_. .— ,I .• .
VENT FANS; .. ' 0 •
OCCUPANCY GRP,'. ; R3 VENTS W/0 (PPL: 0 17..1 . VENT SYSTEMS.; .1.:'
STGRIE S. ... , .. e 0 B ILERS /COMPRES.SORS . HOOD'S
FUEL TYPES--- ._- - ._.:.... -, .- ..�-.. 0--3 . HP.. ;, o 0 ' DOMES= I NC IN .0 .
• . - 3-15 HP. e ... 0 COMML. I NC I N ; iZt ..
MAX I NP'UT.e 0 . BTU . ' • 15- -3121. HP.... o . 0 : R E P I R UN9.I TS o :0 '
FIRE - DAMPERS'?.. ; 3C.4-50 ..HP'.... , . 0. . , t.JOIJDSTOV ES. .. 0 . • .
GAS • PRESSURE. • . • 510- ' .HP... 0 . • . OLD DRYERS.... 0 .
NO OF. UNITS•--- -•°•••-- --.__ -- -'. A1.1• Ht ND. L I NG : UNI . OTHER UNITS, e , .7
. FURN : ( .1.00K BTU o 1 • (=• 10000 c,s ;n i 1 • • GAS OUTLETS. a _ 0 '
Ft./RN > =1 00K. ..D ru tai > 147LOIZ11Z1 cffn..s 17i . •
Remarks Aid boiler or coo. heat pop, air cond to 3 HP, absorp unit to E0F BTU• • •
•
'and air handling: unit '10,030 CFt9 and ventilation systea not included in appliance . „ .
.arziL: fm, .n ay. 1 -;nn .innla--f Awel -ling.. - _ _ _ - _ - -_ -. - -- _
Owner° . .�.. - -• —
ELDON WILLIAMSGN 'vie aro�tn'ti by date recut`' • 12375 .• SW KING RICHARD' DRIVE . . ' PRMT: . ' 28. 00 GEO 11/i.0/97 KING ,CITY •
. t;I' G- CITY OR. 27224 . • - • ' . •50CT ' . ' I 1,; 40 LEO 11/ .KI.h.if CITY
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Pli o'ri.e• *';.: . .
C;o n; t r ..c... or ; .-=--- .--- ._ ..— .— ._. - -- - - - -- - - -•• — —• -- '
CARSON OIL COMPANY INC •• ,
33. r5 MW . 35TH -,-
PO BOX 10948 . , $ . 29. 40 ' TOTAL ' .,
PORTLAND OR 972=16 -• -0948 , . ..
Ph o.n e • ; #.o 224- -L3516 •
R e cii :h . . . 000083
' . - --- --. REQU T. RED .INSPECTIONS -- -- -- • This 'pet is is ile.d subject to the :regulations' contained in the . Mec ;hat ica• 1 In5-'0 • , _ •
. • Tigard taunicipal Code, State of Ore: Specialty Codes and all other, He'eit i ny Unit Ins; . ' . .
app; cable lasts. All ill work w be done in accordance with . • ' .Co 01 i. n c3 Unt Ins o - • __ _, .. __
• approved Plans.. 'This ,perrit will' expire if stork is not started ,Ducat," I n s rpect. i o:n. � ' .
,
within 1,1 18O days of issuance or if.: Wirt( is Sus pended for' oore . 01,s c:. a n s .n., oect. i o''• ��'
than...40 days. • ,WTTENTION': Oregon law requires you to 'follo,a rules Ti . rrei 1 : :i nos riec L. i on _ '
adepted.by the Oregon•!itility Notification ;Center. ,Those rules are . .:. - _ .
set' /forth in OAR 952 -eli- b10' through OAR' 95 - g1 -mC60. You •nay ' _ _ -._ ._._.—_- .
obtain copies of these rules or direct, questions yo -OtiNC by calling
c503)246- 91,97. - -- .
ISSUE
B ,y; _ Per.1n' ti-t S1i'�+na't;cireo
1 F-F+'..pt t--1-+'-F'+ ++- + rv'-•- i- rF :'a. 4- : ,J.. , l••-F•i- h•- F- F.,_.. F.. F- 1-- i-• i..- F- 1-- i... t 1:- i-'- 1-- F-i-.•1-•f-r••F;i--k.-F- i --S--1 +•- 1-- 1-• r• F- 1••-t-+1-- F: {.4- 4-.'•4• -1-=r4 4- +i..•f-,-t-
.fl ..Ca 11 6'39°-4175 ,by 7x p. ri.. :'For .i.rsoectidrra. needed th'e.•.n'1eri:4., b`s_15ine.S - ri ,deg i• .., ' •
7--r F.. 1.. 1-- F• i-+-,-- 1-_1-. }..:1-44-F -'--1 ÷-1-+ ++4.1- + +4. -14 ..1.- + + + ..: - 1- =1-- 1-1-4F 4--9..- _+:F_4.4.-'-. 1•_1- _,,71•- 1__F11.,.._}..A.- - J- ..I . A_+ ; J__L. 1.1'.:t:.:}.}.s.- t.+1-'.
„NOV- 06 -'97 THU 14:50 ID: FAX NO: • 14601 P02
Nov -06 -97 11:33A Carson Oil Company 1- 503 -227 -8521 i P.03
;1T f .mss TIGARD mecnanicai rermit mppiltrauut t Recd By
3125 SW .HALL BLVD. Commercial and Residential ,Date Redd
1GARD. OR .97223 vase te) P =.
503)• 6394 x304 Date to OS 11 - to -�
Print or Type pelt # ,B ^o y3
Called
,
Incomplete or illegible applications will not be accepted ,
Narr• or Oe.aepreemtiopa • ' Description
14J I LLIAM semi/JO e# . 18J Table IA Mechanical Code CITY I PRiCS MC
Job sum '0'�1°ae Ss • A) Permit Fee .0- -O- 10.00
Address • t 2.375 w KlM(r 11Rir Z :,
®logs eayStals Zip 8) Supplemental Perm% 3.00
Kinifr Crlr � 8722
Name for name a taproom) ) 1.) Furnace to 100.000 BTU 8.00
Owner . €c W r t Seinl Incl. duos & vents
Mailing Address 2,) Furnace 100,000 BTU . 7,50
ME • incl. duos a vents
cnyr$tete Lp rearm 3,) Floor Furnace • 6.00
S,11ME oR Ind. vent •
' Moms ear of totoro ear 4.) Suaoenaeo heater. wall haste! 6.00
.<h•.E__ • or floor mounted heater
Occupant • mooing Aeeassa 5.) vent not ind. in 3.00
aopfiance permit
Cie rState Zip I Rose 61 Boiler or Comp, heat pump, :air Mona. 9:00
to 3 NP; a bsorp. unk to 100K B 6 , .O '
Nan+s 7.) Boiler Or Comp, heel pump, air rand. I 11.00
IC'SOAI. 014 yMPFINiy, rrN0 • 3-15'HP: theory unit to•500K BTU •
Contractor, Marry nawees • 8.) eoller,or comp, .haat purnp,:air cond. 15.00
• 3125 Net . .3.5 14- PO t3 . 109'/11 15-30 HP: abaorp unit .5-1 mil. SITU
Attach copy of, Crry - 200 rSha• p ono % 9:) Boiler or comp, heat pump, air pond, 22.50
Current Licensed AMA
eFt _ , .0e, 9 72q Ss,(, 30-58 HP; absorp unit 1 -1.75 mil BTU "
Drew dorm Cone Goad Lice . O 10.) Boiler or cornp,.heat pump, air end. • 37.50 ,
'3 > 50 HP; absorp unit 1.75 mil•BTU i.
' CO Dueness Tara Moo 0 Ew Oats • 11.) Air handling unit to I 4.50
4 9 3o 9C2 t I cc 1-79 • 10.000 CFldl
Architect Nara 12.) Air handling unit 7.50
/
10.000 CTM • ! 7'
or Medina Manua 13.) Non canable 4.50
evaporate cooler
• Engineer , c4yrdiihe De l Pnphs • 14.) vent an connoted 300
to a single duet •
Describe work • New 0 Addition O Aketalien 0 Repair 0 15,) Venti)atiorrsystem not / 4.50
to be done 4aidenual el Non - residential 0 included in apptlpnOn permit I . 4 i.)
Ade)ttonal Description of wortt 16.) Hood served by
mechaniiatiexhaust • 4 :50
•
•
17) Domestic wdneratO.* 7.50
Esisdng use at . . 16.) Commercial or industrial • 30.00 '
budding or "ft s /Af rR CV TX.; e4.1.4 • type? Incinerator
19.) Clothes dryers. etc. I 4,50
Proposed use of • 20) Other units - 4'50
building or prop»ny ' • '
Type of fuel - olf, C natural gee O LPG O eloctritr, 21) Gas piping one to four outlets 100
I hereby adcn P.440gs that I have reed tors application, that the 22) Mere than 4-per midst (each) 40
Inten+hetion give*, la Wrtect. that I am the owner or authorized agent of
the antler. that glans submitted are in compliance with Oregon State QTY. SUBTOTAL. . 'L1 e
laws_ . J GOO
SigneRUns of 0trmer/Agent Date *SUBTOTAL I
AIK C1✓1A0 - UU �C3 F'b�Of) ltJl 6°/. BURCtWRGE * ,- .
Contact P•rsoI Marne • Phone PLAN REVIEW 25% OF SUBTOTAL ` / / � U •
M I C l:lA€L, ,. dokfeentsv 22 0-8°3 « e : - " . TOTAL 3 '`
tdstlmedtomtddc • - Mlnimum permit fee is 525 + 5% surcharge
tau MI6 ,
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CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639-4175 Business Phone: e: 639 -4171
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Date Requested: ./ 7 11 A.M. y \ P.M. MST:
Location: / 2 7 S / s <1 <C / G itiA BUP:
Tenant: Suite: Bldg: MEC: 97 " 00/3
y3
Contractor: • Phone: PLM:
Owner: e1 VW/44v .may- cRA Phone: ELC:
? �_P , / 4 , a,t1 ELR:
•
SIT:
. BUILDING BLDG (con't) PLUMBING dr UN : /:\►1 Cs" SITE
Site Post/Beam Post/Beam • os : eam ervice Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling l Water Line
Slab Framing Top Out Gas Line Rough -In ` 7 — � UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm umace • Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Low Volt
Approved Approved • pprov:. Approved
Appr /Sdwlk Not Approved Not Approved • • • ,• oved roved Not Approved
FINAL FINAL • t ' .f FINAL
0 Call for reinspection 0 Reinspection fee of $ required before next inspection 0 Unable to inspect
Inspector: Date: //-'/ 2 -2 , Page of