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Permit
D - , .,. -,::. ...,..;,,' ,:,,..-,; , . . ,. . ..„ _ . ,. , .., . , , , _ ' '- -' ' . '. ' ,. " ' - t., , - COMMUNI TY�DEVELOPMENTDEARTNT- I)(( _ " DATE. ISSUED: '.03f-•14/95 13125 SW. Hall Blvd :'Tigard; Oregon-97223.8199 (503); 839 -4171' PARCELi 2516,9DD- 05400:1 .- • - ,: l:T- R 6'5 - . S C ADDRESS.' 1'�_ �0 SW- PRINCE ALBERT .. . L T'C -T . c ti SUBDi'VI,SI'ON.. „ . f - - - ZONING: - 'BLOCK.. -. „' LOT _ • . • . • '' CLASS OF WORK..: ALT - •• • FLOOR FURN., : _ ' EVAP COOLERS.:,' • • ' • '.• TYPE, OF - USE..'. - :'SF UNIT' RS a . o -. ' • VENT F ANS. ..•, : -- • , ' " - • ' G.: RP : R3• • •- . - ''VENTS 'W % AI='F'L: ' • VENT S YSTEMS: - ; S`f:UR;Ii =5.. .' ' ' ' - B O I LERS' / COMPRESSORS HOODS .. ... _ • FUEL TYPES - - ' " - ' - 0.? -' HP'. - 1. - DOMES. I NC I N ` ':-/GAS/ • / / . , 15•,'HP COMML. `INCIN: , . - - MAX ' 'INPUT' :' • ` - BTU, - ' 15- 30 - ,`HP : - - . REPAIR • UN'I TS': • ` - ' l FIRE 'DAMPERS ?. ' - 30' „',HP WOODSTOVES. GAS' PRESSURE'... ' - -50 + 'HP. - CLO DRYERS.' - - . ' .• ' ' NO OF • UN'ITS _ A,TR HANDLING UNITS'; -. OTHER':UNT7S. . - ' FURN ` -' <- ' 100 ETU: 1 ' - <`_' 100000!'''c f'm o ,, - GAS OUTLETS. .'- _ ' •, _ FURN )=1K ';. BTU: _ ' ' > 1.00001 c'fmi ' `x' • .' ' - Remark's' Installing fui,rnace„ /,a'ir` • co,nciitioner ,- - - •,' - : - .. , • Owner - - - , . . 1- -- -_ - .- - - • FEES ' . ' -SHI RLE'Y.PARNELL , - . 't y be -• amoiant by i , date` ' r;ecpt - • , • .265p.- .:Jw� r °(S'i NLC� 1= `16+6 - t'f 1= = - ` - 6 _ - -- _ - - - • P'R ir — ? - - - a5 - . 00__ B__ . / 1' " = _ - .-=:.-7,:,_-_ - �:i4x79 • - 5PCT .$ •' - 1' E5' B , ' 03 - = KING ,C ., TY.•O'R 972 a; • • ' ' _. . Phone e 4°4 ' "62.0- 834:.. - -,•:, Co' nit ract.or- r • r;, • - , SPECIALTY HEATT'NGYFA ` " BRICA7I �• _ - - _ .9528 •SW 'T I GARD. ST: w • - ; - '' T •' IGARD- OR,97:�:_3 - -' - t - • Phone #'. ,626=5k43 . - :$' 26. 25 TOTAL, Reg • , •# • o .- : 66578 _,, • I . _ , - REQU T RED' I NSF'EGT'I ONS - -__ _ _ • This =permit is issued subject to the regulat Dins 'Contained in the - _, • .Final- . 'I ns pection • - '-Tigard • Municipal' Code,' State of Ore: Specialty Godes'`and' all. ,other.' - , - ,_ • - applicable laws. All' work will be -done' in 'accordance 'with I . - _ . . ' • ... , . approved plans This peuist will expire if' work - is °•not - Started •- - within' 180• days. of , issuance, or if work • is for sore ,, , • than .18® days.. . Perin ,i�t.te.e Signat�ur e ,,; , •., , -. . _ - , .- I s. B - •, _ . • .,.� ' . .-., ',„, n • ' , • Ca 1 I for in SHinspection on - - 639 =4175 , ° .,,• • - ,, J . ' I ' ,(:- i.. Fi ' ''' i •eP I AA` _ ' _ c - .. 1 : - ;r ` - .r 9' Ili I � .f•I -- -•f 5 -S - _ • L. MAR- 05 —'00 MON 12:35 ID: FAX NO: 14093 P01 City of Tigard MECHANICAL PERMIT Planck/Rec. # 13125 SW Hall Blvd. APPLICATION Permit # 7% r,C/ 9 S' 'I Tigard, OR 97223 1 A a (503) 639 -4171 r , (A."7 am. o. i°m i Descnption Table 3A Mechanical Code QTY PRICE AMT .m... ' Job t 2- (,Sp) 1 r I Nce. ALQ 1) Permit Fee -0- -0- 10.00 Address ' ,1nl4 C J ` y 2) Supplemental Permit 3.00 • """ �' °"may Furnace to 100,000 B1 U � ,� jg Le P� rout( 1 t Z o �lt b 1) inc(. ducts & vents 1 6.00 4 d U r oP4. Furnace 100,000 U I U + Owner La- l sD ennIc.0 Art/iRrt 2) Ind. duds & vents 7.50 Hoer humane ��11 "1:7 3) . Ind, vent 6.00 .4. °' ^". °' l / Suspended heater, wall heater 0714C 4) or floor mounted heater 6.00 '' " *sue ' "' Vent not ind. in Occupant 5) appliance permit 3,00 are DO — Thew of heating, retng. 6) cooling, absorption unit 6.00 Marra f / Bolter or comp, heat pump, air cond. TeC j 4/ �e fliCf7 6 2LO -- ..5 1 4 1 ,1 7) to 3 HP absorp unit to 100K BTU I 6.00 6.0 L� Boiler or comp, heat pump, air cond. Z Contractor ` t S w -r f Ste" 8 ) 3 -15 HP absorp unit as 500K STU 11.00 Boiler or comp, heat pump, air cond- / (71/ ( 71/ _ r 41. 1..- 9) 1530 HP absorp unit .5.1 mil BTU 15,00 osp..6vn►+o. Boiler or comp. heat pump, air cond. 4 , 5 ' 4 --.5 10) 30-50 HP absorp unit 1 -1.75 mil BTU 2200 I hereby acicnowiedge mat I nave read his application, mat me Boiler or comp, heat pump, air cond. information given is corms, that I am 'the owner or authorized agent 11) > 50 HP absorp unit 1.76 mil BTU 37.50 of the owner, that plans submitted are in compliance with State Air handling unit to laws, that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50 that the number given is correct (If exempt from State registration, Air handling unit please give reason below.) _ 13) 10,00o CTM 7.50 / / Non portable r. . . / A i AL. Li di_se 14) evaporate Cooler 4.50 Vent tan connected r 15) to a single duct 3.00 n Ventilation system not L/ D Ort 1� ( 3 L►>L�'‘ 16) included in appliance permit 4.50 �,L��„LL.�� Wee Heed served by 17) mechanical exhaust d,SO Describe work . new U alclition () alteration ( } repair () Commeraal or industrial to be done resideniii nonresidential 0 18) type Incinerator 30.00 > etsbng use of Other Le., wocdsrove, water building or proper 19) heater, solar, dothes dryers, eta 4.50 Proposed use of 20) Gas piping one to four outlets 2.00 building or property 21) More than 4.per outlet Type of fuel - oil Q natural gas 0.. LPG CI eleeric 0 NOTICE Minimum Fee 525.00 SUBTOTAL ,. PERMITS BECOME VOID IF WORK OR CONSTRUCTION /� AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 596 SURCHARGE IF CONSTRUCTION OR WORK IS SUSPENDED OR . _ ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL AFTER WORK IS COMMENCED. . _.. . EDED Post - It"" brand fax transmittal memo 7671 1# 01 pages l• ' f TOTAL Th - 'Se mt e e Gai Vi ci r rmn Rob; n , CI , / Co. co. ate issued ..-- -7 —A3" 9� by 4 �P— / .. (11 (-(.( D t r �J q LI rd, ©�' K i e i f j / ,/� ,, , Dept. , .,/ Phone a _ awl i ! / • • ' X39 - � MAR -07 -' 00 LED 09:31 ID: FAX NO: ##100 P02 KING CITY 15300 &W. 116th Avenue, King City, Oregon 97='4 Phone: 639 -4082 l"rEC�I7° N I CALr. P ERM I T APPLICATION' DATE 5- i9 - King City Business License No. NAME OF APPLICANT: S Pa rrie.ii I PHONE: t0 rZ- -1373.? ADDRESS NAME AND ADDRESS OF PROPOSED JOB : SaVY1 e- 1 PHONE: NAME OF CONTRACTOR; S e C i i i q H eLU4"1 PHONE: CO QO 5 4 / 3 ADDRESS: q5- SLA) TidaIYi Ste LICENSE NO. /'&5 7 DESCRIPTION OF ?:a) ORK TO BE DONE: CUr n a e e /k i r `.oYZ(l . FOR INSTALLATION OF AIR CONDITIONERS PLEASE FILL OUT THE FOLLOWING AND ATTACH TO THE APPLICATION A DIAGRAM OF WHERE THE COMPRESSOR IS SITUATED ON THE PROPERTY. BRAND OF AIR CONDITIONER: BTU'S: NO. OF DECIBELS (BELLS): SIGNATURE OF APPLICANT: * *APPROVED APPLICATIONS ARE VALID FOR SIX MONTHS ONLY ** NOTE: Oregon Homebuilders Law requires that all persons who contract for work on a residence be registered with the Builders Board which means the contractor is bonded and insured on the job sir. For your protection, be certain your contractor is registered by calling the Construction Contractors Board at 1-503-378-4621. FOR OFFICE USE ONLY APPLICATION RECEIVED BY DATE APPLICABLE FEE RECEIVED C CONDITIONS /COMMENTS APPROVED BY / , ,, //I DATE 3 - 7 5 a t A permit t a so be obtained from the City of Tigard Department of Community hevelopment Yes *********************** * * * * * * * *** *** * * ** **** * * * * * ****** * * *** * * *** CITY OF TIGARD INSPECTION REPORT This project has been inspected and Approved Denied Comments Signature Date (City of Tigard please return one copy to King City) CITY OF TIGARD BUILDING INSPECTION NOTICE f .C., e Inspection Line (Rec -O- Phone): 639 -4175 Business Phon • - 71 Inspection: .. 41 , af/U Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk Foundation Plbg. Underslab Rough -in Fireplace Post /Beam Struct. Plbg. Top Out Elec. 'oug -in Post /Beam Mech. San. Sewer Gas Line Plbg. Underfloor Rain Drain Framing - Plumb. Alarm Water Line Insulation Underflr. Insul. Shear Wall Gyp. Bd. - Elect. Date Requested: / /Sf. / IS Time: AM PM Address: / ?—(,o c p�.j owt_e_/Z e- Builder: (p7i —LS 3 Permit #: /29EC 9.' °(42 THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspect. : � / S Date: PPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE _Call For Reinsp.