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10155 SW CENTURY OAK DRIVE ADDRESS: i'lrecords\microflm\targets\building.d c CITY OF TIGARD ill IILDING INSPECTION NOTICE Inspection Line: 639-4175 7usiness Phone 639-4171 Footing Rain Drain Cover/Servics FINAL: Foundation Water Line Ceiling lui Post/Beam biech. SheadSheath Framwq -Mecl Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect. a PosVBeam Struct. -ch. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. 1 Other Date: 1 __ A.M.-_ P.M.- — En Address: l _'�- IC.L'A'--- � 91-� -- Tenant' - —_ St�J MST: -- - - - BUP: Can/Ovm- --- --- MEC: PLM: ------_._ THE FOLLOWING CORRECTIONS ARE REQUIRED: ELF1 _�_.__....-.._.._. T- iz �Z_ Date OVED DISAPPHOVEP/CALL FOR REINSP. /// CF CO February 1, 1996 CIT �� 4�G�� OREGON 1'ERAFIN, LOUIS M KATHERINE 10155 SW CENTURY OAK DR TIGARD, OR 97223 RE; PERMIT#NJEC'91S40 c4 Pit 101."S SO'yrCE1+TURY OAK DR We issued a permit for this project on 5/l/95, however we have no record of any inspection being performed. Permits expire if there has not been an inspcction performed for over 180 days. In that case.. the Building Division may require a new application and fees to corr►mence or continue work. The City may also pursue civil enforcement if work has proceeded without the required inspections. Please advise the Building Division, IN WRITING, within 15 days regarding the status of this project. You may request additional time to complete the project. Respr-nd, IN WRITING, to: Building Division, 13125 SW Vial] Blvd., Tigard OR 97223. 3e sur:to include the following information: 1 Permit#. 2. Address of property. 3. Your name. 4. Your day time phone number. If you are ready to ^hedulc an inspection, please call our 24-h(jur Inspection Recorder at 6-19-417.5. c/ d .)' ��st a a1 h e` n ! o .. f, ( )I'e a ss r- •ftx1 PR J* All- tc)Al i f -fio I't t -7-r,2 ,•c i -rd ooh a h e 6 v 7` .VD /Z +'s�j irk S'f- , �p dt•f- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772 --- - S 14-WWne's-r ik Yel"v0.¢z, r, </ Apia,' -96 - 7r�-62. ;-0 February 1, 1996 CITIf OF TIGARD OREGON SERAFIN, LOUIS M KATHERINE 10155 SW CENTURY OAK DR TIGARD,OR 91223 Re: PERMiT#MEC95-0109 at 10155 SW CENTURY OAK rZ Inspection(s) have been conducted on t�: project.. H wever, lwe have no record of any subsequent or final inspections within the past 1 V da}s. Please note that permits become void if there has not been an inspection performed for over 180 days. In that case, the Building Division may require a new application and fees.o continue work. The City may also pursti civil enforcement if work has proceeded without ivspcetions or if an unfinished project is outstanding Pease advise the Building Division, iN WRITING, within 15 days, regarding the status of this project. You may request additional time to complete the protect. Respond, iN WRITING, to: Building Division, 13125 SW Hall Bled., Tigard OR 97223. Be sure to include the following,information: 1. Permit Ii. 2. Address of Property. 3. Your naine. 4. Your day time phone number. if you are ready to schedule your next inspection please call our 24-hour inspection Recorder at 639-4175. Please call the Building Division at 639-4171 for information regprding the next inspection you require. 13125 SW Hall Blvd„ Tlgard, OR 97223 (503) 539 4171 Tr)D (503) 684-2772 February 1. 1996 CITY OF TIGARD OREGON SERAFIN, LOUIS M KATHERINE 10155 SW CENTURY OAK DR TIGARD, OR 97223 RE: P>FRMIT OPP.,M95-(u)Rt' nt 10155 SW CE:"'TURY OA,1:DR We issued a permit for this project on 5/1/95, however we have no record of any inspection being pertbrmed. Permits (.xpire if there has rot been an inspection performed for over 180 days. In that case, the Building Division may require a new application acid fees to commence or continue work. The City may also purs!le civil enforcement if work has proceeded without the required inspections. Please advise the e3uilding Division, ON WRITING, within 15 days regarding the status of this project. You may request additional time to comphte the project. Respond, IN WRITING, to: Building Division, 1 1231 SW Blvd., Tiga ' OR 97223. Be sure to include the following information: 1. Permit#. 2. Address of property. 3. Your nm,ic. 4. Your day time phone number. If you are ready to schedule an inspection, please call our 24-hour Inspection Recorder at 639-4175. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772 CFYPERMI . .. . . . :OF IGARD COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 13125 SAN Hall Blvo Tlgard,Oregon 97223.6199 (503)639-4171 PORCEL : 2SI11CC---0110!" SITE PDDREGG. . . : 10155 SW CENTURY OAR OR SUaDIVISION. . . . ! SLIMMERFIELD ZOWNG: R—.-17 r-LOCK. . . . . . . . . . . LO 7. . . . . . . . . . . . . Ct-rISS OF WORI%. . :nLT FLOOR FURN. . . . i EVAP COOLERS: TYPE OF USE. . . . :SF UNIT HEATERS— : VENT FANS. . . i OCCUPANCY GRP. . :FR3 V1-.'HTS W/C APPL., I VENT SYSTEMS: STORIES. . . . . . . . s I BCILERS/COMPRESSORS HOODS. . . . . . . t FUEL TYPEC-_----.---------- HP. . . . DOMES. TNCIN-4 : /GAS/ 3--15 HP. . . . s COMML. INC IN: MAX INPUT; IATU 15--30 PE':IATR UNITS: F IRE DAMPERS% 30-SLI HP. . . WOODSTOVES. . s CPS r'RrSSURE—. . : !04- HP. . . . CLO DRYER;. NO. OF UNITS------------~- AIR HANDLING UNITS OTHER UNITS. .- i FLRN ( 100K BTU: 1 10000 c f n : GAS CUILETS'. FURN ) =IOQ.IK BTUs i 10000 C'fm ' Remarks: lnstAlliviq gas water- heater. Oviner : Mn. FURNACE tvp " amct.mt ID), date recpt 16265 SW 85TH -0302 PRMT $ 25. LAO B e15/01/95 !-:)PCT t 1. 25 S 01i!12)1 %9r T'.,GnnD oR 97,224 r, --9014 - one #s 694 Contractor: W,', FURNnCE lf,283- SW n5TH #302 TIGARD nP 97C224 ---------- Photio #: 684-9014 $ 26. 25 TOTAL Reg #— : 07907 REQUIRED INSPECTION'o This versit is fssvsubject to the regulations contained in the Gas Line lnsp Tigard i4w,icipal Code, Statt of Ore. Specialty Codes and all other Final Inspection app,icabIF laws. Al) work will be done in accordance with approved piu,s. This persit will expire if work is not started within IN days of issuance, or if work is suspended for eore Char IN dayx. Call for irispection 639-4175 NEW City of Tigard MECHANICAL PERMIT Planck/Aec. # 13125 SW Hall Blvd. APPLICATION Permit W"15--Olzq Tigard, OR 97223 (503) 639-4171 Table 3A Mechanical Code QTY PHICE AMT Job 1) Permit Foo 0- 0• MX? Address � - � ----' 2) Supplemental Permit 3-;A Furnace to 100, RTU-`- - -- 1) incl.ducts d vents 6.00 -- M - Fumaco 100,000 U I U + Lwner < ym,c-- 2) incl. duds h vents --- 7.50 --MP -'- --T oZ -unto 3) ice. vent 6.00 a"1=1-_._ -- speedo Treater,wa-(fhaa,sr 4) or or floor mounted heater 6.00 eitTiwT'inT - Occupant 5) appliance permit ` 3.00 op R ep5 i-r-67 Ti eabnq-re--ing.- - 6) cooling,absorption unit 6.00 -- _i.>ar or comp,heal pump,air cors ' 7) to 3 HP:absorp unit to 100K BT1J 6.00 �goi er or camp,head Bump,a—ir-conn- `- - -'- r g ^ 6) 3-15 HP;absoip unit to 500K BTU 11.'10 t;o,ltractcr �—��-� -- — i ei of comp Fent pump,air cuio - 9) 15-?0 HP;absorp unit.5.1 mil BTU 1500 Boiler or comp, boat pump,air ca 1)_)V q3 n) 30.50 HP;absorp unit 1.1.75 mil BTU 22.50 hereby 1c)(nowlecigo--tt iat I nave roe i this application,thaf a -goi e-r or co np-fia-fa pump-a'ir cone_ ____. --- ipforrnntion given is correct, `Pt I am the owner or authorized agent 11) >50 HP;absorp unit 1.75 mil BTU 3750 of the owner, that plans submitted are In compliance with StateAir'r n-dlingunit i-- -- -` laws,that I am registered with the Consbuction Contracto('s Board, 12) 10,000 CFM 4.50 that the number given is conact. (If exempt from State r"istration, a an ing urn —` -- -- please give reason bplow.) 13) 10,000 CTM+ 7.50 — 14) evapornte cooler 4,50 --'yonl ran connect - 15) to a single dud 3.00 -- --- - Ventilation system riot - -- -� 16) included i.,appliance permit 4.50 SI1 O i(mv y — l j 17) mechanical exhaust -� -- _ 4.50 scn a word ne vet i ion�aifera on repair ornmerciz o%inrousTnaT- to be done reisidential�@ non-rusiricntla)Q 18) type incinerator 1 30.00 Existing use of— - ---Uffier i.e;-wa—iasTOve,wafer--� - building or property_ — 19) heater,solar, clothes dryers,etc. _J 4.50 Proposed use of 20) Gas piping one to four outlets ' 2.00 •i - building or property ---- T e of fuel-oil g (� U 21) More than 4-par outlet Type Q natural as LPG electric(� Minimum Fee$25.00 SU'.TOTAL PERMITS BECOME VOID IF WORK OR CONSTRUCTION - - AUTHORIZED IS NOT COMMENCED WIT14IN 180 DAYS, OR 5%SURCHARGE � IF CONSTRUCTION O.q WORK IS SUSPENDED OR - ABANDONED FOR A PERIOD OF 160 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL i --- AFTER WORK Ir,COMMENCED. ---- ---- — TOTAL Special Conditions Date issued �j �� by -_- wrscNrrn ..bv..a.. City of'Tigard MECHANICAL PERMIT Planck/Rec. � 13125 SW Hall Blvd. APPLICATION Permit #�G�1�01z Tigard, OR 97223 (503) 639-4171 Table N Coda OTY PRICE AMT u- — Job - J '-., _ ,— 1) Permi.. -0- 0- 10.00 Address — _ (/ 2) Supplemental Permit 3.00 -- i 1) incl.Hudit&vents -- I 6-00 _f it Owner {{ 1 VL 2) incl.ducts i vents 7.50 — �� 3) incl. vent 6.00 'Sspa ater,w -- 4) or Ilocu mounted heater 6.00 Vent not in-cJ. in ;cupani: 5) Rppliano a permit ' 300 L 5 - _�- --parr oTFi`ea�'ing reTnd- ---1-- E) cooling,ebaorption unit 6.00 ---_- ---filar or compTealtpr.,mp,air-- cond. 7) to 3 HP;absorp unit to 100K BTU -_ - 6.00 Maw "s I er or canp-Heat -u—mpair7cn?0. Contractor p,air co 8) 3-1,5 HP;absorp unit to 500K BTU 11.00 I er or comp a p�rn — �— n�- Tj(l4�` I L1 9) 15.30 HP;absorp unit.5-1 mi! BTU 15.00 �t �-•h" •• --'--- i w or comp, as pump,air conte 10) 30-50 HP;absr rp unit t-1.75 mil BTU _- 22-50 T�ereTiy ac!cri-loW ec ge�iaTT ac. road thisav7iP caion, a t e- ---- i er or comp,hent pump,au"" coli informati rr given is ctwrect,that I am the owner or authorized agent 11) > 50 HP;abRorp unit 1.75 mil RTU 37.50 of the owner, that p;dns submitted are In compliance with Staterr am rng unifTo-4-_ laws, that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50 that the ml,noar divan is correct. (II exempt from State registration, X-r an ing u,u I loose give reason below.) 13) 10,000 CTM . 7.50 an portable •�_�.-_._. _ ..--. _ 14) ovaporate cooler 4.50 Vent ten connect 15) to a single duct 3.00 Ventilation system not 16) included in aprlianre poirnit 4.50 74 , 5� i 1 mechanical exhaust 4.50 scn wo new i i ion a ora on repair Commercialor indu to he done residential @ non-residential O 18) type incinamtor N 30.00 r.Ts nig'uaeT— - '----`-� � ler I e.,wo s ove,water building or property _ 19) hooter,solar, clothes dryers,etc. 4.50 14,-,D Prop aso d use of 20) Gas piping one to four outlets ' 2.00 _ budding o••property - 21) More than 4-per outlet Type of fuel -ol)Q natural gas(j LPG O electric(D Minimum Fee$25.00 SUBTOTAL PERMITS BECOME VOiD IF WORK OR CONSTRUCTION - AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE IF CONSTRUCTION OR WORK IS SUSPENDED CIR ABANDONED FOR A PERIOD Or 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SU19TOTAL - AFTER WORK IS COMMENCED. - TOTAL Special Conditions Date issued_ j - I_`i S by�- vtf„lS! �__•_ �rwararwr CITY OF TlGnRI) --- RECEIPT nF PAYMENT RvrEIPT NO. 05-264825 CHECK AMOUNT t 52. 50 NAME a MR. FURNACE HEATING CO. CA al-1 AMOUNT 0. 00 ADDRESS o 16285 GW 85TH AVE. 5-302 FIAYMFNT DATE r 05/01/95 TIGARD, OR 900DIVISION ')7 POR 4— PURPOSE OV PAYMENT AMOUNT PAID PURPOSE OF PAYMEN1 (IMOUNT PAID PLUMBING PERM PLM93--0086 ?".5. 00 ST. BU I I D PER 1. 295 10155 SW CENTURY OAK DR. TOTAL AMOUNT PAI 1) 52. 510 CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223*81 Iq (503)539-4171 PERMIT . . . . . . . 639-4171 DATE" TSS3[.'r_-V-. -3i .111_L :11T[.-: ADDRESS_ 10155 SW CENTURY OPK DR SUDDIvrSION. . . . e SUMMERFIELD BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . ..6 CLASS 71F WORK. . :ALT GARBAGE DISPOSALS. . MOBILE HOME S)PACE3. TYPE OF USE. . . . tSF WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . t OCC(JPANCY GRP. . : R3 F-1_00R DRAINS. . . . . . . c TRAPS. . . . . . . . . . . . . . . S)TORIE'S. . . . . . . . t ) WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . a FIXTURES- LAUNDRY TrPY^. . . , . . s SF RAIN DRAINS. . . . SINKS. . . . . . . . . . : URINALS. . . . . . . . . . . . n GRr_-ASF TQnrlr LAVATOrICS. . . . . : OTHER [- I XTURES. . . . . 'SUB/SHOWERS. . . . ; �;FWER LINE (ft) . . . . WV4Tt.7.R CLOGET'::I. : WATER !_INE (ft ) . . . . DISHWASHERS. . . . : RAIN DRAIN !ft ) . . . . Rem&kg; Instal.liny gas water heater . Owner,i ------------- --------------------- FEES MR. FURNACE type '..%mol-Int by date recpt 16285 S., 857+1 #302 P"MT f 25. 00 B 05/01/95 5PCT 1 1. 2:J 0 05/01/1)Z TIGARD OR 972214 Phone #, 684-9014 Con'tt-actot-.- MR, FURNACE 16285 SW 89TH #302 '11GPRI) OR 97224 Pl--,orie #: 684--9014 $ 26. 25 TOTAL Req #. . : 67907 REQUIRED INsr,ECTIONS phis pvoit is issued subject t� the regulations contained in the Mi sc. Inspiuf i an Tigard Municipal Code, Stitt of Ore. Specialty Codes and all other Final 7nspection applicable laws. All work will be done in azcordance with approved plans. This pertit hill expire if work is not started within IN days of imance, or if work is suspended for tore than IN days. Pei-mittee ISS1.10d Ply : '6m"' Call fat- inspection 6394175 City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # 13125 SW Hall Blvd. Kermit # _PL.rvA -Lbq4, Tigard, OR 97223 (503) 639-4171 MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE N" 4 Di•`°"""' t!ew Single Family Residences Only "- — ❑ 1 BATH HOUSE$140.00 LJ2 BATH HOUSE$195.00 Job FI IS, �5 '..- 6 ) ❑ 3 BATH HOUSE$2.25 00 Address CWM01a ar Fee Includes all plumbing fixtures in the dwelling and the firs, 100 feet J I G� _ of water servkx, sanitary sewer and storm sewer. See fees below. erre.l'e.n.aw.�.q FIXTURES CITY PRICE AMT r Sink 9.00 ""'r A"— �» Lavatory -- 9.00 Owner 1 Tub or Tub/Shower Comb. - 9.00 a"'snft '� r; Shower Only _ - 9.00 Water Closet 9.00 Nw ia.« Mm*—r Dishwasher —�—�— •� 9.00 `^ Garb Occupant ;,- ----- �a Disposal 9.00 *v Ad*" A'°"• Washing Machine 9,00 Floor Drain 9,00 alwmwe Z► Water Heater 9.00 r. Laundry Room Tray 9.00 Urinal -- —9.00 Other Fixtures (Specify)- — 9.00 I.ry•..«. nen. �.� —. . --. Contractor 9.00p _ 9.00 m - — - 9.00 -� T1 "I1Sewer Ist 100' y^ 3000 x n RapYt•tlon%. ray su%TM MD.w. Sewer-ea '.,jilt. 100' -� 25.00 jO <1 '3/'v ? Water Service 1st 100' 30.00 hereby acknowledge that I have road this application, that the Water Service ea. Addit. 200' 25.00 infonTnntion given is correct, that I am the owner or authorized agent of the owner, that plans submitted are in compliance with State laws, that Storm &Rain Drain list 100' 30.W - I am tegititered with the Coastructlon Contractor's Board, that the Storm &Rain Drain Addit. 100' 2500 number given is correct. (If exempt from State registration, please _.. give reason below.) Mobile Home Space 25.00 Back Flow Prevention Device or Anti-Pollution Device 0o °" - Any Trap or Waste Not - C -) Connected to a Fixture y Descr!ba work nrw J@ 'repair 0 Catch Basin 9.00 to be done res',dentlal non-residential Q Insp. of Exist. Plumbing - r- 40.00Rtt - M --�- Sp4dally Requested Inspections -- 40 00/hr Existing use of — - -- ---- - building or property .-_ - _--�_ Rnin Drain, single family dwelliog 3000 -- Resldenfial backflow provantion devices 15.00 Proposed use of -- - --00 bulldut, or property ——'_— '(Except residential backflow prevention devices) NOTICE *Minimum Fee $25.00 SUBTOTAL �; t PERMITS BECOME VOID IF WORK OP C'ONSTF.UCTION - AUTHOP.IZED IS NCT COMMENCED WITHIN 180 DAYS, OR IF 8%BURCHAROE CONSTRUCTION OR WORK !S SUSPENDED OP ABANDONED ---- --- - FOR A PERIOD OF 180 DAY;AT ANY TIME AFTER WORK IS COMMENCED. PLAN REVIEr5126% OF SUBTOTAL - TOTAL Spericl Conditions - -- Date Issued / Uy ��Rli k I--- CITY OF TIGARD RECEIPT OF PAYMENT RECIFFIPT NO. :95-PG4825 CHL'-"K nmour4T 5a. 15 ICA NAME MR. FURNACE HF(ITING CO. CASH AMOUNT 0. 00 ADDRESS y 16285 SW 85TH FIVE. S-302 PAYMLNT DATE s m/ol/,95 T10FIRD, OR SUBDIVISION 97224- PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOIINT PAID M-F-644 6** ST. ff-D" CR" PLUMBING PERM PLM915-0086 2--j. 00 ST. BUILD PEER 1. 25 101,59 014 CENT(JRY OAK DR. TOTAL AMOUNT PAID 52. 50 CITY OF TIGARD MECHANICAL COMMUNITY DEVELOPMENT DEPARTMENT PERMIT 13126 SW Hall Blvd.Tigard,Oregon 97223.8'99 (503)t%39-4171 PERMIT #. . . . . . . : ME;C:9c- 01013 DATE ISSUED: 04/24/95 PARCEL: 26 11 i CC--01 100 ArADVIi_::iS. . . : 101:'-.x5 :'W CEIJTURY Uiii', DR SUBDIVISION. . . . : SUMMERFIELD ZONING: R•-7 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :8 CLASS OF WORK. . :ALT FLOOR FURN. . . . a EVAP COOLE:Rr: TYPE OF USE:. . . . s SF UNIT HEATERS. . : VENT FANS. . . s OCCUPANCY GRP. . :R3 VENTS WIO ADPL: VENT SYSTEMS: STORIES. . . . . . . . s i BOILERS/COMPRESSORS HOODS. . . . . . : f-UEL TYPE,____..-- ._-.-.__w_ 0 IIP. . . . s DOMES. TNCIN: 3-15 HP. . . . . COMML. INC 1 N: MAX I NFUT s BTU 15--30 HP. . . . a REPAIR UNITS: '"IRE DAMPERS?_ : 30-50 HP'. . . . : :•!E]gUSTgVEB. . : GAS PRESSURE. . . 50+- HP. . . . s CLO DRYERS. .. NO. OF UNITa------- -- - ATr HANDLING UNITS OTHER UNITS. : TURN ( 100K BTU: ' 10. 000 c fm ' GAS OUTLET1i. : 1 r'URN ) :1:100K BTU: > 1000121 cfm: Pealar-i�s: Ownere ___._ _.._____-____.._. ._.___-________._.________..______ .__ .___ FEES 5ERAFIN, L. type amount by cliite recpt 1.0155 SW CENTURY OAK DR. PRMT $ 225. 00 B 04/224/95 -- SACT $ 1. e5 B 04/24/97 T T.GARD OR 9704 Phone !h: 680--1467 MR. FURNACE ISC235 SW E35TH #302 TIGARI7 OR 97224 -11-10ne #: 6134--9014 t1 2,6. 25 TOTAL g it. . : 07907 ---_ -- REE'IU I RED INSPECTIONS -------- 'his permit is iseued subject to the regula:ione contained in the Mecnanic::a1 Insp Tigard Municipal rode, State of Ore. Specialty fades W all other Final lnsp^c:tiun apc:IL;ble laws. All worth will be done in accordance with approved plans. This permit will expire if wrrk is not started within 180 day: cr issuance, or if work is suspended for more than A@ days. P e r'M i t t:e e S,n nature !:_ Issued 13Y . . {'tJ .-V1_d ------ Call fat- insper_•t ion - 639- 41'75 City of ,Tigard MECHANICAL PERMIT PiancwRec. #_. 13125 SW Hall Pl:ri. APPLICATION Permit 1 Tigard, OR 97223 (503) 639-4171 esrxipu'c,„ Table 3A Mechanical Code UTY PRICE AMT job ( j 7 �� 1) Perna Fee •0- -0. 10.00 Address ap - 7 2) Supplomental Permit --3.00 -T umaca-bo-T>�t)LZS E1TJ� --- �, J -y �.,t--T:-it J 60 a b- 4 1) Incl.ducts 8 vents r 6.00 Furnace 100,000 WEI+ Owner 16 i� t a /�1( 2) Incl.duds h vents 7.50 Floor umance L) �'�elol 3) Ind. vont 6.00 -- Suspel en ,w-af '9ater 4) or floor mounted heater 6.00 Occupant en no hrhr; in - — 5) appliano•permit 3.00 Repair of oa ng,raanq. -- - 6) coofirt,l,absorption uiA 6.00 801104-or orr comp,fisRFFKmp, air ca r�� s( "h�( (i;I L/ 7) to 3 HP;absorp unit to 100K BTU 6.00 ”�° her roT comp, e��i at pump,an coroT GorltrliCtor r _ y a 8) 3.15 HP;absorp urit to TOOK BTU 11.00 '�-` Uoiler or comp,noal pump,air co , � U Cq-) 9) 15.30 HP;&burp unit.5.1 mil BTU 15.00- f,14-Vr wr or cumpfie'af'pump, air coFid. z. R )��iJ ) �-� J-IJ �( � 10) 30-50 HP;absorp unit 1-1.75 mil BTU 22.50 hereby acknowledge that I have re5a Inis app ica on,that the Bouer or comp, a pump,air cond. - -- iWormation given is correct,that I am the owner or authorized agent 11) >50 HP;absorp unit 1.75 mil BTU 37,50 of the owner,that plans subrnittad are in compliant•with State -AAr handling unit - - laws,that I am registered vilth the Construction Contractor's Board, 12) 10,000 CFM 4.50 that the number given Is corroct. (If exempt Irom State registration, _ it han8ling urn please give reasoah Lelow.) 13) 10,000 CTM+ 7.50 r` --175n per"able 14) evaporate cooler 4.50 '-� en an co6-nwc -----' - ---- 15) to a singe dud 3.00 _ eau aeon system not 16) included in appliance permit _- 4.50 - Hood s•rviuzy'-- 17) mechanical exhaust 4.50 es3 bi,wog cT—new addition al ara on rapair ----Commercial or m' s to be done residential® non-residential Q 18) type incinerator 30.00 xis ng use oer h.•.,woodstove.wa er -- -- building or property_.L\L.1A VN t\LL� 19) healer,solar, doth••dryers,etc. 4.50 Proposed use of 'U �S 0) Lias piping one to four outlets 2.00 ,� building or property C `e"44 T ( --- Typo of fuel-oil v natuntii gas LPG O 211 More then 4-per outlet oloctrc Q re than — - - - Minimum F99$25.00 SUBTOTAL V: PERMITS BECOME VOID IF WORK OR CONSTRUCTION — z AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%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. TOTAL Special Conditions �'— -- -- Data Issued 7 by "1 hr�Ncrairr CITY OF TIGARD — RECEIVIT OF PAYMENT RECEIPT NO. s95-264557 CHECK AMOUNT c 26. 25 NAME i MR.. FURNACE.' 1-4.1ATI'Nth CO. CASH AW]UNT a 0. 00 AnDRESS s 16685 SW 95TH AVE. PAYMENT DATE c 04/24,'95 TIGARD, OR SUBDIVISION 972P4--- r-"l.fRPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID ME=C'F1ANICCiL PE 918 C-19. 00 ST. BUILD PER 1. Ps 10155 SEW CENTURY OAKS W,,. TUTAL AMOUN'T PAID 26. 295 CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4 5 Business Phone: 639 17 Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab a Rou Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Bearn Mech. San. Seweras Line Bldg. Plbg. Underfloor Rain Drain raming PIu Alarm Water Line Insulation Underflr, Insul. Shear W II q Gyp. Bd. -Elect. Date Requested: L Z / Time —AM PM Address: Builder: Permit !t: THE FOLLOWING CORRECTIONS ARE REQUIRED: T Insector: _ Date:. APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE -_Call For Reinsp.