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13219 SW CHELSEA LOOP-1 i r � W N t0 N fD r y fD w r 0 0 b i 13219 SW CHELSEA LOOP WK AN MWA W INSPECTION Ni)—fl' City of Tigard Building Department P.O. Box 23391 Tigard, Oregon 97223 ,--ftone: 6394175 Type of inspection Date R Time A M* Addir Permit Owner Lot Builder AA1711016", ep-M d%pm!r The following Building Coda defidencies are required to be corrected: EL*0Fll`6vtd Inspector Presented to Dhapproved Date CALL FOR REINSPECTION YES LI No -jo ol 0 to ro +rcd - 31 too u � , t � ►y W FSI N .t Qm " ao 00 , 1 -4 m q u479 CdI�•I biim'.'r`isSatid�3�aN1i�d�ri�lurm i L � :Yae.,r.::— r.—T - a — — �/�t+ I \ Ib '� ii, .�I► '(1A�1 w Al �, \ �4��. i$y }'%.Si �!{� 1 \ `">�i,��'�.,1�tdu�'C� �N;�+>�.. ..".""". b,�i''I� •11� Mme.>yMr� � .w} � �r{......'ritii.+^ �`,A IIjM�1W� •�.•Yy '�,_,l�p��i,�,/1�. rry�1�^�. ,Y,�� N��.i�N�.n.: '�'� �.• �.Y1AS•'+-+��f��:'t'• ht�•.l-'�°.�.��,,,, � I�,d/�!^�}�wY ^�.'wii+!"�!,+�=��'s%�v��w..M��'k`rr^ .. (, ■vl � I Receit,t# CITY .®F TIGARD MECHANICAL PERMIT Permit# Description Table 3A Mechanicai Codo-- CITY PRICE AMT Cit — -- - — Gy of Tigard -��25 S.W. Hall Blvd. 1) Permit Fera -0- -0- 10.00 B.O. Box 23397 — Tiaard, OR 97223 2) Supplemental Permit 300 639-4175 Furnace to 100,000 BTU 1) incl.ducts&vents 6.00 Furnace 100,000 BTU -f 2) incl.ducts&vents 7.50 Nome of DevelopmentFloor Furnace 3) incl.vent 6.00 Job Address — Suspended heater,wall heater Address % 4) or floor mounted heater 6.00 Tar Lot —Map No. Vent not incl.In Lot �. Block subdivision 5) appliance permit 3.00 Name lot name of business) Repair of heating,refr Ig., 177,Ile F 6) cooling,absorption unit 6.00 Ma16ng A.ddresti, Phone 7) Boiler or comp to 3 HP 6.00 Owner , � r y+ , J S,� absorp.unit to 100,000 BTU City state Zip Boll-,or comp to 3 HP-15 HP �- r - /2 _3 8) absarp.unit to 500,000 BTU _ 11.00 - Nam , — Boiler or comp 15-30 HP 15.00 141-ck�it"S ,�1 P G r 9) absorp,unit 1/2-1 million Mtdling Address Phone Boiler or comp to 30-50 HP Aldo `✓ / f / 10) absorp.unit 1-1.'/5 million 22.50 Ce ntractorclry state — -,,;p Boiler or com to 50 HP 11) 31.50 absorp.unit 1 750,000 BTU i IS tate Negletratfon No. city sue.tax No. 12) Air handling unit to / J� / 10,000 CFM 4.50 I hereby acknowledge that I have read this application that the information given i s 13) Air handling unit 7.50 correct,that 1 am the owner or authorized agent of the owner,that plans submitted are in 10,000 CFM + — compliance with State laws,that I am registered with the State Builders'Board,that the Non portable number glw:n Is correct (If exempt from State registration please give reason below) 14) evaporate cooler 4.50 Vent fan connected „ — • — --- � __-----.--__-- 15) to a single duct 3.00 , -- Ventilation system not 18) included in appliance permit 4.50 Hood served by t7) mechanical exhaust 4.50 / Signature(owner or agent) Date Domestic type Describe work I addition 0 alteration Cl repair i8) Incinerator 7.50 to be done residential k] non-residential ❑ Commercial or Industrial f Existing use of 19) type incinerator 30.00 I building or properly Other i.e.,woodstove,water Proposed use of 20) heater,solar,clothes dryers,etc. _ 4.50 building or property- _ 21) Gas piping one to four outlets 2.00 Type of fuel- oil Ci natural gas I 1 LPG Ll electric LI — — 22) More than 4-per outlet NOTICE - — -- SUB-TOTAL THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- STRUCTION ON STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE �, ) DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25°i°OF'SUB-TOTAL Or ABANDONED FOR A PERIOD OF ib)DAYS AT ANY TIME AFTER - - — — - ---- -- " WORK IS COMMENCED. TOTAL Special Conditions -- - -- - Date issued ��L 'r by / INSPECTION NOTICE City of Tigard Building Department P O Rox 23397 Tigard, Oregon 97223 Phone.639-4175 �� Type of Inspection L � Date Requested _ TingI AM P.M. Address _—. Araa i Permit Owner - - --------- Lot # — Builder ..__--- --- Thu following Building Code deficiencies are required to be corrected. �II i Ptownhd to —, --- _ Approved _ -- invl'K+ctor -- / r F1 Disapproved Date z --- CALL FOR REINSPECTION � NO INSPECTION NOME City of Tigard Building Department P.O Box 23397 Tigard, Oregon 97223 Phone.639-4175 Type of Inspection Date Requested k 1@0 C<' TIme A.M. _rte P.M. Address, Permit Owner 4 Lot Builder ric following Building Code deficiencies are required to be corrected: Presented to da 4-7rApproved hin,pert.or Disapproved Date CALL FOR REINSPECTION E-) YES F1 NO CITY OF TIGARD 639.4171 torr in8 jMCLi00,S 5960 BUILDING PERMIT 619.41/5 DATE A.�1��` 1986 TAX MAP ___LOT NO. 3La______SUBDIVISION i. 1219 S1•. OWNER—Jay Pti11®r JOB ADDRESS "r same, Y.U. t.ox 3291, T gard BUILDER _ . STATE REG.NO. .3U1U9 __EXP.GATE 11"6 ' t BUILDER'S PHONE 684-7543 A.POHITECT _ PHONE — OTHER STRUCTURE NEW ❑ REMODEL ADDITION 11 REPAIR C_l MOVE 1 OTHER DEMOLITIO!4 .I RESIDENCE COMM f EDUCATION IND I RELIGIOUS 1-1 ACCESSORY I GARAGE OTHER FENCE OCCUPANCY j LAND USE ZONE 4 L G.TYPE 5" FIRE ZONE PLAN CHECK BY 11't' HEAT Lo w.t fT �aall per Akjjprnygii� 1'141111,11111- -"LAISJLL UY d59�2. ,r•h,�.�, . , , ? r t�\ •�� .r SEWER PERMIT#2y145 (100) 2 Lixtft, 5 Cr wu tl � 5i9 OCC.LOAD FLOOR LOAD 4U HEIGHT 2U N0,STORIES AREA I6.1b NO.BEDROOMS4 VALUI?4,9UU r BUILDING DEPARTMENT—`� SETBACKS FRONT 24) REAR LEFTSIDE 6 RIGHT SIDE 1 Permit_ _ 2y5•UU _THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check 4U.UU _ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE PI.Ck.Fire RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS 1 11TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tax .8U SS K; 25O.UU Total SGC— SUG.Ui1 1 G.tll� APPLICANT OR AGENT Prepd. 40.00 PDCI�1 150.UU Sal.Due 3U5•tlU Receipt No.' %I ADDAM —��-- - Issued By ___ _Approved By_ a �i-,;1� IKb DATE INSP, TYPE INSPECTION -� EMARKS PLUMBING DATE .� Contractor K 1 j 2 2 L /2f/( r Permit No. j(v3Z Rough-in ^ Fixture rpt _�_..L�Q/I�C'. Final Aw Alma, HEATING _ contractor Q(,rn_ 4 /p _8 L Par t No 7;0111 LOW, R rgh m Final SEWER Final DRIVEWAY Final Storm Drainage (Rain Drain)Final a � Sidewalk Curb R Street Final _ Approach BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final CERTFICATE OCCUPANCY -- --- --- Landscaping Zoning Frnal I