12630 SW GLACIER LILY CIRCLE-1 y,
ADDRESS:
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�" NZ SLECTION NOTICECity o¢ Tigaxd Building Department
13125 SW Ball Blvd. Tigard, 0-,.iegon 97223
pection Line (Rec-O-Phone): 639-4175 aueineos Phone: 639-5171
Inspections _ �e /�'��'�-��1
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line LNALs
43
Poet/Beam Struct. San. Sewer Framing -Bldg. -
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor WaterLin e�-. Gyp. Bd. -Mech.
Date Requested:- - Times — JL AM --PH
Addrese:_ � CiLC-� Permit
BuL1dPr:
THE FOLLC%IING CORRRCTIONS ARE RRQUIRED:
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Inspector• ' / _ Date:--7� �
APPROVED `- DIFAPPROVBD _T APPROVED SUBJECT TO ABOVE
Cai.l For Reinsp. i
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CITY OF TifirARD
CIIYOF �p
COMMUNITY DEVELOPMENT DEPARTMENT c>ne" 4 �: 1a1,� i.� fit. . . , . . . : MEC92-0195
131?_S Syj FWI Blvd. P.O.Boot 23397,TOW,Oregon 97223(S03)&W4175
SITE. ADDRESS. . . : 126;3'} SW C333LAC I ER t_I L.LY PIORCEL: I S 133DA•-O4800
Si. BD I V I G 1 ON. . . . : AMAR-T SUMME RLAKE ZONING: R--7
BLOCK. . . . . . . . . . , LOT. . . . . . . . . . . . . : 70
!
GLASS OF" WORK. . :()DD FI-009 F'URN. . . » EVAP COOLERS.
TYPE OF USE. . . . :SF UNIT HEP'TL'RS. . VENT FANS. . .
CJCCUI-`ANCY GRP. . :R3 VENTS W/13 AVIF-"L: VENT SYSTEMS:
`3'T0RIES. . , . . . . : a B01L...L=:fl3. 0MPRE1'.i30RS HOODS. , . . . . . :
•
1'UEL 0-3 HP. . . . : 1 DOMES. INCIN:
:/EL_.Ei i ! 3-15 HP. . . . -. COMML. INCIN:
MAX INPUT'.. BTU 15•-30 HP. . . . : R1-.. j,4.L R UNITS:
FT RE. DAMPERS?— . 30-50 HP. . . . : WOODST'OVES. . :
GAS PRESSURE. . . '50+• MF'�. . . . : CLO DRYERS. . :
NOOF UNITS•- - ---___.... NIR HPNDLTNf_i I..lh117S nTHEEP UNITS. : 4
TURN ( 100K B'T'U— ( 10000 c f rel: l GAS OUTLETS. :
;'I JI4114 1 =100K DT1.1: ) 10000 c f m :
Hc�mc-rrks: :
FEES __.._.____._...____.....
HALIALNU type a01aL1nt by elate r-evpt
126.'O SW 6L.ACILR LILY CIRCI,.E PRMT $ 25. 00 JH 08/17/92 -
5PCT $ 1. r5 JH 081'17/92 -
T I CARD OR 97223
Fhone #a
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C:oritre.c tor:
CLIMATE CONTROL.. HTG A: A--C
333.5 IVW e61-H AVE_
P'CJRT1.l1ND OR 97210
Ptruna l*: x=23-•4396- 9• 26. 25 -rai At-
Req #. . : 62.196
REWUIRti-D INSPECT IONS
This perait is issued subiect to the regulations contained in the Final Inspection
Tigard Municipal Code, State of Ore, Specialty Codes and 311 other ......
_
avolirable law;. All work will ee done in accordance with
_..__..---,--- .......
approved plans, Thio perait will expire if work is r,ct started
within 180 days of issuance, or if work is suspended for enre ___.-__.__.,____•_____...__.___.___. _._,�____..
than 180 days.
i�ermittee Signabo_1re: 7
7 : s _ietJ Liv a
Call for in�frection 6.39 -4175
.. 1
_ uityw ►igara IVILVI IrA11IVI IL- 1 6-I '' rill
13125 SW Kill 7,1d. APPLICATION Permit #
PO Box 233,07
Tigard, OR 97223
(503) 09-4-171
•T'r,N. .«rte«• escnpnon
Tnolu 3A Mechanical lode QTY PRICE AMT
Job �(� .C16C.le IAu lc1) .Permit Foe ——�I •0• 0 10,00
2) Supplemental Permit 3,OQ
..i .0 n•. iwr urnace t0 100,09
1) incl. ducts&vents 8.00
urnace�i00.ODD 8''1�Jr ++
c-
Owner YD incl, ducts 8 vents 150
Ut:O • a d
Floor urnAnce 1.
�DD 3) that. vunt 6.00
1,16'.ice rfj.(L-1 rSuspended ho2ter, wait eater
4) or floor mounted hoaler 6.00 -�
.w vent not ins, In
1CCllPclnt 6) appliance permit W �
ZIP eoarr of heating, re ng. r�
_ F,) cooling, at ,orpflw unit r,.00
of Ier or comp,treat pump,Air conu+
�r�.�+C��jfn'4yo 7) to 3 HP absorp unit to 100K BTU 15.00 L, C
I '�•» oier or comp,heal pump,air cond.
1c--- — 8) 3.15 HP absorp unit to SOCK BTU go-Ur !1.00
F7111, or comp, teat pump, cone"
, 9-);0C) 9) 15.30 HP absorp un!t.5.1 mil B*rU 1=.00
! eller Cr comp,heal pump,air co-11d.
63o 9(.0 10) 30.50 HP absorp unit 1.1 75 mil BTU 22,50
G. , .. ., va res this ap,. T�uon,war the or er or comp, Rat pUmp,air co
ti-at' Am the owner or buthorized agent 11) >50 HP absorp unit 1.75 mil 81 L) 3i,50
l;rry „ rt r•4rns-r:A!,nitfed are in compliance with State Air handling unit to
.villi the Construction Contractor's Board, 12) 10,000 CFM 4.50 �2-�
•.,:•anal (11 Axompt from State registration, Aii han rng unit
' 13) 10,000 CTM
Non porLoble
P
14) evapornln coolbr 1.50 1
_._... ._,._.�. ......_..� __._ ._ Vent an conneclod—_.__._._
i 15) lc a single duct 1 _ 1 rk
enU anon system not
I _ 13a 16) included in appl ansa permit 4,50
r" U. •.w qw:• ._ .. .0 JOt ie vO�r 5y —
17) mechanical exhaust 4.50
-54 AF41ba work nn•.v Uar d�tran;Qj) n teratron repair U Commurcral or induslnal�'--
to na done rusic:ential 0 nr r sidemial 0 18) type incinerator 30.(1)
1(ISh�ng use 07 Mier i.e,wGi0stovo, Water
building or prnporty r, 19) hearer, solar, clothes dryora, etc. 4.50 ! ;
Proposed usa of 20) Gas piping one to four outlets 2.00
bui;ding at prnprrty
Typo of fuel-oil natwal hoc O LPG 211 Morn than Apar outlet
C.1 (.J electnc('•
t' Minimum Fee$25.00 $UBTOTM
• PERMITS BECO"ae VOID IF*)RK Old CONSTRUCTION t
AUTHORIZED IS NOT COMMENCI D WITHIN 180 DAYS,OR 5%SURC14ARC -
L IF CONSTRUCTION OR WORK IS SUSPENDED OFt -
/9ANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
r. AFTER WORK IS COKV%I5NCED. -- —
TOTAL i
► Spnciat Con6,lans
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t c I•rY OF' T I GARD REMPT PT O PAYMENT RECEIPT NO. r 92•-r:tio6o2`
CHECK AMOUNT T02. 50
NAME CLIMATE. CONTROL_ CASH AMOUNT a 0. 00
ALWREt'�C' -1,21,15 NW 26 T 1-1 AVS' POYME.NT DATE o 08 17/9 e
•
SUBD I V ISI ON
PORO-AND, OR
I''URt•'-,0G'iE Or PPVMF V'T AMOUNT PAID PURPOSE OF POYMENT !10111?UNT PAID
M�G.1iG1N I CAL. ►'r 2'S. 00 ME'CHAN I CAL. PE r :i. 00
ST. BUILD IDER .1. i=15 ST. BUILD PER 1. 25
c.
t2630 133W GLACIER 1_11_.Y CIRCLE �
113b'r ^W SUMMER LAKE DR
TOTAL AM01.114'r PO I D - - M> 52. 50
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