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September 29, 1992 CITY OF TIGA RD
OR
Judy Brickey
12070 SW Karol Court
Tigard, OR 97223 , /9 "
11 )
Re: :12070 SW Karol Court Permit 4 j �W 91.-0209
On September 27, 1991 a permit was issued for the rah, . project .
As of this date, there is no record of any inspectioi tving been
recorded.
Please advise the Building Division of the status of + ', : s project
as soon as possible so that the file may be kept cur,
Please note that any permit without activity for ov41 180 days
(4 becomes void. If you need additional time to complete i.li(° project ,
please contact this department so an extension can be-discussed.
Sincerely,
``"
Robert Thompson
Building Department
Noticeb.rev
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDO (503) 684-2.772
MECHANICAL
C17YOFTIFARD PERMIT'
WYOF RD FERMI r #. . . . . . . : MEC91 -0209
COMIWUNrrY DEVELOPMENT DEPARTMENT I0 7mmi
1312t,SW HWI 8W. P.O.Bcm 23W,TWard,Or"m
or,r—Mil 71 DATE ISSUED: 09/4-7/1j; 1
WTE ADDRESS— : 12070 SW KAROL CT PARCEL: 2SI02BB-00409
5UBDIVISION. . . . . W,()ROL COURT ZON'NG.- R---4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :8
--------------------------
CLASS OF WORK. . :ADD FLOOR T=URN. . . . s EVAP COOLERS:
TYPE OF USE. . . . :SF JN IT (-(EATERS. . : VENT FqNS. . . -
UCCUPANCY GRP. . - R,-3 VENTS W.10 ADPL: VENT SYSTEMS:
STORIES. . . . . . . . : BOILERS/COMPRESSORG HOODS. . . . . . . :
FUEL 0.-;s HP. . . . : IOMES. INCIN:
t /WOD/ 15 HP. . . . : LOMML. INCIN:
MAX INPUT: BTU 15--30 HP. REPAIR UNITS:
FIRE DAMPER5?. . : 30-50 MP. . . . WOODSTOVES. . : t
GAS PRESSURE. . . 50+ HP. CLO DRYERS--
NO. OF AIR HANDLING UN ITs OTHER UNITS. :
FURN ( 100K BTU: 10000 cfm: GAS OUTLETS. :
FURN )=-100K BTU: i 10000 cfm :
Remarks : EXISTING WOOD13TOVE
Uwner-- -------------------------------------- FEES
3-
JUDY SRICKEY type amol-trit 'L ,) date r-ecpt
12070 SW ?',ARC"- CT PRMT $ 25. 00 JLP 09/27/91 —
5P(',T $ 1 JLH 09/2'7/91 --
T IGAPD
TIGAPD OR 9722'3
phone #:
Cantv,actor:
CONTRACTOR NOT ON CILE
-----------
Ptione # S 26. 25 Tr-TAL
------- REQU I RED INSPECTIONS
This perpit is issued subject to th., regulations contained in the Final Insper-,tian
Tigard Municipal Codi, State of Ore, Specialty Codts and all other
applicable laws. All work will be done in accordance with
approved plans. This persit will expire if work is not started
within 180 days of issuance, or if work is suspended for @ore
than 180 days.
Pev mittee Siqnati.ir,e : t,
Isstied V-Avi
Call fov- ` -ispection 639--4175
City of Tigard MECHANICAL PERMIT Planck/Rec. # _.-
13125 SW Hall Blvd.
APPLICATION Permit # —
PO Bex 23397
Tigard, OR 9722.3
(503) 539-4171 OLI
.�. saipbon
t7TY PRICE AMT
Table 3A Mechanical Coo,
1) Permit Fee -0 0 10.00
Job -
Address "' —_ 2) Sr.pplemental Permit 3.00
Furnace to 1k ,
1 incl.ducts b vonts 66.00(G Lo
Y h. lc t czi! Vb7� 1)
v wPhM urnace-�110,Ob01t
f
7 L Z. 2) incl.ducts b vents 7.50
Owner .r710 Floor Furnance
6.00
.—( c,�`� 42
d 0•.
.7 2.2 3 3) incl. vent
.M . uspen eater,wa eater
4) or floor mounted heater 6.00
Vent not i m 3.90
Occupant 5) appliance perrnft
�. --
Repair o eating,r.1%
6) cooling,absorptiar unit 6.00
bolier or comp, Irdat pump,air con
7) to 3 HP abso-p unit to 100K BTU 6.00
MdrQ -----Z1„,,. Boiler or comp, at pump,air con .
8) 3 15 IAP absorp unit to 500K BTU 11.00 _
Contractor i or or comp,Fic-at pump,Or cond.
9) 15 30 HP absoc- ur.it.5-1 mil BTJ 15.00
Boiler or comp,neat pump,air cond.
10) 30.50 HP ab•,orp unit 1.1.75 mi BTU 22.50
icalion Fat t ie --
Boiler or comp, at pump,air cor
I re y ac ow ge at ve rea is appT- 31.50
information given is correct,that I am the owner or authorizeo agent 11) >i50a P absorp unit 1.75 roil BTU
of the owner,that plans submitted are in compliance Milt Slate ling un l fi 4.50
laws,that I am registered with the Construction Contiactur's Pjard, 12) 10,000 CFM
that the number given is correct (11 exempt from State registrabon, 13) t000J CTMund 7.50
,
please give reason belay) --
�on porta
41;0
14) evaporate cooler
—*.Tan conned— 300
15) to a single duct
-- enu abon system not
16) included in appliance permit 4.50
_ .. T'lood serwd by
I T) mechanical exhaust _ 4.50
a terabon repatt ,ammerua or rnstrha
escn-'fie w �� a 1b0n a incinerator 30.00
to be done residential 0 non-residential 0 18) type_ —
toer i.e.,wo stove,water
xisbng use o 19) heater,solar,clothes dryers,etc 4.50 _
building or property -
?0) Gas piping one to four outlets 20C-
proposed
OCAProposed use of —"-
building or property --- --
21) Mor-than 4-per outlet
Type of fuel -od 0 natural gas 0 LPG 0 electric 0
L -- o _
--- Minimum Fee$25.00 SUBTOTAL _ -
FERMITS BECOME VOID IF WORK OR CONSTRUCTION 5%SURCHARGE
AJTHORIZED IS NOT COMr„ENCED WITHIN 180 DAYS,OR _- _.
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONEr r 0R A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMM NC^)
TOTAL
Special Conditions - -
Date issued --- b%
CITY OF TIGARD RECF'&PT OF PAYMENT RECEIPT NO. a91-21795,
CHE.'C14 AMOUNT a 0.0.0
NAME a BttXKEY, JUDY CAS{- 1'.. .., a Z.16.25
ADDRESS 12070 SW KARUL CT PAYMENT DATE. a 09/27/91
SUBDIVISION
TIGARD, OR 97223—
PUHPOc*, OF PAYMENT AMOUNT PAID PURPOSE OF POYMENT AMOUNT PAM
MECHpNiCAL PE 25.00 ST. BUILD PER 1.
W0ODG'rovE PERMIT
TVTAL AMOUN'r PAID 26.25
Aod
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
---
Type of Inspection
Date Requested Time –_ A.M.=__UU p.M.
Address ?/j- / — Permit
Owner --_—__-- ` _�___ Lot #_
l
Builder -- 'n --- ----- --- —
The following Building Code deficiencies are required to be corrected:
Presented to _ �__ f I Approved
Inst:�-ctor _ _ _ Disapproved
Date --
CALL FOR REINSPECTION
0 YES 0 NO
Raceip?#
CITY OF TIGiARD MECHANICAL PERMITPerm
it# _
Description CITY PRICE AMT
Table 3A Mechanical Code
Cit%f of Tigard 1) Permit Fee -0- -0- 10.00
13125 S.W. Hall Blvd. —
P.O. Box 23397 2) Supplemental Permit 3.00
Tigard, OR 97223 ---- ---
639.4175 1 Furnace to 100,000 BTU 6.00
incl.ducts&vents_ _
Furnace 100,000 BTU 7.50
2)
incl.ducts&vents
Name of Development - 3) Floor Furnace 6.00
incl.vent -_
Suspended heater,wall heater 6.00
Job Address )) 4) or floor mounted neater
Address � Z' / — —
Vent not incl.in
3.00
lax Lot Map No 5) appliance permit
Lot Block Subdivision
Repair otheating,reirig.. 6.00
Name(or name of business) 6) cooling,absorption unit
Pnone 7) Boiler or comp to 3 HP 6.00
Mailing Address
Owner absorp.unit to 100,000 BTU_
-- zip — 9) Boiler or comp to 3 HP-15 HP 11.00
City,stale absorp.unit to 500,000 BTU
9) Boiler or comp 15-30 HP 15.00
Name _ absorp.unit'/P-1 miliion
Boiler or romp to 30-50 HP 22.50
MaikngAddresa Phone 10) absorp.unit 1 -1.75 million —
Contractor rit state ,�� zip 11 Boiler or comp to 50 HP 31.50
v ) absorp.uni!1,750,000 BTU _—� _
Air handling unit to 4.50
State Registration City y Bus.rax No. 12) 10,000 CFM _ --
Air handling unit 7,50
1 hereby acknowledge that I have read this application that the information given Is 13) 10,000 CFM i --
correct,that I am the owner or authorized agent of the owner,that plans submitted are in Non portable compliance with State laws,that I am iegistered with the State Builders'Board,that the 14) P 4.50 cooler —
evaporate number givr+n is correct (If exempt from Stale registration please give reason below). - p orate ----
15) Vent fan connected 3.00
- - - to a single duct
_ _ ------------ Ventilation system not 4.50
16) included in appiiance permit
17) Hood served by 4.50
merhanical exhaust
Signature(owner or agent) Date 18) Domestic type 7.50
incinerator --
Describe work Ll addition 1-1 alteration Ll repair I I Commercial or inoustrial
to be done residential ❑ non-residential L-1 191 30.00
type incinerator - --
-
Existing use of Other i.e.,woodstove,water 4.50
building or properly — _-_-�--- - -- 20) heater,solar_,clothes dryers,PIC.
Priposed use of 2.00
building or property ---- --- 21) Gas piping one to four outlets
Type of fuel- oil 1 1 natural gas 11 LPG 11 electric I I 22) More than 4-per outlet'
NOTICE SUB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON-
4%SURCVAR(3E
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 ___—__ -_ _-- ---- ---- -
LAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL T_
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER - -�- TOTAL
V ARK IS COMMENCED. —
Special Conditions ___— --------- —
Date issued by —
� 9
TO CONNFCT
PERMIT
Tigard Sanitary District
DATE
PERMIT 111° 1.6� 9
Py
R1NIT IS GIVEN TO
. y.� -tom'•
OF
TO CONNECT A
AiCT
TO THE SYSTEM OF TIGARD SANITARY LIST
-- --�`�i-- — ISFS [1NTIL CON-
AT f 1«--- 4 IBF;D FREMN COM-
._- HAc BEEN
IS
MADE AND INSPECTION OF CONNECTION
TiIIS F PERAIiT MUST
HE POSTED
ON THE UI:.
NECTION
PLFTED•
TIGAAU EANI1'ARY UISTI[iCT
PERMIT FEE PAID $.... .... ......................
CON ,IN
NECTION SPECTED AND APPROVFU
.t
Superintendent _ ✓
permit No. ..1
609
Address `LJY�M1 f„T T7��T."
permit ekuA,ri,,e
__,__._,_•��__ fete ..,,_ � .�----•--..�n-- �.."�
owner d�_ y A_.._..-_-. _. paid by _a YJ.Rx.�A •_.._..._.._._•-�-�.-
r..
Late rvonnected ,,,, .....
'Type of building Resid .. -......... �` _�,_....._•.
InL%pection. fee
�. �Oh � , ate
Service rate peti by �
contractor ...._�.. ..,._ ....
�..-
�� J,..._
Assessment
Size of connection
i3 ���, c� �e����a.• t 6