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CITY OF TIGARD BUILDING INSPECTION NOTICE
stt° t,`44' Inspection Line: 639-4175 Business Phone: 639-4171
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' Footing Rain Drain Cover/Service FINAL:
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r t Foundation Water Line Ceiling -Plum .1�
fi sem , �>h ,
11
Post/Beam Mech. Shear/Sheath Framing -Meeh.
s i Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect, i �?
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
( ��San. Sewer � GAS Line
5. APPr/Sdwlk Reins. �; t{;�+""';f; r, ��,;,�,�� ■
Other, iy•"
Date: -- M. P.M. En d
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Address: — : /J-�Q,/�S ■
Tenant: Ste: MST: x� r
Con/Own: BUP' —
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MEC
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THE OLLOWING CORRE TIONS AFIE REQUIRED: ELR
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Stif CITY OF TIGARD BUILDING INSPECTION NOTICE c aty
Inspection Line: 639-4175 Business Phone: 639-4171
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Cover/Service F��—IN�A
Rain DrainFooting -Plumb.
Ceiling
Foundation Water Line -Mach.FramingPost/Beam Mach. Shear/Sheath
Slab Plbg.Top Out Insulation -Elect.
PIbg.Und/Fir/ -Bldg.t. GYP• Bd.Post/Beam StrucR
l_n~ Reins.
Appr/Sdwlk
San. Sewer
Oth
Entry:
DaterA.M. P.M.
Address: Ste: MST:
Tenant: BLIP:
e- MEC
( oPLM:
THE FOLLOWCA CORRECTIONS ARE REQUIRED: ELR:
OFAT? G•
rgetel 4rrDate:
Inspector:
ED/CALL F REINSCF
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CITY OF TIGARD MECHANICAL.
DEVELOPMENT SERVICES PERM I T
PE RM T T #. . . . . . . : MEC97-001 CE:
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 DATE ISSUED: 1/ /97
1.�
' PARCEL.: 2S 1 1 JPC-1 5H00
0 S ITE ADDRESS. . . : 1;:'42:'5 SW K I NG R I CHARD DR
SUBDIVISION. . „ . : 701\1 I Nh:
BLOCK. . . . . . . , , . : LOT. . . . . . . . . .
_
CLASS OF WORE;. . :REG FLOOR F!...IRN. n ,. „ : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF" UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :F�3 VENTS W/O APDL: t VF_.N1" 9YSTI':hIS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
F!_IEL TYPES------ - -- 0 3 HP. . . . : Q) DOMES. I NC I N: 0
: /GAS/ / / 3-15 HP. . . . : el COMML. INCIN: 0
i MAX INPUT: 0 BILI 1.°=)- 3Q1 HP. . „ . : 0 REDAIR UNIT'S: 0
a �
FIRE: DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVES. . : Q)
GAS PRESSURE_. . . `150+ HP. . . „ 0 CI_.O DRYERS. . . 0
NO. OF' UNI"FS------ - - - AIR HANDLING UN I'F5 OTHER UNITS. : 0
TURN ( 100K. BTU: 1 (-- 10000 cfm : 0 GAS OUTLI.-ITS. : 1
FURN ) =100K BTU: 0 ) 1000111 cfm : 0
Remarks : instaill fl-rrnance di_iWt<.s, vents R ries piping oi_itlets
FEES
HERD/MARY P001''E:R type amoi-int try dmite recrpt
icc-_'4=5 SW KING RICHARD PRMT $ Enj. 00 TOT 01/23/97 KING CITY
` GCT $ 1. ;::'`; TAT 01./23/97 KING CI1Y
KTNG CITY OR 97224
Phone #:
CTAS HEATING R. APPLIANCE SVC
—325 SE. DIVISION ST i
PORTLAND OR 9720
Phone #: ;235 ;?,3,x'1 $ 26. 2.5 TOTAI._
Reg #. . : 000325 t
_.__..._..--- RFTC U I RED INSPECTIONS
This permit is issued subject to thir regulytions contained in the Gas Line Insp
Tigard Municipal Code, State of Ore, Sp, .31ty Codes and all other Mecfi,-inical Insp
applicable laws. All work will be done .n accordance with Misc. Inspection i
approved plans. This permit will erlpO•e it work is not started Fi.n;il Inspection
within 180 days of issuance, or if work is suspended for more _
than 180 days.
Pe r m i t t e e S i rl rI.� ,i rp
I s s ll p d B y :
.all for inspec---tion - E39-4175
a .�J
fj. JAN-24-197 FRI 02:39 ID: FAX NO: #668 P02
Plan Check#
CITY OF TIGARD Mechanical Permit Application Recd I3y_�
13126 SW HALL BLVD. Commercial and Residential Date Rec'd -23-g1
TIOARD, OR 97223 Date to P.E,
(503) 639-4171, X304 Date DST (�Z 3
Permit#
Print Or Type C21W •
Incomplete or illegible applications will not be accepted
Name Davetapmr:rtt! ro � Description
Table 1A Mechanical Code OTy Plli AMT
Job SieM Morass I suit•M A) Permit Fee 0 10.00
Address
eltlgo kyr a 21p B) Supplemental Permit 3,00
R
Name(or mama ar business) 1,) Furnace to 100,000 BTU 6,00
OV,mer incl.ducts&vents
Melling Addr+t+s 2) Furnace 100,000 BTU+ 7.50
Y 18 2 Incl.ducts&vents
CNyl9tat• zip Phone 3.) Floor Furnace 6.00
7"= .// incl.vent
�Af-nam» •mass) 4) Suspended heater,wall heater 9.00
ddriaaor Floor mounted heater_ _
Occupant Mailing As 5) Vent not incl In 3.00
12 appliancc permit
cihr tato Zip ten• o.) Boller or comp,heat pump,air cons. 6.00
•I/Ar9L to 3 NP;absorp unit to 100K BTU
7.) Boller or comp,heat pump,air cond.� 11.00
3-15 HP;absorp unit to 500K BTU
contractor i Address R.) Boiler or comp,heat pump,air Gond. 15.00
ga 15-30 HP;absorp unit.5-1 mit BTU
Attach copy of We
ik�,
Pham 9.) Boiler or comp,heat pump,air cond. 22.50
Current Licensers 1« Ge�G� 30-t,�H.P.ebr.,orp unit 1-1.75 mil BTU
it.can,908th uc.a Exp.Date 10) Boiler r comp,heat pump,air coed, 37.50
Q yT0 ?50 HP;i corp unit 1.75 mil BTU
co ttrwMxsslasnmotma EXP.Dale 11 ) Air handlinguni,', 4.50
10,000 CFM _
Architect I N2MI 12.) Air handling unit 7.50
10,000 CTM
or Mailing Aaareas 13.) Non portable 4.56
evaporate cooler
Engineer citylsisla zipGin• 14.) Vent fan connected 3.00
_ to a single duct
Describe work New O Addition U Alteration O Repair O 15) Ventilation system not 4.50
to be done Residential O Non-residential U Included in applienre permit
Additional Description of work 19.) Hood served by
mechanical exhaust 4.50
17) Domestic incinerators 7.50
Existing use of 18-) Commercial or industrial 30.00
building or property _ type incinerator
1P.) Clothes dryers,etc. 4.50
Proposed use of 20) Other units 4.50
building or pmperty
Type of fuel-oil Onatural qas�LPG O electric O 21) Gas piping one to four outlets 2.00
I hereby acknowledge that I have read this applicetiot,.that the 22) More than 4-per outlet (ear..h) .50
Information given is correct,that I am tha owner or authorized agent of _
the owner,that plans submitted are in compliance with Oregon State CITY.SUBTOTAL
laws.
Signature of OwnsrfAgent Data _..._.. 'SUBTOTAL Y,
?7 6%SURCHARU
d5
Contact Person Name Phone PLAN REVIEW 25%OF SUBTOTAL
(/ _ TOTAL
Ids c pmt-dnr. 'Minimum p9rrnit f9e is$25•51//surrliarge
Rev 736'
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-417;
Footing Rain Drain Cover/Service FINAL: 1
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing -Mach.
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct. Mach, Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk @I
Other: /
Date: 1'� -L 4 -- A.M. En
Address: 7�
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Tenant: _____ S _ MST:
BUP:
Con/Own: MEC: —_
PLM: _
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: —
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PERMIT ... . . . . . . . B�' 96"" 0340
CIT` OF TIGARD
" COMMUNITY DEVELOPMENT DEPARTMENT DATE 1 _iED: 06/25/96 t
13126 5W Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171
PARCEL: .3115BC-1 5800
SITE ADDRESS. . . : 124.--'5 SW 1-1,11\J6 RICHARD DR �
SUBDIVISION. . . . - ZONING: � •
BLOCK. . . . . . . . . . LOf. . . . . . . . . . . . . .
REISSU FLOOR AREAS.._....--_-_._-__-. EXTERIOR WALL-CONSTRUCTION-
CLASS OF WORK. : REP, F I RST. . . . : 0 Sf N. S: E: W
X 7 Yp'E: OF USE.. . . :SF SECOND. . . : 0 S•f PROTECT
TYPE OF CONST. :SN0 Sf N: S: E: W: ■
OCCUI--'ANCY ORP. :R::� ToTAL.--.-._-�_+_--.: 0 Sf ROOF CONST: FIRE RET'? :
OCCUPANCY LOAD. 0 BASEMENT. : 0 Sf AREA SEF'. RATED:
STOR. : 0 1-IT 0 ft (aARAUG. . . : 0 Sf OCCU SI'=F'. RATED:
BsMT?: ME.Z Z ?: REDID SETBACKS------------ REQUIRED-
F71_OOR LOAD. . . . : 0 psf LEFT": 0 -ft RGHT. 0 ft 1 IR Sf='I:(_: SMUI: DET. .
DWELLING UNITS: 0 FRINI'T: 0 ft REAR: 0 ft FIR ALRM: HNDICF' ACC:
BE_DRMS: 0 BATHS: 0 IMP, SURFACE: 0 F'RO CORR: F'ARI J,I NG: 0
VALUE. $ : :3000 ,
Rem8r-ks : Tear' nff old roof and r^e• roof. €,
Owner.: _.______.________.______._________.____._._ ___.
FEES
MARY RU(:1F'E:R type amol_Int by date ).-ecpt
12425 SW KING RICFIARD4=:.' PRMT 1. 36- 50 CJS 06/0. 5/96 KING CITY
;PCT $ 1. 93 CJS 06/25/96 KING' CITY
KING CITY OR 97�E4
Phone #:
Contractor:
KEITH RICHARDSON HOMES INC
`6015 NE: PUTTS V I LLF RD
w, 'r
OR 97002
w'h o n e #: 503-678-5570 $ 40. 43 TOTAL
Rey #. . . 1103.36
REUUI RE:D INSPECT IONS -- ---This persit is issued subject to the regulations contained in the Mise. Inspection
Tigard Municipal Cade, State of Ore. Specialty Codes and all other M i. s e.
apnlirable laws. All work will be done in accordance with Final Inspection
approved plans. This pereit will expire if work is not started 4,
within 190 days of issuance, or if work is suspended for sore
than 1N0 days.
F'er,mittee :. ignatuoe : ;
I s s i_t e d B y:
3.
Call for- inspection - 6.39-•4175 rr
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JAN-19-'00 THU 23: 13 ID: FAX NO: 4057 P01
• Residential Building Pemit
• ..o81-It-brand tax transmittal memo 7671 pot 1
City of Tigard
13125 SW Hail Blvd. S'1' From
Tigard, OR 97223 t- co.
(503) 639-4171 Fox Phone e
Pe.a t
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Jobsite Address:
�y.11R I I Y 9W I� yr ML id4>''�,4 MMSSM�fy,r 1- I
Subdivision. Kl ir� c/"IL� Lot# �tICoi:EJae thlinM� ,c, � e9M
�I,JJ Planck/Rec #: f
Valuation: 3, 000 - ---- �'
Corner Lot? Y N Permit?� t� .3-
"Y
'Y.PM
Y,t 14 t p AptIJS4„1•�XISI
Flag Lot? Y N Reissue of_ —,� ;2 a
t, _r
Map & TL
Owner:
a--' -- Approvals Required, i
Address:
Planning
Engineering
Phone: Other
Contractor: I Jh A-), JC 11U,f0slkf”)
Itoms Reg uired
Addrees Z�vO/Sl J,?}.:i �, Subcontractors
Truss betailn
Phone: r3 �7) 0 O;her
Contractor's License # lOI s 3J;'
(attach copy of currant Oregon license)
Contact Name A Phone:
Subcontractors: Archltect/Englneer•
Plumbing Address i
Mechanical:
(attach copy of current OR Contractor's License)
Phone:
JOR DESCRIPTION 16c� 4— - qC ' off$� V
Applicant Signature & Phone number l_
RP_cisk--d b ��-C� to Ll �Y�
y' Date Rr•ceivera
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�, i'�"'' bq '` � :g '°$�Y,atx? 'y (p' '"' '�1!f""}H_¢".:xiac�e.,,,�terr �AR,I�`+"'�+.1°t�v.�'`�A"^'.o�Y.T•';F', .YL,!�r,.:
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°.JAN-19-1900 THU 23: 14 I P
------�- F'AX N0:
1#057 P02
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sti„ u' Permit Al Account Description Amount Amt. Pd. Bal. Due
Bldg. Pe"mit (BUILD) 8..� - a•
Plumb. Permit (PLUMB) _ �—
I
Mach. Permit (MECH)
State Tax (TAX) C 2 3
Bldg:
Plumb:
I
Moch: _ I)
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Plan Check (PLANCK) _
Bldg:
Plumb:
Mech., t”
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP) _!
Parks Dev Charge (PKSDC)
Residential TIF (TIF-R)
Mass Transit TIF (T IF-MT)
f Commercial TIF (TIF-C)
Industrial TIF (TIF--)
i
Institutional TIF (TIF-IS)
I
Office TIF (TIF-0)
Water Quality (WQUAL)
i Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
I .Y
Erosion Planck/COT (EROSN)
TOTALS: _