16490 SW KING CHARLES AVENUE-1 ' DDRESS:
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C'TY OF TIGARD BUILDING INSPECTION NOTICE
Inspection -foe (Rec-O-Phone): 639-4175 Eusiness Phone: 639-4171
Inspection: !//,
Footing Susp. Ceilir Sprink. Rough-in Appr/Sdwl'
Foundation Plbg, Underslab Mech. Rough-in Fireplace
Post/Boam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas line -Bldn.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation S'cFi' ✓l.z.
■
Underfir. In::ul, Shear Wall Gyp. Bd. Elect,
Date Requested: Tima• AM _PM
Address: l�
Builder4-(I Permit
THE FOLLOWING CORRECTIONS AHE REQUIRED:
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Inspector:—Z Date:
t _APPROVED __DISAPPROVED —A'I`PnOVED SUBJECT TO ABOVE
__Call For Reinsp.
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CITY OF TIGARD C� . T PERMI � r
r CRIAIT #. . . . . . . . MEC9� Q__ a1
' COMMUNITY DEVELOPMENT DEPARTMENT DATE:: I ::SUED: 07/10/95
13125 SW Hall Blvd.Tigard,Oregon 07223.8100 (503)639.4171
r'ARCCEL: 26115BB -07400
ro17E ADDRESS. . .. 16490 SW 1-1ING CHARLES AVE
clJBV I V I S I ON. . . . : ZONING;
BLOC:K. . . . . . . . . . . LOT. . . . . . . . . . . . . .
CLASS OF WORK. . :ADD FL JR FURN. . . . : LVnP COOLERS:
TYPE: OF USE. . . . :SF UNIT HEOTERS. . : VENT FANS. . . :
OCCUPANC" GRP. . :R3 VENTS W/O CiPPL. VENT SYSTDIS.
STORIE:S. . . . . . . . s BOILERG,'COMPRESSORS HOODS. . . . . . .
IrUEL TYPE a-_ .._._.._.__.._._..___ 0-3 11P. . . . . D01-'r1,3. IN(-*'IPI:
: /GAS/ / / 3-15 HP. , . . : COMniL. INCIN:
IYIAX INPUT: BTU 15-30 IIF'. . . . s REPAIR UNITS: 1
IRE DWMF'ERa?. . : :30-•50 HP. . . . s WOODSTUVES. . :
GAS F='RE`"GURE. . . . 504- [AP. . . . . CLU DRYERS. . . �
NO. OF UNITE.;_.______...._.___ AIR HANDLING UNITc:> OTHER UNIT;. :
FURN ti 100K l3TU: 1 (- 10000 c.1=m : GAS OUTLETS—,
F-URN : -:.00K BTU: 7 10000 c fm :
amar^ks . INSTALL REGiDENTIA- CARRI1:=R GAS f-"UPNAC'E
rJwrner^. _____-.__.. .______._____._.._____.__.___.________._._.__._.__•_. •._.____ FEE
ALBERT SNEnD type amcil.rnt by date r^ecpt
16490 SW KING CHARLES PRMT $ 0.15. 1210 EiW 07/19/95 -
`:,4=CT 4 1. 25 GW 07/19/95 -
I�,IN(a f;ITY OR97�:���:4
Phone w:
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SUNSET FUEL CD
}p QO BOX 422'07
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PURTLHND OR 9724
r PI-i on e #: ...s4• �If.,l 1 4 -I'6. 25 TOTAL_
r Rey #. . . 002374
REQUIRED INS)PE:CTIONS -_-----
Thin permit is issued subject to the regulations contained in the Gas Line Imp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Machan i c_•al. Insp
applicable laws. All work will be done in accordance with Final Inspection
approved plans. This permit will expire if work is not started
within 160 days of issuance, or if work is suspended for more
than 160 days.
p+ar^mittee a.Lyriati_rr e : _.1_' 1a "-
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Call for- inspection 639-4175
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WED 03:32 I D: FAX N0
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t -JUN-i2-100 71E 12:316 ID: #314 P01
Post-it'brand fax transmittal memo M71
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KING CITY
on IMW_WIIftA`W"rMck.OftMMA
I-iFiCHRN ZCZE L E'LRM T. T ADPL .X <=Jkv ' = ON
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NP_w. l�F A?Pr.TCAY'i P►i''�N=
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AODRFSS�,'��. ��•- ��T�"'r�►' .���,alsi
NAME WID h • S3 F P)05.15wn J_ne ��'`' C •
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1i7�NF OF CQHTR?�CL?CF.:y`
PC-
Piz a �Q10��
poi _ a( no
CF'^.►;R_PT I0cr -,m rACRI{ To ag OnvE
FdR INSTALLA'T1•aN ' ?,!R r;gnrl'_"i+ mEo PLlwAST rrLL ryn� THE gpr,LOwIY1'-
e41TD ?'-TT"C24. TO "_'ME DIAC?—AH CID' WHERE I.E:,: C0I4DPZ53Qt 13 1
BRAND,OLS Al!? COND I T I ONZR: Cair[♦ 2ve
gTp'S; i OF DFCIBEL577
,91G�NAN�tS r(4,14PLICART � a1l1r��. ' •'. ��:+f �
' *;i�PPRdVEL1 !lPpLIL°ATIOi�9 AAE .VArI?` FOR SIX. MONTHS ONLY"
. ,
�il?T: Oregon Hc�rtw!�utiiripry Lwrl t`ivit.r4y•tl sl at peirsniis •r?+o r_An1:rNcf f:,)► un c
oa a rsailtAce be rvAginterad guilders Beord which me hs the
ccritraetor iv bondad and ir,'u.:Td bn the job sit. Yar yap-•r prottotion,
tv coritfa.^.Cor is ha 11 iMaChoi C-o19trUCtLOn
Contractors $csri st t-503^378-661.1 Extevszon 5000:
APPLICATION REGI* ED �Y __ � DATs
: '• APPLICAVnr PIE PEC IVEI7 $• ��,,,�j CoFIDIT_ON�/Ct?t+1M$NT�
v. APPROVED :BY _ Qi4� DATE
--%it aiucr alto ba obtained from rhe City or Tigard. Depactmnt of
' tNqmr xt ity Devoic 'Ment ;. .Yes__ IVo
t#i'*t*#tltt!#!:k**4rft*s#fr7R*�tkx7rx!'xs#1ts'R#it��tt!*#!ll7t4lRfxts*ltk4tAri**
4 T CI ' _4 TF5Afl) 3PWCTI_Q!i IMPORT
Ttis project has been inspected and Approved_ Ilanied
_ Date__ -
(City of Tissed please ratans one copy to Eft-;City)
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.City cf Tigard MECHANICAL PERMIT PiancwRec. # `
13125 SW Hall Blvd. APPLICATION Permit # 0ALC 11-
Tigard,
1l-Tigard, OR 9722.3 � I
(503) 639-4171
Tabie 3A Mechanical Code CITY PRICE AMT
Job �� �(� SL
3 1) Pen tit gee -0- -0- 110.00
Address
2) Supplemental Permit 3.00
Furnace to 100.000 Biu
n1_w i+.L 6.00
1) incl. ducts 3 vent,;
_
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,.,,, A"— L ^� urnace 100,000— U�
�v
2) incl,ducts b vents 7.50
Owner
Floor umance
6.00 1.
3) incl, vent 3
. .Is ......, Suspended heater,wail heater f
4) or floor mounted`seater 6.00 j
Vent not inU.in I
Occupant y 5) appliance permit 3,0U _ r
n epair at healing;refrig.
6) coling,absorption unit 6.00 ,� I
—� der or comp,heat pump, air cond. 1
7) to 3 HP absorp unit to 100K BTU 6.00
u...a.o«. Boder or camp, heat pump, air Gond.
AIN �� - �( 8) 3.15 HP absorp unit to 500K BTU 11.CYJ
Contractor Boiler orca pump, air cond.
A 0 9) 15.30 HP absorp unit.5.1 mil BTU 15.00
I sm. r• . 4ry .N.. Boder or comp,heat pump, air cond.
'25-14 T�4 10) 30 50 HP absorp unit -'i.75 mil BTU 22.50
ere y acVilowledge that I have read this application,that the Iter or camp,heat pump,air can , q
information given is correct, that I am the owner or authorized agent 11) > 5o HP absorp unit 1.75 mil BTU _ 31.50
of ft owner,that plans submitted are in compliance with State Air handling unit to
laws,that I am registered with the Construction Contrnctol's Board, 12) 10,000 CFM 4.150
that the number given is correct. (If exempt from State registration, Aj7F.:n ing unit
please give reason below.) -1 13) 10,000 CTM+ 7.50 l Non portable
14) evaporate coolor 4.50
— Vent tan connect f
15) to a single duct 3.01
ey Ventilation system not
�C/nu/ 16) included in appliance permit 4.5J
.... „y«. W a sprved by
17) mechanical exhaust 4:50 _ 0
E
eOU4 work n addition U alteration repair(Y Cornmeresal or industrial
to be done residential non-residential Q 18) type incinerator 30.00
isbng Use.7 Other i.e.,woodstove,water
building or property 19) heater,solar,clothes dryers,etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
buildng or property _ _
21) felon?than 1-per outlet
Type of fuel -oil Q natural gas 0 LPG Q electric Q a
Notice ,�1
Minimum Fee$25.00 SUBTOTAL w
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT XMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY 11ME PLAN REVIEW 25%OF SUBTOTAL _
AFTER WORK IS COMMENCED.
TOTAL
.-ter
Special Conditions
4 Date'-sued [. by - ) i �_ ► ._L, �._I. t_
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CITY OF T I GARD RF;(;E'.I F*,T OF PAYMENT RECE::I PT NO, s95—P-68214
CHECK AMOUNT s 26. �-15
11 NAM( SUNSET F=UEL CO CASH AMOUNT : 0. 00 � I
AD1)RFli9, r, P 0 BOX 4P287 PAYMENT DATE: t 07/19/9n
PORTLAND, OR SUSD I V I S I ON
97242--0287
PUFlFOSF OF PAYMENT AMOUNT PAIV PURPOSE Or- PAVME'.NT AMOUNT V,AID
ME.GtiAN I,,AL Fir,. ME"C;9 a-0241 25. 00 T. BUILD PER 1. L25 p
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16490 ,W KING CHARLES
TOTAL AMriUNrt PAID
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