15820 SW OAK MEADOW LANE 15820 SW OAK MEALIOW LANE;
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City, of Tigard Mechanical Permit NO.
►JRw lestallation 0 Replace 0 Reiocation C] Addition til Alteration DATE:
HEATING
CONTRACTOR �SA]l ERM.- C"SL(I p.l&C V�..�'.. .� OWNER. 1 <a1.1 (�
ADDRESS (2,64-0.j,rl. .6d A S JOB ADDRESS �,� v•) �tJ,,
PHONE Gf=alk —1030do' APPLICANT 1 �. .�. L`alL-)U — _...
Haat Input Rating(BTU per Hour) _ — Vent Silo Flue Size
FUEL OIL GAS C] ELECT E] OTHER
!TEM NO. FFE ITEMNO. FIE
Fp, tewanu n!Permit SEE QELO Each Air Ha"inn Unit or Duct S stem
(hr!;yp to & . �i. 100.000 STU 8.00 Commercial Hued Systern __ 7jo
N 100.000 UT7.50& 7.50 Other Equipment—Each �� _ 440
Woodburnlnj.-f tova 4.50 _ 1 Trip Inspection .Id
Won-Flow- Sus.-unded 8.00 Air Condition ComF etnor - up to&Ind.3 H.P, 8.00
Yiiij Svt /xv _ P tT 4.50 Air Condition Cr r-3.1 to 15.H.P Ind. 11.00
R Ir.Hart Coolie _ 8.00
i 12 ,
CITY-3U%INESS LICENSE REQUIRED 8y ALL CONTRACTORS OR SU"ONTRA TORS R I
PERMIT ISSU''NCI! 10.00 Cormnonts: 7. 90k R - vt"!Qw blew _._.
EE..Sk w I' ki� 6
B-TOTAL d�
.' e .k IaMnd 6y. /�
Z J REQ r
CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE 639.4171
CONTRACTOR:
Pursuant to Section(s) of the Uniform Building Code, the
following item(s) require correcting:
__ Permit No.-___
Inspector------
CALL_ FOR REINSPECTION
C 'E N/ of Ticrd Mechanical F"mmit ,mit-
13 -\T Pe
Ft:e
New lns',yIlaiion jeRe.)!ace 0 Relocation C3 Addition ❑ Alteration Stale
TOTAL __
C ONT A A C T 0 R �_tJZA,6- OVVN ER L
AS
-SPAD,-kq,W' -
r)RESS- WORK ADD RESS k
AD
PNONE APPLICANT
Heat Irpu, Rating (STU Per Ho r) k0fn ine-im Vent Size �Iue.size
FUEL OIL Cl GAS ELECT ❑ OT HE.R
ITEM NO. F E L- ITEM NO. FE
AFor Issuance of Permit - iT 3.00 Air Condition Compressor 15 to 30 'qP 01
Mew: Under 100,000 BTU 4.00-1— Air Pandling 10,000 CFM 3A
-i-00,1060 BTU & over 5.00 Air Handling Over 10,000 CFM 5A
Floor Furnace 1 4.00 Evaporative Cooler 3A
Wall Floor - Suspended 4.00
Range Vent Fen
Insta!I Vents Unly 2.00 Veil, System
Repair - Heat & Cooling 4.00 Hood Co,nmercial
3(
Air Condition Compressor Under 3 HP 4.00 Commercial Duct System 1101
Air Condition Compressor 3 to lei lip 7.50
INSPECTOR'S uMVIENTS
CITY BUSINESS LICENSE REOUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS
APPROVED BY DATE ISSUED BY D TE
RECEIPT NO.
V
ADDRESS sa) d44 PE R"i I I t:O.—
PI.Rr-11'r CHARGE none
OWNER CONNECTIOIN tEE
PAID BY
TYPE OF BUILD.NG DATE CONNECTED
SERVICE RATE C2 INSPECTION FEE
CONTRACTOR PAID BY DATE
SIZE OF CONNECTION ASSF� SMENT PAID
._a._.M^SVyMll�l/f.4^� Ml•rty)R'TIT^'n�R/es'..m �_......._...-�� ..__..�...._.._.�....7�.�.-...�..�.. .._ � lip
�` —+f y-....t.-.r........_.....-
i '4..1 �,
CITY TIGARD DATE_---'_✓ ��'7 _,t9__�_
BUILDING PERMIT APPLICATION of
TKF UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYInr, PLANS AND SPECIFICATION.", OWNER PHONE_
LOT NO.
I_�f1iCi
OWNER, UElA+faL.11i t'L71!• JOB ADDRESS ,4 ,:L ';al7 ��ll P'llt�F�td W HOME ADDRESS
ARCHI TEC'T
ENGINEER
BUILDER ADDRESS _ DESIGNER
STRUCTURE ONEW ❑R-EMnDEL ❑ADDITION ❑REPAIR
rr---11 ❑RENEWAL_ [:]FIRE DAMAGE ❑DEMOLITION
U RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO LJCAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW []COUNCIL APPROVED ❑SIGNS
OCCUPANCY —'_` .LAND USE ZONE' / .BLDG.TYPE'._ FIRE ZONE" PLAN CHECK BY _ HEAT
__ . ^�1� ��� >•!J!! >d IY i. Q I I 01 sW'u,.�afltlt�tK tK���S� 1,.F�i"►1�s - --
ramw dwelling wi-th all tac:had 2 assruum Elcntll.
3wwor I Iormi t h17425 $6 *625,C0 ---
40 20 1 141 0 2 vALuj,421042011
SLAC ..L5 _...__. _ EJ.QQPIOAD.__ ----�_ 1 +HL_., NO.ST 9P_I. $
r
BUILDING DEPARTMENT SET BACKS FRONT 13 REAR � `4 LEFT SIDE ' '�It RIGHT SIDE
Eub
----
-- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE SUILDiNG CODE, 70NING
eck IIJ,00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECI'ICATIONS AND IN COMPLIANCE WITH
tal 1766 V ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
axa, f.o 04 LICENSE. SEPARATE PERMITS REOUIRFD FOR SEWER, PLUMBING AND HEATING.
Total .1 2.64
By -----------____-- --
_�_.__ APPLICANT OR AGEnIi
App. I 1 r?, Receipt No.
iA
M -- M
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractora�NA�d r
-ry , -7 Permit No. S 211. (1
1212=14 — -- Roux,-in l�
Fixture
O w testi.
final
HEATING
Contractor
Perm)t No. /;zoo
Gas or Oil
Rough4n
Final
-- SEWER
Final _—_ .
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
S idewel k
Curb A Stmt Final
A,3proarh
.DG.DEPT.PINAL TEMPORARY CERTIFICATE OCCUPANCY Final
�
CERTIFICATE OCCUPANCY
D Landscaping
Zoning Final
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