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6917 SW OAK STREET
ADDRESS: y i:\records\micmfim\targets\building.doc i Iry "�` ...•...•.-.......... �.e...npnyNYM'd15WtppA�f,4�p7Ftnk4'WkIW:":4eAifi!6k+YY�i$'wMltl�Abl�tl�k��kfS( t1C;:NAMI�tui1.AM '+�`e n:.•u�.x�auuNn 1` i }+ ,TY it{r n h � r ;pJ����k�� i �Y r• fit, � r ,4 �y �a,�q�� n�� r �'t`� �"'• 4 7�� �'tip'Ac,�ur/ !� 1 , �' � 6 ,r✓� i ,� da'h h yz}�if fsN CITY OF TIGARD BUILDING INSPECTION NOTICE3�" r 1x Inspection Line: 639-4175 Business Phone: 639-4171 x W Footing Rain Drain Cover/Service FINAL: C I Foundation Water Line Ceiling -Plumb. Post/Beam Mech. Shear/Sheath Framing ech. - Plbg.Und/Fir/Slab Plbg. Top Out Insulation -Elect. Post/Beam Struct, Mech. Rough-in Gyp. Bd. -Bldg. ( San. Sewer Gas Line Appr/Sdwlk Reins. i Other: !I! Date: _ -- O A.M. _ P.M. Entry: i Address: L8_9 1 _� Tenant:—__-- -- Ste:_-- MST: BLIP- Con/Own: © Z. _ MEC: i PLM: ELC: I THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: w > Inspector: - ,G Date: lkrPASVED _DISAPPROVED/CALL FOR REINSP, CF CO t ' f rt e idf[�G �`r ti`• „r 4 7 a'INV T uk W�r0"'Yn_ Y v���t 1 r� T3 !p '� y•. tl s4u479� 1 ev f..Aryry! � ltI- v M ' ,.�S ` Yh -A& CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Hain Drain Cover/Servicer -- i Foundation Water Line Ceiling -Plumb. ld Post/Beam Mach. Shear/Sheath Framing Plbg.Und/Fir/Slab Plbg.Top Out Insulation -Elect, Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg. San. Sewer <; as me Appr/Sdwlk Reins. w Other: Date: A.M. P.M.__.� Entry: _ Address: Tenant: ' ------ _. Ste:_ MST: c BLIP: Con/Own: MEC: _- yT C3=j A \ - V -- PLM: ` ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: "[ l//��Y1v�GG���.A�+L- `�uyl�-cam• �auvyJYi 5 rr.,..r _ -L'�.L�itOd/C is..=�l.�L- [i�'+,�_�:_�i�'C► "T1�/'' O hm s (_Z64 d-s.._6t,ice 6Q -00 �Insp or: Date; oo i PPROVED _DISAPPROVED/CALL roA REINSP. CF CO r , t c a -��'���r'v�a t f�r. �ti•' .y d'�����M i 1 t iFrf� 14 f r,.wmm. RY1'I!i�Mfbl .. ..... _ '� AY.NWac+wnwr»..w........... ..... .. ......,.._ A...•r., w+ 'n. • CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plumb. Post/Beam Mech. Shear/Sheath Framing -Mech. 3 y, Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg, .w San. Sewer Gas Line Appr/Sdwlk Reins. Other: •— -- _— Date: A.M. P.M. Entry: Address: _ r. Tenant: _ Ste:---- MST: 't BUP: P 0/Own: (0 ,�—t �—.--- MEC.F2j&L_AQZ PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: 10 Inspector\ Date: _APPROVED DISAPPROVE D/CAI-L FOR REINSP. CF CO d tdFCHAN I r_QI PERMIT CITY OF TIGARD DATEIISSUED:, O4/171/966-0101 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171 PARCEL: 1 S 136AA-00600 SITE ADDRESS. . . : 06917 SW OAK ST SUBDIVISION. . . . : ZONING: R-4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . CLASS OF WORK. . :ADD FLOOR FURN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP. . :R3 VENTS W/O ADPL: 0 VENT SYSTEMS: 0 } STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL TYPES--------------- 0-3 HP. . . . : 0 DOMES. I NC I N: 0 GAS/ / / 3-15 HP. . . . : 0 COMMI_. INCIN: 0 s } MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0 FIRE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0 GAS PRESSURE. . . : cD+ HP. . . . : 0 CLO DRYERS. . : 0 NO. OF UNITS---------- AIR HANDLING UNITS OTHER UNITS.. : 0 qmww FURN ( 1O0K BTU: 1 (-= 10000 cfm: 0 GAS OUTLETS. : 1 { FURN )=1O0K. BTU: 0 1 10000 cfml: 0 Remarks: Installing furnace to 100, 000 BTU' s and gas piping Owner: -------------------------------------------------------- FEES -------------- LAURITZ PILLARS type amount by date recpt 6917 SW OAK ST PRMT t 25. 00 9 04/17/96 96-278281 SPCT $ 1. 25 B 04/17/96 96•-278281 TIGARD OR 97223 Phone #: Contractor: --------------- -------------- FIRE & ICE HEATING & COOLING TRACY AARON MALONE �4 9545 SW BVRTN-HLSDLE HWY BEAVERTON OR 97005 ------------------------------------------ Phone #: f 26. 25 TOTAL Reg #. . : 108033 ] REQUIRED INSPECTIONS k' + This permit is issued subject to th, regulations contained in the Gas Line Ins p Tigard Municipal Code, State of Ore. Specialty Cedes and all other Mechanical I n s p applicable laws. All work will be done in accordance with Final Insper_tion approved plans. This permit will expire if work is not started within 188 days of issuance, or if work is suspended nor more than 188 days. Permittee Sigs�a4ure: Ic;suPd By. _.... ..j' Call for inspection — 639-4.175 N City of Tigard MECHANICAL PERMIT Planck/Rec. # 13125 SW Full Blvd. APPLICATION Permit # NICD_ ��(� o!0 ( • • 'Tigard, OR 97223 (503) 639-4171 i -- .. Description Table 3A Mechanical Code QTY PRICE AMT Job Ocf Wil. �� 1) Permit Fee -0- 0- 10.00 Address mmit• , . 2) supplemental Permit 3.00 _ram`gym. urnaC@ to 100,000 BTU L r _ c1 S L 1) incl. ducts &vents 6.00 o -. •^• Furnace 100,000 BI + Owner 2) incl. ducts R vents 7.50 -Floor Furnance I \ o nt-�L, 3) incl. vent 6.00 N.m. « .. «.-1' Suspended heater, wall eater r 9 4) or floor mounted heater 6.00 Vent not Inc. in Occupant E \.,A 5) appliance permit 3.00 Repair of heating, re Ig, 6) cooling, absorption unit 6.00 6 doller or comp, heat pump, air cond. e / 7) to 3 HP; absorp unit to 100K BTU 6.00 o .+. Boiler or comp, heat pump, air cond. LSC ' 8) 3-15 HP; absnrp unit to 500K BTU 11.00 Contractor rg,-, -- Boiler or comp, heat pump, air cond. i �Z LSO j 9) 15 37 HP; absorp unit .5-1 mil BTU 15.00 !!! .o.• Boiler or comp heat pump, av con yjS 10) 30-50 HP; absorp unit 1-1.75 mil BTU 22.50 hereby acknowledge that ave read this appliCation, trial the Boiler or comp, heat pump, air con . information given is correct, that I am the owner or authorized 11) >50 HP; absorp unit 1.75 mil BTU 37.50 _ agent of the owner, that plans submitted are in compliance with Air handling unu to State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 4.50 Board, that the number given is correct. (If exempt from State Air handling unit registration, please give reason below.) 13) 10,000 CTM + 7.50 Non portable 14) evaporate cooler 4.50 Vent fan connected 15) to a single duct 3.00 Ventilation system no -- I� r 16) included in appliance permit _ 4.50 Hood serve y 17) mechanical exhaust 4.50 Describe work new 7j addibonT7_7a7t_F_a_Mo_n_C3 repair Commercial or industrial to be done residential non-residential O 18) type incinerator 30.00 Existing use o \ Other i.e., wo stove, water building or property —�C$ 1(e C) �) C� 1 C� 19) heater, s)lar, clothes dryers, etc. 4.50 - Proposed use cf _ 20) Gas p ping one to four outlets 2.00 building or property v 21) More than 4-per outlet (each) 7..00 9 Type of fuel -oil Q natural gas LPG O electric Q 1NOTICE _ Minimum Fee $25.00 SUBTOTAL L� C PERMi'rS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5%SURC"ARGE IF CONS T RUCT!ON OR WORK IS SUSPENDED OR —� 1 ABANDONED FCR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 26% OF SUBTOTAL AFTER WORK IS COMMENCED. -- TOTAL Special Conditions G Date issued 1 U/- (7 - �� by WL0O1MD9MMECj~ tow—IW4117,;: �L -�u '�' � I'��` Y -� 4 7�°.,. R }, -y�yY yy.�.._ 'fi: (�,j�m�LL�' .�• '� d �1 1 ' 1?.l' I ;3 r i r� F r edA ,Fs ' • - t.'.; 4'1yN�� ai �w rY,i «'Swi. ;rr �d'xiufx - ' 41, . e INSPEC'PION NOTICE City of Tigard Building Department 1-4125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (R.3c-0-Phone): 639-4175 Business Phone: 639-4171 Inspection --- Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Ream Struct. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Bd. -Mech. Date Requesteds Time: AM PM Address, ✓�ti/ Permit Builder: " T!R FOLLON.NO CORRECTIONS ARE REQUIkED: i i, - I Inspector: Date..J APPROVED GISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. s N ri wA s� ,w............ _..,....,.,�....,.v1,,w'�a.;.nMM.MpIMVN�IiIIRMl4Vf + r.' • t ss: IIII` ARVALL T. CARE JOB INVOICE { BR'S SEPTIC TANK SER1ldCE ,_ u ` 12753 Ep. N" Ery Road t " OREGON CM. OREGON 97045 CU5IUMERS OP.DE DI, RD D 1r2 15 92 (503) 656-3326 235 QdSS ORDER TARLN BY JAIE PROM r 266.7785 655-FA12 ° A.M. r I ys Graces_-- 12—J a P.M. PHONE 911E [nnzaan ESC&. �t6YG78-1167 —" WWANIC f °- ADDgE9H 25868 NE Glass Rd. l 'EITv '! ❑ JOB NAME DAY WORX '. AND r CONTRACT DESCRIPTION Or WORK U EXTRA % 1 QUANT. DESCRIPTION OF MATERIAL USED PRICE _ AMOUNT- Vi _ �r1�1 Ik GS I tic _ QD t lift Tank um in a I� S ti q � y ,l1�LL yy4�,ti wo R'e=' DR T TOTA1 �4i k„ f MECHANICS ® MATEPUIII{ � ' TOTAL N HELPERS @ LABOR I hereby acknowledge the satisfactory TOTAL LABOR TAX completion Of the eb_ove described work: g10NATUgE DATE COMPLETED TOTAL 1p�.� , is F". n 'a,c 'sC' iwdY`�Fr2% -t .(WFrW , ` 9rF�i'.k, y�. rRf,'t: +0+ ,A - d-' ro• a ! wNrq�.b�Nl� ) f ( rya�G, �r t?i��,t�°,��a ��'���` a� .. � . . � "•S CITYOFTIGAIRr00*60H TI�i�RD SEWER TCEORfVr)TVE(C T I DV "FCOMMUNITY DEVELOPMENT DEPARTMENT V o F�ERh1I #. . . . . . . : SWR9 -03F10 13126 SW HM_btvd. P.O.Bax 2337,TipW,Orer"V=(603)&V41,75 �=;9---—4171 DATE ISSUED: 1c'/11/9c' 611"E. ADDRESS. . . : 06917 SW OAK ST PARCEL: 1S136AA-00600 SUBDIVISION. . . . : ZONING: R--4. r BLOCK. . . . . . . . . . . LOT'. . . . . . . . . . . . . : T ENAN7 NAME. . . . . . USA 00. . . . . . . . . . . F I X'FURE UNITS. . . . CLASS OF WORN,. . . :NEW DWELL I NG UN I T'S. . : 1 TYPE OF USE.. . . . . : NO. OF BU I LD I NGS: 1 r INSTALL `TYPE. . . . -T.kU<,:;WR IMP RV SURF:ACE. . : Remarks: CONNECT EXISTING HOUSE TO SEWER Owner: ____.______________._________._____..__._..___________. FEES HATTIE I►IE'FCALF type amount by date recpt 6917 SW OAK ST PRM ' $ 2100. 00 JH 12/11/92 — INSV` $ 3:x. 00 JH 12/11/92 — �T"It7ARD OR 972c_';.5 Phone #: Cont ract cr: -----------------__--..__.__---_____ KUNZNAN EXCAVATING, INC 25868 NE GLASS RD AURORA OR 9700,. ________._________.______---__.___ ___._.—._. h• .. Phone #z 2135. 00 7"01"AL Rey i REG!UIRE'D INSFIECTIONS This Applicant agrees to comply with all the rules and regulations Sewer inspection of the Urified Sewage Agency. The permit expires 180 days from the date issued. the total amount paid will Ise forfeited if the permit expires. The Agency does not guarantee the accuracy of the -- side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all direction. from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer" Permit and the Agen wil instal" lateral. Per-m i t t e e S i g n a t,r.n,e • '117'L -Cr, 1ssi.red 1.1y : Call tot, inspection 639--4175 -s t f 1 i (':;T'f Y OF T I OARt) - RFCE'TFFT OF V,AYME'NT RFAX IPT NO. a C ; 234`.'89 CHr.Cti AMOUNT a '135. 00 NAIVE K(IN7,ftION F;XCAVf)T I Nti, I)qrCASH AMOUNT a 0. 00 ADDRESS .:.5666 NE. 671 ASS) RD PAYME NT DATE a 12/11 � �slllEtf)I'J I S I ON � AURORA, OR 9700.0- PUF7K'OSF` OF F'AYMF'N'f AMOUNT 1."011.) FFUR4"OSE: Or-' r'i<'-IYMENT A1117)UN'T PAID 9f'WE R USA 100. ovi l;E:Wfw R INSPECT 35. 00 F OAK £.;T '1'UTA1_ AMOUINT 1"'(.)I U '_ — - ) i 135. 00 I s I 7 I i t I r d p 1 1y I 9 I I