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9430 SW NORTH DAKOTA STREET 9430 SW NORTH DAKOTA STREET E-+ W W a H F+ O H a 0 z u� M Q\ I TICARD MECHANICAL PERMIT Receipt# CITY C� Permit # __ L �• — Description Table 3A Mechanical Cods OTY PRICE AMT City of Tigard 1) Permii 13125 S.W. Hall Blvd. �_ee _M _o __o 1000 P.O. Box 23397 Tigard, OR 97223 2) Supplemental Permit _-- 3.00 639-4175 1) Furnace to 100,000 BTU 6.00 incl.ducts&vents _ 2) Furnace 100,000 BTU 1- 7.50 incl.ducts&vents Name of Development 3) Floor Furnace 6.00 incl.vent Job Add.ess 4) Suspended heater,wall heater 6.00 1 .-4-- or floor mounted heater Address _ — Vent not incl.in Tax Lot Map No, 5) 3.00 Lot Block subdivision appliance permit _ _____ Name(or name of business) 6) Repair Of heating,raft Ig., 6.00 cooling,atisorptfon unit _ Mailing Address Phone 7) Boiler or comp to 3 HP 6.00 Owner absorp.unit to 100,000 BTU City State Zip 8) Boiler or comp to 3 HP-15 HP 11.00 absorp.unit to 500,000 BTU — _ Name 9) Boiler or comp 15-30 HP 15.00 absorp.unit 112-1 million Mailing Address Phone 10) Boiler or comp to 30-50 HP 22.50 absorp.unit 1-1.75 million Contractor city/State Zip 11) Boiler or comp to 50 HP 31.50 absorp.unit 1,750,000 BTU state Registration No. City Bus.Tax No. 12) Air handling unit to 4.50 10,000 CFM I hereby acknowledge that I have read this application that the Information given is 13) Air handling unit 7,50 correct,that I im the owner or authorized agent of the owner,that plans submitted are in 101000 CFM + compliance with State laws,that I am registered with the state Builde s'Board,that the 14) Non portable 4.50 number given Is correct.(If exempt from State registration please give reason below). evaporate cooler _ _ �- 15) Vent fan connected 3.00 to a single duct 18) Ventilation system not 4.50 included In appliance permit 17) Hood served by 4.50 mechanical exhaust Signature(owner or agent) _ _ Date 18) Domestic type 7.50 Describe work n addition L7 alteration C) repair [ I incinerator to be done residential ❑ _non-residential I 1 19) Commercial or industrial fi 30.00 Existing use of type incinerator building or properly ____ - 20) Other i.e.,woodstove,water 4.50 heater,solar,clothes dryers,etc. Proposed ue of _ building or property _ —____ _ -- 21) Gas piping one to four outlets 2.00 Type of fuel— oil (.] natural gas i I LPL. F-1 electric F1 22) More than 4-per outlet NOTICE SUB-TOTAL THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4°�SURCHARGE DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER TOTAL WORK IS COMMENCED. Special Conditions Date issued_ by .�„.�-p,r+ � rp I�" I t� j."`*"°°o�.;�b• �h 11 * .Q�,T^ 1h •$ di ••g1i11 !'°R\`• N Iki "" .,n.' �M}r� ! f� 4 �'}k/��4��w t� `�r1" �(��. ��-,r�Rlrl��ylt��+r(� ,w / i�,.'� �n 1�.,� 1.+�"+r'O�v1�" i r ��t� s� �"A{��.:ht��, r�"�I �/R'r:�•�ri ��'?���{�1/'.i o htr31)t' �f f j e 1 �R co 0 OD Ln Q\ tly � ✓. v C7.,ti �, a t ', a • �rl�i:.Ati:�,ti�l,�t�r- ' � Ol W b � .moi W � � � n a 0 in 4j r u o re; r,. b r+ h 44 a r ; PLO r � u 00 � r � � � � N V Cb d E'' � � f �• kit o �a�raa � � p►"j d ,'� C+ � M to •,� OJ �'� W„o fv IIA�jtyO, � i ,pds 1 .M-5, �, INSPECTION NOTICI City cf Tipard ?ui!ding Department 12420 5.0.Main St. Tigard,Orecon 97223 R Phone: 6'19-4171 fType of Inspection ---- { Date Requested— `3 Time A.M.___P.M. ttt 1 tI Address __ __ �� `7 �' ' fl' -"'' ermit # -__ f Owner ��. +-%--cy--� ��...o•*�� Lot # BuilderThe following Building Code deficiencies are required to be corrected, �7-AfAla. ems `=� "fir= r.. 7012 =�-1 ilk /✓1G- ---- 10, 151�- ► - !, a� Presented to _ ._.—__ �_� Approved Inspector �= Gs ( Disapproved Date CALL FOR REINSPECTION S ❑ NO —---- INSPECTION NOTICE City of Tigard Building Department 12420 S.W. Main St. Tigard,Oregon 97223 Phone: 539-4171 Type of Inspection Date Requested_� �� -,J'2� —� Time A.M. P.M. Address Permit Owner ,--'. ..� -- I Lot # Guilder The following Building Code deficiencies are required to be corrected: r�7 r _--�--','�'-�;�„ "/ _ ..' .ice-•z.,=_����r�4 hresenU'd to _._ Approved Inspector Disapproved Date �,�✓f L i t CALL FOR REINSPECTION Ceyll ❑ NO l INSPECTION NOTICE City of Tigard Building Department P,O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 / Q Type of Inspection — '� �2 '� ` —51-` Date Requests me —__ A.M. P.M. Address_ Permit #-- Owner—._ �.� �.r.C� L -C �«'J --- Lot # --- -- Builder The following Building Code deficiencies are required to he corrected: Presented to __-- ` F" Approved Inspector � -- -_-- Disapproved Date -- CALL FOR REINSPECTION ❑ YF:S ❑ NO a IO Ir �s w sw I< BUILDING PERMIT APPLICATION TIGARD DATE- �1 j�' _,ts 3985 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONtGc�4-1110 0 ORAS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE OWNER_ 1Cl?t1 constr. JOB ADDRESS – ARCHITECT ENGINEER BUILDER SAll,0- ADDRESS A955 Eli COTtmerciAl _ DESIGNER Aichenell, Inc. _ STRUCTURE J-NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ °FNEWAL ❑ FIRE DAMAGE ❑ DEMOLITION ❑ RESIDENCE ❑ COMM F1 EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CAR PORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE OCCUPANCY h"3 _LAND USE ZONE 1 '_ LDG,TYPE �"_—FIRE ZONE -- PLAN CHECK SY ("""h HEAT—2t 11_ Constnir-t ming1e faTnily dvellinq w/attar•hod (janicle. 3 Tiedroovo^ 1 Bath Be-lssuc- of Pet--iit 139P7 (9460 Fv °y. Dakota Ct• 1 SEWERPERMIT# 2 �r 6�t S�tjn•(Ifl �.... 34TCi 3�9 r .ft. OCC.LOAD FLOOR LOAD 4 O HEIGHT 12 NO.STORIES _ 1 AREA_ .'7n NO.BEDROOMS 3 VALUE'S 3 P,On() 6!iILDING DEPARTMENT SET BACKS FRONT it REAR LEFT SIDE RIGHT.i DE 1�t Per nit •11 R THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING j •nn REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plar Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE: Subtotal 244 .00 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS LICENSE SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tax iI.j�' i400.X 0 SDC– ' Total r, �' • 1�i ----1 B — - ?- PDC# t 1.n 0•Il O APPLICANT OR AGENT BY p1 II �jWjj Receipt No. Approved ADDRESS _ PHONE u DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor Permit No 3O?} j Z_GL_ i Hough-in �/1�,.� �t�� _e�..4 �xs>� �.-�.s.•.�1 rr7{ _ Fixture z o 1 Final �/ -- -- � -- HEATING Contractor `$✓/-�;Z L T� Permit No Gas or Oil ----- Final _ SEWER Final y ------ -— DRIVEWAY Final -- Storm Drainage (Rain Drain)Final Sidewalk Curb&Street Final _ Approach BLDG. DEPT.FINAL TEMPORARY _ CERTIFICATE OCCUPANCY Final CERTIVICATE OCCUPANCY Landscaping Zonin I Final Loi !.. - C� Ae.� e s :• . BUILDING PERMIT APP RDATE-Al APPLICATION TIGA,.7 is�Z THE UNDERSIGNED HEREPY APPLIES FOR A PERMIT FOR THEV`iORK HEREIN INDICATED BUILDER PH-,NM.11-0 6( OR AS SHOWN AND APPR PVED IN THE ACCON;PANYING PLANS AND SPECIFICATIONS. 0VJON EP,P.4 DNI - - 0 1� co Co KS c �08 ADDRESS ` LUT I:'J. ARCHITECT ENGINEERA • BUILC�7 G�i►1� ADDRESS S �1Y COMMQrCrc4 DESIGNER 1 ka STRUCTURE NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEtAOL(TI RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS C] PATIO ❑ CARPORT ❑ GARAGE ❑ STOP, GE ❑ SLASQ FEN 7�------ Cri.C.iirANCY ',2_•LANE)USE ZONE- �_�_BLCG.TYPE �`_ FIRE ZONE_. PLAN CHECK BY' HEAT' �'•�QC. Lfg Qe- Isvue rJg P�,,,,,1 � w0S' ,� k0. sE'NERPERMITN GCC.LOAD FLOOR LOAD O HEIGHT �,Z NO.STORIES � AREA 670 NO.BEDROOMS BUILDING DEPARTMENT_ SET BACKS FRONT REAR to LEFT SIDE fi RIGHT SIDE Permit .'Q0 TFIIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE EUILDING CODE,ZOit • REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERE?Y AGnzF_D TY,A,T Plan Cheek 01 WORK WILL 6F DONE IN ACCORDANCE WITH THE PLAIDS AND SPECIFICATIONS AND If2 COLiPLIAI '--- WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PER14,11T DOES NOT WA Suaatal 4 1, (aRESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONT RACFORS TO HAVE CURRENT CITY BUSIN; T LICENSE.SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING. lbteta iax • • Total SDC- i �. Fiy PDC# APPUCANTORAGENT ._. Approved �- Receipt Na. - --�, ADDRESS Pt OFIE — 50C — 400 SOC - S �- T loo SEWER CONNECTION $ 775- 3EWER INSPECTION ;EWER SURCHARGE S 1310 i BUILDING PERMIT APPLICATION TIC-ARD DAT THEutJDERSIGtiE�JHrRLD'r:,PPLIESFORAPERMITFORTH.EWORKHEREIrIE ICAT�D BUILDER PHONE �SI.OD�O ©R ASSHOL"d 1 AND 1APPROVED INTHE ACCOMIPANYIIN\,GiPLANS �AND j�SPECIFICATIONS. O"WIERPHO,I;E C.':'.'ER FLL�Ll�L1Dr�'3 �TUGBADDF,E5S 30 l w '1�OT711 �4LiA. 5._ LOT N'0. e f 1 t /�, ARCHITECT 6UI��a'ii '3QM e. ADDRESS 8qf! J 1a0PnMM14r"CI ENGINEER A I Q^p1' DESIGNER—/.j _ l STRUC•TURF NEW ❑ REMODEL G ADOITION ❑ REPAIR Q RENMAL ❑ FIRE DAhIAGE 0 DEmar-l0 RESIDFNC*E C COMM 0 EDUCATIONAL �❑ GOWT ❑ RELIGIOUS ❑ PA?IO _❑ CAR PGRT ❑ GARAGE C STOR E ❑ SLAo[] FEN_ :Z.t UFANCY -._LAND US :ZONE A--$--BLDG.TYPE S N FIRE ZONE PLAN CHECK SY y NEAT (at . Re- I's s0,e of P t4 ;0- III Ave SEINER PERMIT N --- [.�� KICC.LOAD FLOOR LOAD Q HEIGHT IAC.. NO.STORIES AREA 0 BEDROOMS VA!U1pOA tiUILCING DcPARThtENT SETBACKS FRONT -_�f_ RE4 40 LIFT SIC I.9+ RIGHT SIDE �9 P^snit 2z I•an_ THIS PERMIT IS ISSUED SUBJECT TO TY.E RcG A ONS C WNED IN THE EU;tDlyv GGiu,'_, ZOP:,'t� +'•1354 r- OD_ REGULATIONS AND ALL APPLICABLE CODcS J 0 DIN CES, AND IT IS HElEEY AGREED THAT T1' Pi,nChack l9WOgK V:ILL SE DONZ IN ACCOPLIANCE WlTHE PL AND SPECIFICATIONS AND IN COS:PLIANC WITH ALL APPLICABLE CODES ND OFlOP A IC 'F_ ISSUANCE OF THIS PER;fIT DOES p:OT '11A1�: Su`.tata{ ��_ �_•_d� RESTRICTIVE COVENAM TS. CONT CAAI10 U3 CONTRAM ORS TO HAVE CU91IENT CITE c;^II;ES LICENSE.SIEPARATE?EWli M REO 91 1 FOUR SE\Yc9,PLUM12:NG AND HEATING. "—�- 5DC-- Total _ w�3' _ W_K_ �u•SQ✓1 PUC# APF ANT GENT By ,, Receipt No. Approved —r� a ADDRESS PHONE- 0c s '00 i�e - S �• 1' !v FLIER CONNECTION ; IJER INSPECTION S FUER SU HAAGE S ALi 0 ,