10525 SW TIGARD STREET I
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- 10525 SJ TIGARD S'.NEET
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CITY
� TIVA
ECHANIO. : PERMIT
RD A:mE
RMI'T NO. : ME892578
COMMUNITY DEVELOPMENT DEPARTMENT O1r'O°" D TE ISSUED: 121 4/89
13125 S.W.Hall Blvd.,P.U.Box 23397,Tigard,Oregon @7223,(503)6394175 IM.PMT.N0. 892578
JOB ADDRESS: 10525 SW TIGARD ST
TAX MAP/LOT SUB:
LAND USE:
LOT SIZEe
� ITEM: N0: N0:
WORK CLASS: ALTERATION FURNACE <100K 1 AIR HANDLR (18
USE T`'^E: SINGLE FAMILY FURNACE 100K+ AIR HANDLR 10K
CONST.TYPE= FLOOR FURNACE EVAP.0001_ER
OCCUP.GRP. : HEATEk VENT FAN
VENT VENT.SYSTEM
PLR/COMP (3HP HOOD
NO.STORIES: PLR/COMP 3-13HP INCINERATOR(DOM
DWELL—UNITS: BLR/COMP 15-30'41' INCIMERATOR(COM
FU=L TYPE GAS RLR/COMP 30-50HP REPAIR UNITS
MAX.INPUT 90000 PLR/COMP 50+HP OTHER
FIRE DMPRS? GAS PIPING OIJTLFTS 1
HIGH PRESS?
LOW PRESS? YES
REMARKS:
FEES:
w
IN Herb PERMIT f10.00
N 10525 SW Tigard St PLAN REVIEW
H Tigard OR 97223 FIXTURES 88,00
STATE TAX ;.90
OTHER
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R TOTAL: $18.90
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This permit is issued subject to the regulations contained in Title 14 -------- RECEIPT NO. (7l C)L,-3
---------..---
of the TMC. State of Oregon Specialty Codes,zoning regulations REQUIRED INSPECTIONS
and all other applicable codes and ordinances, and it is hereby GAS LINE
agreed that the work will be done in accordance with the plans and
specifications and in compliance with all applicable codes and MECHANCL.SYSTEM
ordinances The Issuance of this permit does not waive restrictive 1"INAL
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and
void if work is not started within 180 days,or if work Is suspended of
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure
all requi ed Inspections are requested and approved.
Permit (w >Ignature
Issued By C A L FOh I1`1$PLECI3WALD-:41 5 --
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF TIGARD MECHANICAL PERMIT Receipt# -
13125 SW HALL BLVD. Permit III
P. O. BOX 23397
Dcscrlptien
T I GARD, OR 97223 Table 3A Mechanical Code QTY PRICE AMT
(503)639-4175 1) Permit Fee -0- -0. 1000
Name of Deve"em 2) Supplemental Permit 3.00
I '
JobAddress i 1) Furnace to 100,000 BTU 6.00
Address incl.ducts 8 vents
Tax Lot Map No. 2) Furnace 100,000 BTU + 7.50
incl.ducts 8 vents
Lot Block Subdhision --
Name((pr name o bus/nrss) 3) incl. Furnace 6,00
dcv� VV itdl S —. v—
Mar:ing Address Pit" 4) Suspenc ed heater,wall heater 6.00
Owner r OSS 2 S .5,w, T 14A du S"lj or floor rmunted heater — — _
city/state zip Vent not Incl.in
5) 3.00
_ appliance permit
— 1-1(v A 2 O tl rt` -1? Repair of heating,refr ig.,
Name(or name of busine ) 6) 6.00
cooling,absorption unit —
Boiler or comp to 3 HP
Mailiny Address Phone 7) 6.00
Occupant 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 1 j-30 HP 15.00
absorp.unit 1/2-1 million _
Melling Address 4V phono 10) Boiler or comp to 30-50 HP 22.50
absorp.unit 1 -1.75 million -
Contractor City/State LP i t) Boller or comp to 50 HP 31.50
absorp.unit 1,750,000 BTU_ ol _
ng
Slate Registration No. City Bus.Tax No. 12) Air haft 10,000CCFM unit to 4.50
F
Air handling unit 7.50
1 hereby acknowledge that I have read this application that the information given is 13) 10,000CFM +
corre(t,that I am the owner or authorized agent of the owner,that plans suhn,,,,ed are in
axnpliance with State taws,that I am register A with the State Builders'Board,that the 14) Non portable 4.50
number given Is corree7.(It exompt from State registration please give reason below), evaporate Cooler
15) Vent tan connected 3.00
to a single duct _
Ventilationsystemnot
16) 4.50
included in appliance permit
117) Hood served by -- 4.50
/2 9 mechanical exhaust
Signature(ownallr or agent) Date 18) Domestic type 7.50
Describe work [7 addition Elalteration ❑ repair ❑ Incinerator
to be done — residential Id non-residential ❑ 19) Commercial or industrial 30.00
type incinE:ator
Existing use of
building or properly 20) Other i.e.,woo ,water 4.50
heater,solar,cllothesothes dryer,etc. _
Proposed use of
bAlding or property__ �— 21) Gas piping one to four outlets 2.00
Type of fuel— cit U natural gaE`f� LPG 11 electric O
- — 22) More than 4-per outlet
NOTICE SUB-TOTAL A-0
THIS PERMIT BECOMLS NULL AND VOID IF WORK OR CON- v /Q
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 _ _ 5%SURCHARGE
DAYS, OR IF CONSTRUCTION (:rR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
WORK IS COMMENCED. TOTAL l�
Spe. -.it Conditions
Date issued by
INSPECTION NOTICE
r�U City of Tigard Building Department
Q� P O. Box 23397
i(Q C Tigard, Oregon 97223
Phore 639-4175
Type of Inspection
Date Requested Q_�yl� — Time A.M- P.M. [�
Address ._ ;; S —T� .5_ Permit # �:1 1:9•� /
Owner Lot
Builder
The following Building Code deficiencies are requirad to be corrected:
Presented to Approved
Irapector ❑ Disapprored
Date
CALL FUR REINSPECTION
0 YES O NO
CITYOF TIFA� SEWER PERMIT PEPMIT NO. : SE891792
CITY OF TWAM
COMMUNITY DEVELOPMENT DEPARTMENT 011GON
13125 S W Hall Blvd..P.O Box 23397.Tigard.Oregon 97223.(503)639-4175 DATE :ESSUED: 8/22/99
PRIM- PMT Nn R91 792
JUB ADDWESS : 10525 SW TIGAPD 51' U5() NUMBER: 390Z94
TAX MAP/LOT 1-51.3401[11101. StJlt:� LT : 1)1<
LAND USE :
LOT
so-cTION: TWP: VMG :
WORK (7LASS : NEW
USE TYPE :
The app] icant aki;
,11,ee fl; t11 C.,c)in P'l.4 wi t I-1 iL 11. r 1.11.e.4i el.n d r e g LI.1.11 t i.o n v; of t I-)e U i i i f:1.(-a d
'Gowerage Agency . Tl,ie pehrtnii.t *-xpireiii; IPO cliiLym from thr.4 (Bate "!1.1(-a t 4.)t a 1.
PILM 1:1 U 11 T, 1:)AJ C.1 W J.3.J. 17e f I:)r 4?eJ. r,e cl if 1.Irl e 1:)a I--mJ.t e x pi r ei% . The+ A g e n c y cl(:)ev; i i o t q ci n r-
Pt I'll t 0 0 t I'll(V aCC-LI r A(-'y of t 1-1 e 1 a(2 im t i a r I U I? t I I e %i C11 e %e We r 3,it t e.raitl 13 . :Cf t h c-, iii e W e r J.lil
n o t .1.o c vt it,e cl ot t t h e m e p.L 19 1.1 r ee in*?n t given , title invitaLlIer ml-ta-LI.J. promPect 3 feet in
all direc.,tionm from the cli%tanc.^fa given . :1:-F noL �;(:) locate(l , the instial.let, %haLl.].
Pi-tre-hiiLflie at "Tap ;and Siclel Sewclr" r. armit Aricl thsa Agency wi.1.1 -1-nisitial'i. it laterial .
TISISTALL. TYPE: :MPERVIOU'S AREA:
FIXTURE UNI'T'S : TENANT IMPROVEM151,41f :
DWEI I-ING UNITS :1.
NO . OF RLDGS .
1=E E-S $3.15 . 00
0 b LI I"I`i 1:1 h P.i-b e r t PEPM).T
W
N 10525 %w tigiar(] u.;-L CUNNECT'LON (:',1-4AP(,'F- 2r)()
E
R t J.g lik r(J or 97223 I-INE TAP INSTALL .
I",H(JNI--'. (50.3i 681 2073
OTHER
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TOTAL: 9i 1 21135 . UO
This permit is issued subject to the regulations contained in Title 14 I4F:XI1TPT NO./D
of the TMC. State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances. and It Is hereby REQ(TEREA) :liNSPE(*,'11(-.)N5
agreed that the work will be done in accordance with the plans and F.T.NAL.
specifications and in compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have currant city
business tax permits This permit will expire and become null and
void it work I., iol started within 180 days.or it work is suspended or
abandoned for a period of 180 days any time after work has
commenced It shliillt,e the responsibility of the permittee to assure
all required inspections are requested and approved
Permittee Signatuiv *S&PP t i C, f:L 1 I.
Issued By (11-1 1.N73 171
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
C.B.H.COMPANIES
8315 S E STARK ST
PORTLAND,OREGON 97216
PHONE 2521478
August, 22, 1989
Mr. Brad Roast
Building Official
City of Tigard
Tigard, Oregon 97223
Dear Mr. Roast
11am writing this letter to inform you that Herb Burris was
i!,strumental in facilitating the sewer service for our
apartment project on S.W. Tigard St.
Please call me if you have any further questions. I can be
reached at #252-1478
Tt . nk You,
C
Carl Nase
CBH Co
cc; Herb Burris
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BUILDING DEPARTMENT, TIGARD
PLUMBING PERMIT
-- , holder of a valid plumbing contractors license is he-eby
authorized to cause plumbing work as herein noted to be installed in accordance with the plumbing code of
Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations are -eady for inspection. City of Tigard Business License required
for all contractors and sub-contractors.
Owner_ Addre-i_
-- ----- - Date_.-_------
TYPE OF PF NUMBF.A OF TOTAL PERMIT NO.'S
ITEMS FEE ON EACH AMOUNT IOffice Use Only)
Single Famll –1 beth–each .00
26
Duplex—Each 1 beth unit _2_5.00
Additional bathrooms--each 10.00 –
Mobile Honie 5pece_each 16 00
INOIVIOUAL FIXTURE FEES `
1 to 50 Fixtures In 1 building–each 3.00_ –
bt to 100 Fixtures in 1 building–each 2.50
101 to 200 Fixtures in 1 building–each 2 00 --
201 or mora Fixtures in 1 building--each 1.50
MISCELLANEOUS
Building Sewer-1st 50 it. 10.00
Sewer–each additional 100 ft. ---
10.00
Water Serv!ce tobuild_in�_ 6.00
Private water Water Systeme–each 100f— t._—~
10'00
other (specify): — -
PERMIT For Plumbing Inspection Phone 639-4171
3%State Plumbing Contractor By
TOTAL RECEIPT NO. Issued By
BUILDING DEPARTMENT, TIGARD �7
Uarl�;�1u PERMIT
holdrr of a valid plunlbiny contractors license is hereby
a thorized to cause plumbing vvor' herein noted to be installed in accordance with the plumbing code of }
Tigard. Such inst^Ilatinns require inspartion by the City Inspector who shall be notified not less than four 1
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License requ*-red
for all c trac.ors and
sub contractors.
O,;rner�_'�Q _1 _ Address �0��� . ��.�al V' Date--Ijhzqx
NUMaFR OF TOTAL PERMIT NO.'S
TYPE OF FERMI " ITEMS FEE ON EACH AMOUNT
_ (Office Use Only)
R E S I p.EN T 1 A L—-— ----- �-- - - ----- ____ �.
Sincle F3miiy-1 bath_eich - 25.09 _-
Ourlex-Each 1 bm-4 unit
Oddi Tonal
ba:hrn^.rns-eAch _--- — ----- -_ 10.00_-_ - -_ -
-hlohile Home Sp+_,�_each -..._ _ _---15.00 -
INOIVIDUAL FIXTURE FEES
_1 to _50 Fixtures In 1 builuing__aach �i 3_00 _'
—51 to 100 Fix:ures in 1 buiidinrt_e.Ic1. --_-__- - _ 2.50
101 to 20q Fixtures In 1 buiid;rig_ ia3:h 2,00 %
+
201W more Fixtu•cs in 1 build' --9 --h --
% 1 s G E L L A N_c O U S
a
Buil,!in�l Sewyr_•1st 50 tt._- __- _ - ---- -- 1_O.�n
Sr._w,rr... arhs:fi:i0ri l 100 ft.�
5.00
-Privsrn. 6V;rr, ;vs-_rns.-t!c;ch IOU ft. 10 on
Other
LLPE:fi"'IT— For P6ir►tbinglrrsrr:t;arlP;;l�;rs639 !il%
�'•'�5t��!e — Plutntur.co Contractor ,•r'
7O r n r �� --�--- rir..rrn�r ♦.n
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