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12190 SW 69TH AVENUE-1 ■ -- 12190 SW 69TH AVENUE _ City of Tigard Mechaniral Permit New Installation 0Replace ❑ Fieiocation[] 4ddition � Alteration n DATE: HEATING CONI RACTOR _ OWNER ADDRESS_Y__ _ _ JOB ADDRESS_......--__. PHONE-----.----- ---- APPLICANT Heat Input Rating(PTI) per Hour) Vent Size _ Flue Size.__ FUEL OIL[:] GAS 0 ELECT ❑ OTHER ITEM NO.F FEE ITEM _ NO. FEE For Issuance of Permit _ SEE BELOW Each Air Handling Unit or Duct System_ 7.30 _New_-up to & incl. 100,000 BTU _ _ 6.00 Commercial Hood System _ _ _ 7,50 New 100 000 BUT's & over � _—_ _ 7.50 Other Equipment-Each v 4.50_ Woodburnin Stove___ 1 4.50 —1 Trip InsEection�� 4.50 Wall-Floor- Suspended 6:00_ Air Condition Compressor - up to& incl.3 N.P. 6.00 Vent System w/Fan 4.50 Air Condition Cam ressor 3.1 to 15,H.P.incl. _ 11.00 _ Repair.Heat Coollng .__ 6.00 CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB—CONTRACTORS! ! PERMIT ISSUANCE_ 10.00 Comments: FEES SUB-TOTAL % ST ITE �.� Issued By 2696 PLAN CHECK TOTALREC. # Sig.,ature of Applicant — � t 0 UNU W-x a INSPECTION NOTICE' City of Tigard Building Department 12420 S.W. Main St. Tigard, Oregon 97223 Phone: 639-4171 A Type of Inspection Date Requested -3 Time 10 A.M..-P.M. Address % Permit # '9"(2e7 Owner Lot # Builder The following Building Code deficiencies are required to be corrected: --or Presented to xApproYN! Inspector D 131upproml Date CALL FOR REINSPECTION [11 YES X NO >� WAIMW CI WASHI ,OREGON"` DATE: 4-27-83 OWNER: Cecil Jones 787 ADDRESS: 12190 SW 69th Avenue On De--ember 29, 1982 a permit was issued for the installation of a wood stove in your residence. As of this date records do not indicate an inspection of such installation, as required by Tigard Municipal " Code. E?; Please inform this department as to the status of your project so a time can be set for an inspection of your unit. Sincerely, Brad Roast Building Inspector Yy BR:pjr Z ,9- g? 12755 S.W. ASH PO. BOX 23397 TIGARD, OREGON 97223 PN:639-4171 -- INSPECTION NOTICE 1 City of Tigard Building Department 12420 S.W. Main St. Tigard,Oregon 97'13 Phone: 639.4171 1 v Type of Inspection _ �(7XnT 1't:4 — I J Date Requested_F 0' 0 '4- Time _' .M._ /,�P.M. Address _�� �91y 5L.l) l Permit # '7" d�7 Lot # Builder.------ The uilder.. _—__The following Building Code deficiencies arc required to be corrected: - I Presented to Approved Inspector _ _�' _ 4 Disapproved Date . �� ;- ��, 2– CALL CALL FOR REINSPECTION 3 YEI 0 NO 7 BUILDING PERMIT APPLICATION TIG ARD DATE- Kay 6 198`'__ 4087 f>3�39�-(1373 THE UNDERSIGNED HEREBY APPLIES FOR A PE RMl1 FO' HE WORK HEREIN INDICATED BUILDER PHONE 6 8373 OR AS SHOWN AND APPRCVF C)IN !H�ACCOMPANYING PLANS AND SPECIFICATIONSISX 9100— LNO. OOT PYY06 OWNER 4a3' `fin JOB ADDRESS 12190 $.M. 69th Ave. ARCHITECT Saes Move ENGINEER Omer BUILDER _ ADDRESS DESIGNER ___ STRUCTURE I.J NEW ❑ REMODEL ® ADDITION L] REPAIR C] RENEWAL C7 FIRE DAMAGE © DEMOLITION 14 RESIDENCE L_; COMM El EDUCATIONAL O GOVT U RELIGIOUS ❑ NATIO 177 CARPORT ❑ GARAGE ❑ STORAGE U eLAB0 FENCE OCCUPANCY R-3~LAND USE ZONE _!___7 _BLDG.TYPE ___ _FIRE ZONE. PLAN CHECK BY HEAT P., Cmsttrruct bedsore addition and rsArxm w 1 kitchen, ptt44r#_4r owl for moving rocm SEWER PERMIT M OCC.LOAD FLOOR_LOAD 40 HEIGHT 20 NO.STORIES 2 AREA 100 NO.BEDROOMS- -_VALUE 11,000 BUILDING DEPARTMENTv SETBACKS FRONT- REAR LEFT SIDE 15 RIGHT SIDE Permit 96.50 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE ZONING §(,Z3 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE 142.73 WITH ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Sub-total _ RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY 9USINESS 3.46 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State tax Total 146.19 SD c --- By i PDC# APPLICANT bR AGENT Receipt No. ------ Approved A�D�1�- �� _ F �- 'PHONE DATE INSP. TYI-E INSPECTION REMARKS PLUMBING DATE s/3>�2 �• .� J Contractor _ 2 Permit No. is 27-e7 L? %�•rs� ;]^ - ��ro�./LrJ�Pc __.________-- Rough-in ---- / Fixture Final HEATING — i Conractor zg / Permit No. —�- Gas or Oil Rough-in Final ASEWER Final c DRIVEWAY Final Storm Drainage (Rain nrain)Final Sidewalk Curb&Street Final Approach BLDG.DEPT.rINAL TEMPORARY CERTIrICATE OCCUPANCY Final CERTIFICATE OCCUPANCY Landscaping I Zoning Final Y� W W !E GF BUILDING PERMIT APPLICATION TIGARD DAT THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED UJILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND PECIFICATIONS. OWNER PHONE 4m OWNER &e J11 lbl3 2� () S� �j d , - . �ak LOT NO. If OWNER A xp�raJOB ADDRESS_ ARCHITECT ENGINEER BUILDER .►:.Ir e_ ADDRESS _JL�#U%& DESIGNERfa..- STRUCTURE ❑ NEW ❑ REMODEL ADDITION ED REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION `RESIDENCE ED COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS�❑ PATIO ❑`CAR PORT ❑ GARAGE_❑ ST21A E ❑ SLAB❑ FENCE OCCUPANCY �- _LAND USE_ZONE BLnG.TYPE ,Z..L.–.FIREZONE '— PLAN CHECK BY — L-'`- fid r o Te Mtp 412de-- SEWED PERMIT N OCC.LOAD FLOOR LOAD (J– HE'GHT NO.-STORIES^ AREA NO.BEDROOMS VALUE11 0" BUILDING DEPARTMENT SET BACKS FRONT "" REAR LEFT SIDE RIGHT SIDF Permit � � THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZON!NG1 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT IHE Plan Check WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE n1 WITH ALL APPLICABLE CODE-3 AND ORDINANCES. THE ISS''AIdCE OF THIS PERMIT DOES NOT WAIVE Sub-total �- (J RESTRICTIVE COVENANTS. CCNTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS LICENSE SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING. I State TaxTotal 1 SIS- - PDQ APCUCANT Oil AGENT By — — .. Approved Receipt No. ADDRESS _ PHONE SDC - PDC - S SEWER CONNECTION 5 SEWER INSPECTION $ SEWER SURCHARGE $ _ ,� IL