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T) $ � ) V Q � 2 % / m / 2 2 k @ q a 2 : iz ) c \ / IL ƒ \ / 2 8 0 ° g » @ R + n f 7 / 0 CD } } � CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 1,1126 SW Hall Blvd.Tigard,Oregon 97223.8199 (603)639.4171 EXPIRED a T H rH J W J CITY as! swt!,aan�- PLNCK/RF_CT # �� -7 OFTIVC9�_ D PERMIT # 12154 � O �Z7 COMMUNITY DEYELOPMENT DEP"I'ML'NT 7i&rd,O"g°f 97123 -'-- (soJ)619-1171 DATE ISSUED JOB ADDRESS: �25 ,(� /�tJf�. ° __ TAX "'jAPj 1.OT SUB: 1yol.- 1_!� t., LOT: .3 3LAND USE: -- - -� VALUATION: 20 � OWNER SPECIAL NOTES DAME: �.��— �' �� � REISSUE OF: } ADDRESS: 1u33� S1uo /�"?' !�L� LAST REISSUE: �— I -- r �L — FLOOD PLAIN/ PHONE: �L�' c��T SENSITIVE AND: CONTRACTOR APPROVALS REQUIRED ti /14AME: PLANNING: _ ADDRESS: �/U �1/�. ENGINEERING: _ u G J Z2 = FIRE DEPT: _ PHONE: _� 3 �l c _ OTHER: `— CONTR. BOARD #: 4' ' DATE: � / i ITEMS RE UIRED SUBCONTRACTORS: PLUMB: i,LIST/SUBCONTIZACIORS: MECI{: BUS TAX: --- — —= ARCIVENGINEER CALCI:_ATIONS: NAME: s TRUSS DETAILS: ADDRESS: OTHER: PHONE: PROPOSED BLDG. USE: ------ }_ COMMENTS: 11I'PL I CANT SIGNATURE Received By: Date Received: PERMIT 9 ACCT # DESCRIPTION AMOUNT ,r'AMOUNT PD_ SAL. DUE d j 10-432 00 Building Permit Fees /• s 10-431 00 Plumbing Permit Fees 1C-431 01 Mechanical Permit Fees iI •"_ `� r' 1J-230 01 State Building Tax (5%) Building �t PI rimbi ng f Mechanical t ? S 10-433 00 Plans Check Fee — Building Plumbing Mechanical 10-230 06 Fire 30-2.02 00 Sewer Connection 30-444 00 Sewer Insp�action u. 25-448--02 Commercial 11F Fees 25-448-04 Industrial TIF Fees _ 25-448-06 Institut.ional TIF Fees 25-448-03 Office TIF Fees 25-448-01 Residential Traffic Fees 25-448-05 Mass T �si, TIF Fees 52-449 00 Parks S)- Jev Charge (PDC) 31-450 00 Stotm Ora Syst Dev Chrg (SSDC) �. 24-445-01 Water Quality (Fee in lieu of) _ 24-445-02 Water Quantity (Fee in lieu of) r 10TAI_ IJ J nm/35871'.WPf [YIECHANICAL TYOFTIGARD P E R Ivi 11" COMMUNITY DEVELOPMENT DEPARTMENT 7Y OF IWA I D PER111*1 #. . . . . . . . NEC92-0343 7 13125 SW HWI Blvd. P.O.Box 23397,T4pM,Orwjon 97223(603)639-4176 51-FE ADDRESS. . . 14,338 SW 133RD AVE PARCEL- 2S109AB--04000 SUBD I V I S I 01\1. . . . THREE NOUNTAIN ESTATES ZONING: R-7 BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :33 CLASS OF' WORK. . %ADL FLOOR TURN. . . . : EVAP COOLERS: TYPE.' OF USE. . . . :SF UNIT HEATERS..: VENT FANS. . . - OCCUPANCY GRP,. . : R3 VENT'S W/O APDL: VENT SYSTEIIS: STOR1ES. . . . . . . . ... LAOILERS/COhW-`RESSORS HOODS. . . . . . . .. FUEL 0—,: HP. . . . : DO11ES. INC IN: 3-15 Hr''. . . . : CONIAL. INCIN: MAX INPUT PTU 15--30 HPI. . . . : REPAIR UNITS: FIRE DAIYIP,ERS?. . . 30--50 HP. . . . WGODSTOVES. . : GAS PRESSURE. . . : 50+ HP. . . . CLO DRYERS. . : 1\10. OF u1\1TTS----­--­--- AIR HANDLING UNIT'S OTHER UNIrS. . FURN ( 100K BTU: 10000 cfm: GAS OUTLETS. FURN ) =100K B'IIJ- > 10000 cfm . Remarks: GAS LINE FOR GAS LOGS Owner: FEES BRUCE SVELLA type amol.int by date r-ecpt 14338 SW 133RD AVENUE PR11T $ 25. 00 PILL 12/21/92 — 5)P,C T $ 1. 25 PILL 12/21/92 — TIGARD OR 972124 Phone #: Contr,actor: ____.____..-_._-------------------.-- HO F -------------------------- HOT SPOT FIREPLACE & PAT'10 11929 SW CANYON RD BEAVERTON OR 97005 Phone #: 626--4652 $ 26, 25 JOTAL Req #. . : 71782 ------- REWIRED INSPECTIONS --------- This permit is issued subject to the regulations contained in the Final Inspection Tigard Municipal rode, State of Ore. Specialty Codes and all nther applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started ....... within 180 days cf issuance, or if work is suspended for than 180 days. Plei,mittee Signati.ive : Issi.ted By Ce.11 for-, inspection 639-4175 I Li INSPECTION NOTICE City of Tigard Building Department • 13125 SH Ball Blvd. Tigard, Oregrin 97223 Inspection Line (Rec-O-Phone: 639-4175 r^Business Phone, 639-4171 Inspection: _ �•Il �/_v� ` �.__�_ Footing Plbo. Underslab Meeh. Ro,*gh-int Appr/Sdwlk 4 _- Found. Plbg. Top uut can Line FINAL: Poet/seam Struct. San. Sewer Framing -Bldg. Post/Ream Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Linn Gyp. Bd. -Meeh. Date Requent((ed:� - ��LyyZ `l Z Time: <._AM PM Address: l'S Permit 1+ Builder: THE FOLLOWING CORRFCTIONS ARE REQUIRED: �l i7 _ w a l/7 7- F- J / r e-7 ef W J Ynapector: ✓� — Dates / f APPROVEDb2 PROVED APPROVED BUB.IECT TO ABOVE 7G11 For Relnep. C 1 1 Y nF riocmt) Rmrivr (IF PAYMENT RECCAPT NO. :92-2 3 4 8V% ("HFGX� AMOUNT c J:6. 25 NAME t HOT SPOT r[REPLACE' & CASH AMOUNT 0. 00 Arfl)RF�36 : PATIO SHOP. INC. PAYMPNT DATE s 12/i:.,l/92 119,"29 flW CANYON ROAD J B 1)1 V I IS 10 N BLAVEMN, OR 9700",- PURPOSfF OF PPYIIF--"NT MOUNT PAID :.IJRPOSE OF PAYMENT FVYIDIJNT PAID MFCNn f CAL PE P3. Tf l..6 14338 $33W IlT3RD AVENIJE.. ME(JAM41CAL PE�RMIT #MEC"71 -03 TOTAL AMOUNT PAID P. 01 CT ��U.►1� l a Vl OS'' Post-It"brand fax transmittal memo 7671 w of pages ► % From 01-u1,G CO Co. Drpt. Phone w ,37- ?1 Fax` ,/. F f- ,Z l7 P. 02 _DEC-22-'92 1 UL 11:14 I L:F I RES i nE DIST 13 OR TEL Nr 103 620-5699 4309 F02 - 12iO4-'9t 11 :5ri 'a:003R311223 HFATrt..1Toii 2001 ho, eatilator kiA1,.ATC)I?M.0.Divis,a- HCA INDI.STrilr;5, 5264 • 'alepnona 319/6-0211 • r.Ax 314.395-9220 December 4, 1996 ZUBTECT: Gas Lot; Lighter Usage in Heatilutor Brand Factory-Bui;t Fireplaces In June of 1990, ;t provision in the UL 127 Standard for Factory-Built Fireplaces bcctune effective requiring that all factory-built fireplace in tallation immrcaonc must state that a fireplace having provision for the installation of a gas pipe►nu,t make the statement that the gas pipe P, intended only for the installation of a decorative gas appliance. The decorative gas appliance must incorporate an automatic shutoff device and comply u;th the Standard for Decorative Gas Appliances ,or Installation in Vented Fireplaces, .ANSI 7.,21.610 The above statements have created a great deal of confusion ie the field regarding the installation of gas log lighters in factory-built fireplaces, This sitttanon is further confuscd by the fact that in many instances the use of gas lop lighters is allowed in masoury fireplaces. The 1127 Standard has ao provision for the testing gzs log lighters, For this reason, Heattlator Inc contracted with an independent test organization, Resources, Applications, Designs and Controls, Inc. (RAI)CO) t:, condtirt safety, tests to evaluate the performance of gas log lighters in Heatilator brand factory-built fireplaces. Based upo,' the data developed to these tests, there is no evidence that a hazard exists when a gas log lighter in installed in a listed I leatilator brand factoty-built fireplace in accordance with local building code requirements and operated as intended. Based upon the above, Heattlator Inc. will honor it limited warranty when a gas log lighter is installed in ou• factor}'-built fireplaces as long as the fireplace system is installed in accordance with the Tnstellation Instructions shipped with each firebox asswnbly anu the installation of the gas log lighter complies with local building codes. C. stl�, 0� Pja Robert C Stnrble V) Senior Product Manager r H J �4 C-7 W J