14638 SW 83RD COURT 14638 SW 83RD COURT _
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COMMUNII DEVELOPMENT DEPARTMENT °"OOM DA-TE: TSSLIEi:I) : 9/1. ?/se
13125 S.W.Holl Blvd.1.0.Box 23397.Tigard.Oregon 97223.(F03)639.4175 PI-IT M . 1:)M7' .NO . 8818*13
.JOB ADDRESS . 141630 !a',J 03817 CT
VAX MAP/I...O'T
LAND USE: :
LOT STZE:
I"'RM: NO NO:
WOPK CLASS :: AL.TERAII-EUN F'U81,ACE:: 0.00K (-)]:P 14ANDL IP! <10
USE* 'T'YPE::: SINGLE F'AM:ELY F'AIPINAU7 10OK4- AIN HANDLI•T 10K
(::C)Nri'T "T"1'FaF.i:: F'L JOP I-L)RNAL.E: EVA'Ll.C:CIOI.-LW
(:1CCLIP .GPP . HE:ATEP VEN'T' F',AN
VE::N'T' VIEW' .. SYS1*EM
131-11-4/COMP <:iHP HOOD
NO . STOP I'E S : D1.14/COMP :i :1.51-1P 1:R'C r�;E RA'Tf.)Ft(DL7M
DWELL .UNITS : ItL.R/(;OMI:) 1:5- 30HP INCINEWATOP(COM
I 'l.11e:l_. TYPE: E)L8/C:OMP 0--50I:11P REPA1141 UNI'T'S
MAX . INPUT 131...8/C(IMP 504-HP C7'T'H1=1 1
FIRE. 1aM1:14s'? GAU P1:PING OU'TLE'TS
1-110.11.1 PPE':'a'a'1
LOW PPESS?
ITE::MARKS :
WOOD S'T(:)VEi:
TJ HC)WABD ANTHONY PE RM:C'T $1.0 00
W1 14630 SW 93RD CT PLAN REVIEW
N 1"1'(,ATtD UP 97P24 F''I:X'T'l.1RE5 1111111. 1-10E
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: TAX 14 . ';
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T his permit is Issued subject to the regulations contained in T die 14
of the TMC. State of Oregon Specialty Codes.zoning regulations PIc:QUIPE%D 1:114SPEC:TTONS
and all other applicable codes and ordinances, and it is hereby 1:"1NAL.
agreed that the 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 restrictive
covenants Contractor and subcontractors shall have current city
nosiness tax permits This permit will expire and become null and
void if work Is not started within 180 days,or if wol k Is suspended or
abandoned for a period of 180 Mays any time after work las
commenced It shall be the respon3ibility of the permittee to assure
all equired inspections are requested and approved
Permittee Sign re
Issued By i'al l_ 1 0111 II.1'SPE::C:1 ION 639 -4173
SEPARATE PERMITS REQUIRED FOR WORk OTHER THAN DESCRIBED ABOVE
CITE( OF TIGARD MECHANIA%AL PERMIT Receipt
Permit t
Description
Table 3A Mechanical Code oTY PRICE AMT
City of Tigard --- -- ---
13125 S.W. Hall Blvd. 1) Permit Fee -0- -0- 10.00
P.O. Box 23397 — —
Tigard, OR 97223 2) Supplemental Permit 3.00
639-4175 Furnace to 100,000 BTU
1) incl.ducts&vents 6.00
Furnace 100,000 BTU + —
2) incl.ducts&vents 7.50
Name of Development 6.00Floor Furnace – —
L�-��, '� �;. -; ' ' .;r�t � I 3) incl.vent
,lot Address Suspended heater,wall heater
Address 4) or floor mounted heater 6.00
Tax Lot Map No 5) Vent not incl.in — ;3.00
Lot Block subdivision _ appliance permit
Name(or name of business) Hepair of heating,ref rig., 6.00
�,� ,� � 6) cooling,absorption unit
I t —
. Lrd
Mailing Address PttOtN-- - - 7) Boiler or Comp to 3 HP Owner absorp.unit to 100,000 BTU 6.00
City/state Zip Boiler or comp to 3 HP-15 HF
8) absorp.unit to 500,000 BTU 11.00
Name 9) Boiler or comp 15-30 HP
absorp.unit 112-1 million 15.00
Meiling Address Piwne Boiler or comp to 30-50 HP
10) absorp,unit 1-1.75 million 22.50
Contractorcuyistate Z; - Boiler or compto 50 HP
Zip 11) absorp.unit 1750,000 BTU 31.50
state atlon No. city Bus Tex No Air handling unit to
Regiatr —
12) 10,000 CFM 4.50
I hereby acknowledge that I have read this applica'ion that the information given is 13) Air handling unit 7.50
correct,that I am the owner or authorized agent of the owner.th it plans submitted ere in — 10,000 CF M -4 —
compliance with State laws,that I am registered with tfA9 State BuildersBomd,that the Non portable
number given is correct (if exempt from Slate registrnhor,olea,,.e give reason below) 14) evaporate Cooler 4'50
Vent fan connected
15 to a single duct 3.00
-_- Ventilation system not
18) includen appliance permit 4.50
d i
Hood served by
1,Lo — t 7) mechanical exhaust 4.50
Signature(owner or ent) bate Domestic @
_ tYP I
Describe work n addition ❑ alteration ❑ repair ❑ 19) Incinerator 7.50
to be done residential ❑ non-residential ❑ Commercial or industrial
Existing use of 19) type incinerator 30.00
building or properly 20) Other i.e.,woodstove,water
Proposed use of heater,solar,clothes dryers,etc_ 4.50
building or property - _ r 21) Gas pining one to four outlets 2.00
Type of fuel- oil ❑ natural gas Fj LPG ❑ electric I i I ------ — —
22) MLre then 4-per outlet
NQTTE ----- - --
SUB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- - •— -- -
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 S&10 416 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 -- —
WORK IS COMMENCED TOTAL
Special Conditions
-- Date issued L�_ _by �
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CITY OF TIGARD 639.4171 6648
BUILDING PERMIT DATE ___ 19
TAX MAP'L.-1?Br'j- LOT NO. _.. SUBDIVISION
OWNER-Y+
JOB ADDRESS � � _ I m=1Tika AC. ;
BUILDER cZ"X' — STATE REG NO. 7v rri�
EXc.DATE
BUILDER'S PHONE A —1-4;V9
ARCHITECT PHONE OTHER
STRUCTURE 4_1 NEW. L.I REMODEL I_i ADDITION [] REPAIR CJ MOVE 1-1 OTHER DEMOLITION
RESIDENCE FI COMM Cl EDUCATION F, IND 1 RELIGIOUS CI ACCESSORY ( GAlAGE I OTHER FENCE
OCCUPAN3Y T=—LAND USE ZONA= 81-CG TYPE _—FIRE ZONE PLAN CHE(:K BY fl` HFAi
d__li'i2u•4 :i'TT;n '.v:ti1 ���r,llinr
''��"_1cxXb6YlilEd5i1t1Ci!YF.Ca�Ya_ '6a,{t0.�V�in.s -d,,� �t ••i�,.•,.,�. Y < < � .."•,
SEWERPERMITM
OCC.LOAD FLOOR LOAD "r HEIGHT_ NO,STORIES AREA NO.BEDROOMS VALUE
_ BUILDING DEPARTMENT --7 SET BACKS FRONT HEAR LEF'SIDE RIGHT SIDE
Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
T REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND It IS HEREBY AGREED THAT THE
Plan Check Rj t! WORK WILL BE DONE IN ACI:ORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODEF AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVF
PI.Ck.Flre _
]WITH
COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR"J:R,PLUMBING AND HEATING.
;State Tax ?7 OL'
T)tal 4{1() SDC— ;,;,�1t)�(�() _
_" PDCN 1= PP , f1TQRAOENt ~
Prepd. 'n
Bal.Due ���-1^
Receipt No.,*.,irk•�/k ADDRESId — rHONE
_ - T�•;�1_._. , r..., .
Issued By ." _Approved By _
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A
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
— � _ /2-� 5.21•Fs�
Permit No. 2`I8 �—
la -�a:Z r t �f��'�-— - Rough-in --
7 n — Fixture
Final
�7 FIEATING-
7 Contractor
"ermit No. Q
Gas or 0il
—_� Rough-in --
_—T_ Final --
_--- ---- -- ---- -- SEWER— -
Final
—� DRIVEWAY
Final
_ — Storm Drainage
(Rain Drain)Final
idawalk
Curb 6 Street Final
-- -- ---- --- Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY -- —
I_and!lcaping
Zoning Final