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11250 SW 91ST AVENUE f! A D D RME')S: �L y J C3 LL1 J i:irea�tYisVnicroflm�lr�rgetcV wil�ling.cloc 11250 SW 91st Ct T i ga rd. OR 97Z23-- February 7, 1996 City of Tigard Building Department 13125 SW Hall Blvd. Tigard, OR y7223 RE: Permit NMEC95-0152 Tris permit was for the installation of central air conditioning at my residence. The mechanical Fermit was approved subject to approval of the electrical work. The company (Rose Heating) that installed the system informed myself and the city, in June of 1995, that. the electrical work is considered minor electrical work and requires no inspection. There is a blue label attached at the meter stating: "Minor Electrical Label , State r:f Oregon 0045287". If this information does not cl.i ify the situation please contact me. Work: 244-7805, Home: 684-6505. Sincerely yours, benzon Chang 4 CO LW CIT k�6,-u 9f 4175 1 U 3fih7'+y CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT (:LRT I f=I CATS OF 13125 SW H,01 illvd.Tiga d,Oregon 9722:•8199 (503)839-4171 OCCUPANCY ANCY xnxx !-o[-RMIl #. . . . . IHa"r'.a3-L710 639 41'71 DATE ISSUf_D. 1 "ARGEL. 19135DB--10600 SITE. ADDRESS. . . a 1 1 L50 SW 91ST CT 308D L V I Sl ON. . . . a DAKOTA OPOVCri ZON'C NG:R--/1. `,i BLOCK. „ . „ . . . . . a LOT. . . . . . . . . . . . i1 CLASS OF WORK. a NEW r'/{-'E; OF USE::. . . a SF OCCUPANCY ORI='. :R3 OCCUPANCY LOAD.-,D22 4 TENANT NAME. . . Remat lkt a PATH I I'I 8. r DEVELOPMENT Phune #% C..'untvact ur, _.__....._..___.___- ...... J 11 & F 1W 1 L...OPMEINIT CO. I 1. 7707 S,: OATFIELD GLADS TONE. OP 97027 Phone f'i 6^J2-70.y,' Peg #. , a 57484 1cc,upAnuy of the above Y-efer�enced building ib hereby giverl, Arid certifie�> the compliance with the hate Of Oregon Specialty Codes for, the rlruur, r1cc!1{Jancy, and I.-.se which the t-efer"enr_e1.1 per^mi t was i 1, s1_led. F I itE ;?r�'ARTMEN 1 < 1 D I 'v I NSPE:CTOR $I�YLFiNO FF ICIAL POST IN CON!'' 'IC011U5 PLALE J GO CD J CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 17125 SW Hell Blvd.Tigard,Orag.n 97223.6199 (503)639-4171 TP, t fY 1-- F- J N C-0 LLr J Residential Building Permit Application City. of Tigard 13125 SW Hall Blvd. Tigard, Of; 97223 (503) 639-4171 Jobslte Address: zl _n SCcJ /sem Subdivision; �,1T 4L�'J Lot # `)_ /1 Offlea Use Only ;• Plan&JRec# Valuation: 4410m _ Permit # Owner: Reissue of _ Address: 6 l w Approvals RegUtred Planning, Phone: L? Engineering Contractor: �r���, - - -- Other Address: ' ` Phone: i At . Contractor's License # (attarb copy of current Oregon license) Subcontractors: Plumbing: _ U Mechanical: B'1 (attach copy of cummt rR Contractors License) _ Archltect/Engineer: ll Address: - 2In I Phone: �,.. COMMENTS: ' VYO n ' i4j-34cant Signature & Phone number Received b),: Date Received: Permit # Account Description Amount Amt. Pd. Bal. Due Bldg. Permit (BUILD) �w Plumb. Permit (PLUMB) Mech. Permit (MECH) _ State Tax (TAX) Bldg: Plumb: Mech: Plan Check (PLANCK) Bldg: Plumb: Mech: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Storm Drainage Chg (SDSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Cor imercial TIF (TIF-0) Irv,ustrial TIF (TIF-1) Irstitutional TIF (TIF-IS) Office TIF (TIF-0) Water Quality (WOUAL) LO )1) Water Quantity (WOUANT) Fire District (FIRE) TOTALS: ; s NAX, r': 1 BACKF I LL -fH' (HORIZONTAL STF£L) 41 = fi B' (VERTICAL STEEL) � 4 t Q • GRAVEL BACKFILL Q � o N' (P'-c"L STEEL: IN, (TOE STEEL)----- ---, ' 'i_' (LONG1TLD1NAL STEEL) �_X'ti �EL HRA I G .Cl IN F I L 'ER F ABF►I C. `� ORF.4:r7N r 8r y q 2-3 �lFaic N071V MAKING IS NOT TO RCALE LLl J ... .......___" ....�..... .�...rte _.. ADDENDUM •� Ex TE RI or, BETA W NG' WALL _ _ CASCADE M S F DEVELOPMENT 0 CONSULTING" ASSO�.,'�iAWS, INC. PORTLAND, OREGON 1.1 ',r> SW 41h S7xEE'1 y )RVALLIS OR 97333 C bot 001)753-4417 of No. 11022ate- MAY 2.q, + !993 .dLt.(AX.. lUli5CJUPVC11y_ A WALL HEIGHT 4�_0f B TOTAL FOOTLNc WIDTH 2.-4„ C MEL LEE—v ,&' 1'_off D TOF, LENGTH 1'-4" E STEMWALL WIDTH 8" CMU F ,FOOTING DEPTH 8 ff G STEMWALL VERTICAL STEEI, 14 @ 24" H STEMWALL HORr;:ENTAL STEEL (2) #4 f 48 K STEMWALL STEED, PLICE LRNGTH 16" L FQ0TLNG LONGTTUDIhA.•_ STEED 04 0 12" M HEEL STEEL, NOT READ N TOE 3 TEEL t4 S 24" NOTES: 1) CISE F'400U .pSI STEIs'l'. 2) TSE STEEL IS TO EXTEND A DISTANCE "R" UP THE STEMWALL 3) WAL1, TO BE FULLY GROUTpD. GROUT IS TO HAVE A MINIMUM COMPRESSJYF STR SS OF 2f-M- PSI AT 28 DAYS. MORTAR IS TO BE TYPE "S" IN ACCORDANCE WITH OSTM 0270, 4) SPECIAL INSPECTION IS RERUIRED UNLESS IN.SFEc,~TION IS MADE BY THE Cl-TY BUILDING INSPRCTORS WHEN THE MASONRY WALL IS FORMF,D AT MAXIMUM INT'F,RVALS OF 4 FEET. 5) PROVIDE (2) *4 BARS IN A BOND .BEAM AT TOP OF WALL. D PRO,r�� i- dRF,GOIv CL ca S� FlF k(S B�h10� a Y J (/M +� Ex TES;! OR A UQEND LW RETAINING WALL - _•,.-- CASCADE M S F DEVELOPMENT 17 CC)�T'�UI,TING ASSOCIATES, SNC. PORTLAND, OREGON l� 529 SW 4th SIRr,:FT* C12C'ORVATIAS OR 97333 (50.1) 753-4417J0b No. 1!02 Da t c MAY 20. t 993 r: v Y v v � 3d M �t I441h AVENuE POFITLANU, UN 97236 INSULATION CERTIFICATE INSULATION IS INSTALLED IN THE STRUCTURE DESCRIBED BELOW AS FOLLOWS: COVERAGE AREAss ITEM INSTALLE6 ! OF BAGS 1LOW ONLY) EXTERIOR YALLS........... BAT1 R21 EXTERIOR WALLS.,•„ BATT 11 GARAGE CEILING ROOM ABOVE BATT R25 VAULTED CEILING..,,...... R30 UNFACED CATTS INSTALL 4MIL ON VAUCI 4 MILL POLY CBAYL FLOOR,,,,, „ BATT R2S MFOEVE 234A JOB NAME .150 91ST ADDRESS 11250 SW 91ST CT `DTr TIGARD ATE COMPLETED NVIROwr;CHTAL INSULATION INC, BY �t J U' LL1 J i J r E_NVIRONNIr— 'TAL INSULATION. INC, 6817 S3E 144th AVENUE FORTL.ANO, OR 97236 INSULATION CERTIFICATF INSULATION I5 INSTALLED IN THE STRUCTURE DESCRIBED BELOW AS FOLLOWS: COVERAGE AREAet ' ITtH J OF BAGS (BL 09 ONl r I BLOW ATTIC...... .... BLOW R38 39.5 MFDEVE 1348 i JOB NAME 11150 91ST ADDRESS :1150 SWv1Si CT IGTN 11GARD DATE COMPLETED ENVIRONMENTAL INSULATION INC. Br 1 N r n y J 1 d U J t DEPARTMENT OF LAND USE & TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION#350-12 155 NORTH FIRST, HILLSBORO, OR 97124 COUNTY, PHONE: 503/640-3470 OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415 Pero-nit V 05039764 Project # - POU30705 Status APPROVED Page 1 Cf 2 Applied : 04/23/93 losuecl 04/23/9:3 Expires : 11/02/93 10/06/93 05 : 18 RESELEC Permit'. Title SFR - ELEC/NEW HOUSE 0lk,li bescription I egvn: 04/23/9:3 Job Addre3s 11250 SW 91ST CT T1 - Owner Name K & F DEVELOPMENT (.70 � n �J � RR.gicn D Applicant Nar.e BEAR ELECTRIC I � Phone number 678-•1:35v� Val'"ation: [ 0 Apprcved_ Inspector Comments : -___Rti,._.�,�.t V Lon 7nepect.ed by11 _ bat. ._ 1.napection Requested Final ) lertrxc al 1.0/08/93 ki DA LEX SUD CITY OF TIGARD BUILDING INSPECTION NOTICE / Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plumb. / Post/Beam Mech. Shear/Sheath Framing ec Plbg.Und/Flr/Slab Plbg. Top Out sulation -Elect Post/Beam Struct. ech. Roug / Gyp. Bd. -^ San. Sewer Gas Line Appr/Sdwlk Reins Other: Date: -VI-41160 ����A.M((��_S pM _ Entry: , _ — Addrkj Tenant: C- Ste:___ MST: 0-01 OrBLIP: Con/Own:. u� MEC:_ PLM: .LC: THE FOLL WING r-ORRECTIONS ARE REOUI ED ELR: _1�l 'r tet► �' 1 Z" Q N Ar Inspector: _ Date:2 Q —APPROVED *ISAPPROVED/CALL FOR REINSP. CF CO moi. CrrY OF TIGAilD BUl_DING inspection Line (Rec-O-Phone):639-4175 Business Phone: 639-4171 Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/L=dwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in CFINAL) Post/Beam Mech. San. Sewer Gas Line �fc3g. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insula'iin -Mech. Underflr. Insul. Shear Wall Gyp. Bd. C-Elect. Date Requested: ( - `L�_Time:__A1M PM Address: �_�_ Z [� S ) cl � , S f -, Builder:_E o -D/V UO 1)C Permit a: 61 THE FOLLOWING ORRECTIONS ARE R�pUIRED: rt F-- Un J Inspector: C- ? E' (,� _ Date: AAPPROVED _DISAPPROVED —APPROVED SUBJECT TO ABOVE _Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOT ICE/'—"`� Inspection Line ec-O-Phone): 639-4175 Business Phone�63g 4171 Inspection: � Footing Susp. Ceiling �Roug Appr/Sdwlk Foundation Plbg. Underslab Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in (:FINIAL— Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation y- ell-D Underflr. Insul. Shear Wall Gyp. Bd. -Elect. i Date Requested: Time: AM _PM Adcress: �~� Builder:��L������� THE FOLLOWING CORRECTIONS ARE REQUIRED i N U) _J Inspector: _ Date: /APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE _Call For Reinsp. ���c INSPECTION IIOTICE ^ City of Tigard Building Departaeat 131.25 BW Hall Blvd. Tigard, Oregon 97233 Inspection Line (Rec-O--Phono)s 639-4175 Business Phones 639-4171 Inspection: Tooting Plbg. Undersl^b Mach. Rough-in Appr/Sdarlk Pound. Plbg. Top Out Gas Line FINALS \) Polt/Beam Struct. San. Sewer Framing -HLQgJ� Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water(Line Gyp. Bd. -Koch. Date Requestedcy v �^I Time: AN PH Address, (Z SSD CA, Permit #s Builders IVA THE FOLLOWING CORRECTIONS ARE REQUIREDt r-. rc -- -- H rn I— J 47 i J i Y L � Itupeatort -- ----_- --- Date, n - / �. OTSAPFPOVRD APPFhwRD SUB.JRCT TO AIVIVR Call For Rainsp. INSPECTION NOTICE City of Tigard Building Departzient 1312.5 60 Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 6/39-4175 Business Phones 639-4171 Inegections_ -L rooting .Plbg. Dnderslab Mach. Rough-in Appr/Sdwlk Pound. Plhg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing o Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbq. underfloor Water Line Gyp. Bd. -Koch. Date Requested: /�/ ��_ Time: __AK PK Address. Q� J f � �,'� ��� PerasMit�i_ 1,, ��•� ��' ^' � Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED= p r i.r a,yrn .sw '( tr 4._!;_�� t .(-(t, n r e. v of rt 1 y ,JAL'" V — zez / LD LO et- 6F 1-7 rnspectort _ Dates APPROVED ` DISAPPROVED APPROVED flU&MCT TO ABOVE r� Call For Roinsp. INSPUTION NOTICE City of 'Tigard Building Department L312S 811 Hall Blvd. Tigard, Oregon 97223 Inspection Lina (Rec-O-Phons)e 639-4175 Business Phones 639-4171 Inspection% _ Footing Plbg. Undreslab Meeh. Rough-in Appr/Sdwlk Found. Plbg. Top out Gan Line FINALi Post/Beam Struct. Sart. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Oyp, b. -Meeh, C Date Requesteda ��% �10e1 AM PN Address: Permit Builder: l THE POLL(WrNo CORRECTIONS ARE REQUIRED: G. N _ J G] F L 3nopectore A Dater�� APP11dVlD DISAPPROVED APPROVRD SUBJECT TO ABOVE Call For Reinsp. INSPECTION NOTICE City of Tigard�Bui,lding Department 13125 SW Hall �Rlvd. Tigard, Oregon 97223 Inspection Line (kec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Cas Line FINAL: E•ost/Dean struct. Ban. Sewer Framing -Bldg. Pent/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line�j Gyp. Bd. -Hach. Bate Requnsted: )� - I Time: __SAM _ PH Address: U �/� Permit. Builders oeZ _ U THE FOLLOWING CORRECTIONS ARE REQUIEM Xel r i d 2 - —� J 03 LLL) J p / Inspectors— t1The: -�- v' APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE Call For Reinap. INSPBCTINO-T City of 2lgard•Bu! NOTICE eapartknt 13125 BM W.1-Blvd. Tigard, Oregon 97223 Inspection Line (Rer.-O-Phones 639.4175 Business Phone: 639-4171 Inspection: _ Footing Plbg. Undorslab �h, Ron h-.ink Appr/Sdwlk Pound. Plbg. Top Out Gas LLM FINAL: Poet/Beam Struct. San. Sewer Ai�fframing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. ad. -Mech. Data Requested, �� �� Time: AM / PM Address: U / 5 t c_ Permit �: / 3 —�[i 79 Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: / 1 l, J.C'( ! !"J/(! Lt/4flt 1 UC'.LA11Y rr (`��'�C �GiI l�'� KG4c�/r•• ova �H.��l� �r'7 ���• t/1 P-y J .-r r. C9 LL) _J Inspector, Date: / 2 APPROVED �� DISAPPROVED APPROVED SUBJECT TO ABOVE all For Reinsp. INSPECTION•HOTICE City or Tigard Jk&ldibg Depact�ent 13125 SIC Ball Blvd. Tigard, Gregon 97223 Inspection Liae (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspections Footing Plbg. Under&lab Hoch. Rough-in Appr/Sdwlk Pound. Plbg. Top Out Gas Lina FINAL: Poet/Beam Struct. San. Pawar !� ranLr q -Bldg. Pont/Beam Mach. Rain Drai.r Insulation -Plumb. Pllxl. Underfloor Water Line Gyp. Bd. -Nech. Date Reyuesteds / 16-///2—`73 / Times _AM / PM AddC9a8i_ (� �/ / `_ Permit C Builder: z ,22 _ T�HF/)FOLLOWING CORRR�ECTTI-ONS ARE REQUIREDs , Z <- �1 Gv�-�.�n w� a�.t•i �,.>•�.�i�•.rS�i�' .s..t.c�iL.�'� T . Inspectors D r 1/ _ Dateret__. 7•� Q3 APPROVEDy DISAPPROV=D APPROVED SUBJECT To ABOV2 4000G11 For Reinsp. J INSPECTION NOTICE City of Tigard Building Department 13125 SO Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-o-Phgne): 639-4175 Business Phone: 639-4171 Inspection: -'MS Vr1 Foo"ing Plbg. Underelab Mach. Rough-in Appr/Sdwlk Found. lbq Top t Gas Line FINAL: Poet,/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain insulation -Plumb. Plbg. Underfloor '7 Ma t er Line Gyp. Rd. -Nech. - Date Requarteds / ---1- Time: AN _PN Address: rU ` 1574 � �,� Permit #: � � i Bull der: -' THE FOLLOWING CORRECT HSAREREQUIRED: �- _ Inspector: APPROVED __ DISAPPROVED /APPROVED SUBJECT To ABOVE Call For Reinsp. INSPECTION NOTICE City or Tigard Building Departaent 13125 BR Ball Blvd. Tigard, Oregon 97223 Inspection Line (ROC-O-Phona): 639-4175 Business Phone: 639-4171 Inspection: — rooting Plbg. Underslab Hach. Rough-in Appr/Sdwlk' Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mach. Rei s Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Rd. -Mach. Data Requ`stedt rl ) _Times f^�Z� ( J1lt PM Address �- �' llPermit #s 73- HuiIders THE FOLLOVING CORRECTIOUS ARE REQUIRED: J J Inepwctort Le_x&n �] J�---� Dates /� G APPROVLD DISAPPROVED _–L,,OPROVED SUBJ—TCT TO ABOV11 Call For Reinsp. INSPR MON NOTICE City of Tigard Building Department 13125 BR Br11 Blvd. Tigard, Oregon 97223 inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Sd. -Hoch. Date Requested: y Time: AM PN Address: //cam t_S I/ � Permit 8:1_)_U(J 2 Builder: _ THE FOLLOWING CORRECTIONS ARE REQUIRED: �7yyLL /N�LyJ� t1i C-Ctl/1/�' SAM 2 z5 C.._EE o: 6-612- 7_02 -6/?ToP 51LA/ /OJ I1�0 Jc iY v Q6n -�S Inspectors_ 1, �TIVm115 Date:_�� __APPROVED _4z DISAPPROVED _- APPROVED SUBJECT To ABOVE ✓Call For Relnep. INSPECTION �70TICE � " ' City Of Tigard Building Department 13125 BW Hall Blvd. Tigard, Oregon 97223 Inspection Line !Rec-O-Phoneys 639-4175 Business Phone: 639-4171 Inspections Footing PUM. Gndwslab Mach. Rough-in Appr/Sdwlk " — -- Found. I cc plyq sop OftGas Line FINALS Post/Beam Struct. Ban. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water/Line Gyp. Rd. -Hoch. Date Requested: Times A�M1 �pN Address: //+) Permit !f nuilder: 1-222 'MT, FOLLOWING CORRECTIONS ARE REQUIRED: 16 "'00or h- Lr F- -.! Cal U) W Inspect Date: APPROVaD DISAPPROVED APPROVED SUBJECT TO ABOVE ^—Call For Reinap. INSPECTION NOTICE City of Tigard Building Department 13125 SW Hall 91vd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspectlon: Footiaq Plbg. Undersl�b Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: �P.o_at/Bee�swrBGt�ru_� San. Sewer Framing -Bldg. (Iffat/Beam Mech.) Rain Drain Insulation -Plumb. _—. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requested: _ Time: ( PM Address: Permil i:� Bui.lder:, THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspectors APPPOVED DISAPPROVED ` . APPROVED SUBJECT TO ABOVE Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 Sit Hall. Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Bssiness Phone: 639-4171 Inspection• !. _ --- Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam St�rugjt_- San. Sewer Framing -Bldg. s Rain Drair, Insulation -Plumb. l- Plbg. derfloor Water Lin Gyp. Bd. -Mech. Date Requested:__ Times AM PM Adaresss , I ). (L>� / i '�✓"� Permit 1: _ Builder: 7.L THE FOLLOWING CORRECTIONS ARE REQUIREDs InH-•::rtor: _�- _------------ � Detes_�_�_�� APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE __call For Reinap. INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: _ Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk Found. Piba. Top Out Gas Line FINAL: San. Sewer Framing -Bldg. Poat.!Beam Mach Rain Drain Insulation -Plumb. Pl.by. Underfloor Water Lina Gyp. ed. -Meeh. Date RegtedZ sted: 7 Timet __4 i11� PN j G I HJT (A•TL. Addresae Permit I: ►_�- Builder: TBE FOLLOWING. CORRECTIONS ARE REQUIREDs 1 Inspector/t/ Datat !� APPROVRD DISAPPROVED APPROVRD SUBJRCf TD ADM Call ?or Rainep. INSPECTION NOTICE City of Tigard Building Departnumt 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 lnepection: Footing Plbg. Underelab Mech. Rough-i.n Appr/Sdw1Y. Found. Plbg. Top Out Gan Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbq. Underfloor\ Water ins Gyp. ed. -Mech. Data Requenteds _ Time: AM PM Address: I _ _� �j!� Permit is Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: i Inspector: / �---- Dat®: APPROVED __ DISAPPROVED APPROVED SUBJECT To ABOVE —Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 3.3125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-.Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underelab Rech. Rough-in Appr/Sewlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer ) Framing -Bldg. Post/Ream Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requested:_ Time. AM Address: � vV` Permit fe� " O� Builder: THE FOLIA3WING CORRECTIONS ARE REQUIRED: N W IJ,I - _J /1 Inspector: ------ hare: �_yf'„ �_ APPROVED DISAPPROVED APPROVED SUBJECT— AM TP �.— Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 Sit Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Busineee Phone: 639-4171 Inspections looting Plbg. Under4?.ab M, ch. Rough-in Appr/Sdwlk Plbg. Top Out Gas Line FINALS Post/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Meeh. Date Requested: _� ,l L Times AM _PM Address: / C. Permit Bullders­ THF. FOLLOWING CORRECTIONS ARE REQUIRED: F— N -- — -- —------ J LO J Inspector: APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinap. INSPECTION NOTICE City of Tigard Building Department 13125 SK Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phc,:.e: 639-4171 Inspection: — Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Pent/Ream Struct. San. Sewer Framing -Bldg. poet/Beam Mech. ( Rain Dra7t� � Insulation -Plumb. Plbq. Underfloor Water Line Gyp. Bd. -Mech. Date Requested: Time: AM — PM Ad,rens: I I — Permit i:�_� Builder:--- THE FOLLOWING CORRECTIONS ARE REQUIRED: 1 J 1) J Inspe or:__ APPROVED DISAPPROVED APPROVED SUBJECT TO A80VE Call For Reinsp. CUTY OF '110*0RD RF'.CEIPT' OF PAYMkNi RECEIVAT NO. :93—P45006 CHECK AMOUNT y 85. 00 NAME M & F DEVF-,.'L0SME."NT CAI-44 AMOUNT' n 0. 00 ADDRESS o PAYMENT DATE 10/08/93 SUBD I V t IS I ON P(JRI.-.,rJSE OF PAYMENT f4M(,.)IlNf PAID P1,1HPOBF-.. (-)F PAYMENT AMIJUNT PWD [Atill-DiNo PERM 215. 00 BUILDIN13 PERM 2"). Wo ft.AN CHECK 16. 25 PLAN CHEUK FF: 16. i?5 C. BUILD PER 1. 25 91'. BUILD PER 1. P-5 CJ i?El,WNlNH WfAi.l.(-;- 11�?50 11263 SW 91!-J i,oipl- AMOUNT PAID ovi • CITY OF TiaARr - RECEIPT OF PAYMFNT RECEIPT NO. 193-.237870 CHECK HMOUNT 1 4964. 24 NAME a lyi & F DEVELOPMF-14T CASH AMOUNT a V. 00 PAYMENT DATE : 03/' 0/93, SUBDIVISION CL Pt-IRPOSE OF PnYMr-7-NT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID ------ ...... R 147. 50 B1111- 3671. 00 PL'JMAING PEPM MECHANICAL PE 46. 50 ST. BUILD PER 28. 06 PLAN CHECK FF 0. 113 SEWER USA 21.0)2+. 00 4-'Wr-R INSPECT 35. 00 PARKS SDC 500. 4410 STORM DRAIN SOC, G'1,30. 00 RESIDENTIAL TRAFFIC FEES 1350. 00 MPBS TRANSIT TIF FEES 110. 00 11250 SW 91ST CT TUTAl. AMOUNT 14110 4964. 24 Cl IV D.3ARD RECLIPT CIF' PAMt NT RECO IPT NO. s 9 3--c•3,6.'.195 CHFCK 01,40011T MO. 00 NAM17 v M F Ur-tV1-,A_OPIfK-:0T UAISH AMOUNT 0. 00 f)I M RE,(AS 3 PAYM11,17' DAIL 02.'05!9 3 SUSn T.kri C:I tit-,I UF PA)Alr-..IAT AMOUNT PATO PURPO,:E OF Plf-q'YMf-NI" (411OUNT PAID rl CHr-ECK 00 rMKOTA 13POIJES ­-o SW 915T 1-Cyl-OL AMOUNT PAID CITY nF TI©ARD RECEIPT OF PAYMENT RECEIPT NO. 95-P" 5777 CHECK AMOUNT t i?6. �'-5) NAMF o POSE HENT ING CO CASH AMOUNT t 0. 001 ADDRESS a 9945 NE 6TH DRIVE PAYMENT DATE a 01/23/95 PORTLAND, OR SUBDIVISION 97211- oURPOSE OF PAYMENT AMOUNT PAID r''JPPOSE OF PAYMENT AMOUNT PAID IE C.NAN I CAL PE -95 ',-3T. BLIi—LD—FEW V� nil 11,::-,5o sw gis*r COURT TOTAL. AMOUNT PAID 26. 2r, -----------CITY OF TIGA RD CITY COMMUNITY DEVELOPMENT DEPARTMENT 01110M MASTER PERMIT 13125 SW HWI Blvd P.O.Bac 23397,T*M.Or*Wn 97 (603)8304175 777 13ERMlT #. . . . . . . a MST133­0071) 639-4171 DATE ISSUEDc 03/17/93 SITE ADDRESS. . . : 11250 SW 91ST CT IDARCELe IS135DB­10817,1: SUBDIVISION. . . . : DAKOTA GROVES ZONINGc R-4. 5 CLOCK. . . . . . . . . . . LOT.. . . . . . . . . . . . . : 1 BUILDING REISSUE: DWELLING UNIT'S: l BASEMENT. . . . . . . . :0 13f CLASS OF WORK. iNEW BEDRMSa3 BATHSi3 GARAGE. . . . . . . . . . 1420 sf TYPE OF USE. . . tSF FLOOR AREAS --- REQUIRED SETBACKS------------- 'TYPE OF CONST. t5N FIRST. . . . :810 5, ( LEFT. . : 15 ft RIGHT. :5 ft OCCUPANCY GRP. iR3 SECOND. . . :713 sf FRONT. ir­_,5 ft REAR. . c68 ft STORIES. . . . . . . 12 THIRD— . -@ sf HE I GHT. . . . . . . . 122 ft TOTAL— --: 151"23 S f SMOKE DETECTOR S. !Y FLCOR LOAD. . . . 940 psf VALUE. . . . . $ t 77618 PARKING SPACES. . el Remarks ; PATH I PLUMBING INKS. . . . . . . . . . a FLOOR DRAINS. . . . v0 BACKFLOW PREVNTRS. . :0 i-iAVATORIES. . . . . :3 WATER HEATERS— i1 TRAPS TRAPS. , * * , 0 TUB/SHOWERS. . . . 33 LAUNDRY TRAYS. . . 91 CATCH �A;1�S. 0 WATER CLOSETS. . t3 SEWER LINE (ft ) . :O GREASE TRAPS;. . . . . . . t DISHWASHERS. . . . : 1. WATER LINE (ft ) . : 100 OTHER F=IXTURES. . . . . 10 GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . iO WASHING MACH. . . a SF RAIN DRAINS. . el MECHANICAL FEES FUEL TYPES---- UNIT HTRS. . :0 type amount by dates recpt /GAS/ VENTS . . . . . i0 TIF $ 1460. 00 JH 03/17/93 – MAX INPUTiO BTU VENT FANS. . a BPRT $ 367. 00 JH 03/17/93 – FURN ( 100K . . : 1 HOUDS. . . . . . a SPLC 4 236. 55 JLH 02/05/93 93-23636' 'URN . . :0 WUODSTOVES. i(a B5PC $ 1.8. 35 JH 03/17/93 – FLOOR FURN. . . . :0 CLO DRYERS. z I 5SDC $ 280. 00 JH 03/17/93 f40IL/CMP ( 31-lPs0 OTHER UNITS: J. PARK $ 500. 00 JH 03/17/93 GAS OUTLETCS: 1 MPRT $ 46. 50 JH 03/17/93 MP L C $ 11. 63 JH 03/17/93 lyl & F-' DEVELOPMENT M5PC $ 2. 33 JH 03/17/93 PPRT $ 147. 50 JH 03/17/93 P5PC $ 7. 38 JH N;3/17/93 Phone #t Contractors CL M & F DEVELOPMENT CO. 17707 SE OATFIELD V1 GLADS,rONE OR 97027 f:lhone #o 652-7092 Reg #. . ; 57484 3079. 24 TOTAL. LL This permit is issued subject to the regulations contained in the REQUIRED INSPECTIONS _.Jli,ard Municipal lode, 11,1 of Ire. Specialty lode, and all other Foot/found Insp Fireplace Insp I applicable laws. All work will be done in accordance with approved Post/Seam 9truct Gas Line Insp plans. This perpit will expire if work is not started within 180 Post/Beam Mecham Insulation Insp days of issuance, or if work is suspended for sore than 180 days. Plm/undslab Insp Gyp Board Insp PLM/Underfloor Rain drain Insi, Permittee SignaL it e * �t Mechanical Insp Water Line Insp Plumb Top Out Appr/Sdwlk Insp 119LIOd Syl Framing Insp Mechanical Final Call rvt- Trisped lan M59­2417Li CITY OF TIGA RD 00TIOND COMMUNITY DEVELOPMENT DEPARTMENT CN1110 13126 SW HWI*Btvd. P.O.84m 23397,TOW,Oregon UM(6031630-4176 MASTER PERMIT ]'-I' 639-4171 DATE ISSUED: 03/17/93 ,.3ITCS HDORE SS. . . J.1'2'30 SW 91ST CT FIARCEL: IS135D!3­10600 5UBUIVISION. . . . DAKOTA GROVES ZONING. R-4. 5 BLOCK. . . LOT.. . . . . . . . . . . . . : I BUILDING REISSUE: DWELL I NG UN I T`3): I BAGEMFNT. . . . . .. . . :0 S CLASS OF' WORR. :NEW BEDRMS.3 BATHS:3 GARAGE. . . . . . . . . . :420 sf TYPE OF USE. . . :OF FLOOR AREAS-­­­­­- REOUIRED BETBAC1/NS---­--- "rYPE OF-, CONST. :5N FIRST. . . . :810 s LEFT. . : 15 ft RIGHT. :5 ft OCCUPANCY URP. :R3 SECOND. '713 S f FRONT. :`5 f t, REAR. 68 ft STORIES. . . . . . .. -2 THIRD. 0 s HE I G.H T. . . . . . . . :22 ft 1523 s SMOKE DETECTORS. .-Y FLOOR LOAD. . . . -40 psf VALUE. . . . . fl : 77618 PARKING SPACES. . : 1 Remarl.(sn PATH I PLUMBING SINKS. . . . . . . . . . .* 1* 1 F-LOOR DROINS. . . . ::0 B A CK FL U W P R F--*V N TR S. 171 LAVATORIES. . . . . ..3 WATER HEATLRS. . . 71 TRw:s. . . . . . . . . . . . . . :0 TUB/S1 iowLRs. . . . :3 LAUNDRY TRAYS., . . : I CATCH BASI NS. . . . . . . -III WATER CLOSETS. - :3 SEWER L.11\1L (ft ) . :0 GREASE TRPP'S. . . . . . . :0 DISHWOGHERS. . . . -. I WATER LINE (ft ) . r I VIO OTHER FlX1_L.1RESj. . . . . ::III GARBAGE DISP. . : I RAIN DRAIN (ft ) . :O WASI-1 I NO MACH. . . " I 5F RAIN LIRA ING. . 1.11 MECHANICAL FEES FUEL TYPES----_-...._-.._.._._._....._. UNIT HTRS. . :0, type am )I-knt by date Y-ecpt /GAS/ VENTS . . . . . .IZI TIF' $ 1460. 00 iq 03/17/93 MAX INPLY1 .0 UTU VENT FANIS. . -5 BPRT $ 367. 00 J11 0;j/17/93 i.*URN ( 100K . . : 1 HOODS. . . . . . . I BPLC $ 238. 55 JLH 02/05/93 93.--236385 FURN ) ­1001-1, . . .-0 WOODSTOVE13. :0 B5PC h 18. 35 JH 013/17/93 - "'LOOR. VURN. . . . :0 CLO DRYERS. : I ':)SDC $ 5:`80. 00 JH 03/17/93 - • (SOIL/CLIP' ( 3'Hrl:0 01HER UNITt_i- 1 PARK t 300. 00 •J1 1 03/1'7/'33 7/93 - (:'A B 0 U 1"L E"F S: I MPRT $ 46. 50 JH 03/17/93 - $ 11. 63 JH 03/17/93 - M & F DEVELOPMENT MSPL $ 2. 33 JH 03/17/93 PPR1* $ 147. 50 J1A 03/17/93 P5PC $ 7. :38 JH 03/17/93 !hone #r romerl 0 n t r,Act a r. 11 & F DEVEI-OPMEN1 C(I 17*707 SE DATFIE-D OR 970L`7 -Tone #.- 652--7092 57404 3079. 24 TOTAL his pervit is issued subject to the regulations contained in the REOUIRED INSpFr 'igard Municipal Code, State of Ore. Specialty Codes and all other F-00t/fOLInd Insp FJI _vilarp Insp Applicable laws. All work will be done in accordance With approved Plclst/BeiAm Strtkct Gas Line Insp clans. This perpit will expire if work is not started within 180 Post/lAeam Meehan Ins elation Insr _4yt of issuance, or if work is suspe,-,'- -1. nor, ­-An 188 days. Plm/lindslab Insp Gyp Board Insp PLM/Under-flaor Rain drain Insp E-'e1m it t ee Si gnat k.ty-e I'llelrhatlic!al Insp Water Line Insp Plktmb Tup (JUt Pppt-/Sdwlk Insp issti.ted By : F."raminq Insp Mech;lni.cal. Final Call for inspection 63 -4 ---------- TYOF71firARD A�� SEWER CONNECTION PERMIT COMMUNITY DEVELOPMENT DEPARTMENT Me" . . . . . . . . S W R 9 3-0 0-7 6 13 t26 SW HWI Blvd. P.O.Box 23397,TigW,Oregon 97 (503)6304176 SITE ADDRESS. . . 11250 SW 91ST CT PARCEL,- IS1351)B­10800 SUDD I V I S I ON. .. . . DAKOTA GROVES ZONING. R----4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 1 TENANT NAME. . . . . : USA NO. . . . . . . . . . : FIXTURE UNITS. . . CLASS OF WORT.. . . :NEW DWELL I NG UN I TS. . : I TYPJL Or USE:. . . . . :5F NO. OF' BUILDINGS: 1 INSTALL TYPF.', , . -1.ALJ33WR IMPERV SURFACE. . : S f Remar-ks . !11,1-1- 12 Owner,: FEES 'oe M & F DEVLLOPMEN*T type Ainctf_tnt by date recpt PRMT # 2100. 00 JH 03/17/93 INSP 3`5- 0 QI JH 03/17/93 Phone #r Contractor: CONTR(ICTOR NOT ON 17IL-E Phone #: $ 2'135. 00 TOTAL Rel.] #. REOUIRED INSPECTIONS This Applicant agrees to comply with all the rules and regulations Sewer- Inspection of the Unified Sewage Agency, The pet-sit expires 160 days from the date issued. The total amount paid will be forfeited it the permit expires. The Agency does nct guarantee 0e accuracy cf the side sewer laterals. If the sewer is not located af the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a 'Tap and Side Sewer" Permit and the Agency wil, install a lateral. .i. s 1-t e d Py - -75 Call for, inspection 639--41 C,A PLNCK RECT # � � / 13125 SW llall 131vd. �('j"TY OI TIGARD PERMIT # X 511.3 COMMUNITY DEVELOPMENT DEPARTMENT Tigard,Oregon 97223 (503)639-4171 DATE ISSUED JOB ADDRESS: _ //Z Sd S w �/ TAX MAP/LOT SUB: _D,� /I7� `/�/ _ LOT: LAND USE: VALUATICN: OWNER SPECIAL NOTES NAME: ---� / REISSUE OF: ADDRESS: __- _ _ LAST REISSUE: FLOOD PLAIN/ PHONE: _ l+ .SZ- 76��2 SENSITIVE LAND: CCNTRACI.OR APPROVALS REQUI��R��ED"" NAME: _ PLANNING: t.e+� 0a'l ADDRESS: �— ENGINEERING: FIRE DEPT: PHONE: OTHER: -11 r CONTR. BOARD #__����--r�-- EXP DATE: _�fi_J�__ ITEMS REQUIRED SUBCONTRACTO : P" LUMB: RS �IST -SUB ONT-RACTORS: _ MECH: s(e^,4e67�— _ BUS TAX: • — ARCH ENGINEER CALCULAT NAME: _ Li`lG� TRUSS DETAILS: ✓� ADDRESS: _ OTHER: -- — PHONE: y PROPOSED BLDG. USE: — w COMMENTS: ------ J Y APPLICANT SIGNATURE Received By: Date Received: __ PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE �ri3 nod% 10-432 00 Building Permit Fees �Wj ' � 36-7 10-431 00 Plumbing Permit Fees A(Z So % Al 2.S7> 10-431 01 Mechanical Permit Fees SQ �� u 10-230 01 State Building Tax (5%) ''`� •OG Building S Plumbing Mechanical 2 3 1C-433 00 Plans Check Fee Building Plumbing Mechanical //•� 1 10-230 06 Fire rr 7 'K 7G 30-202 00 Sewer Connection 2-200 cploc, 30-444 00 Sewer Inspection ,aj 35- 25-448-02 5'25-448-02 Commercial TIF Fees 25-x148-04 Industrial TIF Fees 25- 14o-06 Institutional TIF Fees 25-448-03 Office TIF Fees 25-448-01 Residential Traffic Fees SSU �,�,�o 2.5-448-05 Mass Transit TIF Fees 52-449 00 Parks System Dev Charge (PUC) S O U 'S0 0 31-450 00 Storm Drainage Syst Dev Chrg (SSOC) � `% �91U _ 24-445-01 Water Quality (Fee in lieu of) 24-445-02 Water Quantity (Fee in lieu of) TOTAL i . Z� nm/3587P.WP! MECHANICAL T CITY OF TIGARD PERMIT #. . . . .1.1. : MEC95-­015L-.. COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: (hrj/223/0- 53 13125 SW Hall Blvd.Tigard,Orogon 97223*81199 (503)839-4171 PARCEL. ICS135DD- 10860 1'"E 11)R E.S S, I IC-0 ^W '15T tr_­t SDTVISION. . . . : DAKOTA GROVES ZONING: P-4. 5 . . . I L01.. . . . . . . . . . . . . .. I ------------- _.AGS Or' WORP,. , :AD0 FLOOR FURN. 7VAP CO0LEr5,: TYPE. OF US`. . . . i SF UNIT HEATERS..: VENT r-ANS, . . : OCCUPANCY GRP_ :R3 VENTS W/O APPL; VENT SYSTC-1111,, �T0RIES. . . . . . . . :2 BOILERS/COMPRESSORS HOODS. . . . . . . : 1EL TYPE�.' 0_ HP. DOMES. INCIN: : i "LEI 3­15 HP. . . . : COMML. INCIN: I 11,':�X INPUT; BTU I r-"--.'.,0 HP. . . REPAIR UNIT". `RE DAMPERS?. 30 -50 1­1P. . . . WOODSTOVES. . . PRrGG)URr_,. . . 5171-1. Hp. . . . CLO DRYERS. ., : ,L). Or AIR HANDLING UNITS OTHER UNITS. : _RN ( 10014, BTU. 10000 cfm : l GAS OUTL.r—. Tf.,. ''URN ) ='10QAR. BTL' ) 10000 cfm: '.N15.)TAIJ. RESInril`,11' -)L ATR--CONDITIONING UNIT. FEES ;1UNTON CHOW type a M 1), t by date recpt 7'r- 0 SW 91ST rourr PRMT ' . 00 CTR 05/23/115 spc,r f 1 . 25 C:7 r 0 a3 'Y55 _w 1;11 OR ")'7�1,1113 or P #: -It t-aQt orl. CO 045 NE 6TH DR OR 9?_-"11 # `8—­ TOTAL 0,2084 REQUIRED INF,PECTIONS _- ;his permit is issued s4ul;ect to the rpg,ilations contained in the Met,hanioRl Insp Tigard Municipal Ude, State of Ore. GfPcialty Codes and all other Final Trispec tion ........ applicable laws. All work will be done in accordance with approved plans. This pewit will expire if work is not started *it`in IN days of issuance, or it word+ Is suspended for yore har l days. C" i for- Inspceu-t ion 639--4175 City of Tigard MECHANICAL PERMIT Planck/Rec. # 13125 SW Hall Blvd. APPLICATION Permit # Tigard, OR 97223 (503) 639-4171 Description Table 3A Mechanical Coda OTY PRICE AMT Job I - i) Pennit Fee -0- U- 10.00 Address TiqaLA 2) Supplemental Permit - 3.00 Furnace 100,000 BTU 1) incl.ducts od vents 6.00 AdhFumace 100,000 TU+ Owner J° «. ()`I -'V 2) incl.ducts&vents 7.50 .» o -71WFumanco 3) incl.vont 6.00 ... « spa ater,WWI hoatur 4) or floor mounted heater 6.00 v .Zr- ant not ind.in Occupant ��'` 5) appliance permit 3.00 coj.s- zW Repair ol heating,retng. 6) cooling,absorption unit 6.00 Id ter or comp, eat pump,air cond. 1 Q at,-r C 7) to 3 HP absorp tmd to 100K BTU 6.00 A br«. —�. der or comp. at pump,air coni. k. -51 0) 3-15 HP absorp unit to 500K 13TU 11.00 Contractor Boiler or comp, at pump,au co . r,. MO. l (- 1 9) 15-30 IIP absorp unit.5.1 mil BTU 15.00 .r. .. -� ► �. Boiler or comp, real pump,air cond, J� 10) 30.50 HP ebsorp unit 1.1.75 mil BTU 22.50 (9by acknowledge at I nave fdnd Uvs application,Oat the Boiler or comp,heat pump,aircrord. Information given Is comecl,that 1 am the owner(x authorized agent 11) >50 HP absorp unit 1.75 mil BTU 31.50 of the owner,that plans submitted are in canpliance with State ► Air handling unit to laws,that I am registe•ed with the Construction ConUactoes Board, 12) 10,000 CFM 4.50 that die number given is correct. (If exempt from Stale registration, Air handling unit please give reason below.) 13) 10,000 CTM+ 7.50 —Non portable 14) evaporate cooler 4.50 Vent Ian tains 15) to a single duct 3.00 �- enu anon system not 16) included in appliance permit 4.50 « + Hood served by • 17) medianical exhaust 4.50 esat w `ZA15an L) mppairU Commercial or industrial - I to be done residential Q non-msidentid Q 18) type incinerator 30.00 sung use of ouler La.,WoodrlliM.water building or property 19) heater,sola,dodm dryers,etc. 4.50 r Proposed use of 20) Gas piping one to bur outlets 2.00 building or property i- 21) Mote than 4-per outlet Type of fuel-oil Q natural gas Q LPG Q electric Q I - m �,JI NOTICE LL C- LL, Minimum Fee$25.00 SUBTOTAL -� PERMITS BECOME VOID IF WORK On CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,On S%SURCHARGE ZS IF CONSTRUCTION On WORK IS SUSPENDED On ABANDONED FOR A PERIOD 01= 130 DAYS AT ANY TIML- PLAN REVIEW 25%OF SUBTOTAL AFTER WORK IS COMMENCED. TOTAL75 Special Conditions Uaw issued — 2-3-r-i ) by ..v taro r