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INSPF"GUON NOTICE ^ r
City of Tigard Building Departaenit
13125 891 Ball Blvd. ','igard, Oregon 9722
Inspection Line (Rec-Ot-" �
P7honye)s]63399--X43.75 Business Phone: 639-4171
Inspection: aJ-(J"y L �s.C���'� --
Footing ;blbg. Underalab Lech. Rough-in Appr/Sdwlk
Found. r"1bg. Top Out Can Line FINAL:
Post/Beam St:ruct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Dd. -Mach.
7 _ ! �
_�'-
11,111
Date Requeateds ... _ AM ..^M
Addrasss
E
I sildar:
THE FOLLOWING OORRECTIONS ARE REQUIRED:
Inapactorl___
-0r FPPRUVED _—_ DISAPPROVEb --_ APPROVED SUBJECT Tr ABOVE
—Call For Reinsp.
ainiand MECHANICAL
PERMIT
5MMUNrTYirfOFTWARD (cffYOFTWARD J iz)ERMIT #. . . . . . . . MEC91-00,711n
DEVELOPMENT DEPARTMENT PATE ! -:)SUED: 02/27/91
13125 SIN HWI Blvd. P.O.Box 23397,Tiqwd,Oregon 97223(603)639-417b
14V
PARCEL: 2S111AD-14701-SUBDIVISION. . . . ' MOLLARD LAKES 70NINGt R-4. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : 13
CLASS OF WORK. . :ADD FLOOR FURN. . . . EVAP COCLJ7.*RS1
'TYPE OF USE. . 1. . :SF UNIT HEATERS. . ' VENT FANL. . . :
OCCUPANCY GRP. . :R3 VENTS W/0 A;'-'P–: VENT SYSTEMS:
S'TO R I E S. . . . . . . . :01 POILEIRS/COMPRESSORS HOODS. . . . . . . -.
�ULL TYPES-----______–_ 0-3 HP. — I DOMES. INCIN:
/WOD/ 3-15 HP. . . . .' COMML. INCIN.
.
MAX INPUT: BTU 15-30 HP. . . . REPAIR UNITS:
0 WOODSTOVES. . : I
F IRE DriMPERS?. - -3 –50 HP- - - -
GAS PRESSURE. . . 50+ HP. - - - CLO DRYERS. . .
NO. OF 1-)IR. HANDLING UNITS OTHER UNITS. :
FURN ( 100K BTU: 10000 cfm : GAS OUTLETS. -
FURN ) -10LAK BTU: 10000 cfw :
Remarks : WOODSTOVE PER11,11l
Owner: FEES
TOM CURRAN type amount by date recp��
5 SW 9 15 T PAYM $ 15. 23 JLH 02/27/91
PRMT $ 14. 50
I J.bi-4RV OR 9721R4 PCT 0. 73
Phone #: 620-5034
Contractor:
TOM B I SHOP
1;,9980 SW TV HWY
BEAVERTDN OR 97005
1--IhorE, #: 6447868 S 15. 23 TOTAL
Rea #- 54696
REUUIRED INSPECTIONS
Thi! pereit is issued sub i jert to the regulations contained in the Inspection
Tigard Municipal Code, State of Ore. 5pecialty Codes and all other
applicable laws. All work mill be done in accordance with
approved plans. Ibis perait wiL expire if work is not started
within 180 days of issuance. or if work is suspended for sure
than 189 days.
t:t e S i g n a t kirp
' %91-ted Sys
Call for inspection 639-4175
CITY OF TIGARD MECHANICAL PERMITReceipt#
1.3125 S H'r H.AL l BLVD. Permit#
o�,rr.g,
Description
T IGARD r OR 97223 Table 9A Mechanical Code
CITY PRICE AMT
(503)r'39-4175 j4a«
o na r!, 1) Permit Fee -0 -0- 10.00
.,c►U
(Jame of Development %�r� � )
2) Supplemental Permit
_1� e I�n L A,E F-S 3.00
Job Address _ Furnace to 100,000 BTU
Address f 'g � / .---
11 incl.ducts&vents 6.00
Tax Lot Map No 2) Furnace 100,000 BTU +
Lot Bek Subdivision incl.ducts&vents 7.50
Name(or name of business) 3) Floor Furnace
incl,vent 6.00
Owner Mailing Address Phone d
4) Suspended heater,wall heater
7 9_S �ALJZ T g .3
or floor mounted heater 6.00
City/State Ip 5) Vent not incl.in
applial Ice permit 3.00
Nemo(or name of business) 6) Repair of heating,ref rig.,
cooling,absorption unit 6.00
Occupant ' Mailing Address Phone 7) Boiler or comp to 3 HP
,-Q3y absorp,unit to 100,000 BTU 6.00
City/Stale Zip 81 Boiler or comp to 3 HP-15 HP
absorp.unit to 500,000 BTU 11.00
Name 9) Boiler or comp 15-30 HP
absorp.unit 112-1 million 15.00
Mading Address Phone 10) Boiler or comp to 30-50 HP
>`/` 7.P / absorp.unit 1-1.75 million 22.50
Contractor City/State - -
Zip 11) Boiler or comp to 50 HP 31.50
absorp.unit 1,750,000 BTU
State Registration No i City Bus.Tax No 12) Air handling unit to —�
10,000 CFM 4.50
1 hereby acknowledge that I have read this application that the information given is 13) Air handling unit
correct,that I am the owner or authorized agent of the owner,that plans submitted are In 10,000 CFM + 7.50
compliance with State laws,that i em registered with the State Builders'Board,that the Non portable
number given is correct.(II exempt from State registration please give reason below) 14) evaporate cooler 4.50
15) Vent fan connected
to a single duct 3.00
16) Ventilation system not
included in appliance permit 4.50
Hood served by
17
_� -�? 7�� ) mechanical exhaust 4.50
tujar(ovAer or agsi _ Date Domestic type —
Descfte work O addition ❑ alteration I +repair ❑ 18) incinerator 7.50
to be done residential ❑ non-residential I I Commercial or industrial
Existing use of - 19) type incinerator 30.00
buildinc,or properly 20) Other i.e.,woodstove,wate
Proposed use of heater,solar,clothes dryers,etc. 4.50
building or property
---- 21) Gas piping one to four outlets 2,00
Type of fuel- oil I I natural gas ❑ LPG f 1 electric I-)
TI 22) More than 4-per outlet
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- _ 8U8-TOTAL
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 5'/e SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER PLAN REVIEW 25%OF SUB-TOTAL
WORK IS COMMENCED. TOTAL
Special Conditions
�� Date issued
ILI-
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BUILDING PERMIT APPLICATION DArr
THE UNDEFISIGNEn HEREBY APPLIE's FOR A PERMIT FOR T HE WORK HEREIN INDICATED BUILDER PHONE:.
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
�•%_
OWNER Jearl [.Alitr:ISI► JOBADDRESS �'►1' 5?v 'JI:�L LOT NO.
._. --------- ARCHITECT ... --
ENGINEER `idto
BUILDER BVistOl ilurtic?S ADDRESS DESIGNER ;Lz;j4jy ASsor_.
STRUCTURE ❑�EW Cl REMODEL _❑ ADDITION _❑ REPAIR ❑ RENEWAL L1 FIRE DAMAGE 1:1 DEMOLITION
CJ'RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORA4GE ❑ SLAB Ci FENCE
OCCUPANCY --L,'3--LAND USE ZONE ���•r-`�7} BLDG.TYPE a _FIRE ZONE PLAN CHECK BY � HEATS __
single fanily dw€�l-lii'<;., &
w/att .txx1 ,;arri.;�:, all icer attac:ilCd plArts. — ��--- --
Subject t0 85 -zw.je. r
SEWERPERMITk 34()9() .3 batim, 11 tCHi-xi ;;:iCc3''t? area 504
OCC.LOAD FLOOR LOAD HEIGHT VA NO.STORIES 2 AREA 17"") NO.BEDROOMS 'i VALUE 800031
BUILDING DEPARTMENT `
— - SET BACKS FRONT SEAR34
¢ LEFT SIDE � ` � �i� RIGHT SIDE �
Permit 6•'I
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 2W4.40 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY 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
Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tex 13.88 . ..
Total 09.20 SDC— (0).00
8y
100.00 PDC# TT 150.00 APPLICANT OR AUNT
539.20 20 Receipt No. ..�!>42 _
Approved DDR PHOt4[
I'
DATE INSP. TYPE INSPECTION RMMARK4 PLUMBING DATE
Contractor
Permit No. �._.
1 . --T - --
0 /I
Rough-in
jL '�✓6 �_^
Fixture
-,Ao-er �R Final
- HEATING
Contractor ,(�_&"
�� ---- _ Permit No. U
Gas or Oil
Rough-in
Final
SEWER
Final
r DRIVEWAY
��-- --- Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb IN Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping
Zoninq Final — --
CITY OF TIGARD MECHANICAL PERMIT
Permit k _
Description
City of Tigard
Table 3A Mechanical Code OTY PRICE AMT
-
13125 SW Hall Blvd, 1) Permit Felt -0_ -0_ 10,00
P.O. Box 23397
1--
Tigard, OR 97223 2) Suoplemental Permit 3,00
639-4175 Furnace to 100,000 BTU
1) incl.ducts&vents _6.00
L2)
Furnace 100,000 BTU 4
incl.ducts&vents 7.50
Name of Development 3 Floor Furnace
( ) incl.vent 6.00
Job Address Suspended heater,wall heater
Address -�` `� / 4) or floor mounted heater 6.00
Tax I of Map No f 5) Vent not incl.in 3.00
_ Lot ,' -) Block SubdM appliance permit
Name(or name of busi s) 6) Repair of heating,refrig., 6.00
cooling,absorption unit
Mailinq Address Phone- 7 Boiler or comp to 3 HP
Owner ) absorp.unit to 100,000 BTU 6.00
GtyrState Zip Boiler or comp to 3 HP-15 HP
9) absorp.unit to 500,000 BTU 11.00
Name
9) Boiler or comp 15-30 HP
�
absorp.unit Y2-1 million 1'
Me"Address fphone Boiler or cot rip to 30-50 HP
10) absorp.unit 1-1.75 million '2'J0
Contractor C+fy,sute Zip Boiler or comp to 50 HP
11) absorp.unit 1,750,000 BTU 31.5(?
stale riegietraWn No. City Bus.Tax NoAir handling unit to
12) 10,000 CFM 4.50
I hereby■ck—ledge that I have reed this application that the information given is 13) Air handling unit 7.50
C01 -Met I■m the owner or authorized10,000 CFM +
gent d Ms owner,M■1 plana eubrttlttaJ we in
oompeMtce with State laws,that I■m registered with the State BuWMs'Board,that the Non portable
rKte►tber given is owed.(II exempt from State registration pieaee giw reason below). 14) evaporate cooler 4.50
_---..---�_____---.-----,____._ _-------..------ Vent fan connected .-
15) to a single duct 3.00
�-- —`------`�-- ^-�--------- Ventilation system not -__- --
16) 4.50
included in appliance permit
- -�---------- - Hood served by
1 - ---- - _---
7) -;tical exhaust � 4.50 ,
(ow w or agent) NJ M^type --
Describe work CI addition [Ialteration F] repair C) 1 J) "G,�et..'•' ' 7.50
to be done esldentlal non-residential C_] ..pry jtn.al or industrial
Existing a of 19) type incinerator 30.00
building or property__ _ _ 20) Other i.e.,woodstove,water 4.50
Proposed use of heater,solar,clothes dryers,etc.
building or property _�..— _- 21) Gas piping one to four outlets 2.00 �-
Type of fuel- oil Cl natural gas K_ LPG ❑ electric U i — `-
22) More than 4-per outlet
NOTICE SUB-TOTAL $I S-Z)
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- - ---
STRUCTION AUTHORIZEC IS NOT COMMENCED WITHIN 190 Sa10 496 SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL ?y
ABANDONED FOR A PERIOD OF 100 DAYS AT ANY TIME AFTER ----
WORK IS COMMENCED. TOTAL Y('9-
Specht Conditions
Date issued 91VIF by
wm
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. : 2-Y -2
PLAN CHECK APPLICATION DATE RECEIVED: Za G/8
P.O. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID:, 0-d
This is to certify that the attached ,Z- sets of plans have been submitted for plan
check pursuant to the Oregon Structural Code and Fire 6 Life Safety Code, edition.
PROPERTY OWNER: OWNER'S ADDRESS:
CONTRP.CTOR: TELEPHONE:
JOB ADDRESS: / '-( 71i5 q (of LOT NO. b MAP: -
DESCRIPTION OF WORK:
Approvals Required SPECIAL NOTES
CJ Planning Dept. O Reissue
O Engineering Dept. O Flood Plain/Sensitive Lands
ODire District O Sever Availability
O Other O Other
Items Required
OList of subcontractors
OBusiness Tax
Calculations
OTruss Details
01 Parking Plan
0 Landscape Plan
aOther
COMMENTS:
CLty of Tigard Building 3eparttwnt
SY s _-
mumitiIII!kv EVA _ _ m
NLNN LhLLK NU.g
for inspections call 639'-4115 7
PERMIT N0. � o
CITY OF TIGARD 639.6111 DATE Z SI$ -
AUILDING PERMIT ^SUBDIVt3tON
O. Box 2 97, Tig rd OR 971223 TAX MAP lu QTdo• 3—
OWN `.P. JOB ADORM-=
EXP,OATE ---
Btnl pEq STATE REG.NQ R ISTo�L� p�fly�`eS --
BUILDER'S PHONE �C21�-.i_-6
ARCHITECTt _�, ._ PHONE J�' ---OTNEP. -
_I)- d OTHER E] OE!a0lli
STRl1CTURE^ NE'.+ ❑ REMODEL (� ADDITION O REPAIR O MOVE
AESIOENCE OOMM ❑ EDUCATION ❑ INO • ❑ RELIGIOUS. O'ACCESS01•Y ❑ GARAGE�BOTHER T� FEW
OCCUPANCY lANO USE ZONE l f" TYPE �,.h+ FIRF.ZONE-w-PlJ1N CHECK BY --- -== c -
Construct sin le famiad plai—
i dweiliag _
Sa+b j ec t to SS codE'
SEWER PERMIT ,., CfaP5 garaae area ��—�,
y, f �� �_(ldu baths.
OCC.LOAD FLOOR LOAD HEIGHT >s NO.STORIES AREA 7. �
BEDROOMS VALUE
BUILDING DEPART MENTSt T BACKS FRONT �w ' LEFT SIIDDE�r- 10I RIGHT SIDE
Per"* 374- '� THIS PERMIT tS ISSUED SUBJEC,,TO THE REGULATIONS CONTAINED IN THE BViL01Ni1 CODE.ZONIN
IIEGtM AT10NS AND ALL APPLICABIf:CODES AND OROINANCIM AND R 13 N`IIEBY AGREED THAT Tl�
FUn Check k 1"(• d WOMtK WILL BE DONE IN ACOORG ANCE WITH THE PLANS AND SPECIFIGATN"Ni AN0 IN COMPLtANC NOT WAIV
WITH ALL APPE CODES A►:0 ORDINANCE THE ISSISAIM OF TM POWT DOES
LM,ABL
PL CIL F" "" IIeSTR1CT1Vf'COVENANTL C,:i MCTOR AND SUB CONTRACTORS TO"A"CURRENT CITY BUSINES
TAX PERMr w SEPARATE PE04MITS REOIMRED FOR SEWER.PLUMBING AMO"GATT
Slag Tax d S6011
Total • ': APPLZiANT OR AGENT
POI
Prapd. �wbM+
R000191 NO ADDRESS
Bal.Qua �
Imbed By--------Approved By
S s pC --- $ ---
sOC - `' - RECEIPT A'__
POC - DATE PD. _
SEWER CONNECTION Sr/� AMOUNT PU.Sir
SEWER INSPECTION S 3.101
SEWER�SURCNARCE S141
:ammente;
oee
/�'e' ;Orem
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