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CITY OF TIGARD MECHANoCAL PERMIT Receipt #
Permit# -
Description
Table 7A Mechanical Code OTY PRrCE AMT
City of Tigard t) Permit Fee n o- 10.00
13125 S.W. Hall Blvd.
P.U. Box 23397 2) Supplemental Permit 3.00
Tigard, OR 97223 _
639-4175 1) Furnace to 100,000 BTU
incl.ducts&vents 6.00
— Furnace 100,000 BTU +
t
ll44 2) incl.ducts&vents 7.50
te
Name of L`evelopment —_ - — :1) Floor Furnace 6.00
incl.vent
Ib Address —� ---" 4) Suspended heater,wall heater 6.00
Address /So -</8' Ja) 9_/c) or Iloor mounted heater - —
Tax Lot Map No 5) Vent not incl.in 3.00
Lot Black Subdivision app lance permit Y
Name(a name of business) 6) Repair of heating,refrig., 6.00
7 cooling,absorption unit
Mailing Address Phone � 7) Boiler or comp to 3 HP 6.00
�-Sol V,Owner s absorp.unit to 100,000 BTU
Cityrstate Zip 8) Boiler or comp to 3 HP- 15 HP 11.00
. _!6AP1) O L absorp.unit to 500,000 BTU _
Name 9) Boilero,comp 15-30 HP 15.00
_ absorp.unit 112-1 million
Mailing Address Phone 10) Boiler c,r comp to 30-50 HP _ 22.50
absorp.unit 1 -1.75 million _
Conti actotCity/State Zip 11 Boilr r or comp to 50 HP 31.50
dosorp.unit 1,750,000 BTU
State Registration No City Bus.Tax No. .2) Air handling unit to 4.50
10,000 CFM
Air handling unit
I hereby acknowleope that I have read this application that the information given is 13) 10,000 CFM + 7.50
correct,that I am thn owner(x outhouzod agent of the owner,that plans submitted are in — -- —--- --
ccxnplianr)e with State laws,that I am registered with the State Builders'Board.thni the 14) Non portable 450
number given is(orrect.(If exempt from State registratior:please give reason below) evaporate cooler
01 -. ! Vent Ian connected
15) -- — 3.00
to a single duct —
!'��
16) Ventilation system not
included in appliance permit 4.50
17) Hood served by 4.50
e� L�-- _ _ _ mechanical exhaust
S_re(owner or agent) _ Dale 18) Domestic type 7.50
Describe work ❑ addition O alteration V4 repair ❑ incinerator _
to be done residential non-residential I I19) Commercial or industrial 30.00
Existing use of
— type incinerator _ _
building or properly _ 20) Other i.<woodstove� ater 4.50
,clothe
Proposed use of heater,solars driers,etc_ �•S�
building or property . 21) Gas piping one to four outlets 2.00
Type of fuel- oil O natural gas L) LPG I.] elnctric U
22) More than 4-per outlet
WME SUB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON-
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 160 .5&10 406 SURCHARGE '72N
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 2S%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER --
WORK IS COMPrENCED TOTAL RS�j
Special Conditions
Date issued L�! _��{��-by--- -—
RIF t s
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phr e: 639-4175
V ype of Imoection C&IX-174—
Dute Requested ��� Time A.M. P.M.
Adt!►ess c1 Y�r_ g � � Permit #
Owner -<<-Z (.dA,L A--A-4- Lot #
Builder
The rollowing Building Code deficiencies are required to be corrected:
i
{'rrcr•nt• I tai Approved
Inspector ��� ` ❑ Din "d
Late —_ `�o ",z "
CALL FOR REINSPECTION
YES �7 NO
AR
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone. 639-4175
Type of Inspection ._.—_ j : r Y, �.it
Date Requested_ �� Tlms _ A.M. � P.M.
�y !
Address _-—'i_�' Vr'7 .�� t '.� ��� �,�� Permit # 77
Owner �.[� � h Lot #
Builder
The following Building Code deficiencies are required to corrected:
i
Uj
A, I C
Presented to
- --- - :aproved
Inspertor __ 1
Disapproved
Date --- .� -
CALL FOR REINSPECTION
Ll Y68 O 140
INSPECTION NOTICE
City of Tigard Building Department /
P O. Box 23397 1
Tigard, Oregon 97223
-� Phone. 639-4175
Type of Inspection ��1�-�-�• , 1
Date Requested — 1C� Time A.M. P.M.
Address Permit #_
Owner ^� Lot #
Builder o 9
1 he following Building Code deficiencies are required to be corrected:
i
Presented to Approved
Inspector _ U Disapproved
Date
CA L FOR REINSPECTION
❑
YES ❑ NO
r �
CITY OF •I K JAR D PLUMBING Ijl%d.
`>*PPikatl<s must hold Oregon "Istratlon to cwxluo a plumb,ng Tic}ut9 CR 97723
ncstaMug- E! noww/operator not hiring outside help. PER M I•I� 631)-417r)
Name of Domw1wil
—�_- t'lurnbing Penna Nr)
're� �� Description
rysl JO�l'r' /U ORSB14-21-a10 DUAN PRICE AMT
AWto" Tax Lot Map.No. ---
Block Mabn FIXTURES
7 `���ZxF�'ri% Sink
or name ss Lavatory 2 7.50
C-' Tub or Tub/Shower Comb -- ?so 7,,Z
g rest
Sh
ower I 750 7.a t
Owner City/state zip et 50 (R..
--risposal rams achine t r ��
HV ress Phone, er - - - i • ,t,
Occupant City/State UP . - Laundry Room Tray
Urinal •5t1
Other Fixtures(Specify)MW
t 5tt
-
Contraetor i to zip
'SOMISCELLANEOUS
City But Tax No Sewer 1 at 100' 30 011
l -- — _
Sewo-os.Addit too I t 5 t1i
(Rto ssdentian ` ' s -__ p Water Servbe 151100
t Al txt ;;
'hereby 0dtnow%dge Met I hove 1000 Mtla 0pp111061Ion.Msat the inrixmatkx, Water Servim as.Addit d r 1500
ttiven 10 oum%Met I am rtrgldered**h Me SIM Bttl Ws Board,and&I%,, —get 3 Rata Oram t N 1 Co 30 Ou
few a 81010 Pkx"bkV loon so Mut M»nuntbws gMn are ooneo. tial an
Pkwv*""WIt w8 bs done in acc+ordana w1th appkWo prov%Kxis co c k n Storm 6 P•xt Oram Addd i Oil t S A)
lion Rev BWtAes Clnplara 447 and 1143 and slppacabN oocSea erect rtiAl
no hale wd be employed wAm 0-a It ad under ORS W3 (n.r en y w n WTI Moble Horne Space :s kV
Stab ro0oliratlon,plaaae give maw bellow), Back Flow Proverthm
HOMEOWNERS'-1 h0teblr oerlMp 1101 1 am Via owner d the Property.Ser Osvbs or Anb-PWhAron Devicet kI
0orbod above,M rrhlf>h 1 q.--Mn is MPH b nm ko a pkantA Wwt&ma&,,hx Any Trap or Waste Not-- - -
rap even U"WWI*plopetgn Is 101tift eorntiloMd kx sal.,leas.,.r W"
ContRled to a Rtrhxe 1.50
Cakri Bath t
kW d EJAt Plumb-V 40 OU Por rb i
SPiaall�Hequaslsd Inapsiatwu 40 00 VAr►s,
x �,y _- - i AIMr d Plurtb4tg wKftM+ 1 �
an ExMttrq t31dq r ti t� „�,.
AUTHOR¢E 81ONATU E - - naM NOW Bldg or llulld AddiUt>t, ?A Oh mn �
— - 1
Deacx>k>is work r»w ittrsit�le-tatuly
-donet IdeMlaltbn alteration O ttel r�r � lliri 1'•.tt'
Et"un of
bUk% or property
of �K MAICMMIIdt
°rpop«ty --- -
Name TOM
,::ra 81ttM1A M PON I or db.ndrin.rt kw
r; M 11100 tsM►ltah w•MIIIIMil1Ad,
OatA wllirw. bt,
MIR
INSPECTION NOTICE:
V�"�,
^, 1/" ' � City of Tigard C3mldiriy Detiartment
P () [lox 23397
Tigord, Ort,gon 972'3
P .rye. 6:_19-4 i%i
Type of Inspection _
Date Requested^ r_ _ Time A.M.____/P.M.
Address �l. f� /G� L� ._. _ Permit #_ (o� �2 _
Dwner — _ lot #
BuiHe►
Thc. following Building Code deficiencies are required to be corrected: `
Presented to _ Av) proved
Inspector _ �_] Disapproved
Date �-- _- --�-
CALT. FOR REINSPECTION
❑
YES ❑ NO
C:I 1 Y Uf- I IUAHU MECHANICAL NERMH
Permtl N
Description
Table 3A Mechanical Code CITY PRICE AWT
City of Tigard � --
13125 S.W. Hall Blvd. 1) Permit Fee -0- 0 10.00
P.O. Box 23W7 , �–r --- – — --- ----
Tigard, OR 97223 2) Supplemental Permit 3.00
639-41751) Furnace to 100,000 BTU — 6.00
incl.ducts&vents
2) Furnace 100,000 BTU + 7.50
incl.ducts&vents
Name of Development 3) Floor Furnace 6.00
Incl.vent
Job Address --- Suspended heater,wall heater
Address /.5� U� q�O 4) or floor mounted heater 6.00
Tax I-of Map No. Vent not incl.in
Lot Block subdivision 5) appliance permit 3.00
NarTT(or name of business) 6) Repair of heating,refr ig., 600
C cooling,absorption unit
M inq Address Phoria Boiler or comp to 3 HP
Owner 7) absorp.unit to 100,000 BTU 6.00
City State Zip �Boiler or comp to 3 HP-15 HP
e) absorp,unit to 500,000 BTU 11.00
Name Boiler or comp 15-30 HP
9) 1500
ahsorp.unit' -1 million - J
z —
Mailing,11dreas Phone 10) Boiler or comp to 30-50 HP 22.50
_ absorp.unit 1-1.75 million
Contractor Cltwstn6 Zip -^ 11) Boiler or comp to 50 HP 31.50
absorp.unit 1,750,0.0.0 BTU
State Registration No. City Bus.Tax No 12) Air handling unit to 450
10,000 CFM
I herebyacknowledge Air handling unit TM
edge Ihet I have read this application that the information given is 13) 10,000 GFM +- 7.50
correct,that I am the owner or authorized agent of the owner,that plans submitted are in
rompliance with Slate laws,that I am registered w'th the State BuildersBoard,that the 14 Non portable
number given is correct (If exempt from State registration please give reason below) ) evaporate cooler 4.50
15) Vent fan connected 300
to a single duct
- Ventilation system not
16) included in appliance permit _ 4,50 y J�
171 Hood served by 450
mechanical exhaust
Signature(owner w&agent) Date Domestic type
18) 7.50
Describe work ❑ addition L1 alteration U repair ❑ incinerator
to be done residential V1 non-residential U Commercial or industrial
Existing use of ) type incinerator 30.00
building or properly -rL.�-tJ ,� 20) Other i.e.,woodstove,water 4.50
Proposed use of heater,solar,clothes dryers,etc
building or property 21) teas piping one to four outlets 2,00 L
Type of fuel - oil ❑ natural gas.fJ LPO ❑ electric I -�-
'"" 22) More than 4-per outlet
NQTI ----- - -- SUa-TOTAL .
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 1804%SURCNAROE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL fi'G
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER ----- — -
WORK IS COMMENCED TOTAL
Special Conditions
— ---------- - ---- _._ Date issued _.. LCO (�by V
F rIMF.M
� �.-. I USN OILLn Nu.
for inspections call 6:39-4L75 PERMIT N0. 6 6 -CITY
2, 7
BUILDING
I P511MGARD 699•�17i DATE ---v -31`Z_to--
P O. Boa 2�-`33971, Tigard OR 97223 TAX MAP c�i " f' LOT No. 2_� SUBDIVISION C-44�4-_
OWNER JOB AOORESS L, S;
BUILDER _ �� .Ta./G _ STATE REG.NO. /�3 EXP.DATE
BUILDER'S PHONE G S 2 CJ
ARCHITECT B,42 e64 _AV DC _ PHONE 1�0 37- ??3& -OTHER
ST Z12VAE / V ❑ REMOOEL ❑ ADDITION ❑ REPAIR ❑ MOVE D OTHER CJ DEMOLITION
RESIDENCE f❑ COMM ❑ EOL196YION ❑ IND O RELIGIOUS. ❑'ACCESSORY ❑ GARAGE O OTHER ❑ FENCE
OCCUPANCY U1N0 USE ZONEYLDG.TYPE FIRE Z.)4F "`PLAN CHECK OY f.� HEAT
Construct single family dwei l ing W/attached naa, -LL la,1F-. -
Su rr rn 85 code , —
SEWER PERMIT A -(Idu) u
,� 3o,r'•� '( ) .�, baths, �raas garage area
OCC.LOAD FLOOR LOAO HEIGHT,414- NO.STORIES AREA/S'V � NO.BEDROOMS VA�.rJE! fiCX�
BUILDING TIEPARTMENT _ SET BACKS FRONT REAR '" LEFT SIDE S RIG1/T SIDE S
Perrnit 70� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULAITONS AND ALL APPLICI 1LE CODES AND ORDINANCES.AND IT IS HEREBY AnREED THAT THE
PtanCheck L4f Xrb,, WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS ANQ SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
IPI.CIL Flrr RESTRICTIVE COVENANTS,CONTRACTOR AND SUB CONTRACTORS YO HAVE CURRENT CITY MUSINESS
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING ANn HEATING,
State Tax /y i-u SSDC
S�3 a SOC-
Total - -- ---- -
AVPLICAHf OR AGENT
PDG
Prepd.
pisS a�r Rscslpt No ADDRESS rNt�r+r
Bal.Ous C�
Issued By pproved By___,-- _--
SSDC
soC -
RECEIPT #
POC - _� ^� -
_ DATE PD._���
SCUER CONNECTION s 7 _ AMOUNT PD.
SEWER INSPECTION S
SEWER SURCHARGE_ S
:ommente: /�-��_X`/6 7-if it
M t s
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. : 3
PLAN CHECK APPLICATION DATE RECEIVED: �s- � 3• ��
P.U. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID:
This is to certify that the attached sets of plans have been submitted for plan
check pursuant to the Oregon Structural Code and Fire S Life Safety Code, edition.
PROPERTY OWNER: (e �r L OWNER'S ADDRESS: 3/�- C�c+1� ,���� C;►�.
CONTRACTOR: Via.stick_ 1 TELEPHONE: .3-:5-- 2- C�
JOB ADDRESS: LOT NO. 6 MAP: -;2
DESCRIPTION OF WORK: 77_L'� C S'd�
Approvals Required SPECIAL NOTES
0 Planning Dept. O Reissue
O Engineering Dept. O Flood Plain/Sensitive Lands
O Fire District O Sewer Availability
O Other O Other
Iteeas Required
ist of subcontractors
(o
O` $usiness Tax
L� Calculations
go Tt as Details
Parking Plan
0 Landscape P an ,
Other _
COMMENTS:
City of Tigard Building Department
BY:
CITY OF TIGARD 639.4171 6627
BUILDING PERMIT DATE
TAX MAP' 1-ii.— LOT NO. 29 SUBDIVISIOtiui l_ -_r.# j,aJ�q
OWNER Janatepii, Inc. _ _ JOB ADDRESS 1:)U48 SW 919t Ave..
BUILDER sametI,3166 Uak Tree Ct. west Linn Uk 9106
_ --'- STATE REG.NO. 1.L1..__ EXP.DATE y12218i
BUILDER'S PHONE
ARCHITECT Borelay 6 Associates PHON12037± 65 _ __OTHER
STRUCTURE YLl NEW REMODEL [ I ADDITION REPAIR MOVE U OTHER i � DEMOLITION
` ! RESIDENCE FI COMM EDUCATION IND RELIGIOUS ACCESSORY .7 GARAGE Cl OTHER FENCE
OCCUPANCY —LAND USE ZONE l BLDG.TYPE sig FIRE ZONE — PLAN CHECK 9Y BZW HEAT `
hjuL46A L-MiIY aw¢llint uillttached gara ke. ell per ,tz)roved vlunr$. Subject to ti'+ code.
WNNN(ff PLACE FUUNDATIwl UN FLU--see 1:,srris-,icf:onagle rei)ort r4/161660-
--
SEWER PERMIT# 33053 *1du) 2 bath, h traps t!rrs6e 46U 1
OCC.LOAD FLOOR LOAD 4u HEIGHT lir NO.STORIES 1 AREA15�+y NO.BEDROOMS VALUE/
BUILDING DEPARTMENTSET BACKS FRONT REAR LEFT SIDE RIGHT SIDE _
Permit 37U0UU�.- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT THE
Plan Check 2415•51611 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
Pl.Ck.Fire RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING D HEATING.
State Tax 14.60 2)O.UU / /r
Total b25.3u src 6UO.UU !� C
PLI0
PDCN APANT0 AGE T
Prepd. 10O_f U __ 1 , 150.00
Receipt No., 0 ADr`ESS PHONE
Bal.Due 525,30 o 1✓olw
Issued By--_- Approved By
DATE INSP. TYPE INSPECTION REMARKS PLUMBINGY� DATE
Contractor w0k4&"A__ �C"2� y 9/s,
--Gt Permit No
Rough-in
L� ■ �:�r,� Fixture4k lif — ---
Final
HEATING
_ Contractor y y
6 Permit No g
i 7 Gaso it
Rough-in
Final --
SEWER
— Final
Zoe DRIVEWAY /
Final
w Storm Drainage
(Rain Drain)Final
T Sidew.:',
Curb&Street Final
Anproach
BLDG.nEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY —
Landscaping
Zoning Final
f
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