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MIR r..: (l iix N Ln N U1 L_) E N F-, rn a CD c C nv 1� f� E� r� y a 1�• H ct H n 15243 SW 116TH AVOM � C'NOFTIGACER RD OCTIFICATECUDANCOF Y COMMUNITY DEVELOPMENT DEPARTMENT CCrFY0FTMNRD PERMIT #1. . . . . . . : SUP90--OaS,', on m 13125 SW HWI Blvd. P.O.BBaThud,23397,TM,OWm 9MW(5Wj jW417r, �7 _ nQ1"P- TCZ_Q'i1LD, SITE vWbIkL-iSa. . . : 1524"j _)W 1161H AVL PARCEL: 2SII0CA0 16 00 '-,;IJBD I V I S I ON. . . . t ZONING: BLOCK. . . . . . . . . . v LOT. . . . . . . . . . . . CLASS OF WORK. :ADD TYPE OF USE. . . :COM OCCUPANCY GRP. :82 OCCUPANCY LOAD v80 TENANT NAME_ # f,!emai,kss Addition of 648 sq. ft. to existing building. K1146 CITY CIVIC Ac"',FiOCIATION 15245 SW 116TH AVE f<TNC-j CITY OR 97224 Phone #: Gontractot-c i3LUESIONE REMODELING & CONST 16195 SW 72ND AVE 1"IGARD OR 97224 Vlhmip #3 620--0906 Reg #. . : 062616 Occupancy of the above rPfevPnC,*Ci bUildifig is hereby given, and certifies the Compliance with the `tate Of Oregon Specialty Codes for- the gv-o,-Ip, n n y, and u e under, which the refer-enced pet-mit was iisi-4pti. f 112 DEPARTMENT UILDING IN5PECTnR CIA,: POST' IN CONSPICUOUS PLACE .w INEPBCTIOM NOTICE City of Tivard Building Department 13125 SM Nell Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection- Footing Plbg. Underelab Mach. Rough-in Appr/Sdurlk Pound. Plbg. Top Out Gas Line PINAL: Post/Beam Struct. San. Sewer Framing Poet/Beam Mach. Rain Drain Insulation -Plumb. Plbq. Underfloor. Nater Line Gyp. Ed. Mech. Date Requested:— i_ —Time: AM Address: /SZ yS- .� 4 .1 / �_ Permit Bul-lder:-- THE FOLLOWING CORRECTIONS ARE REQUIRED: �r I Inspector:_ "/� Datex _- e► I J;�APPPOVED -- DISAPPROVED APPROVED SUBJECT TO ABOVI Call For Rei:mp. 1"OUCTION NOTICE City of Tigard Build xkq Department 13125 BW Brill Blvd. Tigard, Oregon 97223 Inspect on L (Rec-O-Phone)__, -4175 Bu 'none Phone: 639-4171 Inspection: iZ Footing Plbg. Underalab Mech. ough-in Aprr/ad:atk_�- Found. Plbg. Top Out Gas Line FI 1 Poet/Beam Struct. San. Sewer Framing -Bldg. Pont/Beam Mach. Rain Drain Insulation _.Plumb. 001 Plbg. Underfloor Water Lina Gyp. Bd. -Mech. J 1 ► / Date Requested: f, _.� Time= �/�A PM Address:_ jL 7 G, Vw a ermit 1� / Builder: THR FOLLOWING CORRECTIONS ARE REQUIRF.Dt it ---k+4zZTT- C)✓t=r ci��l [r�n - `= S IA rt Insp�etorr Detes BPPROV<D _L: DISAPPROVED APPROVED SUBJECT To ABOV! G11 For Reinep. ;lIBPEMON N Ic Citp of Tigard Building Depart,&ht 13125 Bp Ball Blvd. Tigard, Inspection Line Rec-O- Oregon 97223 ( Phone): 639-4175 Business Phone: 639-4171 Inspection: Fcwtiny Plbq. Underalab Mach. Rough-in A ppr/Sdwlk Found. Plbg. Top out Gas Line ,.� FINAL: Post/Ream Struct. �'J San. Sewer ,ur:rlllni,Il � , " -Bldg. Post/Ream Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Lina Gyp. Bd. ech. Date Requested:_� ------- quested: —Time: _AM PM Address: — j!-- Permit Builder:4`-z;Ze THR FOLLOWING CORRECTIONS ARE REQUIRED: ---i--- 00-1 Inspector: — --�-------- __ Data t APPROVED - DISAPPROVED APPROVED SURJECI -- TO ABOVE _ d� Call For Reinsp. IMECTION NOTICE City of Tigard Building Depaitwent 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171 Inspections Footing Plbg. Underalab �,1ech. Rough-in Appr/Sdwlk Found. Plbg. Top Out k Gas Line-1 FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Past/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Bd. _Hach. Date Requested: .� ,i{ "' - Time Am PH Address: _ /`:••rte' y� s a.� i T Permit #IC Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: Tnspectort _ Z z r Data: l -APPROVED �^ DISAPPROVED _ APPROVED SUBJECT TO ABOVE At.. ✓Call For Relnep. i CITY OF TIGARD OREGON February 26, 1991 Rose Heating Co. , Inc. 9945 NE 6th Dr Portland Or. 97211 Re: King City Civic Center, 15245 SW 11Eth. Permit # MEC91-0035 Dear Sir, The plans for the above referenced project have been reviewed and approved subject to the following: o The closets in which the furnaces are located shall not be used for storage of any kind. o Combustion air inlets shall be provided for each furnace. The total area of combustion air shall be 40 square inches. One-half shall be 10CftLed in the lower 12 inches of the space, one-half shall be located in the upper 12 inches of the space. If you have any questions, please call me at 639-4171. Sincerely Brad Roast Building Official 13125 SW Hall Blvd.,P.O.Box 23397 1lgard,Oregon 97223 (503)639-4171 — MECHANICAL OF71 ✓ PE RM IT C17YfirARD Ai� Cr1y(WTWRDJ+lyi I T #. . . . . . . : MEC9i --V)035 COMMUNITY DEVELOPMENT DEPARTMENT 13126 SW Hell Blvd, P.O.Box 23397,TlqaM,Or"m WW(603)&%4176 �?ATE ISSUED: lbin.,/26/91, (4DDHL _ a. . . 15E45 cA4 16TH AVE PARCEL: 26110CA-016011; BION. . . . : j/4 X ZONING: L0 T . . . . . . . . . . . . OF WORK. :ADD FLOOR TURN. . . . i EVAP COOLERS: OF USE. . . . C'Olyl UNIT' HEPTERS. . : VENT FANS. . . : LJF-"1Al14CY GRP. . B2 VENTS W/O ADPL: VENT SYSTEMS: 1) ILS. . . . . . . . : 1 BOILERG/Cn_M1.':,RESSORS H()ODS. . . . . . . .. 03 HP. . o . : DOMES. INCIN: 315 HP. . . . : COMM.L. INCIN- INPUT: BTU 1.5-30 HP. . . . : REPAIR UNITS: I PE DAMPERS?. . eN 30-50 HP. . . . . WOODSTOVES. . PRESSURE. . . s L 50+ HP. . . . i CLO DRYERS. . - nIR HANDLING UNI"I OTHER UNI 1"S. 100K BTU: 10000 cfm: GAS OUTLE'TS. :2 ) -JOOR B1'U,2 10000 cfm! Add two Up-flow fivrnaces. -------------------------- FEES -___--_____-- 1U'�f HLAT ING CO. , INC. type civir'l-tint by date recnt 945 NE 6TH DR PRMT $ 27. 00 PLCK $ 6. 75 1J, Tl_AND OR 97211 5PCT $ 1. 35 PAYM $ 35. 10 JLH 02/2'6/91 LF BOOM HLATING CO. INC. NE &TH DR ()PTLAND OR 97211-.00100 ------------------------------------------ 503-283--5183 11 35. 10 TOTPI.., REOUIRED INSPECTIONS -------- nermit is issued subject to the regulations contained it the Gas Line Insp i-d Municipal Code. State of Ore. Soecialtq Codes and �;: other Mechanical Insp iicable laws. All work will be done in accordance with Final Inspection plans. This pervit will expire if work is not started i, Af days of issuance. or if work is suspended for vort I-a-- The days. Call for inspection E39-4175 i I I I I ! CITY OF T 1 CARD - RECEIPT OF PAYMENT RECEIPT NO. :91•-21002 HECK AMOUNT G 3!j. 1If) NAME z ROSE:. HEAT I NO COMPANY, INC.,. CASH AMOUNT 0. 00 HDDRE SS 9945 NE SIXTH DRIVE PAYMENT DATE SURD I V 19 1 ON I PORTI-AND, OR 9.70-11— _IRI`OSE' OF PAYME,aT AMOUNT PA I D PURPOSE= OF PAYMENT AMOUNT PAID _C IA(WICAE-~FSE MEC,91-00;s5 27. 00 ST. BUILD PER 1. 305 � .AN CHECK FF 6. 75 i � I 1 I/1960 SW DURHAM R(]AIi f c.I F AL AMOUNT PAID _. s . 10 f CITY OF TIGARD OREGON February 26, 1991 Rose Heating Co. , Inc. 9945 NF 6th Dr Portland or. 97211 Re: Ring City Civic Center, 15245 SW 116th. Permit # NEC91-0035 Dear Sir, The plans for the above referenced project have been reviewed and approved subject to the following: o The closets in which the furnaces are located shall. not be used for storage of any kind. o Combustion air inlets shall be provided for each furnace. The total area of combustion air shall be 40 square inches. One-half shall be located in the lower 12 inches of the space, one-half shall be located in the upper 12 inches of the space. If you have any questions, please call me at 639-4171. Sincerely � - i Brad Roast Building Official 13125 SW Hall Blvd.P.O.Box 23397,Tigard,Oregon 97223 (503)639-4171 a a NSPECTION NOTIG� City of Tigard Building Depar'teent 13125 811 Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-phone)s 639-4175 Business Phones 639--4177 Inspections_— Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALS Post/Beam Struct. San. Sewer Framing -Bldg. Poet/'.eam ;tech. Rain Drain Insulation -Plumb. Plbg. Underfloor. hater Line 4ryp• Bd. -Hoch. Date Requested:_- 1 �U �rL_ -_—Ti PM Address: ` -� `��_� � Permit Builders THE FOLLOWING cOR--MCPIONS ARE REQUIRED: i Inaptor: ..`_ �/ Dete r APPROVED - DISAPPROVED APPROVED SUR.IECP TO ABOVF. �, Cell Fov- Reinap. TYCPF�_-7'ZON N_�ICE City of Tigard Building Department 13125 SW Ball Blvd. Tigacd. Oregon 91223 Inspection Line (RBC-O-Phone): 639-4175 Busineas Phone: 639-4171 inspection: --------`- Mech. Rough-in Appr/Sdwlk plbg. Underslab Footing P1NALs Found. Plbg Top Out Gas Line Framing -Bldg. Poet/Beam Struct. San. Sewer _Plumb. Rain Drain insulation. Post/Beam Mech. _Koch. B Water Line Gyp. .1.� Underfloor i Plbg. �� --- PM / !/ _Time: { Date Requested:__A i permitG�3--- Addree0: f 5-Z-! Buildel : THE F,)LI(WING CORRSCT70N8 ARE FSQUIRSD: `. Date:�— nepoct nr: _�_ - _ APPROVED DISAPPROVED APPROVED SUBJECT TO ABO" Call For Reinep- LNS FCTON NOTICE City of Tigard Building Departarnt 13125 SM Ball Blvd. Tigard, Oregon 97223 Inspect.i.on Line (Rec-O-Phone): 639-4175 Bustness Phone: 639-4171 Inspection• �- Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL.- Post/Ream Struct. San. Sewer FrRming -Bldg. Poet/Beam Hoch. Rain Drain insulation -Plumb. Plbg. Underfloor Mater Line Gyp. Bd. -Hoch. Date Requested. ��Z�1 TI-e: }�Q.P�N Address:_ l� 7 14 ,) i`� � P,� �la Permitt f: ` ✓_ Builder. -)(Lk 4MV �-� ✓� — ��'�—_—� TM FOLLOWING ODRRRCTIOMS ARE REQUIRED: Inspector. Datet ��Z V-2 / / APPRDy=p , DISAPPROVED -- -- APPP.OVRD SUBJECT TO ABM /14 /(��'t _—Call For Reinsp. sBr ar INSPECTION NOTICE City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rea-O--Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underslab Mech. Rough-in Appr/Sdw.k Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain `� Bort -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requeate))ds ^7 I i � / Tme =_RM PN Address til.�c �� z/CL//- 1 C-*i Permit 0: Builder: �C�//� /, (7}2 —. THE FOLLOi1INO CORRECTIONS ARE REQUIRES: `J M Inspector:- �-•�'---------------__-- - — Dete: i --__APPROVED ---- DISAPPROVED IMPROVED SUBJaCP TO ABOVE Call For Reinsp. it t� I 3 i INSPECTION NOTICE City of Tigard Building Department 13125 8►► Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: ,_ __ -� Footing Plbq. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Cas Line FINAL: Poet./Ream Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain - ation -Plumb. '7rw Plbq. Onderfloor Water Line gyp. ad. Mech. Date Requeeted:�/�c_;� T t AM PM AddresstyyZ Permit Ot Buildert THE FOLLOWING CORRECTIONS ARE REQUIRED: APPROVEC f' DISAPPROVED APPR0V}0 SU&1ECT TO ABOVE _ _Cell For Reinap. INSFIClION NOTICE City of Tigard Building Department 13125 OR Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 r Inspection: _ <gt/ Footing Plbg. Underslab Hoch. Rough-ir Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulatl.on --Plumb. Plbg. Underfloor hater Line Gyp. Bd. -Nech. Date Requested:/ Time: 11N _'` _PM Address:_�' ��7 ^__ _ Permit Builder:---- THE FOLIAMING CORRECTIONS ARE REQUIRED: 17 Inspector:v_ _ - _ Data: ✓y_ 71 APPI1DV�b DISAPPROVED APPROVED FUBJRCT TO ABOVE _Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 SR Ball Blvd. Tigard. Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 I91eMtiont ----- 11, O Lnq Plbg. Underslab Mesh. Rough-in Appr/Sdwlk '.nd. Plbg. Top out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Ltne Gyp.. Bd. ///, -Meth. Date Rmquested• //:=2 - Timel4/� AN _PM Address: zz . _ Permit #t / �-1 THE FOI I.OWItfQ�ODRRECTIONB ARE RRQUIRED: v P. Inspector: Date: _APPROV-P.D DISAPPROVED — -- APPROVED SUBJECT To ABOVE _Call For Reinap. ti CITY of TIFARD BUILDING F,ERl1IT TWRD CPIERMIT 0. DUr'900283 M TWRD COMMUNITY DEVELOPMENT DEPARTMENT one" 1 126 SW H@11 Blvd. P.O.Box 23397,Tipird,Orew rrm(50;��a Y DATE ISSUED: 10/26/90 51T E 0 D 1)R E S S. 1.; 2 A`+ 5W 1. 1 1 V r". r,n R C EL: 2 SJ 10 C;0--0 1.C',0 0 `)U D D*1 V I S 10 N. . . 0/'4 ZONING: BLOCK. . . .. . . . . . . . LC1 . FLOOR EXTERIOR WAI L CONSTRUCTION— CA-AG(S OF' WORK. -.ADD FIRST. " " :5168 of N. S.- E« W: I'Y V-`I-. OF U S E. . . -.(',0 11 SECOND. . . : Sf F'ROTECIT TYPIE OF CONST. -.,JN THIRD. . . . « Sf H: S E. W 0CC,.UP1Al%l('.Y Mr.l. TOTA L --------------" 51.68 sf ROOF CONST.-C FIRE RET':I-.1,1 (:)C('UP'ANCY LOAD.-80 BASEMENT. sf AREA SEP,. RATED- H 7 . .0.2 ft GARAGE. f OC(1U SEV-1. RAJE D:: D s m,r,,,) N MEZZ?.Iq REQD REQUIRED- -__ !:L OC)R I OAD.- . . . - 125 pt;f LEFT: ft RGHT: ft FIR GPIKLcN SMOK DFT. . .-N DWELLING UNITS: F RNT c f t REAR.- ft FIR ALRII:N HNIMP" ACC:Y 8 FJ)R lyl S- 1-.'i ATH G 111P, SURF=A(,E: r,RO CORK:lq PIARK I NG VALUE. $;: 44000 iF nia r[!.s- A d d i t i c)ri of 0,48 Asn. ft. to existiriq building. FEES BLI.A.-STONF.:. REHOD. & CONST. INC.. type aniouilt by date -recpt 16195 S.. W. 72ND AVENU[;1' FIAYM $ 268. 80 JHJ 09/26/90 0 4 PRMT $ 256. 00 T IG A R D 0R 9!'224 P,L C,K $ 1.66. 40 171florie #: 620-0906. FIRE $ 102. 40 5 17,CT $ 1.2. 80 f'ovitractor: F1 A y 11 $ 2E,8. 80 jLH 10/26/90 F.ON'T'RAC."TOR NOT ON FILE e It $ 5:37. 60 TOTAL ........... R EA4 U I R E D INSPIEC"TIONS 'his permit is issued subject to the regulations contained in the Slab Ins Tigard RuniciDal Code. State of Ore. Specialty Codes and all other Fran)inq lvisp :applicable lawt,. All work will be done in accordance with -twoved glans. This permit will expire if wart,. is not started Gyp Dr),Ard Irisp �sithin 18@ days of issuance, or if work is suspended for more Su-;p Ceililp Iiisp than 180 days. Final Iiispectiovi M J 1':te(s S'j.gilAt-Ltf e ............... In d Ti Y ............. Call. for iiispection 639-4175 m�mNLARPIRAL � Lt ,-,i"r,y OF TIC ARD RECEIF-f CIF PAYMENT REE EIF"T NO. E 90. :.'064'74 C"HECV AMOUNT 268 so NAME a BLUE'5TONE REMODELING CASH AMOUNT ADT'.)RESS = PAYMEN'T DATE SLIW)WiSION IUAL ATIN, UR 971)62- 15245 SW 116TH, KC ,F�POSE OF PAYMENT imouw, PAID PURPOSE OF PAYMENT AMOUNT PAID L.-01—i I(3 F'F_F,M (3F'EPM —BU P 9 C 020'.3 ST . BUILD PUP 12. 80 AMOUNT PAID 260.SO C11YOFTIGARD 13125 Bo Hon 7 FLAN C3iDC1C APPLICATION / P.o.Box 23av� PIAN CI= ,f !igo, Or 39-4 7l PEIfi�T ��/.L�f.—✓�— (.50.3)A3v-417t + COMMUNITY —�--�— DEVELOPMENT DEPARTMENT DATE ISSUED /C TAX MAP 110T .r13: IJOT: LAND USE: _.-. ..__ VALUATION: (MME R SPECIAL NOTES NAME: Z ,1 CA� r.i 'G REISSUE OF: ADDRESS: e,- r [�/ _11 /li LAST Rmss'UE: -- -- SFNSITIVE LAND: PHONE: - APPROVAIS R�UII.ILD t?�IIRACItOI'. PLANNING: -- NAME: (3�,,ut,`�kr �.o�►••n d�� 4 G✓f S .Zi+c ENGINF.E RTM: _ — ADDRESS: ��, /9�:- 5 w —? 71, FIRE DEPT To zalr. PipNE: ITEMS, REXMM MU DERS BOARD lit: t?, 2260 EXP DATE: (-`, s `!l— LIST/ - -- BUS TAX: - AR(]I/ENGINEER CALQIIATIONS: NAME: —;� GZ•t 6,i`uu X7 A-A A? . 'I'I aS M=S: _ PI TONE: QTS: - — c tc< 1114i'., �6cr1,. PERMIT ,f ACCT DE5c12IP'PION AMQ[PI'T ANDCIII.T PD. BAL. MM 10-432 00 Building Permit Fees 10-431 00 Plumbing Permit Fees 10-431 Ol Mechanical Permit Fees 10-230 01 State Building Tax (5$) Building Plumbing Medi 10433 00 Plans check Fee Building 6k!& Plumbing _ I och 30-202 00 Sewer Oonnecti on - -- �— 30-444 00 Sewer InQMctA(Jn - 51-448 00 Street System Dev Charge (SDC) 52-449 00 Parks System Dev Charge (PDC) _ _-- 31-450 00 StOrm DrainVxY'- SYSt DeV dtrg (SSDC) 10-2:30 06 Fire IUTAI.. RDC APPLICANT SI Remived By: Date Raceived: ef/3587P.WP E I l l 1 �1 TY CJF'" l"WARD — RECEIPT f.'.F" PAYMENT F:E'CC 1 PT NO. '.)--2,0 4Zo6 CHECK' AMUI.IN'1 ::?68.El NAME v BL_UES•TONE REMODELING 9: CASH AMOUNT ADDRESS : CONSTRUCTION P'AYMEN'T DATE e (')9 1�:�J9 7541. SW MOHAWF''. kiUr�1')1 V T S�I ON TUALA"F'.IN. 9R 97062-- PURPOSE Or PAYMENT AMOUNT I�'AIG PL1RP''CJS1= Ui= PAYMENT AMOUNT PAID P''L.AN GHEGk: P E 166.40 'TUALAT I N '-IAL.L- 1 , I f I PLAN CHECK # 9-10C TOTAL AMOUNT PAID — — 266. B0 I. CITY OF TIOR 1:*:[�MTY' NO. RD CIIIYIOF�T�WARD COMMUNITY DEVELOPMENT DEPARTMENT 01100N 13125 S.W.Hall Blvd.,P.O.Box 23397,TigArd,Oregon 9'223,(503)6394175 P'F2TM V'M T NO JUB AUCIPESS : 1324.15 15W TAX MAP/L.OT I-AND USE L.1 L..01SIZE VAL-OATTON 11 9 S F:: K 5 1=410141* : I:"F:*AI:"' WORK Cl ASS : 61-71:14PIVION DWEL-I... . UNITS : fiJ:"T : LISP: NO. BE;DI"100MC EXT . WAI I CONST . 'rYP : NO. BA'THS : N: S : ' EW OCCLIP.Gr4,) , Ci 1. r)P(:)l . 0PF:NTNGL.i : (XICUID. I OAD N: S N(J . s*r(,)P T.E5 : POOF (:,(:)NS'T : pk.-,y-? GF-11' FNI APEA Sik:'PAw? RA11.1); F'3ASEEMENT7 3FID: OCCUP. SEPAW? PA T,F::I) : ME'ZZANINE7 HA5F;.M' 'T 11:1.00P L.OAD: GAl:MGE.' : F:'I:PF- SPRKU47 AL.A141117 1-41--AT TYPE: F*l-Ow(CIPM) COAP7 P1 AN CHECK BY: Ultel"J."19 toilet roams to Meet hanclic-,ap OF* NO. raqi.t-.'.roman tu I-AS'r p1-.-1SSLJF-* 0 1111 M9 (-'A t y a IN IN c)cz. W N F)l AN Pl!::V:rE'W E Y? p- .111r-: DEPI, 4i ffrl UTHE44 0EVF:L.0PI1k-*i:N'1 L'HAA(.,ES : N0Q/� � � SDC:(s'ropm) T SPOC(S'1*RF:E'T' ) R 2,;);;,C) "df t/ DC(* A C T 9 7 2 -?-J� PREPAID < 0 R 3 TOTAL-: F--'('.F:1:PT NCI(.'I This permit 18 ISSued subject to the reguiLtions cor'ained in Title 14 00, of the TMC, State of Oregon Specialty Codes.zoning regulations and all other applicable codes and ordinances, and It is hereby agreed that the work will be done in accordnnce 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 F: 1 NAI_ . business tax permits This Permit will expire and beame null aid F)1-9.UNEAKWA-AB void it work is not started within 180 days,or if work is suspended or abandoned for a period of 180 days any time after work has commenced. It shall he the responsibility of the permittee to assure all required Inspections are requested and approved. Permit1t . ?Ig�nature Issued By: SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE r BUILDING PERMIT APPLICATION KING CITY DATE t'ebruary 11 ,,s 28 THE UNDEFlSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE ti45—< U2 OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE LOT OWNER KiU8 City CiViC AsS41O8ADDRESS 15245 SN 116th �39 d o wy� ___--- A9CHITECT --------- — ENGINEER BUILDER Iii I,eY1Co Spec. ADDRESS 16880 SW 126 kms_ DESIGNER__ STRUCTURE ❑ NEW 3 REMODEL ❑ ADDITION ❑ REPAIR O RENEWAL ❑ FIRE DAMAGE I I DEMOLITION ❑ RESIDENCE:{g COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO EJ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE OCCUPANCY —. LAND USE ZONE BLDG.TYPE ._5tv FIRE ZONE.,PLAN CHECK BY BA_HEAT (ie9 _ iennaut modification for Town Centerv5ps and teens & womeras rest rooms SEWERPERMITk :i0t>g OCC.LOAD FLOOR LOAD` HEIGHT NO.STOPIES 1 AREA NO.BEDROOMS VALUE 1,50U BUILDING DEPARTMENT_ SETBACKS FRONT REAR LEFT SIDE RIGHT SIDC Permit 25.Uu 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 16.25 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 1•� RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CON1 RACTORS TO HAVE CURRENT CITY BUSINESS SteteTaxh 1.OU LICENSE.S'PARATE QERMITs REQUIRED FOR SEWER,PLUMBING AND HEATING. 4 2.25 SDC— APPLRIC-AW Total PDCMT�Oii A(iEN By Receipt No. Approved 1:TWsbs ADDRE38 PHONE DATE JINSP. TYPE INSPECTION REMARKS PLUMBING DATR Cont PermNo. k, gh-in c'- Fixture HEATING Contractor L44,dV )Ue")e L� Permit No. Gas or Oil 3 -FS hough in Final SEWER Final DRIVEWAY Final Storm Drainage (Rain Drain) Final ——--------- Sidewalk Curb&Street Finel I\ppro-,:h BLDG.-6i-pT, FINAL----,- ny TEmroRA CERTIrICATt: OCCUPANCY Final CERTIFICATE OCCUPANCY Landscaping 7nning F!nml .�. ..MIL Department of Commerce BUILDING CODES DIVISION VICTOR ATIVeH 401 LABOR & INDUSTRIES BUILDING, SALEM, OREGON 97310 PHONE 378-4133 OOVEM10P March Ih, 19A11 E.T. Walden 15390 SW ll�th Avenue King C;ty OR 97223 Enclosed are copies of the most recently issued permits for boiler work (installation/alteration/repair) within your jurisdiction. This program is a continuation of the one we initiated last Year to ensure you are aware of work being done. We hope this informmtion is helpful. to you. As before, we are mailing based on addresses gi-en on the applications. If we are wrong, please send them on for us, and let us know of the error. Thank you for your continued cooperation. Vrey, Roge Drain Oper�ions Manager 373 -7425 Enclosure AN EaUAL. OPPORTUNITY EMPLOYER INSPECTION NOTICE City of Tigard Building DepartMent \\ 12420 S.W.Main St. Tigard,Oregon 97223 Phone: 639-4171 Type of Inspection ___— ---- - - � Z-- Time A.M. P.M. Date Requested .c�; , Permit #_ — Address/ -- Lot Owner ------ Builder The following Building Code deficiencies are required to be corrected: 4- - aproved Presented to — \ � LI Disapproved Inspector 1__--- ---- Date -- - , CALL FOR REINSPECTION l YES ❑ NO J Do Not Write in This Block STATE OF OREGON PERMIT N0. ��•'r'� ,i Department of Commerce FEE PAID Building Codes Division DATE / BOILER & PRESSURE VESSEL SECTION -659 - APP CATION FOR PERMIT TO INSTALL BOILER OR PRESSURE VESSELS ONLY ORS 480.630X : "No person shall install a boiler or pressure vessel without first securing a ermit." License Business A.pplican s -'` - --- — License No. ?? .••D2d Name-Add ess S�� - --- -- ReirkIinti^., 0 T 91211 APPLICANT'S SIGNATURE 1. Lir "{2r i. A cr:a, .3i, i;♦ii`t1 �_ OWNER/USER'S NAME ADDRESS-VESSEL LOCATION No. City County State Zip TYPE OF BOILER OR PRESSURE VESSEL TO BE INSTALLED: "Whr input t-Try.. 'I?V _- ) Iq3-1r11 I i MANUFACTURER EQUIPMENT NO. SERIAL NO. AUTHORIZED INSPECTOR (DEPUTY/SPECIAL) EMPLOYED BY MA1JUFt%CTURER'S DATA NOTE: UNLER OREGON STATE LAW, it is unlawful to Install a Boiler or Pressure Vessel within the boundaries of this State without a proper license and installation permit. Any Boiler or Pressure Vessel that is installed without said permit shall be considered as a non-code Boiler or Pressure vessel and will be deemed unsafe to operate and will not be issued a Permit to Operate. Legal action will have to be considered against the installer that: is in violation of State Law ORS 480.630 (7) . SUBMIT ALL COPIES OF THIS APPLICATION ALONG WITH $10 FEE TO THE OFFICE OF THE CHIEF INSPECTOR OF THE BOILER SECTION, 2300 SW SIXTH AVENUE, PORTLAND, OREGON 97201 814-470-425 (1/79) TRANSMITTAL COPY As 96,Q0,62 f f l0' MErAt,3d 705 GAs VfNf P(1-6,75 i4w / UP 1r0 NIAP. ANO CE+LN4 CFlr�x/Sr ("?,)s6614Ee ROOM 3/0 x &/E CoDE 0¢c+ r �6X/57/�clu .WALL-f. W/ Lock+ FA/NT. } 1 /44 r2'' f's/ 6.►s w To Top � �EN f211^Tf WALL ^+JJ /N:•y'!.2 rE _ ------- � ---------}- IINO lA�iSrACL S1O/ll6 7U •4AreovC • EX/S7+N6 A;40 PAJdl� TWO CCA75. I) ',--- /�F.LOC'ATF.U CoAS f'1�?F.F AlJU /��lB COMB AIQ joovEV-S, O;f�r /,7" Al3ov4f- Qf6vGA7iV4 ,(3Y N 4761 Co- Rco/I, cN6 /?" BELOV/ CLS/L/NU, r'1JfeTML Fj( )0rt j-"c A/l /,MAl c:/r-Y TowN klAIL Sr. • lLfNco c i y; Ung ROSE HEATING CO, INC. 28:3-'-183 9945 Ufk. 51 )(TM Dr. PORTLA3+ D, C)RE.� WIAWN t1Y [CA-Q IdAERIAL r/4 ,,- P CHKD DAT/ DRAWING NO / )+ TpAC[D APP M �' 1 -7- l-VTl- '-4 _ � h IN �` � � _�� , X11� � • 1�;. � �� +:; } , r 4 i ROSE HEATING CO. INC. 383-31831 9945 ME. SIXTH Dr. PORTLAND; ORE., N DRAW7e? 9CAYj4 n_/loll MATERIAL 11 _ DATE ORAWING NO ' c. MTRACED ♦ A!I'O CITY OF TtFrA►RD �� `^, ,.J, �� . 4- A' umbing Permit Building Depar4rent NO Residential ❑ Commercial ❑ — New Installation ❑ Replace 0 Addition [V Alteration ❑ Date gs'- 7 2.1 Licensed --•� ,.c A ,`. _--� / �, _ Plumber �r Cc�..-�•.,.� L —_ - . Owner 'f_e... W Address _ 5 -� ^� _.�� . ' . ;.— --- Job Address /-K.2 ti✓_S i, .•/ ''r` Phone — '"a'` . � s ------- -- Applicant —_- - ------ --- CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS VD SUB-CONTRACTORS _ ITEM NO. FEE TOTAL _ITEM NO. FEE TOTAL Fixtures-Traps _ _ 7.50 _ Sewer:First 100 ft. 30.00 _Dishwasher _ 7.50 _7 _� Each Add'+.100 tt. _ _ 15,00 _ Garbage Disposal _ v7.50 Ejector Pump _150 _Water Heater_ 7.50 Water:First 100 ft. _20.00 Backflow Preveinter _ _7.50 _---1— Each Addit.20'?ft. _ 15.00 _ _ Storm&Rain Drain:First 100 ft. _ _ 30.00 Each Addit.200 ft.—_ 15.00 Mobile Home Space _ _ 25.00 y Other( oecify): Rain Drain Fam.Dwelling - 15.00 -- PERMIT FIFE Comments: � � �� ___�__.__-__— _• STATE ' O i„ C Issued By' --- - _ — i Receipt No. TOTAL ---—-- — For Plumbing Inspection Pnone @39-4171 City of Tigard INSPECTION REQUEST for i INSPECTION TIME :�'�c'� PERMIT NO. : .�_-- DATE: Z /- 1/ - DATE ISSUED'—1 -�- I OWNERS NAME .' ADDRESS : -- . 5�i'�'7 ` CO)NTRACTOR :---. _--_ .-- --------- i TESTw"te" Ell 7iscpproveH 1 r RESULT Approved , -nding 3 SKETCH. I �0(, I ` INSPECTOR DATE CONE : Attach supplemental test , ata keret] 1 City of Tigard IN SPEC110N REQUEST for I INSPECTION TIME : : '" PERMIT NO.: ------- D AT E: 7 DATE ISSUED:_—L-L— OWNERS NAME ' --- AD DR ES S AME : __—ADDRESS - CONTRACTOR I 1"EST: AirO, Wafer ❑ , visual,< , L.abaratwYE] IDiscpproved Cl Pending I] RESULT. Approved , SKETCH: I _ 47 �s I INSPECTOR DATE 1 CN )TF. Attach suppif,ment01 lest data heret� City of Tigard INSPECTION REQUEST for &/"J,��— PERMIT NO. tL1 (INSP;CTION 'TIME: DATE: SIL,- DATE ISSUED : i OWNERS NAME ' CONTRACTOR : -- - - - —.—. EST '. ,,!r -J, ',Nater C7 , Visual 0 , Laboratory (p RESULT: Aporoved nijapproved [3 , Pending p ((_--__..-- SKETCH: C l� lGCkk k � L_ SECTOR DA"i'E NOTE Attarh suppemental test data heret-1 s City of Tigard INSPECTION REQUEST f r INSPECTIO14 TIME: �� "'' PERMIT NC. : DATE:g146672 DATE ISSUED :- OWNERS SSUED :_OWNERS NAME '. _ - -- ADDRESS: G* _J—k4 C O NT R A C TO R : — i EST : >ir ,_, , Nater❑ , v:sual [1 , -aboratory I--j RESULT : Ap roved Disapproved [--j c'endiog ❑ SKETCH: INSPECTOR DATE YNOTE : Attach euppiermental teat data hereto] City of Tigard INSPECTION REQUEST for INSPECTION TiME : �Z S2 A'r PERM! ; NO. :-- DAT E O. :—_DATE : lS/rte DATE ISSUED :. i OWNERS NAME : ry ADDRESS: _K __4tix-'?__ — CON,rRAC,TOR EST : ,'a., 'Waterg, V;suai K, 1-aboratory [i RESULT: Ap roved 4, :)�aappra�,ad G hendi ig SKETCH.' w a INSPECTOR DATE NOTE Attach supplemental test da'a hereto 15L r......._YM. 'is a... .t. lk�t.,. 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