10795 SW FAIRHAVEN WAY .�...._.,, ....... . .._............._..,��...�...n..�..�.._...�.w ...,_.............-..............W...�..w�...u.,�uuww,�,«.�..«�..w...�,a.rw..wMw�ra�w«WMww+wn
10795 SW i AIRHAVEN WAY
CITY OF TIC' }
OREGON
October. 30, 1992 �-�
Jack M. Lundy
10795 SW Fairhaven
Tigard, OR
Permit # MEC 91-0182
Res 10795 SW Fairhaven
Dea,,.- Mr. Lundy:
The last inspection conducted on the above project was a
woodstove Inspection on 10/3/91. The next required irspection will
be a woodstove re_inspection.
Please ad$isBuilding
the fileDivision
may be keptstatus
currentf this project
as soon a possible so
Please note that any permit: without activity for over 180 days
becomes void. If you need additional time to complete the project,
please contact this department so that an extension can be
discussed.
Sincerely,
)Mike Sheehan
Mechanical. Inspector
Notice.A
13125 SW Hall Blvd„ Tigard, OR 97223 (5931639-1171 TDD (503) 684-2772 ------ -�
C'1Y OF T'GA M MECHANICAL
PERMIT
ClTy TMRp PERMIT #. . . . . . . : MEC91- 01EII-
00111160"
COMMUNrTY DEVELOPMENT DEPARTMENT �4=
13125 SW Hall Blvd. P.O.flax 23397,T*M,Oregon V='(SM)AW411 76 DATE ISSUED: 09/'25/91
ill'E ADDRESS. . . . 10795 SW FAIRHAVEN PARCEL: 2SI03DD-.00419
SUBDIVISION. . . . FAIRHAVEN COURT ZONING- R--3. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .. 14
CLASS OF WORK. . sADD FLOOR FURN. . . . a EVAP COOLERS:
'TYPE OF USE. . . . -SF UNIT HFATERS. . - VENT FANG. . . :
OCCUPANCY GRP. . :R3 VENTS W/O APDL: VENT SYSTEMS:
--STORIES. . . . . . :
3 BOILERS/COMPRESSORS HOODS. . . . . . .
FUEL 0-3 HP. . . . : DOMES. INGIN:
r /WOD/ 3-15 HP. . . . - COMML. INCIN:
MAX INPUT: BTU 15-•,s0 REPAIR UNITS:
f-'*IRC DAMPERS . . 1 30--50 HP. WOODSTOVES. . .-2
GAS PRESSURE. . . : 50+ HP. CLO DRYERS. . :
1\10. OF UNITS—----.- AIR HANDLING UN I TS OTHER UNITS. :
FURN ( 100K BTU: 10000 cfm: GAS ou'rLETS. :
I URN ) =100K BTU: > 10000 (::fm :
Hemai,ks : 2 EXISTING WOODSTOVES
Owner-: FEES
JACK LUNDY t ype AmoLint by date ir-e C 1::)A:
10795 SW FAIRHAVEN WAY PRMT $ 225. 0121 JLH 09/25/91
3PCT $ 1. 27) JLH 09/255/91
riGARD OR 972923
17J,one #:
f.'C)y)tr"aCtov-: -----------------------------
LONTRAUOr NOT ON FILE
Phone #.- $ 26. 25 TOTAL
REPUIRED INSPECTIONS
This pervit is issued subject to the regulations contained in the Final Inspection
Tigard Municipal Code, State of Ore. Specialty Code; and all other
applicable laws. All work will be done in accordance with
approved plans. This ptreit will Phpire if work is not started
within 180 days of issuance, or if work is suspended for sore
than 180 days.
fl, t-m i t t e e Si q na t�_i v,P
1.ssi_ted By ,
Call for- inspection 6394175
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SW Haji Pivd. APPLICATION Permit # _
PO Box 23397 C.3 tDO G�\
Tigard, OR 97223 -2—
(503)
2—(503) 639-4171 10
,» «+ escrrption
Table 3A Mechanical Code QTY PRICE AMT
Job 7G7 - f %: 1) Permit Fee -0- -0 10.000
Address •» ap
-1 (4_ t ' t7 < , 2) Supplemental Permit 3.00
.m.J.�•�+•• urnace to 100,000
� , Ur,),r ✓ 1) incl. ducts&vents 6.00
«. �—'7 W* Furnace 100,000 BTU +
Owner , r ' WA110h V)A r 2) incl.ducts& vents 7.50
nor urnance
C� r o �)• 7f� 'a) incl. vent 6.00
.«.«,..r. Stispanded heater,wall heater
4) or floor mounted heater 6.00
L4.1.Q Aft« ... Vent not incl in
Occupant 5) appliance permit 3.00
r5r• �' Repair of heating,refrig,
6) cooling,absorption unit 6.00
_ — Boiler or comp, heat pump, air con
7) to 3 HP absorp unit to 100K BTU 6.00
Boiler or comp,heat pump,air con .
8) 3-15 HP absoto unit to 500K BTU 11.00
Contractor Y ---z— Boiler or comp, heat pump,air cona.
9) 1530 HP absorp unit.5.1 mil BTU 15.00
—We. ` of er or comp,heat pump,au eon .
10) 30-50 HP absorp unit 1-1.75 mil BTU 22.50
ere y acknowliAgo that I have read is app nation,that the Boiler or comp,heat pump,air cond.
information given is correct,that 1 am the owner or authorized agent 11) >50 HP absorp unit 1.75 mil STU 31.50
of the owner,that plans subrnitied are in compliance with State Air handling omit to
laws,that I am registered with the Construction Contractor's Board, 12h 10,000 CFM 4.50
that the number given is correct. (It ,•tempt from State registration, it handling urtrt
please give reason below.) 13) 10,000 CTM+ 7.50
-'— on portagle
14) evaporate coolar 4.50
` — eot fan connect
15) to a single duct 3.00
anti ation system not
16) included in appliance permit 4.50
"3'wun.•�«�a,pw �T' Hood served y _
17) mechanical exhaust 4.50
Descjibe work new addition 0 alteration 7 repair Commercial or industrial
to be done residential O non-residential Q 18) type incinerator 30.00
xisting use of wo7dstove,water
building or property 19) heater,solar,clothes dryers,etc, 4,50
P,oposed use ct 201 Gas piping one to four outlets 2.00
building or property
21) More than 4-per outlet
Type of fuel -oil O natural gas Q LPG O electric Q
Minimum Fee$25 00 SUBTOTAL
PEROITS BECOME VOID IF WORK OR CONSTRUCTION —
AUTHGRiZED IS NOTCOMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE _
IF CONSTRUCTION OR WORK.IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SJBTOTAL
AFTER WORK IS COMMENCED. — — '--
��_J TOTAL
Special Conditions
Date issued ^�_ by
INIECHPMT
raidb«nMv
I
I
CITY OF 'T I GARD RECEIPT OF PAYMENT RECEIPT NO. :9 1--2 1 7828
CHECK AMOUNT 26.25
NAME LUNDY, .JACK CASH AMOUNT 10.00
ADDRESS 107?5 SW FAIRHAVEN WAY PAYMENT DATE : 09/,25/91
SUBDIVISION
TIGARD, OR 9.7223-
1
i PURPOSE OF PAYMENT AMOUNT PAID P114POI% OF PAYMENT AMOUNT PAID
MECHANICAL PE 25.NN ST.-BUILD PER 1.25
I
WOODSTOVE PERMIT
TOTAL AMOUNT PAID - - - - > 26.25
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INSPECTION NOTICE
City of Tigard Budding Department
12420 S.W. Main St.
Tigard,Oregon 97223
Prone: 639-4171
Type of Inspection
Date Requested 1,
Time A.M.--').M.
Address zo
Lot
Builder
The following Building Code deficiencies are required to be corrected:
V
-4 92
Presented to Approved
Gni -jLInspector Disapproved
Date
CALL FOR REINSPECTION
ED YES E] No
BUILDING PE EMIT APPLICATIONP-R
TIGARD DATE -,Sent. 1 _ ts_�_. 4574
THE UNDERSIGNEI.)HEREBY APPLIES FORA (FOR,THE WORK HEREIN INDICATED BUILDERPHONEOR AS SHOWN AND APPROV :7HADDR
YI PLANS AND SPECIFICATIONS OWNER PHONE _
LOT`NO.__ _ - -- --
OWNER °-
.t .. G�sn�,y J '• ' •, T+ — -------- ----
ARCHITECT'
a- ENGINEER
BUILDER '`tom' SS DESIGNER
STRUCTURE f I NEW ❑ REMODEL IYADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE [1 DEMOLITION
0 RESIDENCE 1_, COMM ❑ EDUCATIONAL ❑ GOV' ❑ RELIGIOUS L1 PATIO ❑ CAR PORT [7 GARAGE ❑ STOQ-GE r] SLAB FENCE
OCCUPANCY _11 —LAND USE ZONE 9T!* %LDG.TYPE V —FIRE ZONE PLAN CHECK BY .._AT—.
_ Corw.,':rLtri! a 24 +;arcci .j, stLrt.>cLDrS�,__
SEWER PERMIT# _
�.,
OCC.LOAD FLOOR LOAD ccri HEIGHT ' NO.STORIES AREA NO,BEDROOMS VALUE
BUILDING DEPARTMENT SET BACKS FRONT ' AEAR LEFT SIDE RIGHT SIDE
—T____ --- —T------ —
Permit ,. •r', THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
1� ��j�l REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH TI4E PLANS AND SPECIFICATIONS AND IN COMPLIANCC
WITH ALL APPLICABLE. CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE_
Subtotal 60•00 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
2.(K) LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,Pt UMBING AND HEATING.
State Tax
Total' 6.2.50 SDC
By
pDC# APPLICANT OR AGENT
�:t:�l.i _
Receipt No.
Approved 'j" �!, / ADDR _ F iioNF
DATE INSP.I TYPE INSPECTION REMARKS PLUMBING DATE
Ceiritractor
Permit No.
Rough-in
Fixture
Final
Jeflf MATING
Contractor
Permit No.
Gus or Oil
R-
r Inal
SEWER
Final
rRIVEWAY
Final
Sturm Urairlal)P
(Rein Dt3in)Final
Siclawall,
Curb&Street Final
Approach
BLDG. 0— Fl TIEVI"ORA4Y CERTIFICATE OCCUPANc% (Incl
CERTIFV:1"�civ.'UPANCY
Land"asm
zollir 1,Final
3" y.. .. ��T,�I i•-•'.vl.' W��yq w! ([r: M 1yyn�.h'' K', F.A ;,
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APPROVED FOR CONSTRUCTION
CITY OF TIGARD
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SITE ADDRESS
TITLE DATE
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BUIt_OING PERMIT APPLICATION TIGARD DATE_ /
C TFaF UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED EIUILJER PHONEi ' d�'��
RAS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE ._ _-
�// LOT NO..y _
O'r�NE JOB ADDRESS ID z "l/. (�.� ate, t4l
rNGINEER
CHITECT
BUILDER -� ► Lk ADDRESS 4_� SIGNER
STRUCTURE —Y NEW ❑ REMODEL _ ❑ ADDITION ❑_ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
❑ RESIDENCE ❑ COMM ® EOUCATIONAL E1 GOV'T ❑ RELIGIOUS ❑ PANO 0 CARPORT aGARAGE ❑ STORAGE ❑ StAB❑ FENCF
OCCUPANCY LAND USE:ONE /.+2.BLDG.TYPE s' � FIRE ZONE_ PLAN CHECK BY HEAT_
{l r L
SEWER PERMIT N
OCC.LOAD — FLOOR LOAO(jN,,,!4_,�AtEIGHT NO.STORIES ! AREA[a?)- NO.BEDROOMS VALUE G
BUILDING DEPARTMENT SE BACKS FRONT c �� iREAR C) LEFT SICE/ RIGHT SIDE
THIS PERMIT IS ISSUED SUBJECT'TO THE REGULATIONS CONTAINED IN THE RU1LE)INC CODE,ZOWNG
�J c' REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERESY AGREED THAT THI:
Plan Check _ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
j n„ WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV:
I Su�telal __ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINFS;
r LICENSE SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
StStn Tax —�
42 SDCTotal - d G ---- --- --
pDCA � APPUCANTORAGE
NT
By
Receipt Na.
i Approved ADDRESS PHONE
SDC •• ______-___ -
PDC
SEWER CONNECTION 5
5E41ER INSPECTION S
SEWER SURCHARGE 5
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