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10255 SW MCDONALD STREET
10255 Sq MCDONALD STREET i +J C Q U Ln U1 t11 N O r t aaa 6111 e>r N enol ass roar i sw i- 1 1 1 Applic.snts must hold Oregon Registration to conduct a plumbing PERMIT 1639.4175 �/ business or must be property owner/oper,ator not hiring oublde help. :2`S-e-j Name of Development PlumbrnµPermit No. Address Deecripson 5-5r-- ORS 014.21.610 DUAN. PRICE AMT. Job Tax dal Map.No. Addreu FlXTURE6 _ l.ofBlock Subdivision 7.50 —• _ 7.50 •Daniel name of Tub or Tub/ShowerComb 7.50 MailaV Address '�'"-- — --- - showeronty 10255 SW McDonald Owner Water Closet 7.50 /gated, OR X972�3 Dishwasher 750 -. hPhone Garbage Disposal _ --- --�— - - 7.50 Name - 3039 Washing Machine -_-- -_ - - -----7.50 - Daniel Adday Floor Drain 7.50 Mailing Address Phone --- Waierr Heater -- 7 50 3..•.1 10255 SW MCDUl1__sald-__ --- Laundry Rrxxr Tray a 7.50 - Occupant (rtVslate Zig ------ - - -- Tigard, OR 97223 Urinal --^-__. _ - --7750 '. _ _. Name Phone -- Other Fndures(Sp_ecih)----- --750 -- - DIAL ONE tsarinley s 4'7?-4101 _ _ _ 7.50_ _ +� Mailirm 17f5 L&fayette Aver 750 Contractor /State Zip 7.50 McMinville, OR 97128 MISCELLANEOUS �—�— -City ax - Sewer1 et 100' - — 3000 484 4 �t� 36-22 FB -- ---- -- -- 1; -� ate an us. o Sewer♦a.Addis.100' u) Water Service tat 100 2000 _ I hereby odux:iiiirf a VhW 1 flew reed fhb appftso ti,that Mia information Water Service ea Addis?C�'! 15.00 _ - gtven is oomsd.that l wn registered will fhe SWI*&Ak, is Board,and also Storm&Rain Drain t at 100 30.00 w hea Stat Pkm tµrp Moarias Wal Wa numbers given ares oaredall War ----. _ -- - plumbing work will be dose in emordenoe with apr k " provWons cl Ons- Storm b R:in train Addlt 100'- - — 15.00 -- gon Revised Sta lutes Chapters 447 wd 03 arx!applcd*oodea erd that Mobile Home Space 25.00 no help will be ermpbyed unleas NoMised under ORS ltti3.IN exempt tnxn State regiatralfon.p6owie gtve reason beiow)• Be*Fk)w Prevention HOMEOWNERS-1 hereby raertlfy to 1 am the owner of the property de- Demme or ii-Pollulion Device 7.50_ ecxbed above,at which localon 1 Rmnlpoea so make a pllrnbhig hsatalladon kx Any Trap or W aet Not my own ues and Wb prop"is not bereft oto uftmftd for sole,tease or mrd Cerimmsed to a Fixiuro- - - ?.SO _ }"1r]�.6'rn• _:�L7�td�,aar_�_-�-d� Cathbasin 7.50 ` Yrap.of Fades.Piu mbrrig 4000 Wr t+ Specter PA"awed lnapeoBor+s40.00 Per P41 i c,ix ... .., , 1 Aller.of Plumbing wlf* an Eidalhs�Bldg — 1500 mon At]TW-)RLZFD SIGNATURE - Dat deur Bldg.of BuM.Addition 26.00 min - . 9.1 le fami.l _ . . Describe work new E] addit n C) aheraikln J, repair n dwellitT�, 15.E t be done residential non-midlr*al-L] ExtatirlQ t»e of 7 bt�or prowly _ r _ _ __ - . N�TOT11►1. j Pt peed u"of �_ IiAt�10! • -L Or p+Oprsrty To ._. —_ NOT1clE —... - _— TOTAL Thy�ttlnitl OaoOnsal tatM ottfld tr01d K wok ax gorsa0uolon atllion:ed M red con lftariaMwlr�tf1p A►MOMtl11IE/tflftlrwultklNllllntsdeAorabandonedfor a f-fDd sl 100 days al any Mie Ow work Is conrainwo erac1AL 0000 10M Data 141M,., / by x t1 404,11 Al.., Permit Deacriptlon �— Table 7A Mlecnanleal Coda QTYPRICE AMT City of Tigard 1) Permit Fee -'- -0_ -0. 10.00 13125 S.W. Hall Blvd. P.O. Box 23397 2) Supplemental Permit 3.00 Tigard, OR 97223 639.4175 1) Ful nace to 100,000 BTU Incl.ducts&vents _ e 00 6.00 ----Furnace 100,000 DTII , -------- T-- -- 7.50 �) incl ducts&vents Name of Development 3) Floor Furnace 6.00 enc..vent — J-�� -- Job ess Suspended heater,wall heater 6,00 AddrJ 4) Address 2575511 1->,j0�, 6oa�p or flourmourtedheater ^ gent not incl.in _----_—`-- Tax Lot Map No — — 5) 3.00, (t 0 LotBlock subdivision appliance permit Name rot nam of txrsu")I 6) Repair of heating,raft ig., 600 cooling,absorption unit n i e -- -___.__ Boiler or tom to 3 HP Mailing Address Phone --- 7) p 6.00 Owner absorp unit to 100,000 BTU crtyislale Zip 8) ©oiler or corny to 3 HP-15 HP 11 00 J absorp unit to 500,000 BTU 1-i ciafN (/- - - Boiler or romp 15-30 HP T - - 1500 +' _y)- .absorp_unit V2-1 million -- - -__. _---- _-.---- -- r Address )10 Boller or comp to:10-50 HP 22,50 �s ��� ,t-335S- /S S abso-o.unit 1-1.75 million l Contractor , - Zip -- 11) Boiler or comp to 50 HI' 31 50 _absorp.unit 1,750,000 BTU � � -----'-=-�'-!-_--.---- --_ _ Air handling unit to �—-_.----- flute Ragla?aUon No C, Bus.Tax No 12) 450 313 3 / 10,000 CFM -- --___ —— -- ----T Air handling unit7 5I hereby aknowledge that I have read this application that the inlormation given is �) 10,000 CFM +mracl."hal 1 am ftowneror authorized agent of the owner,that plans submitted are in -- --' oompNance wfth Stele laws,that I am registered with thie Slate BuildersBoa d,that 1" 14) Non portable -- 4 tKt numbw given b correct.(x oxarnplhom State r"Wsi,ot phase g+ve reason local evaporate cooler 15) Vent fan connected 300 jr- - to a single duct - -- - -- Ventilation system not 4 so 16) included in appliance permit - - - —A,-/�-- p 17) Hood served by 4.50 _...__ mechanical exhaust --- slonakar(sew -- ------- Data 1 d) Domestic type 7.50 Describe work ❑ addition ❑ afteration — repair ❑ __Incinerator_ - to be done residential ❑ non-residenla ❑ - 19) Commercial or industrial 0 _ type incinerator .3000 00_.. __.._ Existing use o120 Of gwoodsto e,wale► 450 txuikling or properly-—.� ) eater lar :tithes s,etc Proposed use of �p _ buildi•tg(x property _ _-_- _ 21) Gas piping one to four outlets 200 A OO Type r'fuel - oil [ I natural gas I LPG O electric 1 1 --- 22) More than 4-per outlet SU&TOTAL THIS PERMIT BECOMES NULL AND VOID IF WORK On CON t7Cr STRUCTION AUTHORIZED IS NnT COMMENCED WITHIN 100 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED ON PLAN REVII{'YV 25%OF tU!•TOTAI ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTFf1 - ---- - - Q- TOTAL WORK IS COMMENCED SpeoWl Ccxlditlons _-._ ._----------.__- Date issued 1� l by V I � L� CITY OF TIGARD App IC TION. FOR SIGN PERMIT ge r pEnnaTT FFF ADDRESS /O TEL N -- Tu -- -T _ ---------- ___ -_ ---------------- t PLOT PLAN POLE -._—� „ ,Tm rr�pt St:OW SIGN LOCATION GROUND -- �yF Fosr�p�t�/Esr WTi G•� , 1 nnmmn[d I / PROJECTION -- �J TU {; FJ�. :Lnicri nNt) SL(�1 c r, ON--LS rt uQ.LLIMI�SL�— /�i•- _-DF TIGARD- ---- -- --- ----- / 7 / tz APPROVED CHIEF BUIILLDING OFFICIAL BY , I