11561 SW SHOREVIEW PLACE-1 r «�
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CITY OF TIC-YARD ,
rOREGON
June 1, 1995
RE- BUILDING PE,RNIT #
Inspections) have been conducted on this project . However, we
have no record of any subsequent or final inspections within the
past 180 days.
Please note that permits become void if there has not been an
inspection performed for over 180 days . In that case, the luilding
Division may require a new application and fees to continue work.
A notice of non--compliance against the property may also he
recorded by the City. 1
Please advise the Building Division, IN WRITING, within 15 days of
this letter, the status of this project . You may request
add3.tional time to complete the project .
Respond 1N WRITING to: Puilding Di—ision, 13125 SW Hali Blvd. ,
Tigard OR 97223 . Be sure to include the following information:
1. Building Permit # .
2 . Address of property.
3 . Your name.
4 . Your phune number 8 :00 a .m. _ 4 :00 p.m.
If you are ready to schedule your next inspection., please call our
14-hour inspection Recorder at 639-4175 .
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login\add_inspscrions
13125 SW hall Blvd.; T1¢ard, OR 97223 (503) 639-417 i TDO (503) 684-2772 — -
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City of Tigard HuiIdinq Departatent
13215 BR Ball Blvd. Tiqard, Oregon 97223
Inspection Line (Rec-O-Phone)t 639-4175 Business Phoned 639-4171
inspect U nt
Footing Plbg. U..derslab Mob. lough-in Appr/Sdwlk
Pound. Plbg. fop Out (0a; Line \ FINALt
Post,'Beam etruct. San. se Nr Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb. III
Plhq. Underfloor /Mater Line Gyp. Bd. -Hoch.
_e Requested:, ! Time: _Z-,__AM 2 PN
Addrosst— •>����V�f HI` Permit #f
Builder:
C.ZlO Cf�f') 2-
TNI FOLLOWING OORRICTIONS ARE RiQUIREDI
_/'l//( /.�.P.vt�+JC^�t/rrcf'�L /Lyt�✓t.,c/ .�iCiS..LiC�J✓ �`
Inspector t__ _.. Dates
APPROVID DIBAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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MEfHANICAL
CITY` OF TIGARDPERM111,
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COMMUNITY DEVELOPMENT DEPARTMENT lyra rr. r:: .�l.a�r1: 10/2 7193
13125 SW Hell Blvd Tigard,Oregon 97223.8199 (503)839.4171 I'
PARCEL: 15133L'1U 0 4500
ITE FiDDREia:,. . . 1 1`,'.h 1 `:3Id S fi L I R L, V
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LtbUIVI5I47N. , . . : VILLAGE' Al SUMMLP LAKE. PARK 3 ZONINL
l:, s . . . . . . . . . . . . .
LUQ".
WF1a) rOF' W[)FiK. . :ADU FLUOR F-URN. . • . : E:Vfap 1r ICtLCIF15: r
�1=Er UI U6U. . . . -5F UNIT HEiITERS. . : VENT ANS. . . t
;CCIIJP NC,Y GK". . :T1:3 VENTS W/C i1Pa-'1._•, VN N1 SYSTEMS.' _
.,TORIES. . . , . . . :Z t3ClILE=.RS/CUMPPE:05ORS HOODS. . . . . . . I
UEL T'YF'l::ca__.._,__._._. ....._,__..,..._.. W.I.. 3 HP. . . . UUIME�i. II�I(�IN:
/GAS/ / 315 FIP. . . „ : COMML. INCINI
,"AX [N►=UTI, 15-3121 1AP. . . . : REPPIP UNITa:
I FSE:: DAMPERS''. , SO--5 0 HP. . . . : WOODOTOVES. . :
(K, PRESSWRE. . . . 5+ ml . „ . . ►::LU DF1YE_�RS. , .
Cl. OF UNITS-•-_._____....._..- AIR HPNDLING UNITS OTHER UNITS. :
URN ( 1 0OK W U: t- 10000 c f m : OAS OUTLETS. - 1
�Mhl )-100K BTU- ? 1000111 r-fm:
1. ;,, . I-(� .
twner• _._. ._..._..__.._ _.. ..___. ......._.. ._._.._._____.._... .. .______.___._._ ._...... ._..__ _____. _....._.___�_w_..__...._.
ELVIN I-OUII type amol..mt by date r^sept,
1561 SW SHC.iREVIE':W PRMT $ R5. Oki JH 112+/27/9.3
`Pf 1, $ 1.
I C,All1) 0R '? 7c
'hone it.
'11T Sr-,OT h ,REPLOLL. F161 1:
' 15P5 f'W r_(ANYON F?D
PlEAVERTON OR 97'091ri
haT-1 i." (,.. ... .'j6+5.' � rf J 10TAL
_._.. _ .._.. pF_.C?U I RED NSPEf'T .l ONEi _..... __-
nis ptrait is issatd sud.,ect to the regulations contained in tet Gas Line Crisp
:gard Nuricipol Lode, state of Gr•e. Specialty Lodes and all other Final [n s peat i or,
.oplicable laws. All work will oe done in accordance with
approved plans. This perait will expire if work is nrt started
r,ithin 168 days of issuance, or '.f wort: is suspended nor ove
,an 160 days,
e r•m i t t v e 5 1 y n a t�1 i e
S 1_lec' Ny-
CMI dot- int:pec'tion 6:39-4175
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13,125 SW Hall Blvd. APPLICATION Permit # Cc 1_0 �
PO Box 23:97
Tigard, OR 97223
(50?) 539-4171
- .,,. .,,, escnphon
Table 3A Mechanical Corgi CITY PRICE AMT
Nu.
Job 1~c,��j 5W •��lG`r'�• I CJ 1) Permit Fee ^_ -o• -o- 10.00
Address .r
��� 2) Supplemental Permit 3.00
-Furnace to
1) incl.dud;b .ants 6.00
„. umWo- -OV0 00 +
Vt l P�V 2) incl.ducts&vents 7.50
owner r —/���J ow umance --�_
1 L'VP 4 C 1- -'5 3) incl.vent 6.0
.M 1'— spa eater,w eater
w1 4) or floor mounted heater 6.00
Vent not t .to
Occupant 5) appliance permit 3.00
-Ifepair o it heating.re ng.
6) cooling,absorptic.unit 6.00 -_
Boiler or comp,?Sat pump,air co
�� /'i✓� �� 7) to 3 HP absorp emit to 100K BTU 6.00
.. r" "-7 r" - Rpr or comp,For pump,au co
f ) tj
8) 3.15 HP absorp unit to 500K BTU 11.00
Contractor �Miiler or comp, -t pump,air"coffin .- I
I Q ✓ 005 9) 15-30 HP absorp unit.5.1 mil BTU 15.00
CAV sm.T"10 Boiler or comp,heat pump,air oo . 1
3(pa i 110) 30-50 HP absorp unit 1-1.75 mil BTU 22.50 `
hereby ac*nowl9dge that I have read is application,that the i or—or comr heat pump,ai:co
Information given is correct,that I am the owner or authorized agent 11) r 50 HP absorp unit 1.75 mil BTU 31.50 �_ 1
of the owner,that plans submitted are in compliance with State Air handling unit to
taws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50 t
that tha number given is correct. (If exempt from Statc ret' tratlun, a ancling unit
pleasa give reason below.) r _ 13) V, '`0 CTM+ _ 7.50
- oil porta�ilo Y !I _ V I (
14) evaporate cooler
Vent IzAn connect `
:5) to a single duct 00 - II
Ventilation system nit
16) included in nooliance permit _ ! a.50 , 4
WWWAOO ., o serf,
mechanical exhaus� 4.50
now ,ir 17) Commercial or m sinal~-
to be done residential non 18) type incinerator -.00
6 ng usn of Mer i.e.,W66dstove,water
buikfing or property ,_.__.._._.. �- 19) heater,sola-,clothes dryers,etc. _ 4.50
Propose-use o1 2C) r',as piping one to four outlets 2.00
building or property ----
21) More than 4•por outlet
Type of fuel•oil O natural gas 1r, x C)RD -- -
110E: _ Minimum Foe$25.00 SUBTOTAL ��[)
PERMITS BECOME VOID IF WORK OR CONS"-",it-TION
AUTHORIZED IS NOT COMMENCED"THIN , U DAYS,OR 5%SURCHARGE
IF CONSTRUCTION OR WORK IS nUSPENDED OR
ABANDONED FOR A PERIOD OF .do DAYS AT ANY TIME PLAN SEV1EW 259 OF SUBTOTAL
AFTER WORK IS COMMENCED. —"
TOTAL (p,
Special Conditions
Date issued by
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