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MECHANICAL. PERMIT—--—_ / pE qM I T NCa. ; E8: 91(I0 V
CITYO TIOARD C11Y11iJIND �� •
*NOON DATE ISS(.Ik�.:D : f3/�>•/erg
COMMUNITY DEVELOPMENT DEPARTMENT PP1,M . PM•T .NO. 991.900
13125 S.W.Holt Blvd..P.O.Box 43397,Tigard,Orfgon 97Yx1.hp;116�9.4176 •�
r _ r
J(IE31 ADORES--: 9050 ~SW SCHOLLS FERRY RD I-T: EaK : i
TAX MAP/LOT SUB: I
1-AND USE:
NO:
L..O'T SIZE-. NO:
ITEM:
� Y NACE:: <lOUK ATP HANDER <10
l WORK CLASS: ADDI•T!JN FUFURRNACE 100K# AIR HANDLR 10K
USE TYPE: COMMERCIAL EVAP.CUOLER
CONST .TYPE:: VN FLOOR FURNACE r
HEATER VENT
•1N
OCCUP.GRP• : 82 T•
VENT VEN . a(STEM
BLR/COMP (:3HP HOOD
(1.5'TURIE w : 1 6L.R/COMP 3--15"P INCINERATOR(DOM
NO. 15--:30HP INCINERATOR(COM
81...9/COMP :30—OOHP REPAIR UNITS
FUEL TYPE CA!-ii F3l_R/('(IMP 50+HP OTHER 1
MAX. INPUT GAS PIPING CUTLETS i.
FIRE: OMPR57
HIGH PRESS l NO
LCW F)RE:.SS7 YES
i�F:MARK'3
Spat egt.ti.pme!Itt building
I
l
i
FEES: }.
1610 . 00
OF
lden Kray Inv . PERMIT
W PLAN REVIEW
N FIXTURES •h. 50
E STA T'E TAX F33 I
R
OTHER
1FON
-
CONSTRUCTION ]:NC: .
?
n Ot-1 9'7062..K1U3) hE'0 ic"i4ICTAL: •17 .33
F1lIt:)N NO. :`ti29�72
NO.
This perms;is Issued subject to the regulations contained in Title.4 REQUIRE 0 INSPECTIONS t,
of the TOC. State of Oregon Specialty Codes.toning regulations
and all other applicable codes and ordinances, and it is hereby GAS LIME :N
agreed that the work will be dune in accordance with the plans and MEC.MANCL.SYSTi:M
specifications and in compliance with all applicable codes and FINAL
ordinances. The issuance of this permit does not waive restrictive
covenants. Contractor and subcontractors %hail have current city
business tax permits.This permit will expire and become null and
void it work is not started within 180 days,or It work is suspended or
abandoned for a period of 180 days any time after work has
commenced.It shall be The responsibility of the permittee to assure
all required inspections are requested and approved.
Perm tee Sign re
r CALL FOR INSPECTION 639--4175_
Issued By - --- . ..— -
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
_-.�n,.mnmr.=wnwawoe4�ll4�e�tllf�r
1
City of Tigard Receipt#
13125 S.W. viall Blvd. MECHANICAL PERM11,
P.O. Box 23397 Peirnit9_9e�
1-igard, OR 97223 Deemptiam
639-4175 Tab6 3A Mectminkal Code or, PRICE AMT
1) Permit Fee -0. -0- 10.00
Name*(Gev%*pr." 2) Supplemental Permit 3.00
Job Add- Furnace 1W 100.000 STU 6.00
Address 1)
--- incl.ducts&vents
Tax lel Map ''c
No. 2) Furnace 100.000 BTU +
LAI Bloc* Subdkftion Ind.ducts&vents 7.50
NO (Or nmw of buekwa) 3) Floo(Fumace 6.00
Ind.vent
Suspended hewer.wan heater
6.00
MUM 4)
Owner of floor aVurited heater
F-7
5)
Vent not Ind.In appliance permit 3.00
6) Ropairof heeling.refrig..
cooling,absorption unit 6.00
IPA"Moress Phone 7) "erorcompto3HP
atmM.unftto1(X%0ooBTU 6.00
Occupant city/state zip 6) WIerorcompto3HP-15Hp 11.00
absorp.unit to 500,000 Equ
Boileroroomp ls-W HP
ibsorp.unit th-1 million 15.00
10) Wier or comp to 10-50 tip
absorp.unit 1-1.75 million 22.50
Contractor Cliyrsiaie
Boller o-comp to So HP
11) absorp.,unit 1.750.00()STU 31.50
FAMU PagIWISfn No Cky Eks.Ykx No. 12) Air handling unit to 4.50
10.000 CFM
h—by admwAodge 0W I have too"appsmeon ow Ow Womwsn given ft 13) Air handfirg unit 7-50
polled OW I sm Ow 00 W or suftrind ojerd dew*.-W.9w plus wbothw we in 10.000 CFM +
CORNAW ON wAft SWIS laws.ten I am reqkucad**haw Stow eugdoz,Boarki ftlt ths Non portable
nmtw of"n is axmd-of exerro Iron state regizvat a poem give nmsw bekw') 14) evaporate ci-xger 4.50
15) Vent fan conceded 300
to a single dtxi
16) Ventilation system not 4.50
included in appliance permit
Hood served by
Y2 17) mechanical exhaust 4.50
S%
Domestictype
0 add 18) incinerator
Describe work Won J' alteration D r Ir ❑ Incinerator 7.50
to be done residential 13
non-residential 19) Com(mrcial or Industrial
Existing use of type incinerator 30.00
building or properly20) Other i.e..woodstove.water Proposed use of heater, .50" clothes othes dryers,etc. 4 9 j(7
twilding or property
ell) Gas piping one In four outlets 2.00 �,6l
Type of fuel- 09 ❑ natural gas 14--l-LPG 0 electric 0
21) More than 4-Ixir outlet
YQTIPE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON. SUB-TOTAL
'so
STRUCIION AUTHORIZED IS NOT COMMENCED WITHIN ISO 5% SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPEI,
IDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER PLAN REVIEW 251t,OF SUB-TOTAL
WORK IS COMMENCED, TOTAL
SPecialConddions
CIT IC)%F TIS, CITY°"°""
IWARD PLUMBING PEAMIT •
T
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT NO. : PL-891801.
13125 S.W.Hall Blvd-PA Box 23397,Tigard.Oregon 97223.(503)639-4175
rholTIF- ISSHE'04 a t E9
PRIM. PMT .NO. 891.11300
JOB ADDRESS 9050 SW 1::'F-RPY At)
TAX MAP/LDT SUB: LT SK .
LAND USE
LOT S 17_E
ITEM: NO: NO
WORK CLASS: ADUITTON WATER CLOSET TRAP
4 USE 'TYPE: COMMERCIAL UPINAL SKFLOW PPVNTP
CONST .TYPE: VN LAO)OP(4TORY TRAP PPIMEA
OCCUP.GAP. : 82 TUB SHOWER C;l--4F-':A!iE TRAPS
DISHWASHER
GARBAGE DISPOSAL
N(:).STORIES: I WASHING MACHINE
DWELL.UNITS : I..AIJNOP'Y TRAY DLDG. DRAIN 401A
FLOOR DRAIN 1.
SINK SEWER (FT)
WATER HEATER STORM/PAIN %FT
113THER
PEMAPKS .
lipat equipment buil.(Jin(j
T—
o
W -EES :
N
E Golden Key Inv . PERMIT
R
Fj.XTLJPES
S1 ATE TAX
C OTHEr.
0
N
T
R
A CAPA CONSTRUCT I.ON INC .
C PO80 X I 3"Se
T
0 Tt.ialatin )P 9706e
R PHONE (503) 620-123A
PIE-GISTPA'TION NO. 5297e TOTAL: 123. 63
This permit is issued subject to the regulations contained In Title 14
of the TMC. State of Oregon Specialty Codes, zoning regulations PECE I P'T NO.
and all other applicable codes and ordinances, and it is hereby -----------------------
agreed that the work will be done in accordance with the plans andREQUIRED INSPECT TONS
specifications and In compliance with all applicable codes and
ordinances. The issuance of this permit does not waive restrictive
F)L8.UN0EPSLA8
covenants. Contractor and subcontractors shall have current city ROUGH--JN
business tax permits. This permit will expire and become null and PLB.TOPOILIT
void if work is not started within 180 days,or It work is suspended or FINAL
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure
all required inspections are requested and approved.
Perm! Ignature
Issued By:
61EPARATE PERMITS REOUIRED'if6h *O)W&MA M10-"MED A130vr:
s
p.0.em 23397 1
1125 34 lull. Blvd.
C 1TY OF TIGAR U PLUMBING Tiqrd CR W
Applicants,muse hold Oregon Registration to eondtxt a plumbing
PERMIT 75
business or must be property owner/operator not hiring outside help.
Name of EWV0l0prnent Plumbhng S'ermit No.aO�
AddressDescription MAN, PRICE AMT.
yo`�U 5vj Sc.fotL 11 (_v fa _ OAS 814-21-810
Job Tax Lot r Map.No.
AFIXTURES
Address
7.50
�Block Sink Sink
7.50
- Lavatory
ams t w name sahess 1.50 _
(�,t DE aj K E v l nJ v t R.5 --- - Tub or Tub/.`�,Nower Comb.
7.50
Maing ass Shower Only
1.50---
-�__•�^_ Water Closet
Owner Gly/ to - 1.50
J/j!!I h N U n q'rp(o'L _ Dishwasher -
f'thoree Garbs a Disposal 7.SU
to -0551 9 _ 1.50 r
Washing Machine_
---- hams -- 7.50 C)
ME(JT S Floor Drain
f{-PA-ha.T 1.50
ptq� Watertieater ..• - • --
ah mg (ass ------- 1.50
�, lAundry Room Tray
7.50
Occupant City/State T'p Urinal -
os v
1.so 7f S
___--- �� -• r"p xxrs Otner fixtures(SPedhr) 7.50
,-A e A CDN/S-T;.2 J,-rW1J 7.50
Y , j3U .35, M &? -Lai Z 1.50
Contractor C1ty/Stats
0A L 11 T71J o R C -70� Z MISCELLANEOUS 30.00
o City Bus.Tax No. Sawa,1st IW �•
ti?. 7.Z ¢? l y 15.00 _
s.
Sewer ea.AddN.100'
tete Priir�irsNo.
Water Servkb 1s1100' 20.00
(Residential) # '9 -•ZO f P8 ---- I
_ _ ts.00
~hn ttul tlhs information Water Servbs ea.AdditXDr
I hereby acknowledge that l have reed Itis opplicalk 30.00 _ --
gn en is co red that 1 am regisfered with the State Buitduh's 80ard•and also Storm&Rain Droln 1 St.100' t 5.00 __ -
hrro a Slab PkMrhbkhg sc er"a that tw numbers ghren aro< •that all Storm 6 Pyn Drain Addh.100' -
ptunhbing work will be dor»in acccvrrdwrov wM applicable,pf0 %Of Ore- 25.00
gon Revised StabAes ChafAwa 417 and 1393 and applicable codes and tial Mobile Home Specs�__ f
no help wM be employed unless Iltenssd h>rdw(XIS Gal.IM exempt from Btx*flour Prevantion
State reg4tatbn.please give reason below)• Device or Mt•Pollution Device _ 7.50
HOMEOWNERS-1 hereby Ow*that 1 am the er ownd tlhe property ds
scnbsd above.M which Watlan 1 pr%vee to make a pkmbin!)khataMadw for Any Trap o►Waste Nd r T.SO '17,56)
my own use and this poop"is int bskq om>*w fwd ler W a.Iagse or rem C*nrWK tad 10 s RiXtUf
7.50
Catch Basin --
I0.00 Per Nr.
Insp.of Eaist.Plumbing _-
r-- SpsCW" Inspections '10.00 f'w Nr.
Alar.d Pkxrhbkq vrlthirh 15.00 inks.
an ExbWeg Bldg.
Nor or Build.AddWon 26.00 min.
! AL"TIORIZED Me RE Date
_ rYxin side f2rttil__1'.lterst{on �r C3
a .-------
[, d.�ellir 15.00
Oeecxibe V44,* new❑ addition�' noR-lesldential
the dib residential
J3 Y -
E:xh"t»a Or SUB-TOTAT. .SO
bV"rg or properhr--- -_. ---- 5% SURCHARGE 3
PLAN REVTVW �.
tlrpit>pwtY_-._
NOTICE TOTAL
ThM IM 11 be00rrhae null and void M wart 0r oonstrudlon authorhxad is not oxw
r wxod wvNn 190 dnyltjw t o0roWu lion or work is aWspendsd or abrrxkrved for
a period of 190 Rays ai any Ilmo atter work N oemr vonosd.
fPRCLAL 00ND11T10Ns__ _-__.-_ ------ by ----- -
Fete bnurxl _ ----- a
M.vawejrrF•waaro»/nr-t:•.wm.,w,.n..n..r.n�a+��.• 1R^f
j, t'
BUILDING PERMIT
PERMIT NO. : BU891(300
CITYOFT11FARD
Cl:'OFARD
A
T!�
Ty:w RD
ADATE
COMMUNITY DEVELOPMENT DEPARTMENT 0910*N - ISSUED: 8/24/89
44125 B.W.Nall 81,d..P.O.Box 23397,71gard,Oregon 972.13,(503)639-417t, PI
PAIM. PMT .NO. 891800
JOB AiJUPESS : 9050 SW 5(.*,H(3I-L.1.3 Fl-'APY Rl)
TAX MAP/L-01 SUR: LT : RK .
L-AND U%E:
1...131' SIZE : VAL.L)ATTON: 3 2 ,500 SETBA('..KS
FRUi,T : PEAR:
W014K CIL-ASS , ADDITION DWEL.L.UNIT5 : LEFT : RIGH'T
USE TYPE : NO. BEDROOMS : EXT .WAI L. CONST :
LMNST . VN NO. BATHS : N: S : E : W:
E32 PPOT . OPENINGS :
(:)CCUP. LOAD 1. N. S : E: W:
TOTAL AREA: 641
NO. STORIES : 1. 1.S T* 611 RL)OF (.'ONST : 11'., VIPE PET7 Y E CS
HEIGHT : 9 2ND: AREA 5F--'PAR'? NO PATED : NA
NO 3PD: 011"CUP. SEPAP? NO RATED : NP
W-KZZANINF.7 NO BASEM'T
r-:'I OUR LOAD: 125 GA14A(.,E: F"IRE SPPKLF47 NO ALARM? NO
FI-OW(It.4M) DETE(--'*T'7 NO
Hl:�:AT TYPE: GAS HD(-,P . A(-,CF.SS7 NO CURRY NO
PLAN (:,HEL.K BY. jhj
PF.-..MAF1KS :
51:101 4*q1.1j.PvnPrit bt.iJ.1cl1.rig QFJSSUE OF:' NO.
LAST REISSUE
::'EES :
O ( t3ldpii Ke4 TAW PERMIT
W
N PLAN REVIEW $25. 03
PIPE DEPT* $13. 410
STATE TAX $1 .92
OTHER
X-i'MKILOPMENT
o SIA,(S TORM)
N t
T
A
C PREPAID < $40 . 1413>
T
0
R TOTAL : 1111410 . 42
AEC',EIPT NO.1Z)")-6j ,,
This permit is issued subject to the regulations contained In Title 14
of the TMC, State of Oregon Specialty Codes, zoning regulations 1EQ1.1j:PF:-r) INSPMTTUNS
and all other applicable codes and ordinances. and it is hereby
agreed that the work wil'be done in accordance with the plans and
FOOTT.NG
specifications and in compliance with all applicable codes and F:DLINDATION WALL
ordinances The issuance of this permit does not waive restrictive FRAMING
covenants Contractor and subcontractors shall have current city NAII—ING*
business tax permits.This permit will expire and become null and INSUI.-ATION
void if work is not started within 180 days,or if work is suspended or GYP. BOARD
abandoned for a period of 180 days any time after work h.,,s
commenced It shall be the responsibility of the permittee to P:,sure TNSI.11.-A*r ION
all required inspections ar requested and approved. FTNAL
d inspections ar request
Pe/rmee Signa
Is ued By CAI-k- HAll -IN!ip
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN D.'-SCRIBED ABOVE
�- wr-J
1!I
Fr 1 %7,-
RD
� PL«rJ 0((-'CK A'PLxCATION
rn,«tr-AFO f PLAN 04ECK __—
CO&IMt1N1TY DEVELOPMENT DEPARTMENT � /
nussw_auto.d.e-o.a*Kmgr.
t�y.�sv�.a•srrn.(swl�'trs OATS ISSUED
S _-
" i AX MAPi LOT _
�
JOB ADDRESS OHO f`>.Q ��OU
�- LOT: LAND USE: I.
SUB: _ -
';ha� �I.m vv- ,VALUATION: 2500 SPECIAL NOTES
OWNER s REISSUE OF:
NAME: C v�pEr•) KEY' I►�y �rn� ____
LAST REISSUE:
} ADDRESS: FLo00 PLAIN/
't 111.q L R-rt n� - G 2 r O(v Z
SENSITIVE LAND:
11 Pt10NE: (024 -o�y 1 - — APPROVALS REQUIRED
'.
� PLANNING: L---
OWMACTOR 'er3* 52-87 2CNG
ENGINEERI :
NAM- °Rv-Ak e�tJ�r��J�-nvrJ - -----
'C3a � 1��-L- _ FIR[ DEPT _
AOORESS: - OTHER:
ci
y „ I EMS RE IREO
'.i PHONE: (Q I Z 34 - LIST/SUBCONTRACTORS: "
BUS TAX:
rtX R' ARC11/E.NGINEER~ CALCULATIONS:
C. Rf
ec N S Ty O f�
TRUSS OETAIt..S: - -�
1 '. ADDRESS:- PARKING PLAN:
LANOSCAPE PLAN:
OT11ER: _ ---
PI M C:
�cri* Lc -
- 1
PERMIT li ACCT H DESCRIPTION AMOUNT AMOUNT P0. DAL. :JJC
_ 10--432 00 Building Permit Fees
10--431 00 Plumbing Permit. Fees _ --
/ OZ 10-431 01 Mechanical Permit Fees _1� -
10-230 01 State Building Tax (51)
Building ��—
Plumbing —
vech _
10-433 00 Plans Check Fee
Building
Plumbing
30-707 00 Sewer Connection _
30-444 00 Sewer Iatspecti.on --
51--440 00 Street System Bev Charge (SOC) _ --
52-449 00 Parks system Oev Charge (PDC) _ --
31--450 00 Storm Drainage Syst Oev Chrg (-SOC) _-
10-7.30 09 TRFO --- —`
10-730 06 Washington County Fire NI (951L)
10-220 M Amart/wedgewood
101-nt- _
REC N LLZ�i 5
APPI-ICANT SIGNnTURE �y
Received By: _ Uatc Received: fy�
co/3507P/10P