11895 SW LINCOLN AVENUE 11895 SW LINCOLN AVENUE
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MUCHANICAL
CITYOFTIGARD PERtlIT
C 4WAD #M. . . . . . . r, !1 L C9(d–0 2 4 4
COMMUNITY DEVELOPMENT DEPARTMENT M110I
13125 SW H011 Blvd. P.0.Bou 233Q7,TIqwd,0r9W 9�9-.{ 311 1. ;77 DAIE. 1S`.-;UED: 1.0/29/90
11895 SW LINCOLN AV r-'1ARCEL: JS135DC-01800
SUBDIVISION. . . . 11GORI)VI1_.I E PORK ZONING: R--4. T,
El L U 1,K. . . . .. . . . . . @ LOT.
'.:,'LASS 7F7 WPRK— :IALT F*LOOR 'URN. . . . : EVAP GOOLE RSt
I YPE OF' USE. . . . :SF I.)HI r K",ATERS. - ". VENT F-ONS , . . -
OC,GI.)PAI%:(.',Y GRP— sR3 VENTS A/O APDL: VENI SYSTLAS:
S 7'0 R 1:E:13. . . . . . . . .. 1401 L E R S,,'(,'O M P R E S 9 0 R 13 HOOPS. . .. . 1. . 11 1-
0-3 HVI. . . 1)(314Ei). INCIN:
3-15 HP. . . . : C(JIVL.. I NC 1.N
VIOX INPI-11,2 PTU 15 -30 HP. . . . REPAIR UNIT'S:
FIRE DA1VEW(,-)9.. . 30 --50 HFI. . .. . WOOVS'TOVE:11:'). . .
(-)AS PREESSURE. . 50+ HF'. . . . : CLO DRYERS. . :
NO. OF AIR HAIIDLING LIN YP3 OTHE:A UNITS. :
F11KIN < 100K VTU: :l <:= 10060 c-fni: G 0 S 0 U'11.E I
I-URN ) =100K BTU., > 1.0000 eft).
Renia-rP.s.-
"W p FEES
I
PONNIL NOYES type A M C)Lt 11 t I)'Y date -r,e 1:)t
2:1.206 I-I U P S A R D P9JL
AYN $ 18. 0 H 10/2'J/90
PRPIT $ 1.3. 00
AUROP10 OR 9700 1 $ (i'). 70
P tic)1-1 e #-,
Curit-ractm!'!
SONSE-T FUEI CO
SUNGET F'UEL GO
PrJ fl('.)x 42287
PORTLAND OR 9*7242 0000
Flhorie H.- '503-2.34-0611. 18. 90 TOTAL
V-�ep 0.. . - 2374
R E Q Ul R E D INSPECTIONS
This permit is issued subject to the relt-lations contained in the F'irial Iiispectiori ........... ......
Tigard Municipal Code, State of Ore. specialty Codes and all tither
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 188 days of issuance, or if work is suspe;fopd for acre
thin 188 days.
Ppy�niittee r, i.qllatLtf•e:cl
I.ssued BY:
Call 'or liispecti.ori 639-4175
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I TY OF TIC ARD RECEIPT riF' PAYMEENT RE"l.Er I PT NO. . .r)6Z'0
('14Erk; AMOUNT s 49.75
NAME s SUNSET F=LIEL. C'O CASH AMOUNT : I )f)
AL717RE-B5 s F='U BOX 41;207 f:'AYME'NT DATE: s .I(?/:9 90
;aUBDIVISION s
PORTLAND. OR
r''UF POSE OF PAYMENT AMOUNT PAID F'URF'C)CiE: LI F'PiYME NT AMOUNT PAID
h1E r:'f IAN I C:AL. r ^ MErG90 C►?44 •�.._.. .t:►r;� 1:i7 . DLI I E..I?T,F"�
MECHANICAL FIE MF"C'?(=)--.ri.�4" 29.00 5"r . BUILD F"1.".R
i ;395 5W L INC OL_N I
O'cl1.t.) 6:A SCOFFING
1'Cl T AL AMOUNT PAID _. .. t ,> �•+�,
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` —APPROVED FOR CONSTRUC i fuN
CITY OF TIGf\RD
PERMIT N0.1�C SITE ADDRESS.//f'," vc�
�� f:lY__ _ — TITLE �ct<���lAA�'`
CITY OF TIGARD
12420 S. W. PUIn NroO
TIGARD, OREGON 97111
APPLICATION FOR BUILDING PERMIT
New Construction ❑ uemolish ❑ Addition ❑ Remodel � Move❑
ZONING _ '.E ISSUED BUILDING PERMIT
'LDING FEE $ ��,QO No.
DATE RECEIVED
k-.-.IN CHECK $ cam. •.SJ - --
BY $
TOTAL ee) VALUATION $ 300-9
� RECEIPT No.
'TOTAL S �/'�
TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION
LOT k MAP M _ CENSUS TRACT JOB k_
Architeut or Engineer- _
Address ' _---_ '-4 a ��_ _ Phonet—
..
Owner -
Address �� Phone
Bui lder -----_--
Address Phore�
BUILDING USE Single Rea. ❑ Multi Res. ❑ Comm. ❑ Industrial❑
OCCUPANCY GROUP No. of Stories --�� Total Height__ Area of Lot--
Type of Construction I II II; IV I J Floor Area B—.-.- 1 2_�_ _
Set Backs: Front __ Back L.Side R.Side _
Private Sewer Pipe Size_ Sever— `Septic Tank ❑
Water Service Pipe Size Storm Sewer ❑ Ditch ❑ Drywell ❑
Street and Curb Requirements_
Dr'-,eway Width - s No. of Parking Spaces_ _
SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING
SPECIAL INFORMATION
ADDRESS ASSIGNED
FIELD CHECK BY DATE y
PER14IT APPROVED BYE _GNP_.' "
it is understood that all work will conform Writh applicah).e odes and ordinances
of the State of Oregon and the City of Ti-ard, Oregon, and that the building will
not be occupit-d until a Certificat,• of Occupancy has been issued by the City of
Tigard Building Inspector.
Signature fo Applicant + Y
Address) �� _ L(JL4 � Per,.nit No. �
Name of Occupant . _ Permit charge
PaidDat- connected
u
Type of $uildinq � ._ Inspection fee---_-_--- _—__--
'�-----
Service RateZ 0 Paid by __ -_ Date_
Contractor... - _-- -- Assossment, l 91 Paid -
_ i
Size of connectien
6
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I1U\.0
LILA I Y Ut- I Iu�,N HU MECHANICAL PERY.IT 1Permit N
Table]A Mechenloal Code OTY PRICE AMT
City of Tigard ��
13125 S.W. Hall Blvd, I) Permit Fee 0 -o 10.00
I %� �)
1P-0. Box 23397 I I
Tig�,'d, OFI 37223 2) Supp iomental Permit _ 3.00
639-41; ) Furnace in 'W0,000 BTU
rncl,ducts&vents 6'00
2
2) Furnace 100,000 BTU +
incl.ducts 13 vents 7.50
Nnffw„r I3rte- _!__ ) Floor Furnace 6.00
11 L� V W L oict�t n- incl.vent
Job ,�,�,,,,� 4) Suspended heater,wall heater
or IIoor mounted heater 6'00
Address I1�� _�[J11,J J S
Map NNo`i7 ) Vern not incl.In 3.00
I.ol nkwk ,ubd,v,�, 5 appliance permit
6) Repair of heating refrig., 6.00
cooling,absorption unit
pts 7) Boilerorcompto3HP 6,00
Owriora �Labsorp.unit to 100,000 BTU
J" O ) Boiler or comp to3HP-15 HP
ure� � kU tip 8 absorp.unit to 500,000 BTU 11.00 - I
y toiler or comp 15-30 HP J
9) 15.00
absorp.unit 1/2-1 million -
M 1 A ldree� Ph" � ) Boiler or comp to 30-50 HP
�k'w t 0 absorp.unit 1-1.75 million _ 22.50
Contractor _ 'sem '-`���'- V1Sip 11 Boiler or comp to 50 HPCAW31 50
�,� o�z-�i�y�- ) absorp.unit 1,750,000 BTU —
Air handlinil unit to
( City Bus Tax Nn 12) 10,000 CFM 4.50
600XV1 0 Air handling unit
I hereby acknowledge that I have road thq appticatlon that the Inforrnetlon 9K*n Is 13) 10,000 CFM + 7.50
correct,that 1 am the owner or auttorized agent of the owner,,hal plans submitted are in
compliance whh Stale laws,that I am registered with the Stale Builders'Board,that the 14) Non portable 4.50
number given s cot,%d,(1t exempt from Slate registration please give reason below). evaporate cooler
) Vent fan connected
— --- 15 to a single di ict 3'00
--- ---------- -- - Ventilation system not --
16) included in appliance permit 4.-F 0
---- - ------ ---- -----
t ) Hood served by —
4.50
mechanical exhaust
Signature(owner or agenq --'----^ data t 8) Domestic type 7.50
Describe work ❑ addition i l alterations-C1 repair ❑ incinerator —
lo be done residential E) non-residential (-) 19) Commercial or industrial 30.00
Existing use of type incinerator
building or properly _ -_-� 20) Other i.e.,woodstove,water 4.50
Proposed use of
heater,solar,clothes dryers,etc.
— --- ------
building or property_. - I 21) Gas piping one to four outlets ' 2.00 1.80
Type of luel- oil Ul natural gas We LPG O electric (.l —
22) More than 4-per outlet
NOTICE ---_ - -- SUB-TOTAL (>Q�
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- -- _ •I
STRUCTION AUTHORIZED IS NOT COMMFNCED WITHIN 180 _S/0 406 SURCHARGE
------- _ - - •l0
DAYS, OR It' CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIMF AFTER �--'---- ----' ---
WORA IS COMMENCED TOTAL
1'x.4
9pecial Con111Uuns
or