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12230 SW Lansdowne Ln - "�
MECHANICAL
PEIRIT
CITY OF T I GARD PERMIT #. . . . .M. . : MEC96-0235
COMMUNITY DE%,'ir-LOPMENT DEPARTMENT DATE. InSUED: 07/2�3/96
13125 SW Hall Blvd.Tgard,Oregon 172234199 L503)839.4171 PARCEL: 25103bC'--0(,900
iii L HlAjkL:j,.�- ; .:,.Slit i;71A, LIANSU-1:WNE LN
SUBDIVISION. . . . r-YRESTONE. ZONING. R-4. 5
BLOC�K. LF)T. . . . . . . . . . . . .A:Ei
CLASS OF W0RV<. . :ALT FLOOR FURN. . . . 43 EVAP (.:OOLERb: 0
TYPE: Or USE. . . . I S' UNIT HEATERS. . : 0 VENT FANS. . . . 0
Occl�.'JPANC:Y GRI:'. . ;At VENTS W10 APPL: 0 IIENT L.3Y,3TEMG' 0
STORIES. . . . . . . . I 0 LIDILERS/COMPRESSORS HOODS. . . . . . . . 0
)E.L 0-3 HP. 0 DOMES. INCIN: 0
, GAS/ 3-15 HP. - - - 0 COMML. INCIN: Q.
4 INPUT: 0 BTU 15-30 HP. . . . IT REPAIR UNITS: 0
RE DAMPEW'. 30-50 HP. 0 WOODSTI)VES. . - 0
0 CLO DRYERS— - 0
i. OF AIR HAr4DLING LIN- ['F, OTHER UNITS. : I
1411111R. BTU: 0 <-= 1,00010 efin: 'A UAS OUTLETS.
IRN —100K BTU: 0 7 IVIO00 cfm- 111
,-Marks : Installing qAS iOf.4S
FEES
! ALR SAX" R AND G(J5AN BAXTER t,pe Aiiw..tnt by date ;-C?Cpt
:sr7r lid, IS GOWN LN PRMT $ iE:5. 00 JSD 07/23/96 96-281772
5 P C"I $ 1. 25 JSD 07/83/96 96-2811 IL:
Ai(I)RD OR 972E'L
-iarie #:
not r-avtor,%
I
,41-L MECHANICAL INU
!.) BOX 7176
! .)vEwror4 OR 4700/
horse #-. 640- 4141 t -'C . L5 TOTAL
069114
REGUinED INSPECTIONS
�is p,,reit i., issued subject to the reglilatiorls contained in the mectiallical lnvp
,gard 11uricioal Code, State of Ore. Specialty Codes and all other virial Inrjiecticin
r!)pllcabl,, laps. All wrrk will be done in accordance qith
jprovec pl,*4n*. This permit will expire if worts is not stio;ed
,jin let jays of issuan=ce, or if work is suspended for gore ---------
han 1108 days.
74411�7-�
tfyy- ip.spection 4 1 15
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 W Hall 6,. .' APPLICATION Permit # L c
Tigard, OR 97223
(503) 639-4171
caption
Table 3A Me,11anical Code Q1 Y PRICE AMT
JobAL
I Permit Fee 10.00
Address A
1 ok
9 �5 2) Supplemental Permit 3.00
X r
Pog, 1) incl. iucts &vents _ 6.00
Furnace
Ownef :) incl. duots &vents 50 I
Z* Floor Furnance ----I{
It ,A ' Ca 1) incl. vent 600 I
Suspended ea er, w�a ler
4) or floor mounted heater 6,00
ent no me.77Occupant 5) appliance permit 3.00
zip Repair or heating, re rig. --
6) cooling, absorption unit 600
P
boiler or comp,Feat pun ip, air .on .
1���c Y�►�r �Yan,C�Y ,^ ) to 3 HP; absorp unit to 100K BTU 6.00
;i
Boiler or comp, eat purnp,air con .
Contractor .. ` �' I! 8) 3-15 HP_absorp unit to 500K BTU 11 0C
o�i e'lt�r cumpTmp, air con .
l
Cc),y e 1-a 9) 15-30 HP; absorp unit 5-1 mil BTU 15.00
T.NO BoTr or comp, hLat pump, air con
10) 30-50 HP; absorp Unit 1-1,75 mil BTU 7.2.50
-FFere y ac now a ge t at I have read this apphcahor ..F a Boiler or comp, eTi at pump, air r•,)n .
information given is correct, that I am the owner or a "•-m F-d 11) > 50 HP; ab+corp unit 1.75 mil BTU 3750
agent of the owner that plans submitted are in rompli,-ti with Air handling unit to
State laws, that I am registered with the Construction Contractors 12) 10.000 CFM 4.50
Board, that the number given is correct. (If exempt from State Air an ing unit
registration, please give reason below) 1-1) 10,000 CTM + 7 50
—Non portable --
14) evaporate cooler 4 50
Vent fan conne5e -- --
15) to a single duct 300
1
enationsystem not
ji 16) included in appliance permit 4.50
.v." ..a Rood serve by —
7) mechanical xhaust 4 50
escn a wo;RO r T t� a feral on repair omrnercia or in ustnal—
to be done residential Q non-rt sidential j 18) type incinerator 30 00
xistinq t se of-� --- -- ter i e, woo stove, water
budding or property 19) heater, solar, clothes dryers, etc L( ) a 50
Proposed use c` 20) Gas piping one to four cutlets 200
budding or property
-1) More than 4-per outlet (each) 2.00
Type of fuel -oil O natural gas O LPG (D electric 0 -
Miwmum Fee S2500 SUBTOTAL �[
PERMITS BECOME VOID IF Y'.r)RK OR CONSTRUCTION -
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS. OR 57,16 SURCHARGE 1�
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT AN'Y TIME PLAN REVIEW 25% Or SUBTOTAL
AFTER O'CRK I:' COMMENCED.
TOTAL 1 r
Special Conditions �- --�- - — -
�.�- -- Date Issued - - -- �_ by _ ------ ---
LM14D3TSMECH0MT
ITY oF TIGARD PLUMBING GERM TT
R. DEVELOPMENT SERVICES
PERMIT #. . . . . . . : f-7-ILM97-01 40
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 04/c'?4/97
PARCEL - 'C"StJ3BC---06900
`�ITE ADDRESS. . . -. 12230-A SW LANSDOWNE LN ZONING: R-4. 5
SUBDIVISION. . . . .- FYRESTONE
BLOCK. . . . . . . , . . L.OT. . . . . . . . 8 JURISDICTION: TIG
('I-ASrj OF WORK. . :ADDa GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
TYPE OF HSF. . . -SF WASHING MACH. . . . . . : 0 BACKFL.OW PREVNTRS. . : ',71
f](7CUPANCY GRP. :H2 FLOOR DRAINS. . . . . . : 0 TRAP'S. . .. . . . . . . . .. . . . . .
,TORIES. . , . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . . 171
LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . 0 URINALS. . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0
LAVAT'DRIES. OTHER FIXTURES. . . . : 0
C
TUB/SHnWER5. . . 0 SEWER LINE (ft ) . . . : 0
WATER CLOSETS. : 171 WATER I-INF 0
DT�I)HWASHERS. . . . 0 PPIN DRAIN (ft ) 0
Remarks : IN73TL E!:)'f 1)F N TT IL. -)CKFLOW PREVENTTON DEVICE
Owner- FEES
SUSAN BAXTER type amoiant by dA+,(- rerpt
1.22.30 SW LANSDOWNE t..N PRMT $ 1.5. 00 TAT 04-/L.k/q7 97-293686
TIGARD OR 9722--" 5,'-,CT 0. 75 TAT 04/24/97 97-293686
Ph #
PRO LONDSCAPE
P0 FOX 5952
IAFnVFRI(')N OR 97007
r,42-5492. 15. 75 TOTAL
Pr,q 00990:" REDUIRED TNSPFCTIONS
This pervit is issu@J subiect to thp regulations contained in the WAtpr Line Insp
Tigard Municipal Code, State of Orr.. Specialty Codes and all othtr Misc. Inspection
av-,11cable laws. All work will be elm@ In acco-dance with RP/Rarkflow Prev ......
&pproved plans. This persit will expire if stark is ,int started Final In-,pertion
within 180 days of issuance, or it work is suspended for more
than 180 days.
v mi t t e e G i t n a t r/r^e '_- _.. __ ._
—----------
d BY:
C 1. 1 for inspection 639-41715
City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. #
13125 SW Hall Blvd. Permit #
Tigard, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
NP,.,y Single Family Residences Only
L_cl�n-,�cCow��� Ln1
�... ❑ 1 BATH HOUSE$140.00 ❑ 2 BAT.•I HOUSE$195.00
Job Ln P'14X�jVI L ❑ 3 BATH HOUSE$725.00
Address a " nr Fee in-ludes all plumbing fixtures in the dwelling and the Rrst 10o feet
y� ZZ3 of water sarvice, sanitary sewer and storm sewer. See fees below.
w••IM% W&A� �l �Z (0 FIXTURES QTY PRICE AMT
, 11 so,V-, Co �,r Sink 9.00
Myo.<.... 0hMI Lavatory 9.00
Owner _��} ry-)� Tub or Tub/Shower Comb. 9.00
awau.. Shower Only 9.00
Water Closet 9.00
r,.,.,d .•�b.o..•� C'shwasher 9.00
�- i� ) j Garhage Disposal 9.00
Occupant o Washing Macnine 9.00
Floor Drain 9.00
a Water Heater 9.00
Laundry Room Tray 9.00
r+."» Urinal 9.00
�o-- I r �)I�SC'�t, Other Fixtures (Specify) 9.00
M." d*- 9.00
Contractor 425
9.00
C"sml�!/r7 a� 9.00
/ j - Sewer 1st 100' 30.00
11 I 0R.9W~M. cM M T."" Sewer -ea. Addit 10C 25.00
517 =:L. 75 Water Service 1st 100' 3000
1 hereby acknowledge that I have read this application, that the Water Service ea. Addit 200' 2-00
information given is correct, that ' am the owner or authorized agent of
the ov ^r, that plans submittea are in compliance with State laws, that Storm &Rain Drain 1st 100' 30
I am iey,stered with the Construction Contractors Board, that the I term &Rain Drain Addh 100' 25.00
number given is correct (If exempt from State registration, please ---
give reason below.) Aobile Horne Space 25 Q0 _
i-'ow Prevention
Devine or Anti-Pollution Device _ 9.00
I-a."oil ��ow. Any Trap or Waste Not
Connected to a Fixture 9.00
Describe work new addition Q alteration (D recair J Catch Basin 9.00
to be done residents I O tion-residential C) insp. of Exist. Plumbing ;0.001ir
Specially Requested Inspections 4).00/hr
ExisCng use of Rain Drain, single family dwelling 30.00
building or property _ -
ResidenGal backflow prevention
devices 15.00
Proposed use of
building or property _•__ ----- *(Except residential backflow
prevention devices)
NOTICE 'Minimum Fee $25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED I'- NOT COMMENCED WITHIN 180 DAYS, OR IF 5'e SURCHARGE
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FORA PERIOD 0,= 180 DAYS AT ANY TIME AFTER WORK IS
PLAN REVIEW 25"/" OF SUBrOTAL
COMMENCED
TOTAL
Scecial Conditions
__ Date issued �__ ___by__ __
PEUPIF"
APR 2 4 1997
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