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12980 SW CARMEL STREET-1 ADDRESS: lg-qgc Scs) is\records\microflm\targets\building dor, I �L�'_r�0I1_NOTICE 1' City of Tigard Building Department 13125 SM Ball Blvd. Tigard, Oregon 97223 Inupection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: --. Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbq. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Moch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. 9d. -_ Date Requested: Time: Q SAM PK 1 C ♦ rm1 E I J_5����c� Addrssa:_l �� _i�/L_-V1 L.(�, � . }+e/"mit ti d Pullder: 'IM FOLLOWING CORRECTIONS ARE REQUIRED: o V3 I 1 CL ej Inspectors v v v v Date: r APPROVEDDiSAPPROVRD APPROVED SUBJECT TO ABOVZ \ _ �' —_-Call For Reinap. CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT :3125 SW Hall Blvd.Tigard,Oregon 97223.9190 (503)039.4171 ,r (•{..) ), I(ai% a it L14AE.11 11"i.rF y ... .; ►::,. suoject to the reg,:at►ons contiinec in OF Misr:. ln 1p'ectl.un ,.iard Municipal Udr, State of 3r*. ipec►aaty �'edr� and ai; c v i I rIC.A I A C.r APOiCAUIE .aws, All dark will be one ;r a_cacdanre with approaed plans. This ptreit will tyF:,•e if word is nut 5ta1•ted 'eithin 16.6 Jays of issuance, er if wv19 suspensieJ ft,racre lh8h days. ---_.__._.�.�..:......._ _._.._.....�.,:_ rr ._..._...... -417i C 44 City of Tigard MECHANICAL PERMIT Planck/Rec. # 131.25 Sw Han Blvd. APPLICATION Permit # Tigard, OR 97223 (503) 639-4171 _ '�"�"•�«+ — esaipucm �----ter Table 3A Mechanical Code QTY PRICEAMT Job • C� _) r 1) Permit Fee -0 -0- 10.00 Address »» a-A, 2) Supplemental Permit 3.00 «�» »• �umace to o 1�BTU-- C�l 1) incl. duds&vents 6_00 =n «• � Furnace 100,000 STU + Owner 2) incl.duds b vents 7.50 •» Ploor Fumance 3) incl. vent 6.00 �-»• ,usesod heater,wall heater 4) c.r floor mounted heater 6.00 ••• en(not in .in Occupant 5) appliance permit 300 eko.. 5P- Repair of heaking.rerig. 6) cooling,absorption unit 6.U0 »�• - Boiler or comp,heat pump,air cond. 7) to 3 HP absorp unit to IOOK BTU 6.00 �. oiler or comp,heat pump,air con . k a a -GTdI 6) 3.15 HP absorp unit to SOCK BTU 11.00 Contractor .,. Boiler or comp,heat pump,air cond. 9) 15-30 HP absorp unit 5-1 mil BTU 15.00 »»«v••»+ •_ i er or comp,heat pump,sir Gond. 10) 30.50 HP absorp unit 1-1.75 mil BTU 22.50 hereby acknowledge that I have road is app icamon,t at e i er or comp,heal pump,—air . information given is correct,that I am the owner or audiorized agent 11) >50 HP absorp unit 1.75 mil BTI I 31.50 of the owner,that plans submitted are in compliance with State Air handing unit to laws,that I am regi.^.tared with the Construction Contractor's Board, 12) 10,000 CFM 4.50 that the number given is correct. (It exempt from State registration, Air handing unit please give roason below.) 13) 10,000 CTM+ 7.50 jf -�— -- Non portable 14) evaporate cooler 4.50 ent7an—conTe-cled 15) to a single dud 3.00 Vonu aeon system not If, included;n appliance pnrmit 4.50 . «« •» Hood seri ly 17) meclianical exhaust 4.50 59&Z;ib9 w new t�a iUon a teratwn repair mmercra or in ustnaT­ to be done residential O non-residential Q 18) type Incinerator 30.00 xishng use of water building or property W _ _ 19) heater,solar,clothes dryers,etc. _ 4.50 Proposed use of 20) Gas piping one to four outlets 2.00 building or property 21) More than 4-per outlet Type of fuel-oil O natural gas O LPG Q electric n —i Minimum Fee$25.00 SUBTOTAL S i PERMITS BECOME VC'ID IF WORK OR CONSMUC:TtON AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE `>> IF CONSTRUCTION OR WORK IS SUSPENDED On — ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN.EVIEW 259 OF SUBTOTAL AFrER WORK IS COMMENCED. TOTAL log Special Condtiuns Date issued by r.,wearonrr CITY OF TICARD RECEIPT OF PAYMENT RECEIPT NO. 03-c?40057 CHECK AMOUNT u 46. 25 NAME : SUNq. F---.'T' FUEL- CO CASH AMOUNT 3 0. 00 ADDRESS : PLI BOX 42287 PAYMENT DATE s 05/13/93 SUBDIVISION r PORTI-ANI) OR 97242-0287 PURPOSE, OF PAYMEN'l PMOUNT PAID PURPOSE OF PAYMENT AMOUN'r MAID MEChfAN ic6i r-,F 25. 00 ST. BUILD PER 1. 25 MTSCELLANEOUS 20. 00 FRED THOMAS 12980 SW CARMEL L.. TOTAI.. AMOUNT PAID 46. r".3 MAY-13-'93 'THU 14;07 ID:CITY OF KING CITY FAX NO:503 639-3771 #745 P01 05-06-1993 02'3GPM FROM TO 6393771 P.02 4 290 E. pC) LL r777 LJ lip 7-77- 1,71 Post-it"brand fax transmittal memo 7671 #ej Co. Dep Cy _-T one- Ll 41 OCT-24-190 WED 14:54 ID:PUP.KE?S TAX SERVICE TEL N0:503 684-8195 "276 P02/03 KING Fin 16100 S.W. 116th Avenue,tUng City.Oreton 97,224 Phane:63944 COMMUNITY DEVELOPME14T APPLICATION FOR BUILDING PERIMIT _ (It:structiona on reverse) I. HAM Q'Z NPPLI � "JtAo<Y�;�t. F, -ae: No ADDRESS: ADI =9 OF PROPOSM ik �'r _ Ll 2. Ta Z OF QWGE, I1-1FROVD-UM OR CGNSTRUCTION FOR. WHICri PERMIT IS RM7=TM. DESCRIBE BRIEFLY - AWACH PIES/OF PLANS OR DRMINGS OF 3. WD ADDRESS OT cp, C^O �� � ` FiicKS NO �?�:CAcu LICENSE NO, 4. KSIGHBORS WHO MAY BE AFFEI•'PED By THIS PROJEX'r WILL Sg NOTIFIED BY THE CITY. 5- MVLIC21M OR HMt/MIS REPREESVfTATIV£ MUST BE P?ZSFNT AT TrM PLMNING =04ISSION t#�TIN.G NEK,T HELD OK 1 REPRE.SWATIVES NAMr PHONE NO. Me 1141 City planning Comissicn vill consider only those afplica:iens received at least five (S) dill pelot to a toeetiol.) SIGNATURE APPI,Sr-ATION RZCEIV© BY,� C�_ 5 _ 5 -� AI3P I,I CABLE 'EE RECEIVED $ -C2��1 _ TOTAL- PLAPINIIVO pCt•4iII3I DELI ON: At7 roved___ Deni ---- t - � =4, 4-�4 9 _ Ipproved Ipplications Ire vs d for lis to-Obs oely �f Signature 01,11"0117 Die ' T�G ��._ 10111 oregos 10141ilders Lit requires that III petiovs vbo contract for vork on their residence It relisteted vith the Builders Board vhich teens ibe contractor is bonded and insared on the job site. ?or your protection, be certain lour contractor is registered by calliol City 1111 ph: 631•4011. NOTE: A permit nest also be obtained frcmhe� City of Tigard Department of C mmmity Dvavaieprmnt X" �L „ NO. �tx�r�e,e***+t*tenet*,est*+tit*x:�*,r***�**,r*****:***,r****+:***�r***ft,t**�►***�,s**+:*******,t*,t*��* -INSPECTION RF_TI'ORT The to a 1 i`ed project has been inspected and Appro_►eci,—' 17uIt Cm"-nt s P -- � s. A--ems Fr aigrlature,.____ ! ( e�Lldlreg •irrdpa..r.�:on ptec.0 4#AUA , on.z (11 copy t* KJne a4) ri t•e1