13600 SW BEREA DRIVE F-.
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13600 SW BEREA DRIVE
%A 1 y yr I IlaAKU Mt(M,lANICAL PERMIT
Permit N
Dow-tiptlon
City of Tigard
Table aA Mectwu4cal Code-- OTr PRICK MAT
_ -- --
13125 S.W. Hall Blvd. 1) Pennit Fee -0- -0- 10.00
P.O. Box 23397 - v
Tigard, OR 97223 2) Supplemental Permit 3.00
639-4175 __ Furnace to 100,000 BTU —--
1) incl.ducts&vents 6.00 G'
Furnace 100,0 riTU i
2) 50
incl.ducts 8 vents 7
Name of tievn n-ienl 3) Floor Furnace`--
_incl.veol _ 6
Job Address --` --- Suspended heater,wall heater
Address � 6'& 0 �6-(i 4)_oi floor mounted heater --- - 6.00 ---
Tatt let Map No Vent not incl.in
Lot Block %ubdlvtsm _'� appliance pen lit — —- 300 —^
Narne(or name of business) 5) Repair of heatin�i,refr ig., 600
cooling,absorption unit — --
"!ti°^e Address Phone � Boiler or comp to 3 HP
Owner (o �}_��, 7)- absorp.unit to 100,000 BTU 6.00
CRY/Sure Zip Boiler of comp to 3 HP-15 HP
8) absorp.unit to 500,000 BTU 11.00
---- Name - 9) Boiler or comp 15-30 HP 15.00
absorp.unit 1h-1 mNlfon
Kate Z 9 3-S-D5 10) Soller or oomp to 3C-50 HP 22.50
1� —absorp.unit 1-1.75 million —_ -
c istate Wier r
�r Bol e o to 50 HP
_
117211 11) absorp.unit ,71 50_,000 BTU - 31.50
sorra ftom .No. CRY Bus lex No Air handling unit to
12) 10,000 CFM 4.50
I hereby adva+wle W*w 1 bars read this appllcgYzn VWthe Marination given is 1 2) 10,000 CAir handling
+unit +'.50
r*e
oocl.00 1 am V-* er w ownor suoxxind spent d Mwrwr
o ,thn ours sun>bud are in ---
oort> ftm wK: r unt saws,tical 1 am rapiaNted with the Ste@&**m'Board,that tib Non portable
number phot it,(M ad (M am, Mem Ohm ropmen tion please give reason below) 14) evaporate coolrr 4.50
Vent fan connected - -- `—
-- � .. _ 15) to a single duct 3.00 c
- Ventilation system not
tLr, 16) included in appliance permit 4.50
Hood served by
17) mechanical exhaust 4.50
a aoetqR
!)onwn tic type
Desatbe wort: O addition [7 ah ion Ef repel ❑ 18) incinerator_ _ 7.50
to be dork► residentlal,4 _ non-restden tial ❑ Commercial or lndustrtel - - -- W
'Existing use of 1 19) type incinerator
`- - -- 30.00
Wilding or properly,_�" _ i.®.,woodst ,w
Propasel use of �) ate solar, ,etc. 4.50 t/.5�
hulloing or property _ _ . 21) Cas piping one to tour outlets 2.00
Tjj*of fuel- oil I-7 natural gas M LPG f i electriL I_) -
22) More than 4-per outlet
SUWTOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON-
STRUCTION Al1THORl7_ED IS NOT COMMENCED WITHIN 180 _ s%Q 4&SURCHARGE Ape
DAYS, OR IF CONS ITIUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 29%OF SUB-TOTAL
ABANDONED FOR A PERIOD Or- 180 DAYS AT ANY TIME AFTER -- -- -- --- ---
WORK IS COMME=NCE=D TOTAL
- G• 4
Special Conditions,-,._..
- - - --- - Date Issued ~_2 _by
I
ADDRESS �(a00 PERMIT NO._ I"j5 3q7
PERMIT CHARGE none
a�_� �
._..J1S��L � C 0 N E C T I 0"d FEE
0 ti E R _ --.--
PAID BY
TYPE OF BUILDING _ /�-��_ _ DATE CONNECTLO
SERVICE RATE _ ���1 � INSPECTION FEE
CONTRACTOR PAID BY DATE
SIZE OF CONNECTION ASSESSMENT PAID
i
........... s....... *v...,yw.r...y.... w-v,.�-..�e--... _.�..,.T...,•.T.�—..../•v•n{M•r. ww1r,+.'�-^/�^f)yVN'•'^^"^._v^^"'l
BUILDING PERMIT .APPLICATION Cf Y TIGARID DATE
THIS UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUIL DER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AAD SPECIFICATIONS. OWNERPHONE
LOT NO.
OWNERS a X111 Ui Lit ew JOB ADDRI=SS I.eb60 obi iu116Yis DriVOHOME ADDRESS
ARCHITECT
ENGINEER
BUILDER ;;,;Jli --� ADDRESS DESIGNER _�, T itch
STRUCTURE CINE_W ❑_ RFM_nD_EL _ ❑ADDITION ❑FEPAIR ❑RENEWAL ❑FIRE DAMAGE � []DEMOLITION
0 RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS,E]PA71O ❑CAR PORT ❑ r-
GARAGE 0 STORAGE LJSLAB ❑FENCE
❑BOND EIMOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED [:]SIGNS
OCCUPANCY--i1--3 LAND USE ZONE BLDG.TYPE _FIRE ZONE=_ PLAN CHECK BY_ HEAT—
family Iq1� llirar�u ��1,�chrrCJ uslr�ec�k — taQIS1�+OtJWI ' �3eth. __
lv)ermi.t 17;aU --$625.00 yevage 460, sq.ft.--
LQADFI�S)glQ,gp `1n_.—._ HEIGHT 16 NO,STORI�I AREA 13:�C+NO.BEDROOMS� VAL -39,200.
BUILDING DEPARTMENT SET BACKS FRONT 20 REAR 23 LEFT SIDE 23 RIGHT SIDE 314
Permit 1,.,'1.00 -- � -- --- -
-- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 73.`�U REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
--� WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal i JJ. 1(1 ALL APPLICABLF CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS, CONTRAC70R AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINE^>S
State Ta7Q LICENSE SEPARAT5PE.,MITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
TotalAI,�A7Eb I_il., „� „� {:Q
BY j
AP'PI (CANT UR AC.F N t
Approved E.tV Elsdon Receipt No
l _ _
' '�^>.d' �;:''';yrr. tMR!�l!Mf. ,,r:^x1ft11;�w ^•gra- ..
DATE INSP. TYPE INSPECTION Yp� REMARKS PLUMBING DATE
Contractor
Pei m I t No.
Rlqr.,y.__�._---------_.�—..�--- Fixture ---
y� Final
HEATING
Contractor
- i Permit No, C
-- — - — Gas or Oil
Rough-In
- --- --. r Final
-- SEWER
_�— -- --- — Final
`- DRIVEWAY
--`� Final
Storm Draina[e
(Raln Dreln) Final
W _ Sidewalk
Curb&Street Flnnl _
Approach
BLDG. DEPT.FINAL TEMPORARY CERTIF.CATE OCCUPANN� Finel
CERTIFICATE OCCUPANCY (�J -a-;t
as _7-7 /�j / --
(�f Vim_ l.andscaping
Zoning Final