11302 SW IRONWOOD LOOP 11302 SW IRONIVCOD LOOP
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ADDRESS__// �'� .Cl�c.,� �;`.,r, PERMIT NO.w____ _�
PERMIT CHARGE none
0IdNER eQU& CONNECTION FEE 5 5
PAID BYC�;
TYPE OF BUILDING �tJ �Le.�uc�cT�c DATE CONNECTED .r_ .
SERB ICE RATE INSPECTION FEE
CONTRACTOR ) L AID BY DATE
SIZE OF CONNECTION -Yii ASSESSMENT PAID
City 9 of Tigard
INSPECTION REQUEST �s
for °
INSPECTION TIME: PERMIT N 3 3c.J
DATE: DATE I SU
OWNERS NAME : - —�
A D D R E S S: &340
CONTRACTOR :
TEST : Air ❑, Water❑ , Visual ❑ , Laboratory ❑
RESULT: Approved , Disapproved 0 , Pending ❑
SKETCH.' ,
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C, NSPEC"10 R DATE
50TE: Attach supplementr,i to? loo,, i
I
City of TigLalyd
INSPECTION RECUEST
for
L 4
INSPECTION T! E : PERMIT N'J. : —
1 DATE: 9 �s D ,)
ATE � SJED:_-.1
O'm,s:�RS NAME : .i
I AO DR ESS
M C-V T RA C TOR
TEST: Air C , Ainter visual, Layorat:*y -,
RESJLT: appr^vsd -'. a.prroved
SXET'OH
i ,ISPECTOR ATE
I`NJTc ; Wach arpp ementat !*s! dsta hsps-]
I
City of Tgord
NNSPECTI ON REQUEST
for
1N�PE'TION TWE:
DATE: %'S
OWNERS NAME :
ADDRESS',�i ���
CONTRACTOR : 11. i)Qc-g1V C�Cra
TEST : Aim
,. V1aio1 , L���-atory C
RESULT: Apprc'ae Maa)Proved Pendia
7 i 7
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INSPECTO
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LNQI F. ' Attach sup^!em ±ntul test d„ta tj . J
CITY OF TIGARD MECHANICAL PERMIT
DATE 1'ERNiTT N0. � RECEIPT N0. _BY _ __..---_ _ FEE
1. Permit shall be obtained prior to commencement of installation.
2. Permit shall. be obtained for all appliances which are to become
a' fixture to the building.
3. Relocation, replacements, alterations, or changes to burners and
duct woi,k require pormits.
4. A.11 work to be concealed must be inspected before cover up.
New Installation IX� Rc�p7_ace ❑ Relocation ❑ Addition Alteration ❑
CONTR. OWNi;R_��'[
- ►��"T�Vi! M G R HEATING �._____._ sw
A1)r'RL'SS ? WORT: ADDRESS
I& WORT:-�F--�fFjftt�#Ett�`Rt3:.._____.____..._.
BEAVERTON, OREGON APPLICANT
TELEPHONE NO•
ZURNACF - IiANUFACTURER �(_ TELEPHONE N0.
HEAT Input rE:ging (Btu Per Hour) n4d6__ Vent Size Flue Size
FUEL OIL ❑ GAS 9 ELECT OTIP,,R
TOTAL SQ. Fl . Top Floor Main Floor _ Basement
GENERAL
ITEM NO. FEE ITEM NO. FEE
For IS,ivance of Permit 3.00 Boilers Over X50 Hp _
Under_10100,OQO D�u 4 n 00 ^ Air I3ai�cilinp,�1.0 000__CFM
_ �,
Vow Over 0 00 Btu- _�_ �p�_y A r_Handl_.ing Over 10,jU00 CF
Floor' Furnace _ �' �+,00 _ -Na2orative Cooler_
SuOpen ed - Z)0 ' Vent Fan ______�_______ _ ,�0
Tris a1 . V�n£s "Vent'Sysrr_� __ 0
Fte air - Heat &_Co_o_lin_g_ ^7.00 Hood _ � �
13031 era�Uncler Hp_ '-4.00 �Domee�:ic Inc�neror _ I�(
) oilers ..'_ toH�'15 _ _ 7.50_ -comm. lnc3.nerator
o��ers LS_� P-
10,00 �Ohar No ,3 :?a ea
3)oi.a.ei^a��Oo 50�F;p_
INSPECTOR'S COMMENTS
APPROVED BY DATE DATE
70 WAI!
,Sir,natuz-e of Applicant
CITY OF N2 0330
BUILDING PERMIT APPLICATION TIC ARD DATE19---
THE I INDERSIGNED HEr,.-2Y APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED "I THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE— --
OWNER —._�._� ------ ADDRESS _ U.�.��PHQ IE
ENGINEER
BUILDEg-_ — ^^ ARCHITEET DESIGNER
STRUCTURE ❑NEW REMODEL `IADDITION e.JREPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PAT10 ❑CAR PORT [-]GARAGE ❑STORAGF❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED [:]SIGNS
0 UPANCY_ --LAND USE ZONE BLDG.TYPE -_FIRE ZONE PLAN CHECK BY_ HEAT
,F" t.
C. LOAD FLOOR LOAD HEIGHT NO.STORIES AREA VALUE
BUILDING DEPARI MEN'T SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit - �— — -- — ----- -
- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN TtiE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND OR11NANCES, AND IT IS HEREBY AGREED THAT THE
---- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE. CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
'�--' —'--— RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State LICENF :. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total
By
-- APPLICANT nit AGFNT — u
Approved Receipt No.
ADDRESS --- - ---- - PH(JNE
.Q
6
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
w/Jr t,i l9 -1V Contractor -x
Permit No.
'�jZ�it•� -� Fixture - -
�_/
Final
9� �- •- —� z �'o�( HEAfING
_- —_—_-.- -- - - Contract _».�2av`
00A I
Permit No. -707 1 1
Gas or Oil
Rou h-in
Final
— - -----__._--- ------ -_--� _ - SEWER
Final
DRIVEWAY
Final
--_-- -. __. ------___._------ Storm Drainage
(Rain Drain) F;nal
Sidewalk i- vo k fr_/0.T
Curb&t-treet Final
__ Approach — c_d�k 9- ie- 7S
BLDG.DEPT. FINAL- TEMPORARY CERTIFICATE OCCUPANCY
/ CERTIFICATE OCCUPANCY Final — -
1/,_ Landscaping
/ I Zoning Final
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