12991 SW KING RICHARD DRIVE '�,. �, ., _:.iuw:..`wai�ltadlAtMd d ,.tr ..•if�u 1 1^r!i?!iµ}b'N?r;,:p�ev�„,� .:._.. ��
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INSPECTION NOTICE
City of Tigard Building Department I
131-25 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: _
Footing Plba. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line if W-E.
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation. -Plumb.
±s �
Plbg. Underfloor Nater Line Gyp. Bd.
Date Requested: . _Time: _AH __PH
Address: Cr 1 Permit to&c i y C) Z ■
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inrpector4" / -1 Datea'� !"�/
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APPROVED DISAPPROVED APPROVED BUaiRCT To ADM
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Call For Reinsp.
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CITY OF TIGARD
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COMMUNITY DEVELOPMENT DEPARTMENT MECHAN I CAL
RM I T1:
13126 SVV HallF'
l Blvd.Tigard,O-apon 07223.8100 (503)E30-4171
PERMIT #. . . . . . . : I~IEC94-033::
639-41 71 DATE ISSUED: 11/221/94 '
PARCEL : 2S1 16AD-21 100
,s TC ADDRESS. . . : 12991 SW 11ING RICHARD DR tt'
.jUBDIVISION. . . . : ZONING.
BLOCK. . . . . . . . . . s LOT. . . . . . . . . . . . . .
CLASS OF WORK. . .- REP FLOOR F=URN. . . . : EVAP COOLERS:
TYPE OF USE. . . . :SP UNIT HI_ATERS. . : VENT FANS— .-
OCCUPANCY
ANS. . .OCCUPANCY GRP. . .-R3 VENTS W/O APDL: VENT SYSTEMS:
STORIES. . . . . . . . . BOILERS/C0MPRE5SORS HOODS. . . . . . . .
UEL 0-3 HP. . . . : 1 DOMES. INCIN:
s /GAS/ / / ';--1 5 HP. . . . : COMML. INCIN:
" MAX INPUT: BTU 15-30 IAP. . . . : REPAIR UNITSs �
FIPE DAMPERS?. . : 30-50 HP. . . . : WOODSTOVES. . :
GAS PtSSURE. . . : 50+ HP. . . . : CLO DRYERS— :
1\10. OF UNITS— -- - AIR HANDLING UIV I TS OTE1E R UN I TS. a 1
F URN ( 100K BTU: l 10000 cfm : GAS OUTLET'S. s 1
j F-URN ) --100K BTU: ? 10000 c f m :
Reivar^E<s : INSTALI_IIVC-; NEW FURNANCE:
Owner,: _._____._ __._____.._____..._______.___._.._______._._._____.___________ FEE; ____----.----__- �
k, C HOUSE type amol_Int by dz.te r,ecpt
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12991 SW KING RICHARD DR. PRMT $ 25. 00 JF 11/22/94 -
;FACT 9 1. 25 JF 11/22/94 --
- ` KING CITY OR 97122'4
Phone #: 620--747
Contractor,:
CASTS i DL. HEAI I NG
'1200 SW JOHNSON CREF_K BLVD
PORTLAND OR 97206
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Phone #a $ 2C,. 2S TOTAL
Req #. . : 03258
REPUIRED INSPECTIONS --- .,-
This permit is issued subject to the regulations contained in the Final Inspection
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Tigard Municipal Code, State o' Ore. Specialty Codes and ail othe,,
applicable laws. All work will be done in accordance with
approved plans, ibis aermit will expire if work is not started _
within 181 days of issuance, or if work is suspended for more
than 180 days.
Permittee 5inn.rti.,.v, e:
I s s i_r e d By .-
E��;9 _417.E
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Call for- inspection -
NOO-21-194 MON 15:14 ID:CIT'Y' OF KING C1TY FAX :53 639-3771 13759 P(31
City of Tigard MECHANICAL PERP41i T Planck/Rec. #
13125 SW Hall Blvd. APPLICATION Permit # ir1�' - �� '�� z_ ■
PO Box 23397
Tigard, OR 97223
(563) 639-4171
eft 0 Description
Table 3A Mechanical Coda QTY PRICE AMT
JobSs) ,
: HG ye,G H4A0 (L 1) Permit Fee -0- d00
- 10.
Address "74
K.G 71 2) Supplemental Permit 3.00
Futnaw lu 100.000 STU
1) Incl.ducts E ventic 6.00
' umace 100,000 a
Owner g ''w 2) Inc.ducts a vents 7.50
_ �Floor Fumenee
3) Incl. vent 6.UO
kispended heater.wall heater
4) or floor rnounted healer 6.00
Uav "' Vent not incl.in
Occupant 5) appliance permit 3.04
Repair of eating,refrig.
6) cooling,absorption unit 6.00
Bailor or comp,host pump,aur condL
�/fy'1rSr 0 7(^r Al k! Co,r 7) to 3 HP allsorp unit to 100K BTU Goo c t
Boiler or comp, at pump,air o --1
Contractor .Tob
SIC uk*4,4sow G2 dL 0J 8) 3.15 HP abserp unit to 500K BTU 11.uU
"" &V lro;!*(or comp,hoat pump,air oo 7 W.—
?W-7! e7,4 "'..2u e-
9) t3-30 HP a-istxp unit.5-1 ml BTU 13.00
'. `* ter or comp,heat pump oo
10) 30-50 HP nbsorp unit 1-1.75 r-"BTU 22.50
re y acktawlecigo that I have(sad this applicatinin,that the Boiler or comp,heat pump,air card.
y Infermntlon given it coned,that I am the ownv or authorized agent 11) �-50 HP ebsorp unit 1.75 mil BTU 31.50
of the owner,that plans sutlmiHed are in compianoe with State Aim handling unit to
laws,that I am roglaterod with the :•onatruetlon Contractors Board, 12) 10.000 CFM 4.50
that the number given Is correct (II Axempt Irom State registration, hran ing unit
please give masnn below.) 13) 10,000 CTM a 7.50
Non p
14) evaporate cooler 4,50
ant an connected
15) to a single dud 3.00
Ventilation sytlom net
16) included in appliance permit 4,50
ooase
17) met hanica oxhau5t 4.50
Duscribe work new ddition U 21turabonrwpair Commorciall or in ustria
to be done residentially nm•rra"iitial Q 18) type Incinerator 3000
xtsause o
ng yr .v.,woodstove,water
building or property _ 19) heater,solar,clothes dryort,etc 4 5o
proposed tree of 20) Gas piping one to four outlets 200 2,0,)
h(liklinp,tr property – —
Type of fuel-oil Q nntural yes(ALPG Q electric Q 21) Moro than 4-pi-r outlet
O 17
PERMITS BECOME VOID IF'WORK OR CONSTRUCTK)N Minimum Fee$25.00 SUBTOTAL
AUTHORI_cD IS NOT CO►AMENCED WITHIN 180 DAYS,OR 5%SURCHARGE c�
IF CONSTRUCTION OR'tMORK IS SUSPENDED OR —
ABANDONED FOR A rrERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COiNMENCED-
TOTAL
Special Conditions --
-- Dale ksued by
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NOU-21-194 MON 15:15 ID:CITY OF KING CITY FAX NO:503 639-3771 #759 P 2
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]KING CITY �I
15300 S.W.116th Avenue,King City,Oregon 97'24 Phone-639-4082
4 MECHANICAL PERM 2 T ADPL I GAT I ON
DATEK r
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_ .._N. CITY Br]Sr'VESS LICENSE NO.
NAME OF APPLICANT: Cc'w JAI
{/ PHONE: �7 7 `�- �j'.z f}r
ADDRESS ; 7a� 5e' \Ibtf.VSo.^f CiE' L�� _ -------_—___
NAME AND ADDRESS OF PROPOSED JOB: C'
PHONE: —4, z..> Z-
NAME OF CONTRACTOR: PHONE: 77N'
ADDRESS : ;�ZuG -_&,fQ CCB LICENSE NO. 3RS-�
DESCRIPTION OF WORK TO BE DONE:_111rW
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FOR INSTALLATION OF AIR CONDITIONERS PEASE FILL OUT THE FOLLOWING
AND ATTACH TO THE APDLICATION A DIAGRAM OF WHERE THE COMPRESSOR. IS �
SI 'UATED ON THE PROPERTY.
BRAND OF AIR CONDITIONER: Z FN144X
BTU 'S : rU NO . OF DECIBELS (BELLS) :
7
SIGNATURE OF APPLICANT:— F
**APPROVED APPLICATIONS ARE VALID FOR SIX MONTHS ONLY**
NOTE: Oregon Homebuilders Law requires that all persons who contract for work v
on a residence be registered with the Builders Board which means the
contractor is bonded and inssred on the job sit. For your protection,
he certain_ your contractor is registered by calling the Construction
Contractors Board at 1-503-378-4621 Extension .5000.
USE ONLY
APPLICATION RECEIVED BY`�� DPTF_IrJ,�/
APPLICA9LF. FEE RECEIVED $�� — CONDITIONS/COMMENTS�'{�
APPROVED BY _ DATR_ --
Note: A permit must also bA obtained from the Cir
Comrmtnir', Development Yes Nc -Y of Tigard Department of
_ CITY OF TIGARD INSPECTION P.EPORT
This project has beer_ inspected and Approved Denied
Comments -----
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-----Signature
Date -
(City Tigard hlense return one copy to Bing City)
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