12999 SW KING RICHARD DRIVE s1
ADDRESS:
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INSPECTION NOTICE ,
elity of Tigard Building Departaent
13125 811 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-417 w
Inspection:
Footing Plbg. Underslab �Hech. Rough-in j Appr-/Sdmlk
Found. Plbg. Top Out Gas Line _ FINAL:
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Poet/Beam Struct. San, Sewer Framing -Bldg I i,
Post/Beam Mech. Rain Dra.r Insulation -Plu
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Plbg. Underfloor Water Line Gyp. ad. -Mach.
Date Requested: -� _�_�_Time: ___ A!1 —_PN f
Address:__ J� �_. -Z)) -1 9
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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I n0pec t0rt Date:
APPROVED DISAPPROVED / APPROVED SUBJECT TO ABOVE
Call For Reinap.
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COMMUNITY DEVELOPMENT DEPARTMENT
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13126 8W Fwl Blvd P.O.Boe 23397,Tipand,Upon 9-12 j603)639-4176 1 3 l J E D: 12/03/90 "
MITE ADDRESS. » » : 1c.°.')`:)' S V INN RICHARD DR 111,, L PARCEL:EL: 2Ci:1.9.F:0D••-r1c200
;_!LJPDIVISI:ON. I..ONI.fICa»
EVAP COOLERS: )
CLASS OF WORK- 001_T F:L.00R F�URN. . . . . ;
CYF'E OF IJSE. » . . :SF UNIT HEATER-S. » :
VENT FANS. . .
»
OCCUPANCY GRP- » "R:3 VENTS W/O APPL: VENT SYSTEMS:
I31'0RIE.'a» . » » • • • : 14011._l: RS/(:QllrRl-:ra.�()I�,;� IliJ(]Ds;. „ . . . .
C r , 4^ 13
i'UELF'EI3--_,._._._._.._..__._._. 0-,
TYHP. » .. » : DOI*IE:S» :f.NC:IN:
:/CTAS/ ! / ;3 .•15) 14P» .. . . C01111111-- l hiC IN:
VIAX INPUT: PIT 15-•30 IREPAIR UNITS:
FIRE DAMPERS"). 30- '.";0 FII'., . .. » WOODSTOVES. . : F
CTAS PRESSURE::. » . : 50.4• HP., » ,. . » CLO DRYERS. » :
c i•IR HANDLING UNITS OTHER UNITS. -. 1 I ■
NO. OF< 1.01�1�• B'CU: 1 <= :100100 e fm: GAS OUTLETS. : i C
FURN >::-1.00K BTU: 7 1.0000 (�'rm: !�
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� F:pm.xrk!rs: F't.vrrlace, 11 -4t;e•r 1-1a�.-i•l:rr
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_...._..__._._.... F`
ES
1'. 6HE7AF'E: type AnIoLrrlt- by date rec!pt� $
Lr`�";J'� I' N•IN(7 R' C:kIAI D PAYM $ 23.63 J'L.H 12/03/90 6p
I",RNT qF 22.50
KlliiG CITY OR 97224 t-C'.
F''hc)1'1E) :
COI._UVIBIA HEATING
8900 SW BURNIAAM
SPACE E--1.10 f
T I G A R D OR 97223 �_._......__._.._...,__..........,_
624 270k 9
23. 63 1'(1'TAI_
.._......_...._..— REQUIRED INSPECTIONS .. .............. ... r
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This permit is issued subject to the regulations contained in the Fi1� :1
Tigard Municipal Cade, State of Ore. Specialty Codes and all other �._,,,.__„_•„_,._.__W.,._._.�_.,._............._..._. .._._.___............_..._ .........
_.._._....._...__
applicable laws. All Mork will be done in accordance with ................... __._.........._.�_.._.
approved plans. This permit will expire if work• is riot started
within 189 days of issuarive, or if work i5 suspended for oore
than 189 days.
is cc+e S i.n i+A t;a•r r:' _......._.._.__ .....__..._...___.�_____...._ __...__.__ ...__..___.._....._._ {
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Receipt# _
CITY OF TIGAR.D MECHANICAL PERMIT
1 13125 SW HALL BLVD.
Permit #
P. O. BOX 23397 Description
TIGARD, OR 97223 l (/1a Table 3A Mechanical Code QTY PRICE Ar1T
(.503)639-4175 � 1) Permit Fee -0- -0- 10.00
Name of Development 2) Supplemental Permit 3.00
Address Io Furnace!
OOOBTU
Job 1
( inclducts&vents 6.00 4; ,(�
Address C� �� j 6� K" I�� �kctkL i1rN . -- --
1 Tax Lot Map No. 2) Furnace 100,000BFU 4 7.50
incl.ducts&vents
Lot Block Subdivision ----- -- "—
Name(or name of txtalness) 3) Floor Furnace 6.00
- 11 1`I`1-L incl.vent __ _ ,
k-t .� 4 Suspended heater,wall heater `
Mailing Address ), Phir 4) 6.00
Owner ' c c'� `� t,�� �c�lC- 10.J or floor mounted heater -
j CityMale Zip 5) Vent not incl.in 3.00
Ll appliance permit
Name(o name of business) 6) Repair of heating,refr ig., -_ 6.00
_ cooling,absorption unit
Mailirirn}(lddr ss , Phone J- 7) Boiler or comp to 3 HP 6.00
Occupant absorp.unit to 100,000 BTU -
-� - D_
City/Stale Zip 8) Boiler or comp to 3 H, 1.5 HP 11.00
absorp.unit to 500,000 FtTU _
Na ( - 9) Boiler or comp 15-30 HF' 15.00
absorp.unit 1/2-1 million
Mailing Address 10) Boiler or Comp to 30-50 HP 22.50
1.T��+ absorp.unit 1 -1.75 million
Contrr.ctor City/State - Zip — 11) mBoiler or comp to 50 HP - 31.50
'T 1'- , Z -Z
_ .. absorp.unit 1,750,000 BTU
"� a t9� G, -- --
State n6glstration No. City Bus.Tax Nn 12) Air handling unit to 4.50
10,000 CFM
) Air handling unit 1.50
I hereby acknowledge that I have read this application that the inf,,rmation given is 13 10,000CFM +
correct,that I am the owner or authorized agent of the owner,that p .ns submitted are in
compliance with State laws,that I am registered with the Stale Builders'Board,that the 14) Non portable 4.50
number given is correct.(If exempt from State registration please give reason below). evaporate Cooler _ J
15)
Vent fan connected —
3.00
t --� to a single duct -
- --- .- 16 Ventilation system not
included in appliance permit 4 f50
Hood served by 4.50
( t ,,�(.`i,e` 17) mechanical exhaust
signature jAimer or agent) Date 18) Domestic type 7.50
Describe work ❑ addition ❑ alteration �_ repair ❑ incinerator
`o be done - residential�&l non-residential El 19) Commercial or industrial 30.00
Existing use of — type incinerator --
building or properly __ __ 20 Other i.e.,woodstove,waW 4.50 f 'r
Proposed use of ) hea ,solar,clothes dryers,etc,.____
_ Q
building or property _._._.._.... __-.._....__ _T__—_ ______ 21) Gas piping one to four outlets 2.00
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Type of fuel- oil C1 natural gas rA LPG H electric I_I _
22) More than 4-per outlet
NOTICE SUB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- -- -- ---- __
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 5% SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER - -- -
WORK IS COMMENCED. TOTAL
Special Conditions
"' --- --__-- -- Date issued __w_.by
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CHECK' AMOUNT s 2
NAMEs C:1�1._.I)II�c.IF� HEWxNC C;A:34-1 f;,MC1t.JMT s Q„ c:►c�1 1
f`AYMENI'v DI1T'E s 12/o:rl/90,
SUDDIVISIDN ;
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r`Uf'f'r1iE OF Poa'iM NTAMi.:LIN1' r,A:ft: I'1.1PF='C1S OF' PAYMENT
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THE UNOrf;;IG?icOH'_'FIEUY AP01 AVF (;hi1T FDF; IIIE. 'Nl)HK IN IN III.AILL tint/n.it v. -I� _
GR AS SHMVM AND AP ;OVED IN THE ACCOVPANYING FLANS ANO Y'LCIFICA fION.i. OVINIJ! N)H1420 �y�/
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ARG, ITECT
A00!7E55 OESIGNER
�TfiVCTIIRE ANEW FII:kt'10EL ❑ADOITIOw ❑RcP.IR URENF':0AL t_1FIFI: DAMAGE
nESIt)E `c 000MP-1 ❑EDUCATIONAL CJGOV'T ❑RELIGIO_US DPA TIC) UCAR PORT (j GARAGE U STORAGE C.JSLA8 ❑FEr,
CCCUP-v"--y LAND USE ZONE11__�—_OLOG.TYPE )✓ FIRE ZONE._. PLAN'CHECK 9tf�_�4 — HEAT
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SEUEh PERMIT it
HEIGHT r� t� R! 1 •-- �
n , AREA NO.HEDROQAIS__ VAIIiI-���JJSyI
'3111LnIN•OOEP. grl ENT SETBACKS FRONT—'C� A sC'`
LEFT 5 E_ RIGHT SIDE
I THIS 'ERMIT IS ISSUED SU2JF.CT TO THE REGULATIO�4:S CONTAINED IN THE BUILDING CODE. ZON
I;-;an^.htCk /- REGULATIONS AND ALL APPLICABLE CODES AND OR0!!:Ar4CES. AND I i IS HEREBY AGRFED THAT 1
r WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATION'S AND IN CGLtPLIANCC V.
ALL. APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WA
RESTRICTIVE COVENANTS. CONTRP ;TOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BIJSIN
.. aloe Tax �[,) LICENSE. SEPARATE PERMITS REOUIRED FCR SEWER. PLUMBING AND HEATING.
IT 5DC
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IF^-� APPLICANT OR AGENT
LAGOr I Receipt No.
n n•�a f�S HON —'
SCIC
FLOC
SEWER CONNECTION, $
SEWER INSPECTION
SEWER SURCHARGE $
Comments :
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Piember l heodore H. aheafe
Phone 621C 7442
i A,ddr-esS
12999 54; King Richard Dr.
TYPE OF CHANGE
(patio Cover) Room, Fence, etc-)
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Convert, double garage to single garage and s-eI-crate .I_.ivi ni__. a,-•ea. e
PLAN: D7I TENSIONAL 'U'ID 1'%TER _IALDETAILS
See att- chsd sketch.
• Total cost is estimated at $2CCC.CC, as follows:
Material. - $1 ,2CC.CC-
Labor($I 5.;hr) 6K.CC.
Lisc. exl . 2CG.CC i
2CCC.C,( I ;
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Note'
1) Adjacent property owners will be informed of the ,-ec�upsted change•objector, will
2) If there is an objection, the objection, but, not the name of the
be given to the member asking for the change. the plans
tion wil
3) The Board of Dix'ectors ofh�,tdicrnnplia°C9awith thelstatedwrestrictiorsnd proper
for approval or disapprovalfor all improvements costing ov
4) A building permit must be obtained from the city
315 00.00
�`
CA Board of Directors
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!late Notified !�'� / ^resid�nt�
-�.�
Anproved �:a <- �c6 President
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Date to be Completed r�
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Final Inspection _
-D�.sallowed (Reasons)
` 1