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15645 SW OLD ORCHARD PLACE-1 15645 SW OLD ORCHARD PL11"'111F, C� u ci ca Li 0 t! 0 13— VJ rn :7. 44 1-4 F-4 0 JE It) L14 M r�4 L.IL - '706 /v 7 A/'.v:, CITY OF TIGARD HEATING PERMIT DATE _ �- PERM]I' NO. � 7 RECEIPT NO. /L 76 BY L` _6. , c Ski - FEE 1. Per it shall b4 obtained prior to co;�,-nencement of instal aticn. 2. Permit shall be cbtaired for all appliances which are to became a fixture to the building. 3. Relocation, replacement: aZ ' r chz_ ;cs to burners and pact war require permits. 4� All work to be concealed mist be before cover un. New Installation � TReplace ❑ Relocation ElAddition ❑- Alteration. L]CONTR. � � ��:. -L. 1" CWNER .,�s.(...--------- --- ---- i ADDRESS _ '� .sL jL/L��' WORK ADDRESS eL TELEPHONE NO, 1 .,JJ,;1- 0-vi _ FURNACE - MANTIFAC'T'URER (�� l(/:, � � TELEPHONE NO. HEAT Ir put rating (Btu Per tla�Qr ) �/[1P�_ Vent Size =/ Flue Size FUEL• DIL ❑ GAS ELECT ❑ OTHER TOTAL SQ. FT. Top Floor — Main Floor _�% Basement --'��--- -- GENERAL ITEM NO, FEE AM'T ITEM NO. FEE AM'7 For Issuance of Permit 3,0 _ Boilers over 50 Hp ----1125.00 New - Under 100,006 B_ti_ 4.0 Air�Handlin10,000 CFM 3.00 New - Over 100,000 Btu _ _ 5_0 —. Air H�andling_Over 1.0 000 CFM 5.00_ Floor Furnace — 4.O Evap�r?�t�ve_C�Oler � 3,,0 _ Wall - Floor - Suspended 4 0 Vent Fan 2.00 _ Install Vents _ - 2,0 Vent Sarstem_ _ 3.00 Ro�eair—Heat & Cooling4,.0 _ Hood _ 3,00 €oilers Under_ 3 Hp CO _ _ Domestic Incinerator 5.00 Boilers 3 +-o 15 Hp`___ 7. 5 Comm_ Incinerator 0�00 �— Boilers 15 to 30�Hp _ 000 Other Not Listed r— 3 ,00 Boilers 30 to 5 15.00 INSPECTOR' S COMMENTS APPROVED BY DATE ISSUED BY DATE Signature of Applicant �f City of Tigard INSPECTION REQUEST for INSPECTION TIME : r}"�'� PERMIT NO. : DATE : _-=L�'�/ DATE ISSUED:__L_L OWNERS NAME : 1 I> c _- T— ADDRESS ; CONTRAC"i OR : i TEST' Air O, Water (� , visual O , Laboratory ❑ RESULT: Approved Q Disapproved ❑ Pending [a SKETCH: I I I f I I I INSPECTOR DATE INOTE : ,attach supplemental test data hereto I i 0 C, ty of Tigard INSPECTION REQUEST f or - _ INSPECTION TIME : _A '`fi*ER?MIT NO. :-- D AT E O. : —DATE: ' 7 y DATE I S S U E D OWNERS NAME := _ _ —�-- ADDRESSc CONTRACTOR : L/F' r ► s�_n_ .—v C ,� TEST : Air U, Water[] , V-1sual,< Laboratory ❑ RESULT: Apnroved Disapproved O Pending p SKETCH: INSPECTOR DATE CNOTE: Attach supplemental lost data heretq] City of Tigard INSPECTION REQUEST for 'dN�PFCTION TIME' PERMIT NO. :----- DATE: O. :--__DATE: __ /-P'/2$( DATE ISSUED :--LL— OWNERS SSUED :__L_L_.OWNERS NAME ' ADDRESS:,< � �> e �z #x / �I CONTRACTOR : .— TEST : Air n, Wnter❑ , Visual D , Labor©tory (] RESULT: Approved'` , Disapproved C] , Pending p SKETCH: -7 INSPECTOR DATE NOTE ' Attach supplemental test data beret 01 City ®f Tigard INSPECTION REQUEST for INSPECTION TIME : PERMIT NO.: --- DATE: O.: ___DATE: _ DATE ISSUED: .L- OWNERs NAME : ADDRESS : CONTRACTOR TEST. Air Cl, Water ❑ , Vicual Luboratory Li RESULT. Approved 0 , Disapproved ❑ , PendAnq L�1 SKETCH: I e t i I INSPECTOR DATE COTE Attach supplementol test dote heretol 1 i city of Tigard INSPECTION REQUEST for INSPECTION TIME:_- PERM NO.: --. DATE O.: — !DATEDATE ISSUED: _1--L— OWNERS NAPA(-­ ADD RE'S S APA(-ADDRESS . -- r CONTRACT 0 R : --------------- — —�-� TEST'. Air 0, Water p , Visual C7 , Laboratory 0 RESULT* Approval j Disapproved U , Pending Li SKETCH: INSPECTOR DATE NOTE ' Attach supplemental test dato heret] � It I city of Tigard INSPECTION REQUEST for ............ PERMIT NO. : _ .. INSPECTION TIME : �-- , DATE ISSUE.--L--L- I DATE .OWNERS NAME : --____�------ --�----- �,, ADDRESS : CONTRACTOR :_---- TEST', Air [3, Watsr , Visual til, Laboratory Q rovbd G , Pending !] RESULT: Approved , Dieapp SKETCH: 100gpECTOR DATE Ll 5OTE : Attach supplemental t&st data heret- PLUMBING PERMIT APPLICATION Jurisdiction of No. Type of Fixture Fee Permit No. -L Permit fee I , Water Closets (Toilats fPermit Issue3 Bath Tubs7�„ Approved by Lavatory Wash Ba;s._n Building Perini Shower Receipt No. Sin s 2D_ishwashing" Sinks Kitchen .-�- Sincss Ordinate- _ Location of Buildings Sinks, Bar_ Sinks Slop_Automatic Dishwasher ----____-- Disposal Laundry_.Tra�� - Name & Address f Owner Drains, Floor l --- d, n i i !�/ia,•.j�� Cyt,/'�" , Drains Area - DrainsL_ efrigerator '-- Ra in Drains 4 ----- Automa is Washer Name '& Address of, ountainsr7rink3n Fountains oda Hat Water Tank Water Service Size:'', Ai;;, -- Urinals Building Old or NewAlter➢ Repair or_�- aTFF- asins-b -7ara E:Ste Lawn Sprinkler Sys em -- Swimming Pool �_ _ OTher - —_ __Sprinkler This permit becomes null and void, if work or construction authorized is not commenced within 60 days, or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. All plumbing firms must be licensed by the City of Tigard and post a $1,000 bond, I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this typE of work will be complied with whether specified herein or not, the granting of a pen.iit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Signatui e of Applicant i 0 I City y of Tigard INSPECTION REQUEST � Q ST for 8 z-- t..- �...• _o-� INSPECTION INIE: /l� PERMIT NO. : _ I DATE: � 14rl-1V DATE ISSUED :--L_L_ OWNERS NAME : ADDRESS: CONTRACTOR i"EST : rlir Ll , Water ElV;sual, Laboratory f7 RESULT' Apnroved X, Disapproved G Pending CJ SKETCH. P I I I INSPECTOR DATE ~ I NOTE: Attach suppiimei,tal test dato hereto] I 1 tib' aa '',y CITY OF TIGARD 1100 Y W Main ati.a b� MORD, 0010UN 9IMS Af PLICATION FOR BUILDING PEPMIT New Construction -1LoL Demo Iinh Addition Remodel Have ZONING--L-1-- DATE ISSUED_�_i' BUILDING PERMIT DATE: RECEIVED RUILI)ING FEE No. L' BY PLAN CHFCK 4.-, (ur OTHER S _Y�CO 4wo, /&4r-7- VALUATIOt! .gmAL S J qi %lwrr RECEIPT TWO SETS OF PLANS AND PLOT PLANS MIST nF. FURNISHED WITH APPLICATION LOT 1 ���ZMAP I�Y � C4NSUS TRACT � JOB 1_ Architect or F'ngineer_--t ��y,•_s ������ � . �, ��� Add resp Address Phone Address 91JILDING USE: Single Res. VN _ Multi Res. nyV � Comm. EJ industrialE] OCCUPANCY GROUP_, No. of Stories—A­ Total Neight_ Area of Lot_ Type of Construction V Floor Area R —� 1� 2 ��- Set Flacks: Fsmt�Lp'_ uack_ay_ L.Side_ vS R.Sider Private Serer Pipe Size_-�!S:1 -­ Sewer.., !� � , eeptic Tank iiater Service Pipe Size`�' _ Storm Sewer Ditch ❑ DryweII❑ Street and Curb RequirementsH _ Driveway Width Wo. of Parking S aces SEPARATE PERMITS RFUUIRED FOR. SEWER A41) PLUMBING SPECIAL 1NF0 L4ATIOn ADDRESS ASSIGNED FIELD CHECK IiY� DATfi P£RMIT APPROVED IIY It is understood that ail work will conform with applicable codes and ordinances of the State of Oregon an:l the City of Tigard, Oregon, and that the building will not be occupied unti. a Certifir.afw, of -7ciapancy has been issued by the City of Tilard Fiuildincs Innpe-tor . 3ign'� a�k�u`r�e Appliaantf 13575 EXHIOIi "A" CITY OF TIGAA0 Rooidontial Structure Occupcny Roatrl.ction KNOW ALL MEN BY THESE PRESENTS, that occupancy of :ouicantial structure (n) on Lho following deocribod lands prior to the recording of an occupancy pernit releasing the roatrictlon. in tho Deed Records of Washington County, Orngon, is prohlbitud by the ordinance of the City of Tigard, Orogon: (Thu City will Saoua u roloanu an soon so a final inopoction determines tr,ut tr,u conotrurtion 19 satisfactorily completed) DESCRIPTION OF PROPERTY: �IY.l.C 4�• lc1 1 d` '`t\!•.'1r•. ..,e�.,�.._ �v....-�. , ' ,.�! ! ADDRESS Or plopERTY• };.1..E OF OJN'R: ADDRESS OF OLINET}: T r�n r �, C..J r K.•,wn r\.� � .,�..ti IN WITNESS WHEREOF, the undersigned hos Caused this restriction to be executed this -�&--N _' day pfd OJNERSim: APPROVEO: Title • By; Bui#folng uf'"I! o City of Tigard STATE OF OREGON ) County of Oashington ) so' Januarv2;+ ,9 ;_ Personally appocred before mo tho above namod N.n, Armen and arknowlodgod tho forogoinr, instrument to be } i" volunto:y act and dood. i Notary Public or Oregon Fiy Co'au1iacion ires: n R'-•.;Eg Y1t4k7tsC�Mf. D•�•�� q 11. wag 4 1 13575 i � EX1.410IT "A" CITY OF TIGARO Rouidontial Structuro Occupcn; Routriction KNOW All MIEN BY THESE PRESENTS, that occupancy of rer,idontial structure (a) on tha following deacribud iancu prior to the roco:dingy of an occupancy poroit reissuing the roctriction. in tho poed RucorCo of Wcohington County, Orugon, is prohibited by the ordinance of the City of Tigcrd, Orogon: (Thu City will Soeus s :olucoo ao soon ao fiadl inopection determines that the construction is satisfactorily co:olotEEsd) CESCRIPTIC'+ vF PROPERTY: nDORES5Or a toP�,RTY: r_�w \ '�•�o";. NA" or 0.1NER: _ _ _ _ _ _ Y�y ai SiYI...►. �.r�S� S IN WITNESS UHEAEGF, the undersigned hca caucad this restriction to bo oxecutsd this -��tiday of � OUNE.9 c„-�l APPROVEO: By: Eau .o:rg U``ic 01 City of Tigard STATE OF OREGON County of Uoohington so, January 19 ig 74 Poroonelly epDocrod biafo:e ma tho abovo ncrzod Roy Brown and r.cknowiodgoc tho forogoing ir,srru,,ent to be his volur,tn:y ac: and duod. Votary Puc :.c fc: arogon ?y Coumiocion Expires: 1/1N� /7S