15220 SW 81ST AVENUE J
1:4 ecords\microtlm\targeWbuilding.doc
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223.6199 (503)639.4171
SW 61 51 HVL
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CITY OF T I GARD - REI'F irr oF. f c1Ymuo F2E"C:F`I F'T NO. ti- -,4 16 L, • u
CHECK AMOUNT 335. 00
0!IF." V M T P PrL, DAVE- CASH AMOUNT 0. wo
Gal]I�f1E FSS ¢ 1`,:::c:Q► OW AIUT AVE PAYMENT DRTF 05 ii'll '9;?
OUBDIV15ION e
T ,.o.oiiC., CII
PURPOSE OF pAYME::NT OMOLINT PAID PURPOSE OF. F'�YME:.NT AMO(.INT PA I D
;F I.1F=R LISA
SEWFR INSPECT 35. 00
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L;UWF R PERM I l
TOTAL AMOUNT PAID - _ ~) 335. 00
INSPECTION NOTICE
city of Tigard Building Depavamnt
13125 811 Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)t •63399•-441175 Bueinebj Phone: 639-4171
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Inspection: - �
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -1'1•,mb.
Plbg. Underfloor /*ylaterCLine
] Gyp. Rd. _K.r_h.
Date Requested:_ 7? z J - 1 Tom. L_AK otv�' pN
7
Addy...=_157-24,v l — Permit ts 6713_n2!9__"
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Builder�_�
THE FOLLOWING CMMCTIONS ARE REpUIP.RD:
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In.p.ctor: / / ---------- --- Dater'
Y—APPROVLD DISAPPROVED APPROVED SUBJECT TO ABMR
Call For Relnep.
INSPECTION NOTICE
City of Tigard Building Department C
13125 SM Hall Blvd. Tigard, Oregon 97223
Inspection Line (R/ec/-OO-jP7hons): 639-441,7.no Buueinee,, Phone: 639-4171
Inspection:_
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Chit Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Pont/Beam Hach. Rain Drain Insulation. -Plumb.
Plbg. Underfloor Water
/Line
Gyp. Bd. -Mech.
,
Date Requested: /L' r�7 �l �Time: _iAM -----PH
Addreen• 51L 'Permit
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
C.�
Inspectors- --, — Data:
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APPROVFD DISAPPR D APIRLMV '.t)BJRLT TO ABOVE
all For Reinap.
ALOHA SANITARY SERVICE
P.O. BOX 309, BANIKS, OREGON 97106
644-2797 / 643-6254 / 'i24-4343 / 639-5188
NAME
_ 0
ADDRESo -
PHONE HOME WORK
JOB SITE
CHARGE _ PAID BY CHECK aT CASH VISA o
DATE DRIVER
�j�_ � AMOUNT
- - REMARKS -- -
77 TYPE OF TANK: STEEL I CONCRETE I PLASTIC I OTHER
' HORIZOIv hL I VERTICAL I RECTANGLE I OTHER
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SIZE OF TANK. 350 I 500 I 750 I 1000 / 1250 / 1500
LID LOCATION: INLET I OUTLET I MIDDLE 1 OTHER
CONDITION OF TANK: GOOD I FAIR / POOR
FITTINGS BAFFELS I CONCRETE / CAST IRON I PLASI IC
NEEDS NEW LID O SIZE _
GROUND COVER OVER TANK
COMMENT ON CONDITION OF DRAINFIELD ETC.
REGEIVF►)BY '
TOTAL _
/4 ,
ME_ L LI-11,
CiTYOFT11FARD IWAPERMIT
CrFYOF1RD PERMIT #. . . . . . . : MEC91-0 i 94
COMMUNITY DEVELOPMENT DEPARTMENT 011100e!
13126 3W Holl B'A P.O.Box 23397,Tlpoid,Oregon 97223 (603)M-4175 71
L_-`j--41 1 �` . _ c^t311Fn. Il-9/26/91
SITES ADDRESS. . . : 15220 SW 81ST AV PARCEL.: 2S112CB-00401
SUBDIVISION. . . . i GOOD ACRES /-JN I NG: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . ., . . . . . . :6
CLASP OF WORK. . : ADD FLOOR TURN. . . . : E'VAF COOLERS:
TYF E OF U 3E. . . . -SF LIN IT HEATERS. . : VENT FANS. . . :
OCCUPANCY GRP. . : R3 VENTS W/O VENT SYSTEMS:
STORIES. . ,. . . . . . . B01i_ER,3/COMPRES'6L;?S HOODS. . . . . . . .
1="UEL TYPES-------------- o-3 HP. . . . : DOMES. INCIN: I
: /WOD/ / / 3-15 HP. . . . : COIhMI_. I!vCIN:
MAX INPUT: BTU 15-30 HP. . . . : REPP.IR UNITS:
FIRE DAMPERS?. . : 30-50 HP. . . . : WOOD3TOVES. . : 1
GAS PRESSURE. . . : 50+- WP. . . . : CLO DRYERS. . -
NO.
RYERS. . :NO. OF UNITS------------ AIR HANDLING UNITS OTHER UNITS. :
r I)RN ( 1'v OK BTU: (= 10000 cf m : GAS OUTLETS. :
FURN ) =100K BTU: > 10000 c f m :
Remarks : EXISTING WOODSTOVE::
Owner-:
_-------__ -_---- ______._____.___-_--. FEES --------------
DAVIDKNIPPEL type amot_1nt by date recprt
13220 SW 81ST PRMT $ ._'5. 00 JLH 09/26/91 -
5PCT $ 1. 25 JLH 09/26/91 -
T I GARD OR 972244
Phone #: 684-8349
Contrar_tor•: --___._.___._.__ -_---___.__._._._.._._._...__
CONTRACTOR NOT ON FILE
__--._----_-___---_-----_---__--_.._-_---
Phone #: $ 26. 25 TOTAL
lleca #. .
T<EQU I RED INSPECTIONS -------
This permit is issued subject to the regulations contained in the Final Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable '-apt. Ail work will be done in accordance with
approved plans, This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more -
-� than 180 days.
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r'pr-mittee Siynati.lr-a
LD I S s tl e U B y•
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Call for- inspection - 639-417 ;
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CITY OF TIGARD — RECEIPT OF PAYMENT RECEIPT NO. :91—c:17Lt97
CHECK AMOUNT : 26.25
CASH AMOUNT : 0.00
NAME : KNIPPEL, ELLEN PAYMENT DATE. s 09/26/91
ADDRESS % 152G0 SW 41ST SUBDIVISION e
TIGARD, OR 97224—
'JRPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
1.25
CHpNICAL PE 25.00 ST. BUILD PER
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WVODSTOVL PERMIT
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TOTAL AMOUNT PAID
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION Permit 1,'
PCY Box 23397 it
Tigard, OR 97223
(503) 639-e 171
Table sA Mecha;cal Code QTY PRICE AMT
Job 1) Permit Fee -0- -0- 10.00
Ado ess ry �•
2) Supplemental Permit 3.00
�•»• �• Furnace to 100,000
1 1) incl. ducts&vents 6.00
un-,':e 100,000 BTL1 +
Owner 6 (l >U 2) incl. ducts 8 vents 7.50
�• ' o Floor urnance
, 3) incl. . nl 6.00
•„• �» •« --Su-,pended heater,wa eati(1 (
_ 4) or floor mounted heater 6.00
•v ••• • Vent not incl.in
Occupant 5) appliance permit 3.00
epair of heating,re ng.
6) cooling,absorption unit I 6.00
-» i er or comp, eat pump,air cond.
7) to 3 HP absorp unit to 100K BTU 6.00
•+•+� ••• P 1 er or comp, heat pump, air con
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8) 3-15 HP absorp unit to 500K BTU 11,00
Contractor r Boiler or comp,heat pump, au co
9) 15.30 HP absorp unit.5 1 m;l BTU 15.00
�• •.• •a- , •• Boiler or comp,heat pump, air Gond.
10) 30-50 HP absorp init 1-1.75 mil BTU 22.50
hereby ac now ge that I have rea l r application,that the Boiler or comp,heat pump,air cond.
information given is correct,that I am the owner or authorized agent 11) >50 HP absorp unit 1.75 mil B Rl 31.50
of the owner,that plans submitted are in compliance with State -fir handh.hg unit to
laws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50
that the number given is correct. (If exempt from State registration, Air FaMring unit
please give reason below.) 13) 10,000 CTM+ 7.50
"-- on portable
14) evaporate cooler 4.50
Vent fan connected
15) to a single duct 3.00
Ventilation system not
16) included in appliance permit 4.50
•a.nw• •�• Hood seN y
17) mechanical exhaust 4 )
Describe work new additionalteration �rprCommercial or industrial
to be done residential Q nonresidential O 18) type incinerator 30.00
Existing use o er—ie.,wo stove,water
buil•iing or property_ 19) heater, solar,clothes dryers,etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
building or property
21) More than 4-per outlet
Type of fuel - oil Q natural gas U LPG L e ectric Q
NOTICE
Minimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRICTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED.
TOTAL
Special Conditions
Date issued by
V1AEl7�PMS
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�SIANWWI LtY INL., HtALIUHJ -AUUtNUUM SAL IAN U NtLtIYI t-UH tNHNtSI MUNtY
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EXHIBIT NO._
RE ALTOW
IN REFERENCE TO THE FOREGOING AND ATTACHED SALE AGREEMENT BETWEEN-_. I
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AS RURCN+ASfMS), AND,_ j Jlvi 1)
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-- -,- Al,-Sftt"-1S),DATED - � _--
FOR THE REAL PROPERTY KNOWN AS ^/YL( Z�Z IgD
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THE BELOW SIGNED PI)RCHASER(S) AND SELLER(S) HEREBY AGREE TO THE FOLLOWING: _
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i THIS AGREEMENT, WHEN GNED BY BOTH PARTIES, IS HEREBY MADE A PART OF THE F REGOING SALE AGREEMENT
DATE _.. _.. ------ DATE _ '/'lr;A _
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BRANCH----.----- AGENT_-__- DATF
PURCHASER'S COPY