15700 SW 88TH AVENUE-1 w WKWA
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15700 SW 88TH AVENUE
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t�1 o Y ur I IUAHU ML(MANICAL PERMIT h __---
Permit*
Description
City of Tigard —
Table 3A Mechanical Code OTY PRICE AWT
—
13125 S.W. Hall Blvd. 1) Permit Fee -0- -0- 1000
P.O. Box 23"37
9722.3 2) Supplemental Pennit 300
639-4175 Furnace to 100,000 BTU
1) incl.ducts&vents 6.00
2) Furnace 100,000 BTU +
incl.ducts&vents 7.50
FAdd&a"
nent ) Floor Furnace
3 incl.vont 6.00
Job —` Suspended heater,wall heater
Address � ��� � �"- 4) or floor mounted heater 6.00
Ta"Lot Map Pio. 5) Vent not inti.In
Lot Bloa Suydivision appliance permit 3.00
Name(a nwne of businm) 6) Repairof heating,refrig.,
_ cooling,absorption unit 6.00
Owner Meiwr,q Address Phoria 7) Boiler or comp to 3 HP
l,- U• _- absorp.unit to 100,000 BTU 6.00
►�s'a1° Zip 6) Boiler or comp to 3 HP-15 HP —
absorp.unit to 500,000 BTU 11.00
9) Boiler or carp 15-30 HP
absorp.unit'A-1 rrAMM 15.00
MaittpAsitksn Photta — 10) Boiler or curl OU 300 HP
_ absorp.uttil 1.1.715 f Mkin 22.50� � 11) Boilerorcxxflftto50N1' 31.50
a 4 QpQ f'�T1J
CRY&rt.Tax l�ro. 12) Alr h+rruft 4 ufm to
' ,000 CFM 4.50
I hereby sidt+owledg,VW I hm taad Mks wipMcation Mot the Mibtmer._n rJivhn la 13) R r handling Unit
Correct,that I am Mrs Owner or Atawnzad 10,000 CFM + 7.50
spent of My uMnrx,Meat dw�e sub"~are M
oartl>fana wMh stat.taws.srt 1 am it 7klwad wtat tt stall 9uMdste'Dowd.the+the Non portable•___ _ ---
mm*w 0"s oomwt.(M sea" 6om state nOlstalion OMra UK r reason below 14) evaporate OOOIer 4.50
v��.`'., 15) Vent fan connected �-
to a single chr,;t 3.00
- 16) Ventilation system not �-
--- Included it"iiince permit 4.50
iscribe
tif�
17) Hood as exhaust
-
°r.. —
met7hanica,lexhaust 4•�
Deft 1 A) Domestic typo
work ❑ addition U alteration W repair (-1 incinerator 7.50
to be dons residential ]
non-residential ❑ Coltxlndfgidlal
inc,
Existing use of - - 19) 30.00
_ type �neratcx
bullding or property --_ _ 20) Other 1.f� --- —_ ---
I'Mposed use of heater,� ek. / 4.50
txtik;ing or prMer1y _ ----
- 21) Gas piping one b four outleta
Type of fuel-- oil (7 natural gas E] LPG nelet_yric ❑ 2.00
22) More than 4-per ou(let
'IHIS PERMIT BECOMES NULL AND VOID IF WORK: OR CON _ SUB-TOTAL
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 � D 4&SURCHAROE
DAYS, OR IF CONSTRUCTION OR 1/I,IORK IS SUSPENDED OR
AE►AN[ f b"01 A OtPibD br 180 DAYS AT ANY TIME.AFTI'R ---
WORK,IS COMMENCED. TOTAL
Spada"Crxtdifltt�
1
gate issued
E � t ■ t
.._. .._. .,.,..-.-.-......•.w...new,,.«.,+,r�yo•�x�•w..•.-,-••.e...
BUILDING PERMIT APPLICATION SOF OF DATE 4- -71:; 2
ts_� Ir
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WO i�K HEREIN INDICATED 13UILDERPHONE 650-9630
OR AS SHOWN AND APPROVED IN THE ACrCQMPANY;NG PLANSANL) SPECIFICATIONS OWNERPHONE_
i�U C) y 1 LOT NO .
OWNER 'JUL 'i';1t1f1y8311 11ilR1FJ9JO^ADDRESS'' II. 1.. ii--• t
_ !, • HOME ADDRESS
ARCHITECT
DUILDERewmt' ADDRESS ENGINEER
yy —. DESIGNER
STRUCTURE UNEW _ ❑REMODEL _ ❑ADDITION ❑REPAIR ❑RENEWAL ❑_FIRE DAMAGE ❑DEMOLITION
RESIDENCE El COMM ❑EDUCATIONAL_ ❑GG`PT ❑FIE LIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE L-131-AB []FENCE
❑BOND UMOVING ❑CONDITIONAL_US' ---0DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY
'i-3LAND USE ZONE f,— ._BLDG. TYPE _FIRE ZONE—' PLAN CHECK BY t�t,61 HEAT d L�'L •
E t. yinUlr l'arniYWtngatGahsdX gllr�r��- 2 hodr�an� 1 both
la;~aua 5Q4
ISI;i1 far permit
EIGHT Q.STORIES AREA 20i15_NO.lKDROOMS 2_-yei,1�4_ �IQO•
BUILDING DEPARTMENT SET BACKS FRONT 20 REAR 50 _ LEFT SIDE ly RIGHT SIDE r� y
Permit 161.00 — --
— I 41S PERMIT IS ISSUED SUBJECT 10 THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 90•:A REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal _ 277..b0 � ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 7,24 LICENSE. SEPAR ERMITS REQUIRED FOR SEWER, PLUMBING AND HFAIING.
Total 270.74 tJ,U,C,
By
Recenr•Vi a-.ANT OR AGENT ---. -- ----
[Aorovedipt No
� i �
nUC�RESS --•— - _.._-- -- _
aiirrivE
UATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
_ --
Contractor _ �y
Permit No. 3 6
n J '��i(,t.��c , .c�� Cs•xci
Rough-in
Fixture
Final
D(5*+yoRROv� � I 2 — _ HEATING
— Contractor _
(/ l ,(w Permit No. SA 7�
Co.�. Gas or Oil — --
Rough in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
— _ —_-- -------- Sidewalk — __----
w�_—_, V �— Curb&Street Final__
A iroach _
BLDG DEPT FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final _
(- � LandscaFir.g
Zoning Final `Y
� �Gc ,
SEWER PERMIT �,� �'' C-/�7Y
15 193 P
Unified Sewerage Agency Tigard
of Washington County C I TY OF DATE 4-4-78
OWNER : Pilin lunyan Homes PHONE :
OWNER 'S ADDRESS:
,TY,PE OF INSTALLATION:
TY
'L >_ UILDING SEWER C BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
'O'VEW DMNGLE FAMILY n COMMERCIAL
EXIST. (PRIOR TO 7- 1--70 ) MULT. RES. INDUSTRIAL
FIXTURE UNITS DWELLING UNITS 1
ADDRESS OF STRUCTURE :
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL Ri1Lc*q AND
REGULATIONS OF THE UNIFIED SEWERAGE AGENCY. WHEN CALLING FOR INSPECTION ,
PLEASE REFER TO THE PERMIT NUMBER. THIS APPLICATION EXPIRES IN ONE--
HUNDRED AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL_ HE FORFEITED SHOULD
EXPIRATION OCCUR.
FEES:
PERMIT FEE y_ 25,
CONNECTION CHARGE 600.
S'DE SEWER INSTALLATION
OTHER
- ISSUED BY
/
TOTAL x 625•
i ,
APPLICANT DATE
La�.
.<
SEWER PERMIT Nu 1 rX838
ADDRESS OF STRUCTURE ct. /S`7 c90
TAX MAP TAX LOT SYSTEM Fanno creek
LOT 40 BLGCK OF
APPROVED BY DATE ISSUED 6Y DATE
D. U. ' S 1 REMARKS bldg. #1992
WN
Uf 4 SEWER PERMIT N9 15836
Unified Sewerage Agency
or Washington County CITY OF T i d DATE 3-30-78
OWNER: Paul Bunyan Homes
SHONE :
OWNER 'S ADDRESS:
TYPE OF INSTALLATION,
XXX 161JILOING SEWER ❑ BUILDING SEWER AND SIDE SEWER
TYPE OF O_CUPANCY: c
��EW x L.._1 tINGLE FAMILY ❑ COMMERCIAL
❑ EXIST. (PRIOR TO 7-- 1--70 ) ❑ MOLT. RES. ❑ iiNUuSTRIAL
FIXTURE UNITS DWELLING UNITS 1
ADDRESS OF STRUCTURE: :
PERMIT CONDITIONSi THE APPLICANT AGREES TO COMPLY WITH ALL RULES AND
iREC-l!L'ITiONS OF THE UNIFIED SEWERAGE AGENCY. WHEN CALLING FOR INSPECTION ,
PLEASE REFER TO IHE PERMIT NUMBER. THIS APPLICATION EXPIRES IN ONE-
HUNDRED AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL BE FORFEITED SHOULD
EXPIRATION OCCUR.
FEES:
PERMIT FEE $ 75.
CONNECTION CHARGE 600.
SIDE SEWER INSTALLATION
OTHER ISSUED BY
TOTAL $ 62`,
7 4
/ APPLICANT DATE
T" u i!
SEWER PERMIT N 15836
ADDRESS OF STRUCTURE. _ 15700 SW 88th Ave.
TAX MAP _ TAX LOT
_ SYSTEM Fenno creak
L 0 T __; 7 _ BLOCK _ OF
A P P R L V FD BY —. _ �_..,.��_i:.__�' �--r�.'� , • ..� - __..:i __;� ��,�''
DATE ISSUED BY DATE
D. U . ' S 1 REMARKS bldg. #1988
of L-3 1, Mt't'hatlical r �i:1))[ ��' s•p:rnrt--_..3>s:�U�_r._
•
Free_ .00
Nei. Ins;,I;o;,on Re:,!ace r,elpcation ❑ .'.i [ on _� A!t ration J tfl'� State �_•_ 28
i TOTAL __-_
cc:.Tc.AcTOR �5_2f AC ,E b • o'ti;r:CR _6444! 1 L--
AOnRE� ���"3�. S.E. �', ' WORK ADDRESS 7ov.S,W . �8
_ _ _._. _i _ �PHONE E L�
Heat Input Rating (BTU Per Hour) Vent Size _ – Flue Size
FUEL OIL ❑ GAS ❑
ELECT OTHER
ITEM NO. FEE ITEM NO. FE
For Issuance of Permit 3.0 Air CondiUc Compressor 15 to 30 HP—�EHHEOKC,New-Under 100,000 BTU ✓ J 4.00 Air Handling 10,000 CFM
' New• 100,000 BTU &over —T— 5.00 Air Handling Over 10,000 CFM �µ y.(
._y
` Floc.• i=urr ace 4.00 _ Evaporative orative Cooler 3
7-2-- Wall- Floc,. -Suspended _ - 4.00 Range'Vent Fan 21
Install Vents Only —T 2.00 ---VentSystem 3.(
Ker air• Heat & Cooling Ij -- —`
4.00 Woad Commercial 3.;
Air Condition Compressor Under 3 HP 4.00 Gammercial Duct System
Air Condii ion Compressor 3 to 15 HP 7.50
!NSPECTOR'.0 COMMENTS
{L: CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUBCONTRACTORS
r+� APPROVED BY DATE ISSUED BY OAT
RECEIPT NO.
774 Signature of Applicant
ADDRESS /.5y f GAJ ��,L(� X '' PERMIT NO.
PERMIT CHARGE none
Ol.1NER ._ CONNECTION FEE
PAID BY
TYPE OF BUILDING AAAAY DATE CUNNF LTED
SERVICE. RATE �g INSPECTION FEE
CONTRACTOR PAID BY DATE
1
SIZE OF CONNfC.TION ASSESSMENT PAID