10823 SW 115TH AVENUE-1 i
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CITY OF T I GARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Orogon 9722308199 (503)839-4171 r:LUMBING PE,'61IT
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I V 1131 UN. Pij\JN LAWN PS'TATLj NIJ. � ZONING: li-4. 5
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I.-Abs L51- WURK. kDk'.. UoRBAOL'. 'Wla IUSHL_S. 1108ILL. i-16ME Gr-44(,E.S.
YPE UP USE. Si" WHSHING MAL H. . . . BACKF-LOW 1'RL',�N 1"RS. I
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..."-UPPNCY UP— 1:'I-CJLJR UR�iINS. . . . . . . ..
L)R I ES. . . . . . . . .. I WAILR HLA-f'ERS. . . . . . e LATCH bASIN5. . . . . . . .
_X J OkL-L, LOUNDRY TAWS. . . . . . . SY: ROIN DF Ai
iidK . . . .. . . . . . i_1 . . . . . . . . . . : BREASE TRAP'j. . . . . . .
. . . . . . 041AL-R F'IXTURES. . . . . :
Jh/SH0WE'R;'.:). SEWER LiNt_' •.ft) . . . . .
ATE Q C"LX.CLX. j'L_ i W-11 �R LAI NE ( f:t )
i\i DRAIN f t)
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LUWi.R;.-t t ygle amuurlt by date
_3 3 L;W A !,aTP PRIVIT $ 15. 00' JLH 04/02/`i:.:,
PUX $ 4-11. 74z, JJ-1
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75 T DIA I-
REUL)IFiED INSPCCITIC)"S
1u tre iq,;atiom contained in the I ow-o-A 1ct5p
ga- Municipal LOLL, Of O'rP, specsalty Lodes, ar alt other Fir)�11
.J:;k.UAe law!. *,i wcrr. w-.ii We -,ane in accordance with
ped pians. i uei sit Will eyc:i-e it word is not started
1W 06)r' of ts:x"CE' or 01 wrh is suspended for acre
An 1,6Z days.
LLJ FL)t- in-,pcei.Aion 639-41Ti
SNS ECTI_'3N NOTICE '
Cit? of Tigard Building Departsent
13125 SW Sall Blvd. Tigard, Oregon 97223
I-4nection Line (P)ec-x-Phon"): 639-4175 Business Phone: 639-4171
Inspections- L,�J��✓A
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plhg. Torg out Can Lint FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Ream Mach. Rain Drain Insulation -Plumb.
Plbg. Underflavr Water Line Gyp. Bd. -Asch. w
Date Requested: -/V -L7 Times , AM PM
Address• Permit a �/�
Builder:_
THE POT.LOWINO CORRECTIONS ARB RE ul"D:
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Inspector: ` _ Dates
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11PPROVED DISAPPROVE): APPROVED SUBJECT TO ABOVE
„Call For Reinep.
CITY OF TIGPRD RECEIPT OF PAYMENT RECEIPT NO. :93—P.7,8568
CHECK AMOUNT a 115. Ji
NAME 'morons r-LOWERS CASIA AMOUNT a 0. 00
ADDRESS SEW. 115pTH AVE. PAYMENT DATE
IWARD, OPE. SUBDIVISION
PURPOSE OF PAYM JT AMOUNT PA I D PURPOSF OF PAYWNT AMOUNT VSA ID
NG P[7 p 11 MST93-0047 t Q. 00ST. SUILD PER 0. 75
Ln
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PLUM PERMIT
PLA93-0047
TOTPL AMOUNT VlAli - - - - 15. "7S
MLO"HIHN I CAL
R E M I I
CITY OF T IGARD t I�'ERM I 1 4. i-�
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hall Blvd.Tigard,Oregon 9722398199 (603)539-4171 t L b-'!-JED
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z'pt I,it iir
cpciaity Cades and a.
dcni, in accirda"Xr- with
1,L1 expire if vorp is rot :tallfd
suipeuded for liart
E,,19-4175
1AJ
�WSPECTION NOTICE
City of Tigard Building Depaztnent
13125 SR Hall Blued. Tigard, Oregon 97223
Inspection Line (Roc Phone): 639-4375 Business Phone: 639-4171
Inspections
Footing bg. Under.alah NAOh. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/neem "tract. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Dsa'.n Insulation -plumb.
P'lbg. Underfloor V car L-iine Gyp. Bd. -Hoch.
Date R3queated: -2 /
/ I 1 Time: AM >_PM
Addrenn: .� �(�(� Permit 1: � z5 y /
Builder:
THS FOLLOWING ODRR=CTIONS An R1< atVADs /�/-h dh�-J - � d/�1 v.r_s
1/_�- -CL.��►Gi r o� � �7 (�!J a�CY /l r,vy� C'L'�
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Inopetetors Dates
_�/-_APPROIRD DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
-------------------------------------
•
CITY OF' TIBARD RECEIPT Or PAYMENT RECEIPT NO. 03-LmAZV-s-Ai
CHECK AMOUNT 3�-'.. 5 0
NAME s SUNSET' FUEL CO CASH AMOUNT r 0. 017!
ADDRESS PO BOX 42287 PAYMENT DATE a 06,103/9: ,
SUBDIVISION
PORTLAND, OR 97242—
PURPOSE OF' V-11-IYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
ME C H T4-1 25. 00 PIAN CHEM' FE
ST. BUILD PER 1. 25
CD
10a23 SW 115TH AVE=.
T01 AL, AMOUNT PAID 32. 50
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City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 sw Hall Blvd. APPLICATION Permit #
Tigard, OR 9723
(503) 639-4171 —
F� -'— escripnon
Table 3A Mechanical Code OTY PRICE AMT
.lob •M 1) Permit Fee -0- -0- 10.00
� C-) -
Address cwoswo
Supplement-it Permit 3.00
`' —
Furnace l0 100,000
1) incl.ducts&vents 6.00
Furnace 100,000 BTU
2) incl.ducts&vents 7.50
ildl�
Owner It_ �� � � `�1.� t t _.., I
Floor urnance
6.00
3) incl. vent
eater,wa I heater4):Suspended
or floor mounted heater 6.00
�,. ent not inc. in
Occupant " 5) appliance permit 3.00 i
Repnir of heating,rofng.
6) cooling,absorption unit 6.00
Boiler or comp,Teat pump, air cond.
�Lu. t t > <J I r 7) to 3 HP absorp unit to 100K BTU 6.00
Boder or camp,heat pump, air coed.
, l 8) 3-15 HP absorp u,:',to 500K BTIJ 11.00
Contractor .,. Boiler or comp, i(T.t oump,air cond.
1. aO,� 9) 15-30 FP absorp unit.o•1 mil BTU 15,00
"14. Boder or comp,heat purnp, air Gond.
'' r- ` 10) 30-50 QIP a)sorp unit 1-1.75 mil BTU 22.50
s;or comp, eat pump,air cond.
isapp aton,that
Ere yac ow go at have read
11) >50 4P absorp unit 1.75 mil BTU 31.50
information given is correct,that I am thn owner or authorized agent
of the owner,that plans submitted are in compliance with State Air ,,ndling unit to 4.50
laws,that I am registered with the Constru;bon Contractors Board 12) 10,000 CFM _ �s
that the number given is correct. (If exempt from State registration, Air an rng unit
ploase give reasnn below.) 13) 10,100 CTM+ 7.50
No portable
14) evaporate cooler 4.50
ant an connect
15) to a single duct 3.00
'— — Ventilation system not 4.50
Ll7 /1 --16) Tincluded in appliance permit _—
� �w y«�1 +� r7l sery y
17) mechanical exhaust 4.50
Describe work new addition a terabon repair Commorcral o,inustrial
to be done residential Q non-residential O 18) type incinerator 30.30
existing use o -cue-11s. w stove,water
building or property _
19) heater,solar,clothes dryers,etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
a building or property _
21) More than—:,:- :d
et
Type of fuel -oil n natural pas Q LPG Q electric Q
—
NOTICE
Minimum Fee$25.00 SUBTOTAL
� PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORiZ.ED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE �
w IF CONSTRUCTION OR WORK IS SUSPENDED OR
w ABANDONED FOR A PERIOD OF 180 DAYS A r ANY TIME PLAN REVIEW 25%OF SUBTOTAL L•�
AFTER WORK IS COMMENCED. �—
TOTAL �a.•--
Spedd Conditions /C7 LIrr 7 11L- l�V
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