12165 SW MERESTONE COURT-1 A
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INSPECTION NOTICE
City of Tigard Building Department j
13125 Sit FLL11 Blvd. Tigard, oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Footing Plbg. Underslab Mech. Rough-in Appr/Shcwlk
Found. Plbg. Top Out Cas Line FINAL)
Poet/Beam Struct. San. Sewer. Framing -Bldg.
Poet/Beam Mech. Raiu Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd, -Mach.
Date Requesteds �c�.J 3-- 7 e Times 11M PH
Address: / 1 & -n< 6hermit rt,
Builder _ LL ' C LLQ r 3 0611
THE FOLLOWING CORRECTIONS ARE REQUIRED:
ater ./- q4,
APPROVED
DISAPPROVED APPROVED SUBJECT TO ABOVE.
Call For Rpinap.
lieY
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April 28, 1994
COREGON
GARD
Home Owner
12165 SW Merestone Ct.
Tigard, OR 97223
12165 MERESTONE CT, MECHANICAL PERMIT #MEC92-0218
On 9/1/92 we issued a permit for this project, however, we have no record
of any inspection being completed.
Permits become void if there has not b,,,.- .i an inspection performed for `a
over 180 days. In that case, the Building Division may require a new :
application and fees to commence or continue work. A notice of non-
compliance against the property may also be recorded by the City.
Please advise the Building Division within 15 days from the date of this
letter as to the status of this project.
J16 iiee Gaynor
7. 0` rmit Specialist 'a
Notice_.b
13125 SW Hall Blvd„ Tigard, OR 97223 (503) 639-4171 TDD (5031) 684-277201
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CITYOFTIGARD MECHANICAL
;8
CI1YOFTWARD PERI*I I T
COMMUNITY DEVELOPMENT DEPARTMENT OREGON PIER1111 #. . . .
13126 SW MWI Blvd. P.O.Hom 23397,llgwd,O"Von 97723(6W)B39-i175
k°
63'3••--4;. DATE ISSUED: 09/01/9
S I'TE= ADDRESS. . . : 12165 SW MERE STONE CT` PARCEL.- 15134 CC-00500
SU[ADIVISION. . . . . IvIERESTONE: ZONING: R--4. 5
BL OC LOT.. . . . . . . . . . . . . :4
I CLASS OF WORK. » :AD'U FLUOR F-'URN. . . . EVAP" COOLERS:
TYPE OF USE. . . . :SF UNIT HEAT F RS. . : VENT FANS. . . : 1
OCCUPANCY GRP,. . aR3 VEINII'S W/O AF",E,L: ')EENT SYSTEMS:
5T'ORIE.S. . . . . . . . . BOILERS/COIdP,RESSORS HOODS. . . . . . . : �
FUEL TYPES--•__---__—.-._ -.__._ 0-3 HF,. . . » : 1 DOMES. INCIN:
: /ELE/ / / 3-15 HF,. . . . : COMML. INCIN:
MAX INPUT': BTU 15--30 HE'. . . » . RLF,AIR UNITS:
FIRE DAMPERS?. . : 30-50 HP. . . . : WOODSTOVES» . :
GAS F,RE::SSURE. . . : 50.1 HF'. . . . CLO DRYERS. . -
NO.
RYERS. . :NO. OF UNITS--- --- - -- AIR HANDLING UNITS OTHER UNITS. :
TURN ( 100K BTU: (- 10000 r_fm : GAS OUTLETS. :
TURN ) =100K BTU: i 10000 (--,fm..
Remarks: AIR CONDITIONER
Owner: _________.-------_----.__._.--•---•--_..__.___. __..__.__._.-------_--_— FEES
POR/MARY DAVIS type amoLInt by date rer_pt
12165 5W IrIE.RE:SIONE FIRM $ 25. 00 JH ,09/01/92: —
�PC 1 i 1. 25 JH 09/01/92 -
TIGARD OR 9722'3
171•r o n e #1:
Contractor.-
SUNSET
ontractor:SUNSET FUEL CO
P,O PDX 42287
P'ORT'LAND OR 97242 __..__..___._______________._.____.___---_--
P1h on e 0: 234•-•061 1 $ 26. 25 'f 0TAL
Reg #. . : 02374
— ---- REQUIRED I NSPIECT I ONS — --- —
This permit is issued subject to the regulations contained in the Final Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other
app_icao:^ laws. All 4ork will be done in accordance with
approved plans. [his permit will expire if work is not started
within 189 days of issuance, or if work is suspended for mor^
than 189 days.
J
Permittee Si gnat u r e a
Issi_1ed By : _
Call for inspection - 659-4175
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City of ,igard MECHANICAL_ PERMIT Planck/Rec. #
13125 SVY Hail Blvd. APPLICATION Permit #
PO Box 23397
Tigard, OR 97223
(503) 639-4171 _
Description
�'- Table 3A Mechanical Code QTY PRICE AMT
Job 12-
Address .«1 Lo Sw rt,tt l r+'I p, t 1) Permit Fee 0- -0- lo.00
CV- 2)2) Supplemental Permit 3.00
Furnace to W0,600 BTU
A' `f- OAVI 1) incl.ducts 8 vents 6.00
.".Vw p.. UfnaCe 100,000 U + 0
Owner 11 I( 5LU 11 1t. tt*r,4 (Q�1�{`} lel �., 2) incl.ducts s vents 7.50 i
�G1 9Floor Furninoe
J L qz- C�l�i� 3) incl. vent 6.00
Suspended heater, wall heater
4) or floor mounted heater 6.00
,n�—not iin— —
Occupant _ 5) appliance permit 3.00
, — e—pair of heating, refrig.
6) cooling, absorpticn unit 6.00
J
Boiler or comp, eat pump, air con .
U1 _) I A 01 7) to 3 HP absorp unit to 100K BTU 6.00
Boiler or comp, eat pump, air cond.
(
CiOContractort � e� � ��� �,� 1 3-15 HP absorp unit to 500K BTU 11.00 r
Boiler or comp, heat pump, :,ir con _
9) 1530 HP absorp unit,.5-1 mil BTU 15.00
l J Boder or compeaFi t pump, air cond.
k i( l-� I 10) 30 50 PIP absorp unit 1-1.75 mil BTU 22.50
'1I hereby acknowle<ge that I have read is application, that the Boiler or comp, eat pump, air con j
information given is correct,that I am the owner or authodzod agent 11) . 50 HP ahsorp unit 1 75 mil BTU 51.50
of the owner, that plans submitted are in compliance with State Air handling 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, Tir handling unit
please give reason below.)
13) 10,000 CTM 7.50
Non portable I
1,t) evaporate cooler 4.50
/� J ant tan connecte
�1� ��.� ��� ir, l_� ✓ 15) to a single duct d.00
Ventilation system not -
i 16) included in appliance permit
r oo se—rve Fy _}
J ( J 17) mechanical exhaust
Dilsbrible work new addition alteration rep-.77 Commercial or industrial ---r
to be Anne residential non-residential Q 16) type incinerator 30.00
xisting use o tier i.e.,woo stove,water
building or property Other
heater, solar,clothes cryers, etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2,00
building or property _ ---- _.
21) More than 4-pet outlet
Type of fuel-oil Q natural gas Q LPC Q electric _
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Minimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
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. _
SpeGal ConaTOTAL Altions --�
Date issued by
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G J TY CIF= T I UARD RECEIPT PT CIF F-`P r'MF=N'T NO. m 9c -23.1. 154 I
CHECK AMOUNT o 26. j�5
NAME: . UNSET F LJCL COMPANY Aa
F AIh(_IIJN't' 0. 00 � I
j Af�i1FEC'i�i PCI BOX 42287 PAYME=N" DATE t 0") 01/9J., i
PORTLAND, (30 43.7 42---0 :9'7 r
PLIF?P'CISE:; CIE° PAYMENT P)MOUNT F',wu) NURPO'73E CIF 1,1AYMEN`I' AMOUNT PAID
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CC DAVIT,
12109 SW ME RESTONI
I -f'f3TAI._ AMOUNT PAID t~. i::5
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