16505 SW MONTEREY LANE-1 1
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City of Tigard Building Dr.partment
131.25 SR Ball Blvd. Tigard, Oro c= 97223
Inspection Line (Rec-O-Phone 639-4175 Busineen Phone: 639-4171
Inspection:_J��1, � ti, 1_'c F
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
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Found. Plbg. Top Out ao Line I FINAL:
Post/Bom /treat. San. Sewrr Framing -bldg.
Post/ROM Mach. Rain Drain Insulation -plumb.
Plbg. Underfloor Water Line Gyp. Bd. C-Much��
Date Requested:_ 1 ` " C� TLae: AM PM
Address: {D �-> J (� l al(`i\ o/ Parmlt�f: � J �✓JZ
Builder:
THE FOLLOWING CORRECTIONS ARM REQUIRED:
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DISAPPROVEU APPROVED SUBJECT TO ABOVE
For Rainep.
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INSPECTION NOTICE
City of Tigard Building Department
13125 BW Ball Blvd. Tigard, Oregon 97223
Ins,aect_ Line (Roc-O-Phones 639-4175 Business Phone: 639-4171 5`
Inspection:
Footing Plbg. Underelab Rough-in Anpr/Sdwlk
Found. Plbg. Top Out Oas Lini—) �" FINAL:
Post/Beam Struct. San. Sewer lraminq -Bldg.
Post/Beam Koch. Rain Drain Insulation -Plumb. <• �`
Plbg. Underfloor Water Lino Gyp. Bd. -Koch.
Date Requastodt
Address: I y, GU . /r/(JryY `' 1 PermitT.
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Inspeclors Date: 7
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APPROVED DI7711
D APPROVED SUBJECT TO ABOVE G
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For Rainsp. G
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MECHANICAL V )
CITY OF TIGARD PERMIT #. PERMIT: MEC93-0321 f
COMMUNITY DEVELOPMENT DIEPAWrMMT DATE ISSUED: 11/12/93
13125 SW Hall Blvd.Tigard,Oregon 07223.8190 (503)839-4171
PARCEL: 2S116AD--12700
SITE: ADDRESS. . . : 16505 SW MONTEREY LN
SUBDIVISION. . . . : /1� h5 L'�' �./ ZONING:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .
CLASS OF WORK. . :REP FLOOR FURN. . . . . EVAP COOLERS:
TYPE OF USE. . . . ..MF UNIT HEATERS. . : VENT FANS. . . :
OCCUPANCY GRP'. . :R1 VENTS W/0 APPL: VENT SYSTEMS:
STORIES. . . . . . . . :E BOILERS/COMPRESSORS HOODS. . . . . . . :
FUEL TYP'ES'-•-•-.•-•-•---•—•-.----•• 0-3 HP. . . . : DOMES. I NC I N:
3-15 HP. . . . : COMML.. I NC I N:
MAX INPUT: BTU 15-30 HP. . . . : REPAIR UNITS:
FIRE DAMPERS?. . : 30--50 HP. . . . : WOODSTOVES. . :
GAS PRESSURE. . . : 50+ HP. . . . : CLO DRYERS. . :
NO. OF UNITS- - — ------ AIR HANDLING UN 17 S OTHER UNITS. : 1
FURN ( 100K PTU: (-- 10000 cfm: GAS OUTLET'S.
FURN ) =100K BTU: > 10000 cfm:
Remarks : Dula Iverson-- switch woodstove for, gas stove
__._._._._________________.____._____.__ FEES -----.--_—._--__
KING CITY GARDEN VILLA ASS1C. type amount by clate recpt
16880 SW 116TH ►AVENUE PRMi' $ 25. 00 JF 11/12/93 —
5PCT $ 1. 25 JF ll/IE/93 —
KING CITY OR 97224
Pho11e #: 6.39-1073
Contt"actor•
CONTRACTOR NOT ON FILE
$ 26. 25 TOTAL
Reg #. . .
REWIRED INSPECTIONS --_—
This permit is issued sdbject to the r gulations contained in the Final Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mer_�hanical Insp
applicable laws. All work will be done in accordance !lith Misc. Inspection
approved plans. this oerwit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than 180 days.
F'e r,m i t t e e Signature :
Ca'. it for, inspection - 639-4175
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City of Tigard MECHANICAL PERMIT Pianck/Rec. #
13125 SIN Hall Blvd. APPLICATION iQermit #
Tigard, OR 97223
(503) 639-`!•171
—_-_= ascription ---
i Tabic 3A Mechanical Gode QTY PRICS AMT
Jab Jit ATC) 1) Permit Fee -0- -0- 40.00
AddressVP
A 2) Supplemental Permit 3.00
I>�U urnace TQO;IIoBTU
P/-SCY�
C� 1) incl.ducts d vents 6.00
Furnace I oo,Wj +
Owner e^S OLtou kI 2) incl.duds 3 vents -- 7.50
umanoe
— y ( 3) incl.vent - 6.00 _
Susperxied heater.wall heateF
4) or floor mounted heater 6.00
Occupant _ en no i in— --
IL J S C4 (i ���"/C 5) appliance permit 3.00
par'o-Feabng,rerng.+
J"�Cft 1 6) cooling,absorption unit 6.00
ter or comp,seaT-pump,air co
C1, i 7) to 3 HP absorp unit to 100K BTU 6.00
Boilor or comp, a pump,arco —
(�' Sf / C� 737 < 8) 3.15 HP absorp un 'o 500K BTU 11.00
Contractor boiler or comp, a pump,air cor. . — -
/ t)�JC'✓ t l 9) 15-30 HP absorp unit.ti 1 mil BTU 15.00
of comp,heal pump,air con . —
C 'C 10) 30.50 HP absorp unit 1 1.75 mil BTU 22.50
re yb Ncc ow a va a sap ica wn,that the — So-ilei or comp, a pump,air con .
Information given is correct,that I am the owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 31.50
of the owner,that plans submitted are in compliance with State Air ing urut to -.
laws,that I am regis,ared with the Construction Contractor'::Board, 12) 10,000 CFM 4.50
that the number given is correct (If exempt from State registration, ri�ul - •--- - ---
please give reason I olow.) 13) 10,000 CTM+ 7.50
14) evaporate coder 4,50
-- - _ Vent tanconnecTea-
15) to a single dud 3.00
en eon systei5 riot---
16) included in appliance p4wmit 4.50
served - -- -- —
/ =� 17) mechanical erhal.lst 4.50
s w newer ait a era n "•epairt3 Commercialn or .isr"n- a
to be done residential non-residential Q 18) typo incinerator 30.00
Existing use o ----_--_-- Other 1.9.,,woaJTove,gra er
building or property--- — --- 19) heater,solar clothes d yers,etc. 4.50 / <.
Proposed used 20) Gas piping are to four outlets _ 2.00
building or property
O 21) More than 4-per outlet
Type of fuel.oil n natural gas a-'--LP 3 U olectrc --- - -
i
_ Minimum Fee$25.00 SUBTOTAL r.n
PERMITS BECOME VOID IF WORK Oa CONSTRUCTION -- '-- —
AUTHORIZED IS NOT COMMENCED IMTHIN 180 DAYS,OR 5X fiURCHARGE „��
IF CONSTRUCTION OR WORK IS SU%IPENDED OR --
ABANDONED FOR A PERIOD OF 180 DAYS A'r ANY TIME PLAN REVIEW 25%Of:SUBTOTAL
AFTEP,WORK IS COMMENCED. ----- ------
TOTAL
Special Cor.ditions
—.•-.---• [late issued_ by
MMEMVMT
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(AAECK FaMI JUN I n
NAME 6 S'I'CIDIN-4RD, DFAN C1114�31-1 FIM( IJIV 1'
AI)1.)k1-*Sb' o 714 W. PIS4 Sl PPYMI..N I DA I I !
VANCOUVER, Wn LAJBDI V IS.l.IiN
PURPOSE OF PAYMI.:N'I AMOUNT PAID IJF PtIYMF.h,l1 WOUN I Vlt-41 P
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hl�f"FItaN I G:WI_ F!k ME:C:,9 3•--0 P I 00 I BUILD
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CITYOFTIGARD
�Cffoma SUILDING PERMIT
COMMUNITY DEVELOPMENT DEPAR'T'MENT o tem
13126 BW FW I Blvd. P.O.Bow 23327,Tlp M,Oripon 97223(603)639.4176 E P 1Y1 I'1' ##. . . . . . . : LA U P 9 2—•014 8
fa: 9 417:1 DATE TSSUF:D: 05/20/92'
ITE ADDRE5G. . . : 165O5 SW MONTEREY ST ##KCITY f'AH2CC::L: 25116AD---
3UBD I V I S I ON. . . . . Y ON I N[ :
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . �
__—__----__.___—__-_________.___________________________
REISSUE: FLOOR AREAS-- - -- ----- EXTERIOR WALL CONSTRUCTION—
WLASS OF' WORK. :RE FIRST. . . . a o f No S: E v Wo
TYPE OF USE.. . . :MF SECOND. . . : s f PROTECT OPENINGS?---------- I
1-YPE Or CONST. :5N THIRD. . . . d q f N: S: E.- W:
7CCUPANCY EIRP. :R I TOTAL-------: 0 5 f ROOF CONST:A FIRE RCT?:Y
':ICC:UPANCY LOAD: BASEMENT. a sf AREA SEP. RATED:
TOR. :::: HT. .-24 ft GARAGE. . . : s f OCCU SEP. RATED:
; SMT?:N ME Z Z?:N REDD SETBACKS----------- REQUIRED-------------------
,--LOOR
EOUIRED------_-----•---•--•-
- LOOR LOAD. . . . r.4.0 ps f LEFT -, ft RGH'T : ft FIR SPKL: SMOK DET. . :
DWE=LLI14G UNITS: FRNT: ft REAR: ft FIR ALRM: HNDICP ACC:
'!EDRMS: BATIAS IMP URFACE.- PRO C:ORR: PARKING:
'1ALUE. `b : 109000
Remarks : Re—roof condos, including �,ar—off, base, Derbi—Gurn, etc.
Owner: f=E ES
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r13125 SW Ilall Blvd. PLNCK/RECT #CITYOT TIGARD PO Box 23397 PERMIT #
COMMIiN[ll'UI VGL(?PMIsN'I'I)E['Af2'I'MfiN'1' 7igard,Orcgon97223 _LLic[1
t5031639A171 DATE ISSUED
' JOB ADDRESS: )r i-i (. u J��i uQ L,4 TAX MAP/LOT
SUB: LOT: LAND USE:
VALUATION: 4 L,2' u o .
OWNFR SPECIAL NOTES
NAME: _King C44 (-�Gr rVe_r-� U 111A KCL"' cc , REISSUE OF: _
ADDRESS: I lcf�P r\ ju-J 1;21rJ 6 LAST REISSUE:
C t�,y, FLOOD PLAIN/
PHONE: Ir3`l — 00]3 s E c r �c>►»y�`-, h 1 SENSITIVE LAND:
CONTRACTOR /APPROVALS REQUIRED
NAME: L-I t--( , 14, PLANNING:
ADDRESS: Ct)P 15j 1 I I th llvc if .t ' ENGINEERING:
&'CiUi r `1lpcn -- FIRE DL-PT: ---
PHONE: lrll3 OTHER:
CONTR. BOARD #: qa,5, EXP DATE: i
ITEMS_REQUIRED
SUBCONTRACTORS: PLUMB: _ LIST/SUBCONTRACTORS: s _
MECH: BUS TAX:
ARCH ENGINEER CALCULATIONS:
NAME: TRUSS DETAILS:
ADDRESS: OTHER:
PHONE:
PROPOSED BLDG. USE: Rcx�� �rlgl � � Y l < <s C`i Iter� 6 c flea Jill
COMMENTS:
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APPLICANT SIGNATURE
Received By: - �_ Date Received:
. 4
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BA1.. DUE
10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%) 2 2
Building —_
Plumbing _
Mechanical
10-433 00 Plans Check Fee
Building
Plumbing _
Mechanical
10-230 06 Fire
30-202 00 Sewer Connection
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
2.5-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PDC)
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31-450 00 Storm Drainage Syst Dev Chrg
(SSDC)
24-445-01 Water Quality (Fee in lieu of) _ I
24--445-02 Water, Quantity (Fee in lieu of)
TOTAL.
nml358711.WI'f
thV%'70� '` �,..,. '@"A �;., , r r 1 s r•r ! w -'iP"Y' n + p :`w i r�
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CITY OF: TIC APD PT C.;EI r.T CW PAYMENT PPC E I P I NU. 9,?-'•-i 2"7i 114
CHECK AMOUNT a 'i74,r '36 5'
NAME P'AR I a, SHARON CASH RMC)UN-r d�J. G�Qti
f11)E)FtE:,f:i�a 134(.,0 SW fll_E_GIV F�r..4'l;� �1 1,"AYME7N'r Dn'TE t 05t1T;P),
91 ion IV'(SICJN a
k3F:f1Vk'.F2'TC)P•I, OR 9700:j.--
Pum'-,mu u or r''AYMr:'rV'r OMOUN'r I':'F-uv PLIPr••'OSE Of- F"AYME:NT A111,301AT V4.11I)
,1r l ! ; t)I NCS C''EEiM 455. ;;tr'� PLAN CHL-Li-, it: 1`196. 08
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I6505--16785 r,W MCINTE RF:Y, KING; CITY ("Fl-ROCIr.
'ro-rAi.. AMOUNT r='0IlJ _., 7'?4. 36
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639-1131 1 ._ . Oregon
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