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CITY OF TIGARD BUILDING INSPECTION NOTICE
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Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb. ■
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Post/Beam Mach. Shear/Sheath Framingech'
Plbg.Und/Fir/Slab Plbg. Top Out In teflon ect '
i Post/Beam Struct, c dough in Gyp. Bd. Bldg. �
San, Sewer Gas ine Appr/Sdwlk (6eins.
Other: �
Date- — _ M.—.P.M. Entry:
i Address:
Tenant Ste: MST:
BUP-
Con Ow 1vy� - MEC:
U� PLM:
� ELC _
E FOLLQWING CORRECTIONS REQUIRED: ELR:
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1nS P,Ctor:
-- Date:
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APPROVED `DISAPPROVED/CALL FOR REINSP. CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line:639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service `-- '—.y ■
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing Mem
PIhg.Und/Flr/Sl,ib Plbg; Ou,� Insulation Elect. i
r1ost/Beam Struct. Mach. Rough in___� Gyp. Bd. -Bldg.
Sari, "Jdwer Gas Line Appr/Sdwlk Reins.
Other: ::T"
Date: �rr` . A.M. --P.M.
Entry: —_
Address:
Tenant: Ste: MST: _
^-� BUP:
Con/Own: MEC:
G PLM:
�It.Q.Ls M v► u y (D 341-06 Z �p ELC:
jTHE fQLLO-WIN OpR�CTIONS A�^REC�,UIRlED: ELR: . _
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Inspector: _ _ Date:
_APPROVED __DISAPPROVED/CALL FOR REINSP, CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL: '
{ Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shoar/Sheath Framing ech
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct. Mech, Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins. ■
Other.
Date:
P,.M. Entry:
Address: .5j��
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Tenant T
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— BLIP:
Con/Own: — ti 011A5 MEC:� 11a
PLM: '
39-G tr ZL ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Inspector: Date:
_.APPROVED DISAPPROVED/CALL FOR REINSP. CF CO `
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
1 Footing Rain Drain Cover/Service FINAL: `
Found 3tion Water Line Ceiling -Plumb.
Post'deam Mech. Shear/Sheath Framing -Mech. !
PIbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect. f
Post/Beam Struct, Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins. I
Other:
Date: A. �P.M_ Entry:
Address: 7`` / �� ■
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Tenant: c� Ste:.—_.._ MST:
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Con . (e 3 1-- C5 ���r' MEC: GiS
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Inspector: .�.. -- ---- Date:
,
.—._.APPROVED __.— ISAPPROVED/CALL FOR REINSP. CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE
a, Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service ?
Foundation Water LineCeiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing ec
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct. Mec ough in Gyp. Bd. Bldg.
San. Sewer as Line Appr/Sdwlk Reins.
Other: _
Date: Z/ R 1 A.M. P.M. ,.Q.Entry:
Address: )
Tenant: Wff Ste: MST: _
BLIP:
Con/C��! C[' `U c8'LMEC: `
PLM:
ELC: `
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: _ sl
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Inspector: _ _ Date:
_APPROVED _ AlWOVED/CALL FOR REINSP. CF CO I
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PE RMIT 0
CT' #. . . . . .ITY OF TIGARD DATEIISSUED: . 05/14/96601 31
COMMUNITY DEVELOPMENT DEPARTMENT
'126 SW Hall Bivd.Tigard,Onpon 07223.6199 (603)639.4171 PARCEL: 1 S 135DD-03606 i
S1 ADDRESS. . . : 11:_,17 SW LOIriI FA AVE
SUBDIVISION. . . . : LOM I TA 'FE RRACE ZONING: R-4. 5 i•
BLO(:;K. . . . . . . . . . . LOT. . . . . . . . . . . . . :3
-- -------------
CLASS OF WORK. . : REP FLOOR FURN. . . . : 0 E:VAP COOLERS: 0
TYPE OF USE. . . . :SF UNI T HE:A FE::RS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. : IR3 VENTS (410 APPL: 0 VENT SYSTEMS: IZI
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS; HOODS. . . . . . . . 0
FUEL T YF FS--__._____..__._._ 0-3 HV",. . . . : 0 DOMES. 1 NC I N: 0
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: /GAS/ 1 / 3-15 HP. . . . : 0 COMMI_. INCIN: 0
MAX I NPU1 : 0 BTU 15-;.30 HP. . . . : 0 REIDA I R UNITS- 0 �
FIRE
DAMPERS . . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : 50+ HP. . . . : N Cl..f.) DRYERS. . : 0
1 NO. OF UN 1 Tri--- -- - - - A 1 R HANDLING UN IT S OTHER UNITS. : 0
FURN ( 1.00K BTU: 1 ( 1.0000 (.fm : 0 GAS OUTLETS. : 0
t FURN ) =100K BTU: 0 100011, c.f m : 0
Remar-ks : Replac_ing existing fi_trnar. z.
Owne..': ___._____._____ FEES
j SHARON WILDER type amol.tnt by mate r�ecpt
11515 SW LOMITA AVENUE: PRMT $ 25. 00 CJS 05/14/96 96-279394
5PCI' $ 1. 25 CJf.3 05/14/96 96-79:394
TIGARD OR 97223
Phone #:
Contractor.
CONTRACTOR NO"F ON FILE
-_-.._------------- 4
Phnne #: 'i; 1:"6. 25 TOTAL
Reg #. . .
REOUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Final inspection
Tigard Municipal Code, State of Ore. Specialty Codes and al l other has Line I n s p
applicable laws. All work will be done in accordance with Machan i ra l I n s p _
approved plans. This permit will expire if work is not started Misr_. .Inspection
within 160 days of issuance, or if work is suspended for more
than 160 days.
Permittee aiynat1_ir4C ,
for inspection, - 639-4175
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City of-Tigard MECHANICAL PERMIT Planck/Rec. #
13125 sw Hall Blvd. APPLICATION Permit #
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Tigard, OR 97223
(503) 639-4171 �tC '
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Description
Table 3A Mechanical Code QTY PRICE AMT
Job 1) Permit Fee -0- -0- 10.00
Address
2) Supplemental Permit 3.00
•m• +•—� Furnace to 100,000 13TU '
1) incl. ducts &vents 6.00
o »• Furnace +
Owner I ? � -�( ��1✓✓�� w1 2) incl. ducts 8 vents 7.50
1
Floor Furnance
3) incl. vent 6.00
-74M.-T.-TF-5.• w.. Suspinded heater, wall eater
4) or floor mounted heater 6.00
• o- ••• Vent not incl in
Occupant 5) appliance permit 3.00
• •• Repair of heating, re ng.
6) cooling, absorption unit 5.00
m• 7�-7 offer or camp, heat pump, air cond,
7) to 3 HP; absorp unit to 100K BTU 6.00
1A nfw
••• °^• Boiler or comp, heat pump, air cond.
C=� ✓ •c �' ('>7.3"", 8) ,-15 HP; absorp unit to 500K BTU 11.00
Contractor Boiler or comp, eat pump, air cond.
3) 15-30 HP; absorp unit .5-1 mil BTU 15.00
•• •v • CAV f1k. •• —ToI a 7 comp, heat pump, air con .
10) 30-50 HP; absorp unit 1-1.70 -nil BTU 22.50
ere y ac now a e'that ave read this application, that t tP Boiler or comp, heat pump, air cow
information given is correct, that I am the owner or duthonzed 111 > 50 HP; absorp unit 1 75 mil BTU 37.50
agent of the owner, that plans submitted are in compliance with Air handling unit to
State laws, that I ain registered with the Construction Contractor's 12) 10,000 CFM 4.50
Board, that the number given is correct. (If dxempt from StateI� Ing unit
registration, please give reason below.) 13 10,000 CTM + 7.50
Non portable
14) evaporate cooler 4 50
Vent fan connecte
15) to a single duct 3.00
Ventilation system not
L -' 16', included in appliance permit 4 50
• •w^1 •° Hood serve y
17) mechanical exhaust 450
escn e word new a clition alteration V repair Commercial or industrial — -to be done residential 0 non-residential Q 18) type Incinerator 30.00
�Exlstinnq use oT- ((�� (� o _ Other i.e., wo stove, water
building or property k 13) heater, solar, clothes dryers, etc. 450
Proposed -ise of "0) Gas piping one to four outlets 200
building or property --
-1) More than 4-per outlet (each) 200 4
Type of furl -oil (-) natural gas LPG O electric Q
NOTICE
M10,imum Fee 525.00 SUBTOTAL ��J
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.
r y TOTAL
Special Conditions
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•J CITY OF TIGARD BUILDING INSPECTION NOTICE
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Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL
Foundation Water Line Ceiling Plumb.
Post/Beam Mech. Shear/Shea!h Framin -Mach. F 1 '
PIbg.Und/Fir/Slab Plbg. Top Out Insu ation Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins. li
Other: -� < C,_, _ ■
Date: A.M. P.M. ntry:
Address:
Tenant:— Ste: _ MST: –!2tQ D Z U
BLIP:
Con/0V R ZSR MEC: i
PLM: _
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: _
Yt..e
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Ins ctor: Date: �J
APPROVED ISAPPROVED/CALL FOR REINSP. CF CO
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941111
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iCITY OF TIGARD
I'!ERMI-f #. . . :
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 04/; 6/96 ;
13126 SW Hoii Blvd.Tigard,Orogon 07223.8196 (503)830-4171 r'
PARCEL. : 101;s5DD-0 3606
SITE ADDRESS. . . : 11515 SW I_01-11TA AVE_
SUBDIVISION. . . . : I-01111A TERRACE ZONING: R--4. 5 �
BLOCI;. . . . . . . . . . . L_0T. . . . . .. . . . . . . . ..
Remarks: FIRE RESTORATION -ATTIC-
---•------------•------------------------------------------------ BUILDING ---------------------------------------------------------------- G:
---------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED-------------
REISSUE: STORIES.......: 1 FLOOR AREASr
CLASS OF WORK.:REP HEIGHT........: 16 FIRST..,.: 0 sf GARAGE.....: 0 sf LEFT........,.: 0 SMOKE DETECTRS: I
TYPE OF USE...:SF FLOOR LOAD....: 0 SErOND... 0 sf FRONT......... 0 PARKING SPACES: 0
TYPE OF CONST.:5N DWELLING UNITS: 0 FINBSMENT: 0 sf RIGHT.........: 0
OCCUPANCY GRP,:R3 BDRM: 0 BATH: 0 TOTAL------: 0 sf VALUE.,1: 7686 REAR..,......,: 0
- PLUMBING ----------------------------•------ -----------------------------
SINKS.........: 0 WATER CLOSETS.: 0 WASHING MACH.,: 0 LAUNDRY TRAYS, : 0 RAIN DRAIN ft: 0 TRAPS.........: 0 ''
LAVATORIES....: 0 DISHWASHERS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..: 0
TUB/SHOWERS...: 0 GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0 ;
OTHER FIXTURES: 0
----------- -------•--------------------- --------------------- MECHANICAL ------------------•---------------------------------------------
FUEL TYPES----------- FURN ( ION .. 0 BOIL/CMG ( 3HG: 0 VENT FANS.....: 0 CLOTHES DRYERS: 0
FURN )=106n ,.: 0 UNIT HEATERS..: 0 HOODS.........: 0 OTHER UNITS...: 0
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: 0
--_------------------------------•------------------------------- ELECTRICAL ----------------------------------------------
UNIT---
--•-------------------------•--------------UNIT--- ---SERVICE/FEEDER-•--- --TEMP SRVC/FEEDERS-- •---BRANCH CIRCUITS---- ----MISCELLANEOUS---- --ADD'L INSPECTIONS--
1000 SF OR LESS: 0 0 - 200 amp..: 0 0 - 200 amp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0 ;
EA ADD'L 500SF.: 0 201 - 400 amp.,: 0 201 400 amp..: 0 1st W/0 SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0
LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIA: 0 SIGNAL/PANEL...! 0 IN P._ANT...... 0
MANF TIM/SVC/FDR: 0 601 - 1000 amp.: 0 601+amps-1000 v: 0 MINOR LABEL -10: 0 r:
1000+ amp/volt.: 0 -------•----------------------------- PLAN REVIEW SECTION -----------------------•-----------
Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A,: ) 600 V NOMINAL: CLS AREA/SPC OCC:
------------------------------------------------------- ELECTRICAL - RESTRICTED ENERGY ------------------------------------------------------
A. SF RESIDENTIAL--------------------------- B. COMMERCIAL-----------•------------------------------------------------------------------
AUDIO 6 STEREO.: VACUUM SYSTEM..: AUDIO 6 STEREO,: FIRE ALARM,...,: INTERCOM/PAGING: OL11DOOR LNDSC LT:
BURGLAR ALARM..: 0TH: BOILER.......,.: HVAC...,....,..: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: •' CLOCK.........,: INSTRUMENTATION: MEDICAL.. ....: OTHR: :: l
HVAC.......,...: DATA/TELE COMA.: NURSE CALLS....: TOTAL # SYSTEMS: 0
vs
Owner: -- - -- ---- - -----------Contractor: ------------------------------- TOTAL FEES:$ 116.46 a`
DORENE THOMA5 SUMMIT HOMES INC
13620 SW CREEPIER OR PO BOX 68
TIGARD OR 97223 SALEM OR 97308
Phone #: 639-0826 Phone #: 503-581-5783
Reg #..: 71052
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other 1
applicable laws. All 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.
--------------------------------------------- --- -------- REQUIRED INSPECTIONS ----------------------------------------•------------------ .
Electrical Servi Electrical Final
Framing Insp 11ilding Final
Fireplace Insp .`
Insulation Insp _
Gyp Board Insp
Permittee Signat 1.ire : _.. ss1-i ed By :
Call for inspection — 639--4175 Y:.
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd. •
Tigard, OR 97223
(503) 639-4171
Jobsite 'dress: 1 i5 15 bUl L c 4 A I �
Subdivision: Lot# Office Use Oniv
Valuation: _ C� / _ Contact Date_ i / Initials-__ ,
rr! Result _
New Construction Only: (Square Footage)
Planck/Rec# QV'.5q12- �
�"�L��'�7a0
House: Garage: Permit#
Reissue of_
Corner Lot? Y l'�' Flag Lot? Y N Map&TL#_/31 i) P_O!3
--- - - Zone
Owner: -- � �d Y-��n� L —1T�k c' rI4A Plat#
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Address: 3l✓ ac 57 (--+e_S�nAeje Approvals Required
Planning Setbacks Solar
G Engineering
Phone. s U3 G� I Z Ct Y# 47 q_aa rr Other
Contractor: 4v\v', Items re
Address: J� rvt �' I`. Subcontractors
Truss Details
Other a
Phone: r N_OteS
Contractor's License#_ w�l 1�X 1 t��C,�
(attach copy of current Oregon license)
Contact Name: � _(Aa'ft'n,f ) �� i,u /
Contact Phone: ( 503) .3L, — 0 L/02, `/f
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Subcontractors: Architect/Engineer:
Plumbing: Address: -_-_
Mechanical:
(attach copy of current OR Contractor's License)
Electrical r'(,J e?6, ' _ r I Phone:
JOB DESCRIPTION r I m RQ f(rrAdI'e-o_ A f f �� ( 63) (351- 012
Applicant Signature Applicant Phone number C5V3) 5?r970"1 fcwL_
Received by Date Received: ej
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M N,n0j1STe5apV
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Account Descri tion �+^. nt o�+• Bal_, Due I
Permit;$
P
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Bldg. Permit (BUILD)
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Plumb. Permit (PLUMB)
Mach. Permit (MECH) _
State Tax (TAX)
Bldg: 343-
Plumb:
`I.Plumb:
Mach: ( Tl /
Plan Check (PLANCK) 52 _ 35 1
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF-R)
Mass Transit TIF ('TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-i)
Institutional TIF (TIF-IS)
Office TIF (TIF-O)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT) _
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: ���-�• _�
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INSPECTION NOTICE v � �
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�" City of Tigard Building Depar*roet
4 ' 13125 SW Ball Blvd. Tigard, Oregon 97223
inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
t '
Inspection:
Fouting Plbg. Underelab Hoch. Rough-in Appr/Sdwlk
g' Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Ineulat:ion -Plumb. !
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.
Date Requested: JZ - /-7 (��Z` Times 11M jP�M
Address: 1 7 ��f"w``^ Permit
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Builder:. �d'1� 1 VlCM41_�CDIQ
THE FOLLOWING CORRECTIO11S ARE REQUIRED:
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inspector: Date r
APPP—ROVED _ DISAPPROVRD APPROVED SUBJECT TO ABOVE
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_^Call For Reinep.
INSPECTION NOTICE
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City of Tigard Building Departzient
13125 ON Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
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Inspections . c.V1_,
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk E ,
Found. Plbg. Top Out Gas Line FINAL:
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Post/Beam Struct. San. Sewer Framing -Bldg.
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Post/Beam Mech. Rain Drain Insulation -Plumb. i
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requested: 1 -2 Time: AM PM `
Address: Permit 1: µi ( 92 -(13.3
Builder: r It.. t_ V4(tom f-rAQ
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:/! Date:
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PROVED DI3AFPROVSD APPROVED SUBJECT TO ABOVE tl
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Call For Reinsp.
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VIECHAN I GAL
CITYOFTIFARD PERM I T
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�11Y Rp F'E:f21�1I"f #. . . . . . . : IhEG9:�-038
COMMUNITY DEVELOPMENT DEPARTMENT ones"
13126 BW HWI Blvd. P.O.Bac 23307,TOW.Or"M 9791111�BD914"" U A I E ISSUED: 12/ ib/98
SITE ADDRESS. . . : 11517 SW LOMITA AVE: PARCEL:
SUBDIVISION. . . . : ZONING:
BLOCK. . . . . . . . . . . 1_0 T. . . . . . . . . . . . . .
CLASS OF»WORK. . :ALT• F:LOOR FURN. . . . : EVAP COOLERS:
TYRE OF USE. . . . i SF UNIT HEATERS. . : VENT FANS. . . : �
OCCUPANCY GRP. . :R3 VENTS W/O API-)L: VENT SYSTEMS%
STORIES. . . . . . . . . DOILERS/C0I1IF'RE•SSORS HOODS. . . . . . .
FUEL TYPES-----_.___.._.._-_ 0-3 HI=S. . . . : DOMES. I NC I N:
3•_ 15 HF'. . . . : COMML. I NC I N: �
MAX INPUT-75000 BTU 15-30 HI'. . . . : REPAIR UNITS:
FIRE DAMPERS?. . : 30---50 HP. . . . - WOODSTOVES. . :
GAS PRESSURE. . . : 50+• HP. . . . : CLO DRYE=RS. . c
NO. OF UNITS------- AIR HANDLING UN I T S O THE R UNITS. :
TURN ( 100K BTU: 1 (- 10000 cfm : GAS OUTLETS. : 1
FURN ) =-100K BTU: > 10000 cFm:
Remarks : Converting oil to gas fl_irnace. I hi. s is a dccpl ex.
Owner-: --.._.._.____._.._..-______.____.__________.___._._._____._.__....__.._.__..-•------.._.__.._.._.. FEES
DORENE THOMAS type amount by date recpt
PRh1T $ .10. 00 H'LL 12/16/92 -
`P,CT $ 0. 90 PLL 12/16/92 -
Phone #:
Contr-actor,:
HOLLY RAY MECHANICAL
9815 SW WALNUT PLACE, #59
TIGARD OR 97 :23 __..___._..____-_.________.________._._-_---•----.__...._ �::.
Phone #: 503-684-•3194 $ ia. 90 TOrAL
Reg #. . : 87666
RE0.UIRE:D INSPECIIUNS --- ---
This permit is issued subject to the regulations contained in the Final Inspection
Tigard Municipal Code, State of Ore. Specialty Lodes and all other
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 188 days of issuance, or if work is suspended for more _ -_-__•-
than 180 days.
P e r••m i t t e e 5 i g n a t i_t r•e :
IssLted By :
Call for inspection 639-4175
MECHANICAL
PERIhI T
CITYOFTIOVARD Al I PERMIT #. . . . . . . . MEC -0337 I
j COMMUNRY DEVELOPMENT DEPARTIAW ID DATE ISSUED: 12/ 16/92 �
13125 6vv►wi ekd.P.O.Sm 23397,TlpW,Oregon 67(SM)6304175 t
SUBDIVISION. . . . : L_OMIT•A ['ERR(-'ICE Z01\1INij: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :5
CLASS OF WORK. . :AL.T FLOOR FURIV. . . . : EVAP COOLERS:
TYPE OF USE. . . . :SF UNIT HEATERS. . : VENT FANS. . . : ,
OCCUPANCY GRP. . :N3 VENTS W/O APPL.: VENT* SYSTEMS:
STORIES. . . . . . . . : BOILERS/COMPHL::SSORS HOODS. . . . . . . :
FUEL 7"YF'ES---__.._,____._._....._ 0•-3 Hf='. . . . : DOMES. I NC I N:
3-15 HE). . . . . COMML_. I NC I N:
MAX INPUT:75000 BTU 15-30 HP. . . . : REPAIR UNITS:
FIRE DAMEWERS?. . : 30-50 HP. . . . : WOODSTOVES. . :
GAS PRESSURE. . . : 50-1- HV". . . . : CLO DRYERS. . :
NO. OF UNITS-- ---- -- - AIR HANDLING UIV I T'S O`f HE R UNIT'S. : ■
F'URN ( 100K BTU: J. ( 10000 cfm: GAS OUT'LETS. : 1
FURN ) -100K BTU: i iv,000 c,fm .
Remarks: Converting existing oil fl.irnace to gas
Owner:
SHARON WILDER type amount: by date r ecpt
11515 SW LOMITA AVENUE PRMT• $ 18. 00 PILL 121/16/9:
51='CT $ 0. 90 FILL 12/16/92 -
TIGARD OR 97223
Phone #:
Contractors
HOLLY RAY MECHANICAL
9815 SW WALNUT' PLACE, #59
T'I GHHD OR 9722:
Phone #: 503-684-3194 $ 18. 90 T'O'TAL
Reg #. . : 87666
REUU I RED INSPECTIONS
---- -
This permit is issued subject to the regulations contained in the Final Inspection _
Tigard Municipal Code, Strte of Lire. Specialty Codes and all other
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 188 days of issuance, or if work is suspended for more
than 188 days.
Permittee 5ignatl.cre :
Issi.ced By:
Call for inspection - 639•-•4175
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CITY OF T I CARD - RECEIPT OF POYMENT RECEIPT NO. a 921--2 3W19 I
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CHEMAMOUNT 18. 912)
WAMF H(-LI..Y RAY MECHANICAL CASH AMOUNT 0.100 '
ADDRESS) a 91915 SW WALNUT PL.. , #59 PAYMENT DnTE a IE/16/W.' I
SURD I V I S.I ON
TIUARD, OR 9-/223-
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PURPOSE OF' PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
....
11EC:HAN I C:AI. PE- 18. 00 ST.�BUILD I-IF F? 0. 90
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MECHANICAL PERMIT *92--03:38
J. 1517 S?W L OMI TA AVENUE
TOTAL AMOUNT PAID
�rY
CITY OF TIGARD - RF(-:F JPT CSF PAYMENT RE:CEIFIT NO. a98--:'34'71A
CHE('K AMOUNT c 18. 90
I�IAMFi a HOLLY RAY MEC:1.IANIC:A1._. CCi 7H AMOUNT a 0 00 I
ODDREGS a 98115 SW WAL..NU-1PILACU #59 PAYMENT DATE IP/1692
TIrtAPD, 1717 970.2-3-
PURP09F. C)F PnYMf"NT AMOUNT PAID PURPOSE OP PAYMENIT AMOUNT PA 11)
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MECHAN I CAL PE; 1 C+. 00 R T. BUILD PER R 0» 90
MECHANICAL PE OM I T #42-033-7
11515 SW LOMITA AVFNUF'
1"OTAL AMOUNT PAID - - - - > 18. 90
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