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11085 SW COTTONWOOD LANE
N A irmWKAMa1. II 1 F• 1•• W N U) 0 C+ 0 E 0 co CL r m a co Y A h i 11085 SW COZTONWOOD LANE; C City of Tigar-d Mechanical Permit New Installation 'ti' Replace Relocation F Addition L Alterdtion DATE: HEATIN(1, CONTRACTOR OWNER -e:. ,— ADDRESS ------ JOB ADDRESS—, PHONE APPLICANT Heat Input Rating(BTU per Hour) Vent Sizv Flue Size----.--.- FUEL OIL GAS E] ELECT OIHER ITEM NQ.j FEF ITEM NO. FEE For Issuance of Permit SEE BELOW Ear.h Air Handling Unit or Duct System 7.50 New--_p to.LincIjQ0,0Q0 BTU 6.00 Co-imercial Ho, 7.50 q. tw 100,'0') BUT's & over 7.50 Other Equipment Each 4.50 WoodbUrning Stove 4.50 1 Trio Inspection 4.50 Wall-Floor- Suspended 6.00 Air Condition Compressor - up to& incl.3 H.P, 6.00 j Vent ijv� 5 y_qer ./Fan 4.50 --Air Condition Compressor_3.1 to 15.H.P.incl. i Tc o " 6.00 CITY BUISI NESS LICENSE REQUIRED BY ALL !^ONTRACTORS OR SUB-CONTRACTORS ! PEHMIT PSSUANCE 10.00 Comments: FEES SUPS-TOT AL % STATE Issued By 251,6 PLAN CHECK T01 AL REC. #t _— Signature of Kp– wu ,,ygy�I a(ppy� �y�,•M�� t W.10-4 '^I' �'✓Ai ,. iy� R 1' L'• �•y�./\'►�h^'�r�' D i ..r�f� + A M G1�L. 51 \{f' OF t. �/p s CITY OF TIGA R �Iv OREGON Monogram HomesOwner............ ...._ ............. Permit No. lP_ -ess..11085SW Cottonwood Lane Building Addy ... ....... .. Certificate is, hereby given this...l4th day of Novamb�,r._._ l8...77 = ; that said building may be occupied and } I that it,complies with all requirements of the Building Code for the City of Tigard, as approved by the Tigard City'C:mncil. 'J` C�rI Int oldln�t r .......................... fLJ��`���fii�/��'�•�r- '�;roJkyRar �. •v� flrid�' , '� `�Q► Le+y�L�,tr/�Sa�,��_�r, _ Permit P u r m i t charge 7 t,r n n r C L7 ri n e c t i n n f e c P o i d by Typ,) or lau lcii.r, Data confloctod ��'C'J1.C.f? rate ......�... ...../_._.�,......... InspurLifin r o Paid by D t -;iic fa',' annnort.ion Ass asstiarit .__- _ fraud �_�. �� - ���r„1_ __s:a�„o"f � tCIty ` t I -^•.i�� -•.F i __- ' Fee._ , _ New Ins;allatlon J Replace EJ Relocation D Addition FJ Alteration ❑ �;�State_.��.__ _ CONTRACTOR _ O/11�e's OWNER S/A/ ,E__ ADDRESS_ i,�� S.(�? . '_ _..,��/� WORK ADDRESS ,, - 'ocpZA PHONE _ _ �_Q,( APPLICANT 'Ar-eA pd�s• _ Heat Input Rating (BTU Per Hour) _ � , 40 0 Vent Site _ Flue Size _ FUEL OIL U GAS ❑ ELECT OTHER ITEM NO. FEE ITEM NO. FEE For Issuance of Permit ✓� 3.00 Air Condition Compressor 15 to 30 HP —� 10.00 .r New• Under 100,000 BTU 4.00 Air Handling 10,000 CFM _ _ 3.00 New• 100,000 BTU &over _ 5.00 Air Handling Over 10,000 CFM _ 5.00 4,00 Erative Cooler 3.00 Floor Furnace Evaporative_ - Wall • Floor-Suspendsd _4.00 — Range Vent Fan _ _ 2.00 • Install Vents Only _ -- - - 2.00 Vent System _ _ - 3.00 ,'.+,; - ------ -__ c. ---- Repair - Heat& Cooling _ 4.00 Hood Commercial - t` 3.00 ,4'-,- Air Condition Compressor Under 3 HP _4.00 Commercial Duct System �E,� _�Q- 10.00 Air Condition Compressor 3 to 15 HP 7.50 a INSPECTOR'S COMMENTS r; �e•' ., CITY BUSINESS LICE \ IRED FOR ALL CONTRACTORS OR SUBCONTRACTORS APPROVED BY DATE - ISSUED BY __ DANE RECEIPT NO. ,��., .�./..Gf -- J774 Slonature of Applicant 1 I lu I Lr �, •p •,- of .. r _r w"- a E: e licc: c (� O N y I F- 10 C� O r 1 •1 If (7 (]. .13 N U C) 13 'n a Lq Ci 0 11 to c ? _y N 4 '3 o e� iv ri 10 cf r3 ri d to Vi t.) .Q i r v Cac r. �' i3 I I I I M r � ° 0UQ 4• od. n) c � 3 CL r of .:t 4 (c o .c u w i p 'p w i N 'i7 fd IL u .G w .� y �) 7 t0 ,C C C In O V f j :J � �J O 41 j3 .� �o a- rn -Jx x x �x ,wr 0 Q LL 1 i4 m N C' ,v 1, r UfV. , �. SEWER PERMIT N° 13463 Unified Sewerage Agency T1 and of Washi tun County CITY OF _.�__—_____ DATE _ 6-'i0-77 Flono ram Homes PHONE : 646-0186 OV�fJER : 5 — OWNER 'S ADDRESS: — TYPE OF INSTALLATION: ®BUILDING SEWER ❑BUILDING SEWER AND SIDE SEWER TYPE OF OCCUPANCY: 6]NEW © SINGIE FAMILY ❑ COMMERCIAL ❑EXIST . (PRIOR TO 7- 1- 70 ) ❑ MULT . RES. INDUSTRIAL FIXTURE UNITS DWELLING UNITS 1 PERMIT CONDITIONS: THE APPLIC/,NT AGREES TO COMPLY WITH ALL RULES AND REGULATIONS OF THE UNIFIED SEWEPA'.,E AGENCY . WHEN CALLING FOR INSPECTION, PLE/ SE REFER TO THE PERMIT NUMBER. THIS APPLICATION EXPIRES IN ONE–HUNDRED AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL BE FORFEITED SHOULD EXPIRATION OCCUR. FEES: PERMIT FEE ____ 25. CONNECTION CHARGE 575• SIDE SEWER INSTALLATION — ISSUED BY OTHER — TOTAL_ 600. APPLICANTS— DATE SEWER PERMIT M 13463 ADDRESS OF STRUCTURE 11065 SW Cottonwood i.�LLB TAX MAP TAX LOT __, SYSTEM fanno creek LOT 190 BLOCK OF — - APPROVED BY UA TE ISSUED BY DATE REMARKS bldg. 71582 BUILDING PERMIT APPLICATION 11T v ����'►RD DATE �' 30"' ;-19— THE UNDERSIGNED HEREBY 4PPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BLJILDERPHONF F,l� Est. OR AS SHOWN AND 4PPROVED IN THE ACCOMPANYING PLANS AND SPECiFICAT10NS. OWNER PHONE--_ lite LOT NO, OWNER NOI IVE JCC ADDRESS 11085 SU r`)t,_ QtlwUrg¢ HOME ADDRESS ARCHITECT ENGINEER BUILDER ADDRESS DESIGNER STRUCTIJRE ❑NEW r-�❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION RESIDENCE ❑COMM DEDIJCATIONAI_ ❑GOV'T ❑RE( IGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLA13 [:]FENCE ❑BOND C1 MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY-1—LAND USE ZONE ,!-7 _BLDG.TYPE—.FIRE ZONE— PLAN CHECK BY IGI tU HEAT_ convt. :"ra,.,;is family dw dling w/atta,.1Ied garfj. , ,i rniuroom 7 teeth _----F_L.4QR LOAD '4' I-IE IC;HIrt_,._____.gR•EA1409 No.BEJB QM,� 3VALUE .0 i �''�'• BUILDING DEPARTMENT_- SET BACKS FRONT L REAR 42 LEFT SIDE 11 RIGHT SIDE Permit 13300 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING Pie Check 66,! r) 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 Sub-total ALL. APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT 'NAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITU 80!'.CINESS State Tax . 99 LICENSE. SPARATE PERMITS RE014IRED FOR SEWER, PLUMBING AND HEATING • yeI>��r, ;un . Total i.9 By -- APP1,ICANT OR AGENT Approved wt.w Receipt No ---- -- - A b 55 -- -- -___ - III,,INE +.4.rM....u:v..WW,:W.v..wr4.uYYrwYfYYYM11YYY1�WAw•�iY,..La.UJ+a..u+.- -.n ..a.i..Lbl,f#.MiWYWI�WUiwJItYW,i-:.,«....,....f�...• .w..:...... DATE INSP. TYPE INSPECTION REMARKS PLUMBING OA'JE 7 t; Contractor ��-- Permit No. / 36 !W- 749 Rough-in Fixture — �*,�a,Q,[r„Kyc.« Final HEATING Contractor Permit No. _ L7C 2P C7-124? Gas or Oil Rough-in Final SEWER _ Final DRIVEWAY Final Storm Draina rA ain) Final Street Final _ h SLOG DEPT. FINAL TEMPORARY CERTIFICATF OCCUPANCY CERTIFICATE OCCUPANCY Landscaping Zoning Final �. 1