9295 SW ELECTRIC STREET-5 I
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9295 SW ELECTRIC STREET
CITY OF TIGARD Plumbing Permit 3 : ?0
Building Department Na,
Residential Commercial
New Installation Ll Replace Addition El Alteration
Licensed
Ft — Owner
Address Job Address
Phone Applicant
CITY BUSINESS LICENSE REOUiRED FOR ALL CONTRACTORS AND SUB-CONTRACTORS
ITEM NO. FEE i'OTAL ITEM NO. FEE TOTAL
L7.5 ri S'_?wei_:First10_0ft. 30.00
If AfV_ 15.00
Fixtures-Taps 1
nishwasher 7.50 FachAddit 100cl.
Garbago Disposal 7.50 Ejecto, V-lump 7.E0
–
Water Heater 7.50 Water:First 10 20.20
Back1low Preventer 7.50 a Ad 15 0.0
Stor in Drain: 1 0 ft.
EkhAddit'2 00
pacp 25.00
aqlq
Other(Specify): Rain i -Sin15.U0
Commentsi
PERMIT FEE
Issur
d By:
STATE %
v Receipt No. Applicant
TOTAL J sigriature
For 1,lumbing InF iection Phone 6'39-4171
A
deff MIME
Address 3�- �c 'S� Permit No. - -
" ' Permit charge 2?0 e-
Owner _ t _ a Connection fee
P a i d by A-0, --.
Type of huiiding - � -�� Gate connected ~
:service rate Inspection Fee
'',ontractor Paid by date
Size of connection As Pssment Paid
l
t
?ddress y ec ,Cr,�'iG Permit No.
Permit charge0�7 tri_
Owner c� ,�_,i{ ;fit 1, �.a _ Connection Fee
.... Paid bys 1 .cry J
i'yuc of building *W. est-, Date connactod
Service rate Inspection fee
Contractor P:aj d by _ dae
Sire of connection As s%V s m a n t, Paid _�
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Address WJ ���-_ Permit No.
Name of Occupant (3-1,ve-g–W Permit charge
cornreetresR-t�e .3Le, e e)
Paid by
Date connected
Type of Building_ �� �_ Inspection fee ______ _
Service Rate—_ • y Paid b
Contractor Assessments ____..____ Paid__
Size of connection
Vol jCV.1mvp
CITY TIGARD UATE..-. t9---
0�3-?7 1 fi�a7
BUILDING PERMIT APPLICATION of
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE NORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS ANO SPECIFICATIONS OWNERPHONE
LOT NO.
OWNER �Ljl11 PatU - JOB ADDRESS -)b JW t}e,(. HOME ADDRESS
ARCHITECT
ENG II•IEER
BUILDER ADDRE��S--1S I�t DESIGNERSr--11_
STRUCTURE ❑NEW ❑REMODEL UADDITION ❑REPAIR ❑RENEW��--A11L IJFIRE DAMAGE ❑DEMF-O-�LITION
❑ RESIDENCE' ❑F1CCOMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIO-U1S❑PATIO ❑CAR PORT DGARAGE G STORAGE❑SLAB ❑FENCE
❑BOND L_177MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY' �2 ,L/1ND USE ZONEL'3 BLDG_.TYPE__._. FIRE ZONE_w_ PLAN CHECK BY �_ HEAT____
QSG,LQBD—.____ FLOOR LOA_Q __.HEIGHT_„__1VO,STORIES -�{EA -_ ROQMS VALUE
BUILDING DEPARTMENT SET BACKS FRONT ` REAR L_FFT SIDE 'i 0 9" RIGHT SIDE �-
Permit 41,11,UO THIS PERMIT IS ISSUED SUBJECT TO THE REOULATIONS CONTAINED IN THE BUII.DING CODE, ZONING
Plan Check 11a 9(I REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES AND IT IS HEREBY AGREED THAT THE
- WORK 1YILL BE DONE IN ACCORDANCF WITH THE PLANS AND SPECIFICATIONS AND IN CJMPLIANCE WITH
Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tar, LICANSE S'.PARATE PERMITS REQUIRED FOR SEVVE �1.PLli
U fIING AND HEATING.
I�Ci�,c)fil 1JbV� U(.1[flEri 1 i :.1 .1. i
Total
By _ --
APP- (CANT On AGENT
Approvisd tIf Receipt No
ADDRESS - PHONE
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
76
I nn Permit No. �� Z _I.L_
S — �f-
-10
`1-z-8-1Rough-in
h•in
7 V, �f/Y.uca-.: /��,�-P_�t— _
Fixture_
Finni
/4AJ3'�� C.i✓k1td�►_'���25� J�tiS��'0w� — l t, �f/� HEATING
"4% C � ' Contractor
Permit No. —_�
Gas or Oil —
..__ Rou h•in __� _ _
--------�—_ Final —
_____� __—_ �.---------
SEWER
_—
Final
Final
— D'IVEWA.Y
Final
Storm Drama
gf
(Rain Drain) Final—^_ r
Sidewalk
Curb&Street Final
_ A ror ch _
BLDG DEPT.FINAL V TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY ---
Landscaping
Zoning Final
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BUILDING PERMIT APPLICATION CI Y TIGAR® DATC ' 17-77 t9_ 1643
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMF',ANYING PLANS AND SPECIFICATIONS. OWNEP. PHONE-.-
LOT NO.__
OWNER .. Ljy lit ik3L'J �JOB ADDRESS LJ2).4 SW LICLAti1- IIOME:ADDRESS _
ARCHITECT
ENGINEER
BUILDER ADDRE3S _ DESIGNER
STRUCTURE ❑NEW ❑REMODEL ❑ADDITION ❑REPAIR` ❑RENEWAL ❑FIRE DAMAGE ObtMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOVT ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY-__—LAND USE ZONE—_--BLDG.TYPE-.---FIRE ZONE_ PLAN CHECK By.---. HEoT
to dwMiliall Uxi6tlrlyd huusL, Tax Loi, 33(J0 iax I'lapis'i, kAb
_1V2�Ei2t�OQMS�_-YAJ.t1E�----
BUILDING DEPARTMENT SET BACKS FRONT PEAR LEFT SIDE RIGHT SIDE
Permit - --------=_—_- _ ---
THIS PERMIT IS ISSUED SLIBJFCT TO THE REGULA71ONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS NE9EBY AGREED THAT THE
WORK WIL.I BE DONE IN ACCORDANCE WITH 1 HE PI ANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRILTIVE COVENANTS. CONTRACTOR ANn SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax Z(3 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING A 1) HEATING.
Total
By _---
___.�_._._... I APP (CANT (!R AGENT
Approved j Receipt No. j
Ab EsS� 7t1�E -
....,...,............... ....-....d....,,_.c....., . ._,_.�........._. `_....;_am,...wu,SwF.-,.....:_,._-.....i ,. _:,.......:...-...rcu.,,,.. ..v...a..,..,.:..r...,........:.__ _ ..__.. ._ ._-., .
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DATE INSF. TYPE INSPECTION REMARKS — PLUMBING DATE
Permit No.
_ Rough-in _
Fixture —
_ Final _
HEATING
Contractor
Permit No.
Gas or Oil
Rough-in
Final
SEWER
Final _
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
Approach
BLDG DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning 1 inal `
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