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BUILDING DEPARTMENT, TIGARO
PLUMBING PERMIT O
holder of a valid pll.mbing contractors license is hereby
authorized to cause plurrihing v oorr'k as herein noted to be hist,6:-d n ac:ord,irice with the plumbing code of
Tigard, Such installations require inspection by the City Inspector who shall be notified not less than four
(;) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for all contractors and sub-contractors.
elo�,
Job
AddressllLt /Date.
I
NUMBER OF _ � TOTAL
TYPE OF PERMIT _ ITEMS FEE ON EACH AMOUNT i;V7
1R `_ JJ2 E N T I —
S,nale Fanmity--1 bath--each _ _ 25.00
Due;Ax--Each 1 b.ith unit �.� 25.00� _
Additional bathroom s--•ach��— _—` 10.00 _ y
_ M1lobde Home Space—each 15.00 ---
INDIVIDUAL FIXTURES C01`1f'1ERCIAI "'� '
1 to 50 Fixtures in 1 building—each
_51 to 100 Fixtures in 1 building each — 2..0
101 to 200 Fixtures in_1 buildint—each — ~ 2.00
(_ 201 or more Fixtures in 1 bulldin --each _ 1 50
( MISCELLANEOUS _
Sews—each additional 100 ft. �10.o0
Water Service to building —� — 6.00 _
Other ISn'!Ofy1:
I PERMIT, o For Pltlmbing Insppclion Phone 639 41%l _
I : State t7 Plumbing Contractor By
! TOTAL ,J 6�• RECE1137 No. Issued By
4
G of � c, rd ��kl'i)(��11C1�I F)t l�il�f �?� .. Permit---- S3-CO—
L-)>, _.
Fr_e
Init511aI'orn 5 Re:�!a.e I_J Relocation ❑ Addi;ion _� A!i`fetion LJ
3';;.State
,�� TOTAL
01A'NcR h,^J&
A�r)P=_ss w 31 // o dt�t AU ��ekAA
_y6_� _ X20 ---._ WORK RLSS1Q7��6�. �
PHONE �?—CL, /-�— ----_ -- -- APPLICANT-
Heat Input
Ra-zing (BTU Per Hour Vent Size
1 p g I-- =�7 -QQ-- --- — - __ Flue Size -
!�` FUEL OIL ❑ GAS ❑ ELFCT OTHER
ITEM I\O. FEE ITEM NO. FEF '
For Issuance o. Permit _ 3.00 Air Condition Compressor 15 to 30 HP 10.0
New- UnJer 109,000 BTU � � 4.00 Air Handling 10,000 CFN � 1 3 0
New• 100,000 BTU & over _ _ _5.00 •'Air Handling Over 10,000 CF M - 50
Floor Furnace _+ -� A_--_ -_ -�_ _d.00 Eva-p;,rative Cooler
3.0
Nall • Floor • Suspended - - -�- 4.00 Pang!Vent Fan -
Install�Vents Only_ 2
_ —Y _ - - _ 2._00 Vent_S)omrn _ U
`
Repair • Heat & Cooling _ -�' •� "'-'7
_ _ -4.00 _Hood Com_rner_cial___. p
Air Condition Compressor_Under 3 HP-_ _ _ 4.00_ Cortamercial Duct SYstern
•-- — __ - - _ ..._.�___._r.—._..._.-- - _ 10.0
Condition Compressor 3 to 15 HP 7.50
�T.�.._-.-��_..�1�__..�Q 1.�L.?�._. .^..�.L�•:3_ �a-.».�. .-.-_i_.....a.-.�.�Y.•-:�•t•�L•:.SLSR-•SCi'!==]49II1S-.S..-�__..-t3X�_.... _� � �
INSPECTOR'S COr,4r✓ENTS__.______--__.�____ —_..__.�_______.___..._�. _� _�•._____
CITY BUSINESS LICENSE REOUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS
APPROVED RY__ _...._ _- _-- _—. DATE - - ISSLIFD BY
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CITY
BUILDING PERMIT APPLICATION OF TIGARD OATF.__— 19 14
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONt
LOT NO
sk F'�1� itivrrl�t ,r lt�UO r H_O_khfADURESS
OWNER ' 1rJB ADDRESS �� Gar'den "i;
+� ARCHITECT
ENGINEER
BUILDER
ADDRESS DESIGNER
_TRUCTURE ❑NEW ❑R1 MnDEL _ CADDITION ❑_REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑pEMOUTION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOWT ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
_❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL.APPROVED ❑SVGNS�
OCOPANCY M-LAND USE ZONE_ BLDG. 1YPE- —FIRE ZONE_ PLAN CHECK BY_ I I W HEAT
' ul uLCuct, j-1ing1to t+nMi ly duelling u/Eitt.rllctiou, -; urugv, 2 bwkjrruom 1 ✓loth.
'rypr "y fico-yeeuo. 1-Flour FiCaw ,ll At uommuin property lino.
Sauer Permit 18097 - $M*CIC
QCT.LOA. ....F-LQQR LOAD .NE.1�ilil N4�I_2FI�-.-__--_AP_�--- ND.Br 0 .
BUILDING DEPARTMENT 2r.)
SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit — -- .L 1:�.00
--" — THIS PERMIT IS ISSUED SUBJECT TO THE FEGULAI'IONS CONTAINED IN THE BUILDING CODE, ZONING
U
Plan Check 1.i3�:�10 REGLATIONS 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
Subtotal 127,00 AI.L. APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERK41T DOES NOT WAIVE
"— 4. � RESTRICTIVE COVENANTS. CONTRACIOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax LrCENSE SEPARATE PERMITS REQUIRED FOR SEWFR, PLUMBING AND HEATING.
Total
BY
"---'"'— ---- `.,o APPLICANT OR A4FNT
Approved Receipt No
..........
DATE INSP, TYPE INSPECTION REMARKS PLUMBING DAME
Contractor
Permit No.
RoLffi-in
Fixture
a,7 Final
HEATING
Contractor
Permit No. 722E /0
Gas or Oil
Rough-in
Final
SEWER
Filial
DRIVEWAY
Final
Storoil Drelrep
(Rein Drain)Final
Sidewalk
Curb&St'set Final
-Approach
BLDG. DEPT.FINAL TtMPORARY CERTIFICATE OC Final
cERTIrICATE OCCUPANCY
CJ Landscaping
Zoning Final