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BUILDING DEPARTMENT, TIGARD
'r PLUMBING PERMIT N
O
holder of a valid plumbing contractors license is hereby
authorized to cause plumhing work a!; herein noted to be inst filled in accordance with th(. plumbing code of
Iigard. S-ach installations require inspection by the Cay Inst ector who shall be notified no! less ,han four
(4) hours prior to the time the installat,ins are ready for inspection. City of Tigard Business License required
for all co tractors and sub-contractors.
Jab
Addresslllll� �✓�2� t.l�/f�ate�i�
NUMINER Or — TOTAL
j TYPE OF PERMIT '[EMS FEF ON EACH AMOUNT
�I
F_yO E N 1_1 A I
Sina!e Family—i bsth-.each 2500 _ 4.
Ou x—Etch 1 bath unit /
el' ._.--._ ._ _�...._^...._.._. �... 25_00
Additional bathrooms—tach 10.00,
Mob0e home race—each _ 155.00 r
►NOIVILUAL FIXTURES COMMERC1Al _
1 to f;0 Fixtures in 1 building—each 3.00
51 to 'OU Fixture,in 1 buildin each
t----.— --9--_ 2.50
101 to 110 Fixtures in 1 building— ch ,— 2.00 —
I201 or more Fixtures In t buildina—each _ -- 1.50
I1•1ISCELLANEOUS _
Sewor—each additional 100 ft.� -10_CO
Water Service to build' —� — _ 5,00
P IT , c For Ph,mbing Inspection Phone 639 41?1
q%State Plumbing Contractor By
TOTAL .3G, y C _-` RECEIPT NO. Issued By
City of Tioard Mechanical Permit
0 00
New Installation x Replace Relocation CJ Addition CI Alteration 31A State
CONTRACTOR Ytf&A"s OWNER
7 de
ADDRESSffWORK/fDORESS
IV e.0
PHONE APPL1CANT------
He-3t Input Rating (BTU Per Hour) 0 Vent Size Flue
FUEL OIL ❑ GAS ❑ ELECT
ITEM NU. FEE ITEM NO. FEE
For Issuance of Permit Av-Condition Compressor 15 to 30 HIP 10.00-
New
10.00New- Under 100,000 BTU 4.00Air Handling 10,000 CFM 3.00
100,000 BTU &civer 5.00
__J Fir Handling Over 10,000 CFM 5.00
Floor Furnace 4.00 Evaporative Cooler _00,_
`Nall - Floor -Suspended 4.Co—--Range Vent Fan- 2.00
Install Vents Only 2.00 Vent System 100
Raps r -—Heat& Cooling 4.00 Hood Commercial 3.00
Air Condition Compressor Under 3 HP --4.00— Commercial Duct System 10.00
Air Condition Compressor 3 to 15 HIP 7.50
;NSPFCTOR'S COMMENTS
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUBCONTRACTORS
APPROVED BY y DATE ISSUED BY TATE
HECEIPT NO.
76 Signature of Applicant
V4,
CITY 'rl`7ARIV DATE_— Of /___...._-. Is 79 _
BUILDING PERMIT APPLICATION of '07_.,6Y,
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PHONE_
LOT"!O.
OWNER ' �( Hill Invet.Vo 90o ADDRE:SS"I t'� t1Q rJls (�RII I'tt$!fl �'3:i Y HOME ADDRESS
ARCHITECT
.)1:C��t6i r.L d`+�, ENGINEER
BUILDER ADDRESS DESIGNER
STRUCTURE ONEW _❑REMODEL _❑ADDITION ❑REPAIR ❑RENEWAL ❑FIREDAMAr3E ❑DEMOLITION
Q RESIDENCE ❑COMM ❑EDUCATiUNAL ❑GOV'T DRELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY LAND USE ZONE-_ —BLDG TYPE FINE ZONE._ PLAN CHECK BY HEAT –
Li-, rAT'LICt E.JingL1B family uwwl.linq Kttechud g4rayla. i 1,wt;r'Uum 2 uaLh.
• XYPf "C" He -lsoule. I Hour firewall •t common pruporty lirls.
,.afwer I')armit 1?1689.s — $70-j.00
--- — -- &&rAA&&8 HA2 o u.f L
960
cu:c 4.QAo E.LQQELLQAp-_-. _.-- I 1S�NL---------_ &-1 BEs___ ABEA NQ.1�EI1E4QM;L---- AL.LE--.---- _------
BUILDING DEPARTMENT SFT BACKS FRONT REAR LEFT SIDE_ RIG.IT SIDE
Pellnit 1 %141•`
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINeD IN THE BUILDING CODE, ZONING
Plan Check 10,16Ia REGULATIONS AND ALL APPt,ICABLE CODES ANO ORDINAI ICE!,, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub total 131.00 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 Tax 4,84 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PI_UM91NG AND HEATING.
Total $13'U.84 SKXAO,k,,1441164101) I,!
Poc #1 1100.00
9y
3619 APPI-ICANT OR AGE NT
Approved --��� Receipt No.
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE —
oit 79 105" o ! -�— Contractor
Permit No. fel-74
Rough•in —
OO_ Fixture -- --
C J Final
HE'iTING
_T-T fi n•R L — --_-- __ -
- ---------^ --- Contractor
---- — Permit No. &
Gas or Oil �----
�— Gough-in
._ _ — —.— --------- _--. Final
Final
--- - ---- — ---------------- DRIVEWAY —
_.—_— Final
—-- — ------�— — Stoixt Drainage
-_ — ---�-- �- -
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY - g J ,�/ — —
0
Landscaping
Zoning Final