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INSFECTIOP, NOTICE
City of Tigard Bu 'ding Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phune 539.4171
permit #�
Type of Inspection
The fOnwing Building Cade deficiencif c are required to be corrected; c ��— _ i r.ra.
Presented to-• ------�_.__.__.-__—_-. —�---.-.--..-___ -- Inspector ----
Dste
CALL FOR RVAISPEC77ON
❑ YES ❑ NO
Ell=AS �—
BUILDING DEPARTMENT, TIGARD �n
r-� PLUMBING PERMIT
oO A,'oo;ley holder of a valid plumbing contractors license is hereby
authorized to cause plumbing work as herein noted to be installed in accordance with the plumhing code of
Tigard. Such installations require inspection by the City Inspector who shall be notified not less thin four
(1110 hours prior to the time the installations are ready for inspection. City of Tigard Business License required
!
for all contractors and sub-contractors.
Job L
Address_1.►K�0 C��%�E•� �!Dates. ���� _
NUMBER OF TOTAL
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT
I Sir2!e Farnll rL—I both--each �L.�. �_— 255.00 _ y
`Duplex-Fuch 1 bath unit _ _ _ 25.00
Additional bathrbathrooms--tach10.00each � _ Y�
_�,1ih�l•_Flrm•�5�.„._:_u'�h _.._.______._.---_._ . __.___ 15•:1 _.__ ____._ ___..._.._._ ...___-.__._.. -.__.__...._.___..._....__
INDIVIDUALwF_IXTURE6
�1 to 50 Fixtrtrei in 1 bulldina::oach _ _ _ _ —3.000
_ 61 to 100 Fixtures in 1 buildin —each —_2.50
._1,01 to 200 Fixtures in 1 buildin •-•cach _ _ 2.00
201 or more fixtures in 1 buildingearh _ . —� 1.50
M ISCE!.LANEOUS
Sswer-each additional 100 Pt. _ 10.00 �"•_._...__� _._�__.._....—..._
._'PJjtrr service to building ._...� j +6,00
PERMIT 0lV For Plumbing Inspection Phone 639-4171 /J
�I ,State
Plum'iing Contractor Et
TOTAL s-� �i(,l RECEIPT NO. Issued By
.�rrsixr•rrw
� IA
City of Tioar' d Mechanicai Peril-lit N? Permit______�3.0
New Initallatio'l �Fteplace Relocation ❑ Addition 0 "Oteration 4%State—
HEATING - t` r/� Tf+
CONTRACTOR � L�' ! � �_. _ OWiNJER- 1 .
WORK ADDRESS/aq
-f-- 0
PHONE Q 7 O '" SAPPLICANT
Hev Input RatingBTU Pe, Hour) _ Vent Size dt Flue Size
i UEL OIL ED GAS 2' ELECT LI OTHER__
ITEM N0. FEE` - ITEM ` � N0. FEE
,-or Issuance of Permit _ EE ABOVE Air Condition Compressor 15 to 30 HP 10.00 _.
Navy-up to & itic 0 900_0 RI U Y 4.00 _Air Handling 10,000 CFM _ +V 3.00 j
New-100,001 BTUs & ove t _ 5.00 P Air Handling Over 10,000 CFM V 5.00
rIcer Furnace 4.00 _ Evaporative Cooler
,,ball - Floor Suspended4.00_ Range Vent Fan
Install Vents Only _ 2.00 Vont System - 3.00_
Reoair •Heat& Cooling 4.00 Hood Commercial — _ 3.00
Air Condition ComFrassor Under 3 HP 4.00 Commercial Duct System 10.00
Air Condition Comuressor 3 to 15 HP 7.50
INLPECTGR'S C'04%N T S
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB.CONT9ACTORS
i1lP90VED BY DATE ISSUED BY DATE
^ECEIPT NO
74 Signature of Applicant
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P,i11LDING PERMIT APPLICATION TIGARD
DATE .'.j-�-�_ 19 80 3369
THE UP4;:)ERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 620-61380--
OR
20-61380OR A:,SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIF'CPTIONS. OWNER PHONE
LOT NO.__64 - Amar.��
OWNER Tr.a .s�mark Homes JOB ADDRESS 2.29701 SW Glacier G[1� Cir.cla: ;ulnmer Laks
--- —�`-- ARCHITECT
ENGINEER
BUILDER same ADDRESS 7185 SW _Sandburg St. DESIGNER _—
STRUCTURE _ A NEW ❑ REMODEL ❑ ADDITION (71 REPAIR ❑ RENEWAL 0 FIRE DAMAGE C7 DEMOLI i'ION
LX RESIDENCE C1 COMM ❑ EDUCATIONAL ❑ GOWT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑-GARAGE_❑_STORAGE ❑ SLABCI FENCE
OCCUPANCY LAND USE ZONE--R 7110 BLDG_TYPE ;_ FIRE ZONE.__ PLAN CHECK BY ` Wt HEAT_--Ua B
_ I.:anstr,jct sinoil.e- familyduelling a1attached ge.rac 3_Bedrooms 2 Baths.
SEE CORRECT iON SHEET ATTACHED.
SEWER PERMIT M %l0 fi i aC�l�0 --- _-- r$(,1�—�3 �•f t.
OCC.LOAD FLOOR LOAD 40 HEIGHT 15 -_NO.STORIES 2 AREA 2291 NO.BEDROOMS 3 VALUE Si d l s :'.0I1 r
F�It;t7. J251,00
ILDING DEPARTMENT SFT BACKS FRONT 20 REAR 50 LEFT SIDE 10 RIGHT SIDE
THIS PERMIT(S ISSUED SUBJECT 1'O THE REGULATIONS CONTAINED IN THE BUILDING CODE ZONING
-
' REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT 1 HE
Plan Check 125. 50! WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total .376,50 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
— LICENSE.SEPARATE PERMITS R SEWER,PLUME NO AND HE.ATINGI, OFS360.00
State Tax
p;' l0.04 _ r �� i
1
Total 654
PDC# Sion.nn APPLICANT'OR A NT _
�
By ---- R1 - --
__ �
Approved--- --------doh Receipt Na
i
DATE INSP. TYPE INSPECTION REMARKS PLUMBING I DATE
P`-%v _ Contr„etor w
Permit No. -7y
Rough-in
Fixture
X — Final
/moo
HEATING
/!� Ad r� C • _ Contractor
--- Permit No.
Gas or Oil V
— — Roughin
�.— Final
SEWER
Final T_24—1'O
DRIVEWAY
_—i --- Final
Storm Drainage
(Rain Drain)Final
Sidewalk
rC;jrb Street Final
chBLDG.DEP P.PINA-L � TEMPORARY CERTIFICATE OCCIIP!,ERTIFICATE OCCUPANCYaping
Znninfi Final
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