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CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAW STREET
TIGARD, OREGON 97223
PHONE 639-4171
CONTRACTOR
m
Pursuant to Section(s) of the Uniform Building Code, the
following Oem(c) require correcting:
Date: Permit No.
Inspector
CAU FOR REINSPECTION
Peril
Ci'y of Tiber rd Mechanical Perrlit No
Fee- 12.50
New Installation, [� Replace :� Relocation 0 Addition 0 Alteration [�' 4%state
HEATING TOT
CCIIJ'tRACTOR H _1i Furnace Sheetmetal Inc. OWNER Mike Baccellieri '
A0DRESF`p 6B2x 05 }� weUri X37 �4 WORK ADDRESS
PHONE_ APPLICANT y
Ile+t input Rating 1BTU Per Hour) 137pQQ _ Vent Size Flue Size
FUEL OIL Eli GAS IN ELECT L OTHER --�
ITEM
NO. FEE ITEM N0. FEE I
For Issuance of Permit -- LE ABOVE; _ Air Condition Compressor 15 to 30 HP_ 10.00 r
New-up to !4 inc .100000 BTU 4.00 Air Handling 10,000 CFM - �-`
.._-- _ __..-..._------ - 3.0U -
Pic.v. lt7C► 001 BTU's & over . __.__--- -_.�__._. __.._..___.._ I. •�
5.00 Air Handling Over 10 000 CFM_---..— `"-`
. ____.----------_- --------- — _ 6,00 'f
4.00 -! GO
_ 3 {:
Mall • Flour ded _ _ _ 4.00 Range Vent Fan -��� -�� 200 t.
Install VentG Only Z.00 Vent System _._�_. ___._ ____ _,
Repair -w,-3t ? Cooling _— -- —_4.00._ _ - _.._ __.� ,_.._- 3 f 0
_.__.
Hood Commercial_ 3.0,1
r ;
Ai, Con,litwn Compressor Under_3H-P- 4.00 - Comrnercia!Duct System-- - - -
-3
Air Crn7dition Compressor
-3-to 15 HP
INSPECTOR'S COMMENTS
CITY BUSINES!i LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS��
APF'Fi0`/E:0 ByDATE _ ISSUED BYDATE
P E C E I P T NO. - - -- '--__
714
Sig ature of Applicant
'a
s i
I
i
BUILDING PERMIT APPLICATION19--
I
CITY of
TIGA,RD DATE— — __-- 19--
THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WOF,K HEREIN INDICATED IRUILDERPHONE— _
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PL< N,.' AND SPECIFICATIONS. OWNER PHONE
LOT
OWNER ` 1 'i0•1• berr=aI , JOB ADDRESS 'M tIOME ADDRESS ---
ARCHITECT --
BUILDER l G CFtfi F4 t! F'R. � 11' ADDRESS �A*.11 Fa}J9f `-NGINIEER ..fie �U ...�..,
DESIGNER
STRUCTURE ❑NEW — ❑111 MODEL [:]ADDITION ❑REP AIR ❑RENEWAL []FIRE DAMAGE _❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL_ ❑GOV'T EIRE(IGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SI AB ❑FENCE
. E]BOND ❑MOVING ❑CONDITIONAL.USE ❑DESIGN REVIEW [:]COUNCIL.APPROVED —_❑SIGNS
� CUPANCY •_(_j1N0 USE ZLYE---L--BLDG. TYPE FIRE ZONE PLAN CHECK BY �J_HEAT'___
-�— ruci. _ igl+a fam ly Uw*111ng w/Fattached
SEF COPAE'•TIIIN +HF'CT ATTAt.:t•'ef-l), ------- --- --------
.0 —LU61) v---_-F"O HLQA.D 411 _-HE(.G.K7 _�S1�5IQH I .S. —AB-FA---
w' -i i 11 r+)U U.
—AB_EA._ —_N98�L�9S?S?I��.__._�Y9LS1 -.
BUILDINU ')EPo`RTMENT SET BACKS FRONT REAR LEFT SIDE t RIGHT SIDE
Permit
-- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE ZONING
Plan Check _ 13. _ REGULATIONS AND AL1_ APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT ING
— WORN WILL BE 70NE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIC?•.; 4ND IN COMPLIANCE WITH
THE
Sub-total Sfll ALL APPLICAB_E CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
— RES'IRICTIVF COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRFN-r CITY BUSINESS
State Tax V•2�+ _ LICENSE ;tPARAT,LPEPMITS REGUIRED FOR SEWER, PLUMBING AND HEATING.
Total _ 74
_ _ i. .
By
---- '- APPLICANT OR AGENT
Approved _ kecelpt No.
Y
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE -
Contractor ---
���Jy Permit No. 1z�.55' g
Rough-in
aze Fixture
//-fr- 79 cK Af AsS_ ok ...-9A krtL. kAy r�u (6w Mick es1d � Final
HEATING
Contractor
Permit No. 6
Gas or on —
Rough-in
— -�� --R-_----' Final
SEWER a ��
Final
-- DRIVEWAY —^
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
_ __ Approach
D
BLG. DEPT,RINAL TjMPR
ORAY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping ——
/ Zoning Final