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S ��`� �j(,� PERMIT NO.
A 0 0 R E S
PERMIT CHARGE none
CONNECTICI.: FEL �fl
OWNER �l�•—.9!..
PAID 8Y � ---
TYPE OF 9UILDING _7�+._....
PATE COp, :ECTED
SERVICE RATE � '� �
INSQECTION FEE _ Z55-
C010RACTOR
PAID By DATE
aSSES5MENT _ PAID
SIZE OF CO'J"dECTION ""'—
CITY OF TIGARD BLDG. DEPT.
1242') S.W. MAIN S1 REET
TIGARD. OREGON 9722:,
RHONE 339.4171
CONTRACTOR:
Pursuant to Section(s) of the Uniform BlAilding Code, the
following item(s) require correct�:
1
Date:—yi•�-� _-- Permit Nr _ —
Inspector
CALL FOR REINSPECTION
1 �
CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD, OREGON ST223
PHONE 639.4171
CONTRACTOR:
Pursuant to Sections! of the Uniform Building Code, the
following item(s) require correcting:
'late::F"-` - Permit No. _
Inspector __
CALL FOR REINSPECTION
C i "i: v of f i ciLai d Mc h ati ical Perm;t NT CI Permit___�__aS
Nei. Installation Re;,;ece ❑ kelocation I] Addition C] Altieration ❑ 3;i Scate_—
� ����//-�••� TOTAL--
CONTRACTOR ��LJ{�1ria /�X7'/i!/ � � l� .1A/C- OWNER �itK /�/A,1/I/✓�� _ �_
ADDRESS_...�Q�;� r? S'DuT� �,<,tu� �� _
WORK ADDRESS���y�k'S __�2 (des.__. s
_
PHONE ____�-.'S �� �0 71APPLICANT
Heat Input Rating (STU Per Hour) oc, Vent Size Flue Size
FUEL OIL ❑ GAS ❑ ELECT IjA 0THE R�._���.!e
ITEM NO. FEE ITEM NO. FE
For Issuance of Permit _ —T� �_3_OD�Y Air Condition Compressor 15 to 30 HP 1 —� 10.0-
s New - Unde, 10_0,000 ETU_ �— — 4.00 Air Handling 10,000 CFM _ 3.0
New. 16;1,000 BTU & over b.00 Air Handling Over 10,000 CFM
Floor Furnace .� _ 4,00 Evaporative Cooler —_ 3
Wall Floor - Suspended d�00 Range Vent Fan__— 2.
Install Vents Only _�I __ __ _2.00 _V_en; System__
Repair Heat &_Cooling y 4.00 -_Form Commercial 3
_cial -_y ��
Air G_on_ditio_n Cc+rnprvssor Undt r 3 HP I T 4 00_ _ Commpreial Duc; System_ 10.
Air Con ition Comprr.ssor
3 to 15 HP _ �..-4�` 7 50 _ _
_ _ _ _ 2...
_ _ _ r .r....:�._ _ .!1-'e.•' _ ..»t}���YY1 S Y.ST-�lTST�-_I.tL....
Its ;pEr,I UN'S
Cl TY BUSINESS LICENSE? RE.OUIRED FOR ALL CONTRAC"FORS OR SUR CONTRACTORS r
navpnt:crA Ry DATE ISSUED BY HATE
BUILDING PERMIT APPLICATION of TIGARD DATE—_
THE LINDEHSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE_. -_
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE-�_
LOT NO.
OWNER r.L''f_Y & Iif+t"inti!-ilQ2b=6ADD_R_''.SS13 - :iLi l_uIridg i HOME ADDRESS t
ARCHITECT -- --
ENGINEER
BUILDER 9F9111L1 ADDRESSI,'8j() Pili Pa i; 'Ir .1$y �j1�/' 11• DESIGNER _
STRUCTURE ®NEW CC RFMnDEL _❑ADDITION ❑REPAIR ❑RENLWAL ❑FIRE DAMAGE _ ❑0
7ENIOLIT10N
ORESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'. ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB LIFENCF.
❑BOND ❑MOV ING ❑CONDITIONAL U;E []DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY—i--„•LAND USE ZONE .-�11_BLDG.TYPE__11PI _FIRE ZONE._„ PLAN CHECK BY—LiLF: _ HEAT_y�&W__
--_--r jitstrU slriu4v _ etlni.t uwellillu.w/uttaahwdj(ti wargUe - 4 butjruum - ;4 beds
--- —•— — .__�_—___ --_-_--- EIC af'10. _�_
_ -- limu®r Pat it �117yt0
OCC-LQAD FLOOR LOAD-_ 40I--HEIGHT h_ N�_�Tp�iIES if_ AREA 1909 NO.BEDROOM,s-4 VALA A5 4(19•
BUILDING DEPARTMENT SET BACKS FRONT 20 REAR 74 LEFT SIDE 1916" RIGHT SIDE 12
Permit �176*1010
THIS PERMIT IS ISSUFO SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check tib 00 REGULATIONS 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 20.00 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAI JE
RESTRICTIV. COVENANTS. CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax), 7,j� LICENSE. %PARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
SSG $400.00
Total1,274,12 nf,+ ;
By W1
APP((CANT OR AGCNt -- --'-- -`—'--
Approved M.. !1►yfY Receipt Not
i
DATE INSP. TYPE INSPECTION REMARK! PLUMBING D 4TE
Contractor
Permit No. 7S%
Fixture —
f incl
- � -- -
HEATING ---
Contractor
Permit No. 3 ,{ZfA•7 9 4T-'-
Gas or Oil
Rough4n
_
Final
- - SEWER - ---
_ - Final
DRIVEWAY
Final
StoYMt Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
FLDG. DEPT.FINAL Tt`MP RARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
K: