15215 SW GENTLE WOODS COURT 15215 SW GENTLEWOODS COURT
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� 8 Tigard JVeecll;�rlti�ier- NO.
New fnstaliauun Replace o Relocation C] Addition f_] Altcration Q DATE;
NfATING
CONTRACTO11 L:� 11 i `G,l -�-�I( J _ _- OWNER
/Jolt APORESS/
PHONE._LCL =?� - APPLICANT-.,
#Heat Inpui oatin9(BTU per Hour) _ _ 1- Vent Site Flue Size
!iicL OIL G1 GAS EJ ELECT Q OTHER
ITEM ITEM NO. FEE
�r Issuance of Permit _ SEE BELOW Each A* Hnndlin�i,Unit or DuctSyygem 7.5D
New-up to & incl. 100,000 BTU 6.00 Commeicial Hood System
New100,000 BUT's & over _ 7.50 Other Ecu_ipment - Each _4.60
Nloodhurning Stow_ A.501 Trip Intpectiun
Wel;-Flour- Suspended—__ 6.00_ Air Condition Compressor • up to&incl. 3 H.P 6.00
Vent,rLstem w/Fan _ 4.50 Air Condition Compressor 3.1 to 15.H.P. incl. 11.00
144pair-Heat Cooling — 6.00
CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS-!-
PERMIT
UB-CONTRACTORS !PERMIT ISSUANCE 10.00 Comments:
% ITATE -. Issued By
25%PIAN CHE _
ZZREG. # iynature v pp:+cent+"
I
�w�s
BUILDING PERMIT APPLICATION TIGARD DATE- 3,�1 rr� .,s 4048
HE UNDERSIGNED HFPE BY APPLIES 1--0"A ilFRMIT FOR THE WORK HEREIN INDICATED BUit-DER PHONE
OR,AS SHOWN AND APP';OV[D IN THE AC:CGMPANY'NG PLAN" AND SPECIFICATIONS. OWNER PHONE
OWNER i- '"nt'ter (onSt"ADDRESS 1 C I V. :-nr t J r' 1'00din C o',irt
ARCHITECT _
ENGINEER
BUILDER aatylo ADDRESS 7 635 cls 6Jeef hend Ila.DESIGNER (,Otter
STRUCTURE IN NEW ❑ REMOM ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
❑ RESIDENCE Cl COMM F1 EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY 11-3 LAND USE ZONE --Y-72-d BLDG.TYPE FIRE ZONE_—_PLAN CHECK BY _'t�D'h HEAT
construct ,-ingle family dwel11ncx W/otttZchfmd r.TF?,rc9ge _4 !'PdY'aorrn 2
SPE COPT'ECTIC'N' SMJ i' ATTAC141 [%
(re_lssue of Permit 03997 (7' r, Si` (`rnt..l'` 1;rlwr
SEWER PERMIT# 73903 - $810.0C' unrage//14'42 Inq.f t.
OCC.LOAD FLOOR LOAD 4 O HEIGHT £ _ NO.STORIES 1 AREA 1 74 NO.BEDROOMS _ _VALUE
BUILDING DEPARTMENT — SET BAQKS FRONT ?c� REAR �LFFT SIDE '' RIGHT SIDE
Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILnING CODE, 70NING
REGULATIONS AND ALL APPLICABLE CODES AND ORDI"'4NCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 15• O WORK WILL BE DONE IN ACC09DANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDI,,ANCES. 'THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal _ 1 (1 0 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CO'41RACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 14.2 n
LICENSE.SEPARATE PERMITS REQUIRED FOP SEWER,PLUMBING AND HEATING.
�'`
SDC-- t,4
Total- yl
By
PDCN APPLIC ANT OR AGENT
� T.
Approved clavi+ - Receipt No, —---PHONE—
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DATE INSPP, TYPE INSPECTION REMARKS PLUMSITNG DATE
__ `�~9`✓�- -�' gy t- -�' —_ _ --- Contractor S� r pw,r,a L�j _7/�7-7
Permit No. 7/
( � Fixture
=rd z' — • ��-� -- _ Final
HEATING
Contractor t
Parm!t No.
Gas or Oil �Vy
-- v Rough-in
Final
- SEWER _ - �--
--- - -- Final
--. --- -------- -.__�� DRIVEWAY
— — - --- ---------- Final
Storm Drainage
(Rain Draini Re,-9,;,66
Sidewalk
Curb&Street Final
Approach
BLr)G. DEPT.FINAL TEMPORARY CERTIFICATE OCCIP^.VCY Flneh— T
CERTIFICATE OCCUPANCY
7— Landscaping
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