16530 SW GREENLAND DRIVE-1 16530 SW GRESOLAND DRIVE
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CANXCAL PEISM11PET41"111"T NO. MEFI.--nmcoTYOF TIVARD
CITY OFTWARD
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COMMUNITY DEVELOPMENT DEPARTMENT 011GON i)('111XY
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13126 S W Hall 81kJ P 0 Box 23AT.Tigard.Orrgon 97223.(5(,-)6:39 417 7-1/1 1 111 T M PM r .NO. 89011397
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This permit is Issued subject to the regulations contained in Title 14 ............................................ ..........
of the PAC. State of Oregon Specialty Codes.zoning regulations VIEEWTI:1:41'A)
and all other appilcable codes and ordinances. and it Is hereby GIA5 L.I.W.
agreed that the 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 restrictive F-I NAL.
covenants Contractor and sutcontractors shall have Current city
business tax permits This permit will expire and become null and
void ifwork is not started within 180days,orifwork issuspended or
abandoned for a period of M days any time after work has
commenced, It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
41A
Permittee I
Issued By J
lEpeARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 6394171
Address
- --___—_-'•=mss.` _. Permit #
Type of Inspection
The following Building Code deficiencies are required to be corrected:
Presented to _ Inspector
Date
(.ALL FOR REIWECTION
❑ YES ❑ NO
eo
BUILDING PERMIT APPLICATION rIGARD DATE37_ - �s3 • 5
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FGn 1 HC WORK HEREIN INDICATED BUILDER PHOP!;, 31i";fid
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE'
LOT N0.132 " TICT VLE1nd
wmER Jack (. .1 _ _JOB_A7DRF.SS 16530 SW Greenl-Ind Qrivu -�'
-- —- — --- - ---- — --
ARCHITECT--
ENGINEER
BUILDER Calvin Gehnenu ADDRESS 234?_0 SIJ E,:,th DESIGNER
STRUCTURE CA NEW C] REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE_ ❑ D_EMOLITI7N
DRESIDENCE L] COMM I-] EDUCATIONAL O_GOWT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGS ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY �R»3 LANDUSEZONE R.— PD
BLDG.TYPE —.FIRE ZONE_— PLAN CHECK 6Y —ALC_ HEAT`^
_ Cunrstruct rsingl family dwelling9l w,/etteched garage. -- 3 8e0ranm 2 [+nI.
SEWER PERMIT# 10"3>� �-
OCC.LOAD FLOOR LOAD HEIGHT _ NO.STORIES 1 _ AREA kQ19 NO.BEDROOMS 3 VALUE -1-7 ,
BUILDING DEPARTMENT SET RACKS FRONT 20 REAR l a+ LEFT SIDE b f 3't RIGHT SIDE
Permit $243.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
AFCULATIONS AND ALL APPLICABP-E CODES AND ORDINANCES, AN7 IT IS HEREBY AGREED THAT THE
Plan Check 121. `JO WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPE' ",TIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total _ 366.50 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BOSINESS
State rax QLICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
' 9.7 2
Total — $374.22 SDC—
By
By
P1 PDC# [ 1 $100.0()
APPLICANT OR AQENT
—
B _ _ Receipt No. __ 3� �'�
Approved flCt< ADDRESS PHONE
DATE INSP. TYPE INSPECTION REMARKS — PLUMBING-- DATE
Contractor
Permit No. /0 -/7-90
Rough-In
Fixture
Final
R r
�.,. HEATING —_
Yom, Contractor `� T
a�
/Jct i �p./7..�, �
Permit No.
Gas or Oil
Rough-in
Final
SEWER
-`-^ —�-- Final
-— - --DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
W -^ Sidewalk
Curb&Street Final v _
Approach _
BLOM,DEPT.FINAL TEMPORARY CERTIFICATE OCCUPIkNCY Final
CERTIFICATE OCCUPANCY 1C// '-
a U Landscaping
Zoning Final
City Of Tigard Mechanical Permit
Fee ,
New Imitall,tinn �m? Replace ❑ Relocation ❑ Addition ❑ Alteration ❑ 4% State-- '
HEATING -L� TOTAL --
CONTRACTOR f�A ; n _ OWNER���,u i t�_
tirDRESS---S !�t_ eWORK ADDRESS 165 3o S w ` Cvre� -
PHONL ?L6-(iyy _ APPLICANT _ �—
Neat Input Rating (BTU Per Hour) / Vent Siz: Flue Site
FUEL OIL ❑ GAS ❑ ELECT OTHER -
ITEM NO. FEE ITEM NO. FEE
For IssUancp of Permit 'EE ABOVE Air Condition Compressor 15 to 30 HP _ _ 10.00 ,i'•``
Ne -t to & incl._100 000 BTU _ 4.00 Air Handling 10,000 CFM — 3.00
Clew-100 QG1 ETU s & over -- - 6100 Air Handling Over 10 000 CFM -- 1' !
_ _
._--------•�------- _. 9 6.00 ..r.:.:.
Fi;or Fum:ir: __.�_---.._ _ - ---- __d.OU Ev•�;�orativW Cooler __---_ _.—. --__. _3.GU ,,;,.i
Wali • Flcor -Suspandod _4.00 Range Vent Fan~ ---�� - 2.00 ;+ r`•
s y:
Install Vents Only _ _ 2.00 __Vent System
.He
Repair at& Cooling _ - --4_.00 Hood-Commercial _ _ 3.00
Air Condition Compressor Under 3 HP __- 4.OU -Commercial Duct System 10.00 2"
,Qir Condition Compressor 3 to 15 HI' _ 7.50
INSPECTOR'S COMMENTS �
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB CONTRACTORS
APPROVE:U By DATF _ _ ISSUED BY DATE.
RECEIPT NO. —�
7° Signature of Applicant