7855 SW GENTLE WOODS DRIVE 7855 SW GENTLBMDS DRIVE
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city df Tigard Mechanical Permit NO.
Now Installation C!31 Replace Relocation[] Add;ti,n [j Alteration DATE.
HEATING
CONTRACTOR Zje' / n OWNER ,�a 14, diee f-
ADDRESS JOB AODAESS ZLLL2
PHONE APPLICANT--/-�l 11 Z If
Hast Input Rating(BTIJ per Ho'ji, 00 ( Vent Site L2— FI
FUEL OIL GAS [--"j ELECT C] OTHER
ITEM NO. FEE ITEM NO. FEE
FRL Issu#nce of Permit SEE BELOW Each Alr Hendllmu—rilt—OrDUCUSKIM 7
Now-up to x-incl. 100,000 BTU 6.00 Carnmercial Hood System UN
New.TO0,0QO BUT's & over— 7.50 --Other_Equipment-Each 4.150
Woodburniou Stove 4.50 1 Trip Inspection 4.50
Air Cono.tion Co ,mor - ua to H.P. 6.00
4.50 Air Condition Co lessor-3,*, w 15.0 P.incl. 11,
Voinj tern w/Fan
iiall.Floor- Suspended 6.00 Ind.3
CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTOPF OR SUB-CONTRACTORS !
PERMIT ISSUANCE 1000 Carnmenti:
�(-
-LNE
!TATE Imed By
_MTAt. REC.
---g'anature of ADn"Cant
BUILDING PERMIT APPLICATION TiGARU DAl"E____._`T _151—,19 3991
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BIIILDER PHONL _..
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PIANS AND SPECIFI(;ATIONS. OWNER PHONE
LOT NO. i L,c'11 4 i
OWNER ''£tM Cotter r0_r1!1t7JG)BAD_DRESS 7855 13V er.tlt ;ioodn Drive
ARCHITECT T -
BUILDER
AF3-v ADDRESS 12635 Siq ?PPf Rend pd"DESINEER ER Cotter
STRUCTURE ET NEW— ❑ REMODEL _-❑ ADDITION El REPAIR ❑ RENEWAL D FIRE DAMAGE ❑ DEMOLITION
❑ RESIDENCE ❑ COMM Cl EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT_❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY —-'_- LAND USE ZONE 7!T BLDG.TYPE =FIRE ZONE '.-PLAN CHECK BY t- tat HEATK"`�
": -r;tnict single_"amily dwellincT w/ni:ta&terl gnrarre. 4 V(udraoms 2 nnt"?,r'.
> I � C0nR?M1.T0e4 St'FrT t,WArtrun.
SEWERPERMITM 23876 -- S1 10.(jo r.,atrage 491 scl.ft.
OCC.LOAD FLOOR LOAD 4 t) HEIGHT 17 NO.STORIES _ AREAL 7 2 A NO.BEDROOMS 4 � VALU6
BUILDING DEPARTMENT SET BACKS FRONT xr' REAR 3 ' '
LEFTSIDE ' RIGHT SIDE
Permit_ -- THIS PERMIT IS ISSUED SUBJFCT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
226�6 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Pian Check _ WORK WI'.L BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
..— WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOEG NOT WAIVE
Sub-total ^_ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State TaxTotal •`'
SDC—
By R
PDCN APPLICANT 5AGENT -
Receipt
No.
ADDRESSPHONE- - --- -
APP cued T-.- ------- -
DATE INSP. TYPE INSPECTION REMARKS PLUMBING OATtd
/ - Contractors,
�^ Permit No. 3,:'/
2/2- -- -
Rough-in
Fixture
Final _
_--
HEATING
.a. Contractor ,
Permit No. P,610 go 3' Y
Gas or Oiler
-- Rough-in -
Final
SEWER
Final 2 �
Final
-�`----- -- -J— -- Storm Drainage /� {{yy��
-- —----- - --- (Rein Drain)Final II j'.bv 2_q_0
— Sidewalk
_. -^-- -- -- -- Curb&Street Final
Api-roach
^BLDG.DEPT.FINAL i TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY / d 2
Landscaping
-
Zoning Final -_-