8605 SW INEZ STREET-1 '(605 SW I NE Z STREET
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ADDRESS �'6vs ��� PERMIT N0. 3 a'
PERMIT CHARGE none
OWNER �..Ge..t9' 70NN,.CTION FEE
� `.�-=L� �
PAID B Y �+_ C.4
7YPr OF BUILDING �
Dt,TL CONNECTED
SERVICE RATE /a Q INS:)EC*rION FEE
CONTRACTOh PAID BY _ DATE
SIZE OF CONNLCTION ASSESSMENT _ PAID _
✓_=� SEWER PERMIT NY 15832
U r.if ied SAwerage AgOvIcy3-2[4--7 B
of Washington County C I7 ( OF Tigard_ DATE _
OWNER : ��. fl Les Const. _ _ PHONE :----,--
OWNER ' S
HONE : _OWNER ' S ADDRESS:
TYPE OF INSTALLATIONi
BUILDING SEWER ❑ BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:fDKpc
NEW I_15INGLE FAMILY COMMERCIAL
[] EXIST. (PRIOR TO 7- 1-70 ) rL-
] MOLT. RES. �� INDUSTRIAi_
FIXTURE UNITS. DWELLING UNITS
ADDRESS OF STRUCTURE : —
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES AND
REGULATIONS OF THE UNIFIED SEWEP„AGE AGENCY . WHEN CALLING FOR INSPECTION ,
PLEASE REFER TO THE PERMIT NUMBER. THIS APPLICATION EXPIRES IN ONE-
HUNDRED AND tiWENTY ( 120 ) DAYS, THE AMOUNT PAID WILL BE FORFEITED SHOULD
EXPIRATION OCCUR.
FEES=
PERMIT FEE $ 25.
CJNNECTiON CHARGE 600.
SIDE SEWER INSTALLATION ISSUED BY
OTHER
TOTAL a 673. -
ILL
APPLICANT DATE
15,9
SEWER PERMIT
ADDRESS OF STRUCTURE 8605 5W Inez Si:.
TAX MAP TAX LOT _ SYSTEM Panno Creek
LUT ----___BLOCK OF
APPROVED BY DATE I55LIED DATE
0 . Ll . ' S 1 , REMARKS _ bldq. #1964
. ....w^rw.�+.*�...*ynr.+w+w+r+m�^7o'wrr+��F"Wo#r....rN+..�.n.na�cWr R.Ua+wiOw s. . •�MA�1��M�'�:.....-++............._.....,....-...---......�..,.+. -. .._...�.....T
BUILDING PERMIT APPLICATION CI Y TIGARD DATE s-a�~�� ,�-_ �Il4
THE UNDERS!GNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HERE 11', INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONV —'—
/ LOT NO.—�
OWNER tllil** �.'t nst. J013 ADDRESS ` '35 511 �IIG�f HOME ADDRESS
ARCHITECT
ENGINEER
BUILDER aams ADDRESS iDESIGNER
STRUCTURE L.JNEW ❑REMODEL ❑ADDITION []REPAIR ❑RENEWAL ❑FIRE DAMAGE []DEMOLITION
'.aJ1'�SIDENCE DCOMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE: ❑STORAGE❑SLAB [:]FENCE
`L�BOND ❑MOVING_ ❑CONDITtCNAI USE ❑DESIGN REVIEVi_ ❑COUNCIL APPROVED [:]SIGNS
OCCUPANCY t— .AND USE ZOf _..BLDG.TYPE FIRE ZONE` P A CHECK BY atw at HEAT 9
Irt.Jr,>n1:. aiIigle f&Mi lWellint.l w/attached �,,argya 3 hadroun, 3 bath
garage 504
_89wer. permit'i'15832
9-",19AQ _ 1104.3_s.lZAD ___ .__.NELrjHT -EA 1�7 _Uj2R4QM5 __VALUE49t1.00•
BUILDING DEPARTMENT SET BACKS FRONT 22 REAR 27 LEFT SIDE 15 RIGHT SIDE_
Permit 187.30 _
THIS PERMIT IS ISSUED SUBJECT TO THE FIEGULATIO14S CONTAINED IN THE RUILDING CODE, 7.ONING
Plan Check 113.00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND 11 IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPE CI FICA TIONS AND IN COMPLIANCE WITH
Subtotal l97*00 ALL APPI.ICARLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS, CONTRACTOR AND SUR (.ONTHACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 7 ,4 . LICENSE. SEPARATF PERMITS REOUIRED FOR SEWER, PLUMB'NG AND HFATING
Total .'.n4,4U P.D.C. /; 2 %100.
By r -
APPLLCANT OR ACF N 1 ...
Arwoved Receipt No. i
—.-- - -------- LT-
AD 55
1�
DATE INSP. TYPE ICt SPECTION REMARKS PLUMBING DATE
3- ICQntractor
x-11-78 Permit No_ 13.2.9
fjm Rough-in
40 w ..
Fixture _
, Final
HEATING
Contractor d
G ?G J.Q ('�YIJU Permit No. 7(� G'f g/7D
Gas or Oil _
Rough-in
Final _
SEWER
_ Final .�'G�l�� 44-24
- --__ DRIVEWAY
Final —
_ Storm Drainage _
Rain Drain) Final
Sidewalk
Curb&Street Final _
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping ! �;�+'�':'a
Zoning Final
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City of I locird Mechanical Verm►r
� N •
Nev.- Inst,l;alion i_ Rr:,!acc l Relocation ❑ 1,ddirion ❑ Alteration 399 State ��•�--L___�
/ l TOTAL
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C^.;JP.ACT0R _1L47�111_v.(�_.S je LQ, �'�NcR /. _n._
ADr1 R ESS t;J ;;L Imo— ���,1!r� 1J``ri� �S}V O R M. DRESS _ Gs O SS S� T.yet Z Jf"
PHO14E �'�_-� 749 �__ !— APPLICANT_ 6y,�, S
- • Heat Input Rating (BTU Per Hour)---- It), Un rt Vent Size — Flue Site
FUEL OIL EJGAS ❑ ELECT 4OTHER _
is ITEM NO. FEE ITEM NO. FEE
For Issuance of Permit 3.00 _Air Condition Compressor 15 to 30 HP _ 10.0
New- Under 100,000 B'TU _�— ! — 4.00 Air Handling 10,000 CFM 3.0
T' New- 100,000 BTU & aver _ 5.00 ''Air Handling Over 10,000 CFM 5.J
Floor Fu.race 4.00 Evaporative Cooler
l4'all • Floor -Suspended 4.00 Range Vent Fan l.0
Install Vents Only _2.00 Vent System 3.0
Repair- Heat& Cooling 4.0_0Hood Commercial — 30
Air Condition Compresso! Under_3_HP 4.00 Commercial h,ic System
_
L •_ •r\ir Condition Compressor 3 to 15 H� — — 7.50 _
INSPECTOR'S COMMENTS
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS
:T.pk�:- APPROVED BY---,-- DATE �_— --___ ISSUED BY _ — DATE
RECEIPT —
y�. 774 Signature of Applit nt