10045 SW KENT PLACE 10045 SW KENT PLACE
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QUI!DING PEHMITAPPLICATIGN 7�GARD DATE_ Yr_4 _ ts � 32?6
i HE UNDFRSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATr-.D BUILDER PHONE �4E3` �C12
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATION.:. OWNER PHONE
LOT No.43—Piantling
O" 4ER Ll. (;ane i3aty JOB ADDRESS 1004!j SW Kent A23CE — _ �7
Af�iMl�i•�i("�T� ---
BUILDER A;3r)d ADDRESS 0430 SW Nebraska 5tre41VSIGNERG1N�11-<. lliercy 4 barrl_y
STRUCTURE [. )NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL _ U FIRE DAMAGE ❑ DEMOLITION "
KYRESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CAriPORT UJ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY R-3 LANDUSEZONE _!1 7F''OBLDG.TYPE :�Pl FIRE ZONE. ~ 3 PLAN C_HECKBY_aU HEAT��
Cona6ruct single family dwelling w/nuached garage. Bo. drooare — 1 bathe.
su cow?ECTIDri SHELF ATTACHED.
SEWEF;PERMITM rpt — S750,0
4411 U 0401
OCC.LOAD i:L0 OR LOAD 40 �H,:i6HT 13 NO,STORIES_ 1 AREA TIM NO.BEDROOMS _ 3 YVALU66bt 500.
BUILDING DEPAriTMENT SET BACK3FPONT ✓b _ RFAR 3", LEFT SIDE 11 RIGHT SIVE 11
Permit afi 1 1)•00THIS PERMIT IS 13SUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
k-iULATIONS ANU ALL APPLICABI c. CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check l�?J• an WURK WILL BE DONE IN ACCORDANCE WITH THE ? aNS ANG SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total 3�a. �D` RESTRICTIVE COVENANTS. CONTRACTOR 011)SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUPABING AND HEATING.
State Tax 4, 8.76411•U(1
Total *337oi6 SDC—
By -- P -
Receipt No. �u
PDCM � 7 X11-UQ•11 A�'P�LICANTORAgENT , ' r I, !�`f•,
Approved f�4►h AD 68 PHONE
i
DATE INSP. TYPE INSPECTIOD REMARKS PLUMBING DATE `
_
7.21-}•r P/K..,�, _so_1�_._ Permit No. —Z Z 7.0
zs/ Rough-in
Fixture
Final
HEA TIVO -
contract„r y
tkR _ �i,sz ���\�'w . Pt,.mit No.
'O'�• O _�•I N,L -___ - Gas or Oil y V
-----y— Rough-in
Final
—SEWER
— --— - ---- ,+——. - Final —
DRIVEWAY
----—�.._- ——
Final
Storm Diainege
(Rain Dain)Final
Sidewalk
:urb&Street Final
_ _ __ Approach
9L56- DEPT.FINAL TEMPORARY ---� GERTIFICAI[O^.CUp�. Y
CEHTIFlCATE OCCUPANL'Y Final
Ro - ---
Landscaping
7_oninj Final
p3�+
8;t
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BUILDING PERMIT APPLICATION TIC.AR i DATE______�_ _ 19.O�.
THE UNDERSIGNED HER; BY 4PPLlES FOrI A PERMIT FOR TI iE WORK HEREIN INDICATED BUILDER PHONE •S•V !�
OR AS SHOWN AND APPROV1-:)IN THE.ACC7MPoIANYI�N�G�^�P1L'ANS AND SPECIFICATIONS. OWNER PHONE
OWNER ./� �a� JOBAODRESS 00,57 � +�e►1� P��-- �TNO���CZiw�.c�!wwrlr
o- ,, j
ARC f'eCT
SUILDEH �0 . ADDRESS0430
DESIGNf R
_ _ _ O(' ADDITION REPAIR CJ R1 NEbVAL ❑ FIRE DA AGF ❑ DE►AOLITION
STRUCTURE NEW ❑ REM JEL —. � -_
RESiDENC-,z COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PA i 10 Cl Ci q PORT C GARAGE C STORAGE ❑ SLAB❑ FENCE
OCCUNANCY LAND USE ZONE: BLOC.TYPE 11_[SG___FIRE ZON ? PLAN CHECK BY
SEWER PEPMIT A
OCC,LOAC FLOOR LOAD 110 - HEIGHT J 3 N0.STOR!E_S_L _ARE. /6 3O NO.BEDROOMS VA.LUEd��D
B .LCING DEPARTMENT .'E r3ACKS FRONT -� REAR � / LEFT SICE � RIGHT 31DE
I .trmit _ 2! 0 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CGDE,ZOU-No
/ RE,IULATIONS AND ALL. APPLICAat.E CODES AND ORDINANCES, AND IT IS HERESY AGREED THAT THE
Plan Chec!s d '`� WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICA±ION; AND IN COMPLIANCE
WITH ALL APPLICABLE COr:?S AMD ORDINANCES. '.HE SSUANCE OF THIS PER*AIT DOES NOT WAIVE
Suititota! 3��•S� RESTRICTIVE COVENAN a. CONTRACTOR AND SUra CONTRACTORS TO HAVE CURAFNT Cl TY BUSINESS
State Tax IiCENSE.SEPARATE PERMITS REQUIRED FOR SEVER,PLUMBING AND HEATING.
t7
-_ - SDC—
Total
PDCp APPLICANT OR AGENT
By
Receipt iJo.
Approved ADDRES9� PHONE
_PDC
SEWER CONNECTION
.J"-W 1_11 .a
SEWER gjlaruearr g
Comment s: K�:�.-.�' U
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6,41 q 70
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''Iew Installation Replace ❑ Re,-cation ❑ Addition Cl Alteratiur, ❑
TO
CONTRACTOR Imperial Mech. OWNER _ RayConst.
4532 SE 63rd Portland10045 SW Kent Pl.
ADDRESS_ — _, WORTS ADDHE`�S`
777-3801 A?Pl_ICANT Imperial Mech.
�
PHONE � Flue � � 4 -
Heat Input Rating (BTU Per Noun_ 108 000 _ Vc` S" __4 _.
FUEL OIL rJ GAS )R ELECT L 7 OTHER
ITEM NO. FEE ITEr,t Nc+ FEE t,
-_ 1 -- ro a for — -
For Issuarc of Permit 00 Cond`_ r :.-rnWr
�� � �r� ssor 15 to 30 HP
Ne►v un,. 10o,o0oe;u _r 400 _ ki P.ir;tjl,;,g 10,j"oCF'.
Ne►v• 100,000 BTU 8r over _� 6.013 -Air Handling Over 10.000 CF%l �y _ ', "•�_ .s
Floor Furnace 4.00 1 Evaporative Cools
,NallFloor Suspended 4.00 Ra^ge Vcnt Fan
Install Vents Only _ 2.00 Vent System
Repair_Hear& Cooling __ - y ' 4AU Hood Cortme-ji _.
Air Condit on Compressor Under 3 HP 4.00 rommercial Duct 5y5te+n
Air Condition Compressor 3 to 15 HP 7.50
'NSPECTOR'c COMMENTS -- -�"-
'ITY BI';INESS LICENSE REQUIRED FOR ALL CC`:TRACTORS OR SUB•CONTRACTOq-
APPROVED BY - _ DATF. IS;uED BY DATE
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