15720 SW OAK MEADOW LANE IM UAK -ANE _.
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New lns'�,kij,,,un ?1-'Re:j!ac:e Relocation ❑ AddlTion ❑ Ahe''raictn 41L state
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C-NTRACTOR
n :;k le— WORK ADDRESS JSZ-1-1t, u4ju"
ADr)RESS 4-
4V
APPLICANT
PHONE
Heat Input Rating ;:;TLJ Per Hour) Vent Size F1
FUEL OIL LJ GFS ELECT ❑ OTHER_
ITEM NO. FEE ITEM NO. F
For,Issuance o',' Permit 3,00 Air Condition Compressor 15 to 30 HP 10.
i. Now- Under 100,000 BTU 4.00 Air Handling 10 OnD CFM 3.
—9—tw• I00,000 BTU & over 5.00 Air Handling Over 10,000 CF M 5..
4
Evaporative Cooler 3(
Floor Furnace 4.00 —
Wall - Floor - Suspended 4.00 Range Von, Fart 2..
Install Vents Only 2.00 Vent,System +3.
Repair
4-06--- Hood Commercial 3,
' —- Heat & Cooling
Compressor 4.00 Commercial Dint System 10
Urler 3 HP
Air Condition Compis
-:air—Condition Compressor 3 to 15 HP 7.50
INSPECTOR'S COMl`VENTS__--.-----
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CITY BUSINESS LICENSE FiF.OUIRED FOR ALL CONTRACTORS OR SUB CONTRACTORS
APPROVED BY DATE ISSUED BY DATE
RECEIPT NO _ �� _�`� � � �'lG� ��
fal-,'PERMI T NO.
ADDRESS
PERI'll"t- CHARGE none
011'N'E R CONNECTION FEE
PAID BY ZA419 ,.__._
TYPEOF BUILDING Al-4 DATE CONNECTED
SERVICE RATE INSPECTION FEE C-i S
CONTRACTOR PAID BY DATE
SIZE OF CONNECTION AS,SLSSMENT PAID
oArE.
BUILDING PERAPPLIGATlQN oF CITY TiGARD ,...
THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WGRK HEREIN IND!CA 'ED (dUILDERPHONI
OR AS SH JWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PHONF' --
LOT NO.—
OWNER 1_ •JOB AGC:�ESS�• r Q-' !1�ik Siscl(�17", HOME AI)JRI=G —
A 4CHITECT
ENGING'E:R
BUILDER ADDRESS
STRUCTURE
I�FSICshItRff-'� —•—
STRUCTURE IL�NEW ❑RFM(_IDEL ❑ ^ADDITION _Lr-JREPAIR ❑RENEWAL,� DQ
FIRE DAMAGE _ DEMOLITION
J RESIDENCE OCOMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS OPATIO OCAR PORT`AGAR!GEu ❑STORAGE OSLAR ❑FENCE
�OBOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
�^ 7 FIRE ZONE_ PLAN CHECK BY I- ;is HEAL
OCCUPA4CY_._.-__,LAND USE ZONE —BLDG.TYPE
t11rP �1*T_ r 4+.
1'lt` Z t}
:I�l.�t'I �►R~�r�rt►�rl +�tlll"tGr�A � � !.ti1d�Cic�Nx •- 2 l:r�tYt. —._ ___
Fn m e i i6o rg
QCC_LQA.p ------FlQQ8�Q3P_ TQ_R!��_1
GUILD Nv 0EPARTMENT_ gEt BACKS FRONT �{` ` REAR d� I.EFt SIDE 'S _ RIGHT SIDE
Permit � l � i1ty
THIS PERMIT IS ISSUED SUBJECT TO IDES
REGULATIONS CONTAIN .) IN '.+E BUILDING CODE, ZONING
DES AND ORDINANCES, AND IT IS HEREBY
Plan Check if.) 00 REGULATIONS AND ALL APPLICABLE CO
HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Stlb total . `.)�� ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE_ COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
S
State Tax 4 y1GfNSE. SEPARATE PE�T�IREQUIRED :on StWER, PLUMBING AND HEATING.
- •
Total L4 .A
By p APPi ICA 117 OR AC:EN1
Approved •`.,IE!1 SJFIt' Receipt No.
CATS INSP. TYPE INSPECTION REMARKS PLUMBING DAT[
I _
Y ` � � Contractor
Permit No. 7� 3 -
Rough-in --�
Fi tune
�,t J t1i Final
HEATING
Con tr ac in•
Permit No.
Gas or Oil L�
Rough-in
-- Final -_ —
- —u- SEWEP-
_._ —_.. --- -- -- - - Find - -
TDRIVEWAY
Final
Stom Drainage
(Rain Drain)Final
Sidewalk
Curb✓4 Street Final
_ Approach
BLDGL DEPT.FINAL TLIMPOR KRY CERTIF'CATE OCCUPANCY
CERTIMCATU OCCUPANCY Final
landscaping
Loning Final
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