15875 SW OAK MEADOW LANE 15875 SW OAK MEADOW LANE
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City 110 {�(.�
/— a h'1tCt1c7r►�Cc7t f'ti;illf.
�/ -7 Fee._ �
Nev.- ns;al ation f q'='!a=e D Relocation ❑ %.10iT�On Alteration : J 14►0:State
--
TOTAL��.a.�__._
ACTOR ,]tl?.�1 t.- t`� t---� 01''t�ER
C....r R ' d
%vORY. ADDRESS 1�@!'tS " r�• C A L� j�`
PHONE �a_�G �-� ' ---- AP?t.1CAPJT--��r- : Fit Size
TU Per Hour) Vent Size _ �r Fit Size _
Heat Input Rating le ��
FUEL OIL ❑ GAS ELECT ❑ OTHER
ITEM NO. FEE ITEM NO. FE
L 3.00 Air Condition Compressor 15 to 30 HP
Peri 10_I
For Issuance of Per1 3.1
4.00 Air Handling 10,000 CFM r
j New- Under 100,000 BTU I 5.00 Air Handling Over 10,000 CFM 5.1
*+` N-w• 100,000 BTU & over
�;,•, — 4,00 Evaporative Cooler
Floor Furnace 4.00 Range Vent Fan 2•1
rte. 1'dalt • Flow Suspended __ -
�s;,•. -" 2A0 Vent System � �. 3•I
Install Ven:,Only 3.1
Repair - Heat & Cooling 4.00 Hood GommPrcial
Compressor Under 3 HP-jr ~4.00 MCom_mercial Duct Syst_crn
• Air Condition Comp
Condition Compressor 3 to 15 HP
** INSPECTOR'S COMMENTS ___
3: _—
��' CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUBCONTRACTORS
..
*' GATE ISSUED BY^ DATE
,.... -
t.rx.; APPROVED
RECEIPT NO._ _- -
;�1"r;, Signature of Ap ica
ADDRESS � �/ � _ �� ' PERMIT NO. .3r3
PERMIT CHARGE none
DIJIIER '1— �� C _ CO"::ECTION FEE
PAID BY
TYPE OF BUILDING DATE CONNECTED
SERVICE_ RATE Z? INSPECAON FEE
CONTRACTOR PAID BY _ DATE: _ ___
SIZE OF CONNECTION ASSESSMENT ___ _ PAID
CITY
BUILDING PERMIT APPLICATION OFTIGARD DATE 19 A
THE UNDERSIGNED H'_-_REBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUI LDER PHONE_
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS ANO SPECIFICATIONS. OWNE 4 Phnf4r
L.OT KO.
OWNER .11110 4 I Wj s'XVk i JOB ADDRESSI :o tm, 441131- HOME ADDRESS
ARCHITEc'r
ENGINEER
BUILDERADDRESS DESIGNER
STRUCTURE TINEW CIRFMODEL CIADDITION OREPAIR L.IRENEWAL OF-IRE DAMAGE ODEMOLITION
0 RESIDENCE Ocomm EIEDUCATIONAL 0GOV'T DRELIGIOUSOPATIO CICARPORT LIGARAGF [:]STORAGE LIS LA13 []FENCE
OBOND OMOVING OCONDITIONAL USE 0 DESIGN REVIEW 000JNCIL APPROVED OSIGN,
OCCUP NCY__ LAND USE ZCNL. BLDG.TYPE N FIRE ZONE_ PLAN ;;HECK BY HEAI__�
0581 Sw Swwwrfield Lane - Frew, Lw*Aj:�j& with attached gar%,
2 bedrorms
I UNIT
HEIG T 20 _AftkLt9_"' _wLailgooms 2 MALUE it 2,$42.00
NO,STORIES
BUILDING DEPARTMENT SET BACKS FRUNT REAR 15 LEFT SIDE y, RIGHT SIDE
Permit 166.00
THIS PERMIT IS ISSUi-�D SUBJECT TO THE REGULAT'ONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check jo,00 REGULATIONS AND Ak L APPLICABLE CODES AND ORDINANCES, ANn IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN CCORDANCE WITH THE PLANS AND SPECIFO ..TIC`',o AND IN COMPLIANCE WITH
Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF Tt,oS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVc CURRENT CITY BUSINESS
State Tax ot 6.64 LICENSE, SEPARATE PEIPIMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total 182..64 '"W. . $400
,11;31;;, 02 -$lot)
IBV j APPL[CANT OR AGEN I
LA�,provecl Receipt No. 'i
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor —
/
Permit
99 L-�
Rough-in
12.—Z. D.� _1�y-.G�=� -- ---- Fixture- —
/ Final —
HEATING
uc r r 0 k-, Contractor�—
Permit
r
Ge%or Oil
-'— --- —_—_ Final
SEWER
-- — Final
nRIVEWAY M-
Final --
Storttt Drelnapa
(Rain Drain)Fins
Sldemik
Curb✓4 Street Final
Approach
b.-.3G.DEPT.FINAL TtMPORARY CERTIFICATE OCCUPANCY --
CII:RTIFICATE OCCUPANCYFinal —
3 - I5- TT - -- -
Landscaping
Zoning Final
MIR 99MIMP171"M
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