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DEPT. 12420 S.W. MAIN STREET TIGARD, OREGON 97223 PHONE 639.4171 CONTRACTOR: Pursuant to Section(s) of the Uniform Building Code, the following item(s) require correcting: V Date: —_ Permit No.—__ InspectoP r.,,z :17,- — CALL FOR REINSPECTION CITY OF TIGARD BLDG. DEPT. 12420 S.W. MAIN STREET 'rIGARD, OREGON 97223 PHONE 639.4171 CONTRACTOR: Pura,ant to Section(s) of the Uniform Building Code, the "ollowii,g iteroi(s) require correcting: ri Date: _-Y" /T,� __ Permit No. .------ Inspector CALL FOR REINSPECTION ADDRESS 1 1J ►,��� �v-va� PERMIT NO. 7 PERMIT CHARGE none OWNER CONNECTIOV FEE _ 0-d , -- PAID B Y TYPE OF BUILDING o� DATE CONNECTED SERVICE RATE �� cam.. - INSPECTION FEE CONTRACTOR _ PAID BY OATF SIZE OF CONINECTION ASSESSMENT PAID a .1a WN E. REINHARDT PJUMBINC, (PIC BUILDING DEPARTMENT, 'TIGARD P 0. BOK 129 PLUMBING PERMIT NO. I 091R0, GRIM 91132 _ . hold.r of a valid plumbing contractors license is hereby authorized tc cause plumbing work as herein noted to be installed in accordance with the plumbing code of Tigard. Such instailations require inspection by the City Inspector who shall be notified not less than four (4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required for all,contractors and sub-contractors. Ownel° > z t l zrt Addres%IL C /'lac _?l c, _ Data NUMBER OP TOTAL wPERMIT NO3 TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Ofliao Uoo Only) Big KhITIj%L_ tingle 1C_.11 hot —ofthL _ _ 25.00 Dujzl#xaEa Uboth unit 25.00 _ _Additional both roomrooch _ i0.00 C� O c) __Mobile Home§IM—ooch DIV DUAL FIXTYPE FEE$ �____ — I 1 to 60 Fi;tturi i� n 1 buildinmrown _ 3�pG —_ B1 io 100 xtures 'n 1 buiLdiny._aac�__ —Ji! to 200 FixturoLlp 1 building—oath 2.00 201 or snore Flxm In ullding—oath ISc I L LANEON, Bu Nino sews— t 60!'1. _ 10_00 �— Sowar—eoc�Itional 100 10.00 ater S!nfto bulWAIMn ! 6.00 Privota W�jr SY�twn" ch Jog ft. 10.00 _91hor ISpUd4, PERMIT Al D For Plumbing Inrgwrion Phone 6394i9i % state ( 'e Plumbing Gontractor 13 OTAL RECEIPT NO. Issued By CITY OF TIGARD BLDG. DEPT. 12420 S.W. MAIN STREET TIGARD, OREGON 97223 PHONE 639.4171 CONTRACTOR: Pursuant to Section(s) of the Uniform Building Code, the following item(s) require correcting: '14 00" Date: Permit No. Inspector CALL FOR REINSPECTION >� r"f"Iw'�11,�„�Y'-, -�;>F� P} 'rY"1*, 4t'�i�?�� +�d.��µ�iM!��•kl��+�Jr�' CITY BUILDING PERMIT APPLICATION of TIGARD DATE THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE--' r'�ro�7t OR 4S SHOWN AND APPROVED IN THE ACCOMPANYING PLANS ANO SPECIFICATIONS. OWNER PHONE LOT NO. " UflE��11� 11 OWNER :;rts�cu� !dQB ADDRESS " ! �! i�i.lad �_GILlT L HOME ADDRESS - ARCHITECT` ENGINEER BUILDER :. f:a< _ ADDRESS ' "J" 5 ; nl.OU J101IT1039 t--'.1.611 IbESIGNER --___�-- STRUCTURE IJNEW ❑RE'MODEL 0ADDI110N ❑REPAIR ❑RENEWAL OF,FIE DAMAGE ❑DEMOLITION El RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT IJGARAGE ❑STORAGF❑SLAB ❑FE.NCE QSOND ❑MOVING^ ❑CONDITIONAL USE 0E1_-SIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY_,l.a,�_LAND USE ZONE 6m2 BLDG.TYPE_,tL:—FIRE ZONE PLAN CHECK BY Urld HEAT I i rieuvr permit �;17`1):,2 — $625,00 ll o BUILDING DEPARTMENTSET BACKS ffTONT �.(.' REAR I-EFT SIDE �Ij RIGHT SIDE Permit It Iii4-DO --- --- --- --------- ----- --- _ ___.-- -- --- ---- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS C7NTAINED IN THE 13UILDING CODE, ZONING Plan Check 9290 REGULATIONS AND ALL APPLICABLE CODES AND GRDINANt'ES, AND IT IS HER2BY AGREED THAT THE -S WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND!;PECIFICATIONS AND IN COMPLIANCE WITH Sulo-total 7 0 ALL APPLIrARLE CODES AND ORDINANCES. THE IS UAMCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRFCTORS TO HAVE CURRENT CITY BUSINESS State Tax 7•:iu LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUM9ING AND HEATING. Total Poc$l i100000 BYni --- - —. —__----- - --- - -, _. APPL.ICANi OR AGENT Approved Receipt Nig. t- DATE INSP. TYPE INSPECTION REMARKS _— PLUMBING - DATE — Contractor --7 Permit No. Rough-in Z - / Fixture v _�n Final HEATING 7 Connector Permit No. • ,.� Gee... nil Rough-in Final SEWEP Final �^ DRIVEWAY • Final Storm Drainage (Rain Drain)Final sidewalk Curb&Street Final Agpro nc.h BLDG DIEPT.FINAL TEMPORARY CERTIPICATE OCCUPANCY Final CERTIFICATE OCCUPANCY -- --- Landscaping 1' Zoning Final ------------ i w . 3"JILDING PERMIT APPLICATIGN "'y T11C- ,k,RD DATF_._. Nov. AA_, t9 78 -_ N9 OF f WC IGNED HEREBY APPLIES FOR APERMIT FOR THE VrC)PK HEPIEIN INDICATED BUILDER PHONE 620-2606 -R N A WWPROVEWN THE ACCOMPANYING PIANS AND SPECIF ICATIONS, OWNER PHONF-----$ame---------,--.- C/ LOT NO._nt_3---CxeY1es i8- R JOB ADDRF6S ✓! ' r _HOME ADDRESS ARCHITECT Tualatin Homer 11880 S.W. King James pi, ENGINEER ER ADDRESS DESIGNER URE OJNEW ❑REMODEL 0ACIU1110N ❑REPAIR DRENEWAL ❑DIRE DAMAGE ❑DEMOLITION SIC-I.NCF &OMM ❑EDUCATIONAL DGOWI MRI"I IGIOUSDPATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB [:]FENCE •-..--_-__-.- _ _. .-� .__.. _..____.—rte_ ..___ 1 �._..�. . POND DMOVING ❑CONDITIONAL USE ❑ ESIGN REVIEW ❑COUNCIL APPROVED ❑S�►� 4NCV�" LA SE Z NEY( .1_ _!BLDG T VPF FIRF ONE- PLAT:CHECK BY-.�_j�i�f" H_EAJ•g.(`__= G" t,'.r 1_UA0 ._- FLQ9p_Lz_ flaNEISiyL-- NO LQ�? �-- - 7A -4 —JF9�E-RHS MLLs _-VAL. IE - BUILDING DEPARTMENT SET BACKS_ F HO�IT D REAR � LEFT SIDE 7..�j1 RIGHT SIDE THIS PERMIT IS ISSLIED SUBJEh'T TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check` O� RFGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE. IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH '4Jb ta! ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE. CURRENT CITY BUSINESS C.iop T LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. jTnlel I.B.y. Tualatin Homes, Inc. ---- rd Receipt No. 11880 S.W. King James Place, Tigard, 97223 - acJBi�Es`s --NONE -- _�.....__-- --- - --_.....__62.0-2606•--.. (4 le S ,y 1�� y � I City OfI� ai C1 Mecf�t�nic�� Pt:rrt)it �T� Prumit__�.� _��o Fee^_ NewIns;alla+ion e:,:e:e '�� i;cl.xet on ❑ Addition -03A;titration -:1X!11 SS at+ _ TOTAL_1�, CC`:TRACTOR �1==a��' �".sti►.�M LAM .4r.. _ Ol1T:cR 1 y4�.�+e-►,,� �o ADnRM O . moo— ► C .� ` �� WORK ADDRESS,1�1340 PHCINE (o'Ei"itrm — O -S fm _ APPLICANT__ �_ tt���siJ�.�c�s.er.e�.• Heat Input Rating (BTU Per Hour) Inn Vent Size flue Si=r ----. FUEL OIL ❑ GAS h� ELECT OTHEER _T ITEr,I NO. FEE ITEM NO. FE For Issu3ncc o: ?ennit _ —��+� 3.00 ~ Air C��ndition romp es�or 15 to j0 HP 10 New - Un i�r 165,000 BTU —4.-0-0--1 Air Handling 10,000 CFhli 3. hew 0.0BTU ✓; ov r 5.00 •' Hr 1000 Air ��� _e rdlinS Over 10,000 CF11t 5. Floor Fu:nice 4,00_ �Eva,aratkeCooler Wall _ Floor Suspended _ 4.00 Rang: Vent Fan --_ 3. In,tall Vents.Only 7.010 Vo _ � ?• _ _ _ Ven; Sys-,em_ 3 -07cpa;r- H at 8••Cooiing' _ ��_ _-1^ 4-0- __Hoon, _ _ _ Commercial _ 3 Air Condition Compressor Under 3_HP j 4.00 __ _Carnm_reia!Due• S�stem 1Q it Con�r:iOn C�rnprt;sor 310 15 HP _ 7.50 _---" "^^-- - I iL42 T�.�_�'�_ •-�TT:3C^�._�' •'^S:•:LS:::�•L...ST.�'�'1� __ �____._.-___..S±LT. __ �I Ins°EC rbR'S i CITY RUS11NESS LICENSE REcOUIRED FOR ALL CONTRACTORS OR SUBCONTRACTORS APPROVED FY_ _ DATE ___--- -- --- ISSUED BY� .-_ `_.,GATE