10080 SW RIVERWOOD LANE 10080 SW ::IVERWOOD LANE
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BUILDAIG DEPARTMENT, TIGARD
No.
PLUMBING PERMIT l
hoider o` a valid plt.rnbinr contractors licc�ua is ncre.oy
authrrized to cause pkur bine work as herain noted to be ins;a.,ed in accordance 1riith the ,lumbin, code of
Tigard. Such instaiiations require inspection by tic City Inspector who sna.l be notified n,. , less ttian four
A) hours prior to the time the installations ara ready for inspecuorC;ty of Ticar Business License required _
for ail c n' dors and su�contrii ors,
,',`,,_y_ `//Q a_ Da;a -s
Ay
NUY,'t31-:,n OF TO A_ N0.15
'TYPE OF PERMIT I ITU AS ON EACH AMOU%T j (O`fice L:;,1 cniyi
A ,QLNTlAL
Sinnln Family-1 bath—cech I 25.130
O.a'nx-5oeh 1 both unit I 25.00
Ar.d t,on,.i, bathrooms—each _I� _ 10.00
N0IV10UAL FIXTURE FEES
1 to 50 Fixtures In 1 buildin;`each i�— 3.033 i— _
S1 to 7130 Fixtures in 1 bsjdding—ench __ 2.50
_07 to 200 F!xtures in 1 building—each I i h 2.00
2111 or more ixtures In 1 bulldins—each 1.50
�3�^ELLANE0US
O ri.uing Sewar—tzt 50 ft,
; war—ca:`t addWimoi 103 ft. �`—
!INn er Service to building i _ 5.00
�•:w..to Water S stems—eczt 730 N. �� MCI
3r For Piurnbirl i vs9,_cUon Phonn 633-41:31
0 Plumbin, 1�ontrc:or ray
`G'A. Rc.CciP; No. Issued By
city OJ l gar' 'd Mechanical Permit N? Perni't_�3{��`�_I �
Fee— x•00 I
Naw Installation V Pepl,,�e ❑ Relocation Addition CJ Alteration ❑ 4%Ste te r.
HEATING
CONTRACTOR e_wILQ • •a2_l r�� OWNE�,_F'��r�rr�
w' 1
L..ArC�S('t1`-�'� VVO R K A D F E SS
PHONE b Ica — �J s��� _ APPLICANT_
Meat Input Rating (BTU Per Hour ie"i Airmo Vent Size '„ " Flue Size
f UEL OIL !-_I GAS 1200`�ELECT ❑ OTHER
I'T'EM NO. FEE ITEM NO, FEE 3
or Issuance of Parmi'
ME ABOVE _ Air Condition Compressor 15 to 30 HP 10.00 `
Naw-up to & inc 1.100'000 B I'►J a� 4.0
0_ Air Handling 10,000 CFM 3.00 j
New-100,001 BTUs & over _ 5.00 Air Flatidling Over 10,000 CFM
5.00 j
Floor Furnace _ 4,00 Evaporativa Cooler _ 3_0_
W1 - Floor •Suspended r _4.00 _ Range Vent Fan 2.00
ln�tall Vents Only 2.00 _ Vent Sy3tem i~
_ :s.00
Renair • Heat& Cooling 4.00 Hood Commercial 3.00
Air Condition Comprasso_r Under 3 HP_ -� 4.00 Commercial Duct System 10.00
Air Condition Compressor 3 to 15 HF 1.50
IN;.PECTOR'S COMMENTS
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS
i.11P90VED BY DATE ISSUED BY_ D TE
RECEIPT NO.
77 1 Signature of Appl' ant //` /
BUILDING PERMIT APPLICATiON TIGARD DATE_ 4 3tDts � 316.1
THE UNDERSIGNED HEREBY APPI_IFS FON A PERMIT FOH THE WORK HEREIN INDICATED BUILDER PHONE —639-4869
OR AS SHOWN AND APPROVED IN THE ACCOMPANYIP!G PLANS AND SPECIFICAT IONS. OWNER PHONE
- C
W -4 k8 l.if-��ng
O_ NER � �F
_ M_� �ttf�tJOB ADDRESS 1pf::�.0 SUNiVRTwC30LOTNO..U�"�
_d Lane _ _ _ -
ARCHi TECT
ENGINEER
BUILDER_N same—�--_ ADDRESS 12635 SSI beef_t3tind Fid.DESIGNER
STRUCTURE _ D(NEW _❑ REMODEL_ ❑ ADDITION ❑ REPAIR _ ❑ RENEWAL ❑_FIRE DAMAGE n DEMOLITION
fl RESIDENCE ❑ COMM ❑ EDUCATIONAL. ❑ GOV'T ❑ RELIGIOUS 1-1 PATIO ❑ CARPORT U GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY —LAND USEZONER-7_7 dLOG.TYPE ` 5Ai _FIRE ZONE _�' PLAN CHECK BY 04TH HEAT ,
'._onatruct Binge fem I _dwelling w/attachedera a. 4 8tidruuma_2 Baths. _
SLE CORRECTION SI-IEET ATTACHED,
SEWERPERMITO (Paid On Permit j,'2.11L4 — S705•00 — 3 'a 80 F?er.eipt_ J521713) __
OCC.LOAD FLOOR LOAD 40 HEIGHT 12 NO.STORIES 1 AREA 1686 NO.BEDROOMS 4 VALUE.052 300,
___BUILDING PARTMENT _ SET BACKS_FRONT 24 REAR 24 LEFT SIDE 916" RIGHT SIDE _ 10
Permit C7 RAIC THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
M REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEF.-BV AGREED THAT THE
Plan Check `.)CS WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIO':S ,,III- IN COMPLIANCE
WITH ALL Ar PLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT NOES NOT WAIVE
Sub-total RESTRICTIVI COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURFENf CITY BUSINESS
c x_ LICENSE.SE.)ARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax PAID
SDC— x+ F3.t�fs
Total �,�.,,,, ,
PDCN XI S3;p o . PPLICANT Ora AOf_N7 �—
By w
Approved UhiN Receipt No G r ADDRESS
PHONE v--
DATE INSPP, TYPE INSPECTION REMARKS PLUMBING DATE
S a."}0 �A7 •K_ — �� Contractor ,.I, /-- —
—�O T+�� --�� _ Pei mit No. 02�� `'""e,
Rough-in
7-�'f° -1 �!�r✓ Fixture
Final - —
HEATING
/N Y •j��- —-� -- -- Contracttw —
• Permit Na.
CIS Gas or Oil
/c-/K ism, Ott _2.ivi►C, Ck -_-�-------_. Rough in -`—
Final
- - -�_ . ------- - SEWER _.�.�-----
Final
--- 77
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sirlows I k
Curb&Street Final
_ Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCC"F CY Final
CERTIFICATE OCCUPANCv /O !
Landscaping
7oriing I .nal
31 (P4
BUILDING PEW J APPUCATION,i_i_�_- � OAT� 3
-4.71 SU11-17lF R PHONIE.cs 91- -6/96?
THE UNDL Rb,GNEE) IiEFIEBy A.r,tIjjES FOR A PEP,,MIT FOR THE WORK HEREIN INDICATED ONNCR Ft'nNF-
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS A1,4D SPECIFICATIONS _P
LOT NO ?C'IA; L4
W"NER
—CHITECT
� G',N K E R
F'R
iLlILDERA AG E F mo I I
t R 1i C T U E r vv AODI tION REPAIR LJHE NEViA L 119-i4E L
I 1,0V T ORFOGIOLIS(-]PATIO A-4 P(IH T 5f F 5 1 J'f�
I)t Nc E
R-03 R7- PIP H1 DG TN;" ZONP
See ea '
-,)EWER PC RMI, 65, 300
No 51
1) AP .21 L, &
F' intit itLr. iCjh!S CONTAINED IN 1'4�'
i,,';LJfD SUBJECT TO THE PFGU ES AND IT IS HEREFIr AGRFEU 1HAI T 'if
BE-ILL �G
AND ALL APPLICABLE CODES AND ORDINANCES 1� v
Flan '4t)q.;PF.CIFICATiON!; ,4t4r)INCOMPVIAN It 11
40ANCE WITH THE PLANS A
DONE IN ACCORDANCE OCit
RLE CODES AND ORDINANCES THE ISSUANCE OF 1HIl; PERMIT .8 NOT WAIVF
II/E COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CUI,(AFt.T CITY RUSINE!7'
e Ta> E PARAI: PERMITS RFOUIMt 0 FOR SE AE f, PI.UYPING AND HEATING.
total
gv ALM &46OWWi;L 1*C A N I
P D C
SEWER CONNECTIONL.4
(lose
5FW1 R IN5PECTION 3
Rselse S&A-rW31:1+
SF�!LR SURCHARCE
Comments:
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