8970 SW REILING STREET 8970 SW REIL:NG STREET
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` PLUMBING PERMIT N.
holder ofa v„ i
I d ;dumbing contractors license is hereby
a horneAd to zause plumbing work a erein noted to be installed in accordance with the plumbing code of
Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four
i4? hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for all contractors and sub-con tractors.
Ownpr_0' Ff? � ' 0
Address-.,,._`.. �i_ t-.�.�, _ Date
TYPE OF PERMIT NUMBER OF TOTAL 11-PtRMIT NO.'S,
ITEMS FEE ON EAC4 AMOUNT (Office Usa Only)
R L E lY L1A.tom,. -. _ _-3_j,n le Family l beth-each V _ 2:(.00 `
Du lex-Each 1 bath unit
25.00
Additional bathro)ms-each___ _^ 10,00 ^� _
Mobile Home S ace-each 15.00
INniyiDUAL FIXTURE FEES -----
1 to 50 Fixtures in 1 buiiding-earh__ M 3.00_
51 to idiny
100 Fixtures in 1 bui -each 7. _~_ '- -
11 t
0o 200 Fixtures in 1 building-each 50
_ 50 -- --- --
2.00_
201 or more Fixtures in 1 building-each y _ 1 50 - -- -
hIISC£ LLANECJS
_Building Sewer-1st 50 It,� 10.00
,,_ S_ewer-each additionei 100 It, y -
_ 10.-0
Water Service to buildin _ _ 5.00
Private Water Systems-•each 100 ft.
- 10.00
Other IS ecifyl:
PERft.iIT 'i C, r for rhrmbinq Inspection Phone 639.4171 – –�
u
State / ;t C% Plumbiry Contractor By / `r
TJTA_ L ^� ,�.i' RECEIPT NO. Issued By —m
-_
BUILDING PERMIT APPLICA i ION TIGARD DATE _4/3/ T__,tg 61 3665
THE UNDEQSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE U47—a6Hl
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE __ _
OWNER C.inc- Homes, InC40BADDRESS 8970 SLI Railin 5t;.-est LOT NO. 25 - C (eC Ti
_ _��`------_flPerk [states
ARCHITECT
BUILDER BlameENGINEER
ADDRESS Rt.3"Box 448,Hi11sborOESIGNER _ Don Klover_
STRUCTURE In, I4EW F-1REMODEL _❑ ADDITION ❑ REPAIR ❑ RENEWAL_i7 FIRE DAMAGE_ ❑ DEMOLITION
C$RESIDENCE �J COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑_CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB FI*FENCE
OCCUPANCY FZ- LAND USE ZONE R--7 BLDG.TYPE �5N —FIRE ZONE 77K BY EA
HEAW PLAN CHECK duh - aS
_ T_____._--�_single Pemi �
Construct ely dwelling w/attechpd garage. 3 Bedrooms 1 Beth_
--.�
RE-XSSUC RFPERMIT -� 3GS9 (;?98Q SW122nd
Cnur� -- ----- ---
--- ....�.......r..
SEWERPERMIT# 23309 -- 4750.00
OCC.LOAD FLOOR LOAD 40 HEIGHT 13_^N0.STORIES 1 AREA 1017 NO.BEDROOMS VALUES42 500
BUILDING DEPARTMENT —SETBACKS FRONT O REAR 55 LEFTSIDE �q RIGHT SIDE 8
Permit T S.166.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Chock iU.00 REGULATIONS 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
Sub-total 176.00
♦]Q WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
_. _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 4 6,64 LICENSE.SEPARATE PERMITS RECUIRED FUR SEWER,PLUMBING AND HEATING.
_
�1 ,
Total Byi____$182.64
j SDC— 4r�n.nn
PDC# I I 41100-00 la
APPLICANT OR A -PIT
Approved dwh —` Receipt No. y y __
PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor.
permit No.
y-9
Rough-in
sof Fixture `
Final
HEATING
Contracto-
- -- — Permit No.
Gas or Oil
` V
Rough-in
�— Final --�
SEWER `_---
__. Final -Z.3-
DRIVEWAY Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb d Street Final
- Approach
SLOG. DEPT.FINAL 7 TEMPORARY CERTIFICATE OCC90A!! CY Final
CERTIFICATE OCCUPANCY S-� p_-(y/ " X"1) -
O O / Lendscaping
BUILDING PERMIT APPLICATION TIGAP:) DATE _,te_} (_
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
oy.,Fj E'rT (21dh GO 140-161311X.J08 ADDRESS _Oaq 2y Pe-4(uN LOT NO.
ARCHITECT ( I
�+0.V►'►e �, - 1?Dkyy DESIGNER-� Ok jdVt'&- -- _
BUILDER ADDRESS _
STRUCTURE )(NEW 0_REMODEL ❑ ADDITION ❑ REPAIR Cl RENEWAL ❑ FIRE DAMAGE _❑ DEMOLITION
RESIDENCE C COMM ❑ EDUCATIONAL 171 GG'OWT_❑ RELIGIOUS ❑ PATIO Cl CAR?ORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPAVCY LANDUSEZONE BLDG.TYPE FIRE ZONE PLAN CHECK BY -,V-- HEAT—A*-
Coto
SEWER PERMIT M _T vL�T'1'A� 396- �-
OCG.LOAD FLOOR LOAD 4/p HE113HT NO.STORIES I AREA lD l NO`BEDROOkl§ VALUE ,?P SU
YBUILDING DEPARTMENT SET BACKS FRONT-2 0 REAR SS LEFT SIDE RIGHT SIDE
Permit I (0(0,c>o_ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THF BUILDING CODE,ZON'NG
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERE3Y AGREED THAT THE
PI-n Check ��' Op WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
V . WITH i'.LL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PEH"AIT DOES NOT WAIVE
Subtotal ASI, RESTRICTIVE COVENANTS. CONTRACTOR AND SUS CONTRACTORS 1`0 HAVE CUPRENT CITY BUSINESS
_ �+ LICENSE SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING_
:it3tt Tax
---- _-_-1-`-"' "`..�T SOG- 114ATotal ----
pDC# APPUCCANT OR AGE-*
By
Recelnt No.
ApproieA ADDRESS _ PHONE _
i D C -- �—Q--- .
)UC _ S #
;EWER CONNECTION
;EWER INSPECTION $ •2�~�
;EWER SURCHARGE 4 .—
i
i
,IJe.+ in-'.allationo Replace ❑ Relocation f Addition l._1 Alterltion ❑ DATE: _
HEATING
'
CONTRACTOR Imperial Mech. _— n;; CNER Inca Homes
ADDRESS PO Box 06327/97206 JOB ADDRESS_ 8970 SW Reiling
PHONE 777-3801 APPLICANT Imperial Mei h
1.5. 5 1zu Vent Sire Flue Size
Feat Input Rating(13TU per HouI) —�
l;.
FUEL OIL GAS LJ ELECT ❑x OTHER
~ ITEM NO. FEE y _ ITEM NO. FEE_
For Issuance of Permit SEE BELOW Each Air Handling Unit or Duct System _ 7.50 -,
_New-up to & incl. 100,000 BTU L 6.00 Commercial Hood System 7.50
New 100,000 BUT's & over 7.50 Other Equipment - Each _ 4.50_
Woouburning Stove 4.50 1 Trip Inspection -4.50
Wall-Floor- Suspended 600 Air Condition Compressor - up to& incl.3 H.P. 6.00
Vent System w/Fan 4.50 Air Condition Compressor•3.1 to 15. H.P.incl. 11.00
^c a.. Hcat Cec!'sng 6.00
M
_ CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS ! !
PERMIT ISSUANCE 10.00 Comments: --
FEES
SUB-TOTAL -CQ
% STATE Issued By
25%PLAN CHECK
TOTAL. I REC. f#
S.gnature of Apolic3nt