8770 SW THORN STREET ADDRESS:
i:\records',microflm\targets\t)L ilding.doc
I
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 3usiness Phone: 639-4171
Inspection: —
Footing Susp. Ceiling Sprink. Rough-in F.ppr/Sdwlk
Foundation Plbg, Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
PostiBeam Mech. San. Sewer Gas Line
Pibg. Underfloor Rain Drain Framing -Plumb.
Alar,•n Water Line Insulation -Mech.
Underilr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: ��I�� I Time: AM PM
Address:_ a ! G)
X�j Permit #:()157 Ud �
Builder: 49a�_,�i� –t—
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:� _ Date: ' r 3
PROVED —DISAPPROJED _APPROVED SUBJECT TO ABOVE
�—> _Call For Reinsp.
i""` -" , 'F'.IYIMoiornilfY#Ii1Y1'�14LW�iL�WeMiiitiNrrWiWtlNIAIiYWW14"" . �•r'� y ,rnY1i@: KW._ iJWAIY►ti'.
T�
September 27, 1995 CITY OF T'VARD
Mr. Howard Wood OREGON
Wood Construction Inc.
17855 NE Leander Drive
Sherwood, Oregon 97140
Dear Sir:
I have received your letter dated 9-11-95 in regard to construction
site 8770 Thorn, Tigard, Oregon and permit number MST94-0096 .
The information you sent is regretfully stall incot-plete . Copies
of the print out you submitted to i.6entify each insF.:ction is
generic and is limited, because you filed to realize that the "M"
to the right side of the pr:..aL out PASS/ DISAPPROVAL remarks
identifies a message. For the record, I am forwarding copies of
all inspection cards, 80 that you may understand the
inconsistencies and the lack of inspection approvals . Review the
cards to determine yourself, if you received the go ahead to cover.
1 think you will find that you were, and still are in violation.
Please note that my remarks on the card, as well as in the computer
identifies a PAgS, only , if you follow the request by the inspector
of record. In this cage, it was my request .
If you wish to cleai this from record, then the following must be
met :
1 . Review each card and submit the information that the card
is requesting.
2 . If. any Code violation exists within your remarks, as per
the approved set of plans requirements, corrections shall
be made in a speedy manner.
3 . A Final. inspection must be made, in lieu of the information
you send, to clear all issues .
The information -4ent in your letter is inadequate and comments have
been written to clarify what is needed. Please re-submit !
Mr. Howard, please take the time to make the necessary arrangements
to allow this matter to be put behind both you and the City of
Tigard, as well as for the owners . If you have any further
questions, please call me at 639-4171 x319 . Thank you for your
time and concern. Again, I request ;-our immediate attention.
Sincerely(,
V `1 -- —_
Rick Bolen
Inspector, City of Tigard
13125 ;)JA/ Nall Blvd. Tgard, O!� 97223 (50311639-4171 TDD (503) 684-2772 – -
I
XXXXXXXXX--> 640-1470
1 of 1
Date
Permit Type � R sidentie3 E:ectri cal Parsl;it '' m�
Fermit status NAS Permit a (1511)51211
Situ$ Address s 8770 SW THORN ST TI Applied : 03/21/94
Permit Tide SFR - ELEC/ON' CIRCUIT Issuad 1)3/21/94
Permit Descr. i Completed 05/02/94
Project Title SFR - ELEC/GAS FURNACE To Expire 09/25/94
Project ba,cr , Project P0026748
Parcel Number 2S1T: -
Valuation Land Ung District0
Legal De:cr .
Uune- INSPECTION - TI.GARD Construction : 0TH
Applicant Name TRI COUNTY ELECTRIC Cla®sification 9p0
Applicant Addr. : PO bOX 40
ucs:upanc:y R3
SANbY , OR 97055 Validated by : KF
�►FPlicrant Phone: 66e-5016 l.ntpector Area D
Deac/_dete -" _-Ac
t_ Inspector Comment4
cover & Service \
03/2 w, d NS K__ ALSO PLS rINAL 5-34386
n a E 7®"L tt'9' i?"`
05/02/94 RI PH " ALSO PLS FNL n503086
02/91, AP JG
cover
03/23/94 RI PH TONY 833-8489 FOR ENTRY
03/23/94 DN KP NO ACCESS
03/29/94 RI Kr
03/29/94 AP WJB
7
y
C&L .
J �
JL
RECEIVED
SEP 1 1 1995
COMMUNITY DEVELOPMENT
9/7/95
BUILDING DC PARTME.N1
CITY OF' 'TI6ARD
RE : PERMIT # 94 --0096
THIS I. F T I E R 1!:� IN REGARD TO A LE ITER SENT 6/ 1 /95 AND
'.)NTA(- BETWEEN flit FIll IDING DEPARTMENT AND WOOD
:.NQTrI,W.TIUN INC . WITH REGARD TC- 1'E.RMIT 1# 94-0096 .
THE Ll 'T 1 ER AND 131111 GING OFFICIAI HAVE INDICA ED THAT THERE
MAY BE tIIVIL ACTION TAKEN IF ARF NOT
C:QMPI.E rE[- .
I . ALL Cl.-ECTRI':-'.AI_ INSPEf—1 IONS ROUGH AND FINISH WERE APPROVED
BY WA`.HTN':il :)hJ ;;':)Uhd"( v . ( c-OPY OF INSPECTION ENCLOSED )
2 . FRAMING AN('' 1''I III Af TON INt3PU,1I :445 WERE APPROVED A'' F'ER
Y0 R' JNS1-11'. 111ir "! ( COPY ENCLOSED )
t>RYWAI. I_ I-N , TIf)N AND 1`;IVEN . THE
Ih! F'E(: 1 (,)h HEi.i1II Ih1Ft�ir;hAATI':.�tJ ANC' T-I W/�, ..1JF'{ L_ 1E[? IN A.
LFTIER DATE1.) 1, - i . I A'::',UME.D T11I'" `;.i:Jr..VF'L' THI. I '.. EiLE:hv .
4 . 111, l 1 ' 11!' , ' AI yA:', I I I 1 1.1N1. 1N';4'E ':' 1 .1 c_!N THA I WA`, N:'' I
':ALL ED l` i, , 1 i1 1 1 I WA,, 0011 TC) THE.: "WNE_R:-,, I:l ti11, 1 Fr,i
'_ :_!MF'Lt 1l' A' I I I E RI Aft L,Ei:I': OFF i11k l-'iA(:I! ll-!()P
THAT 100, f "i A F r` (:.'_it?F RIF 1;iUIRF.MIFNI
I H':_PL li; ILII I ! I ll n!' Ilf' THI :.
n.1;!_1u FI11 RM
AM 1,' lWI I1+ Wll i'. 11 THC '.,0NE� !_1 -1ON )
WA 14 ,%I 1 , 119n1 .1 '.�Pa AE;',)II I 11I I':� PERMII I
111.1! ,AND i,-. II l I' Ih1 jF'I kA ( IVE MANNER
RAIIIcR I'HAN AN I 1i ( IiF 1HRFA1 Of CIVIL. ACTI':JN
L4<11III C} r F !'N 1. Y ) t' i 011. IT(:( RE';llaf:':; f vori
�P! I � ,, Ir, r _rr�r� kv rl if:�llll THIS f;.IlllArl (")N (C) A
RATHER FHAN
mm
THIS INFORMATION WAS REQUESTED BY THE TIGARD BUILDING
IN REGARD TO PERMIT#MST94 -0096.
DRYWALL IIJSTALLATION -
I HAVE CONTACTED THE DRYWALL COMPANY THAT DID THE
DRYWALL INSTALLATION AND THEY DESCRIBED TO ME THEIR
INSTALLATION PROCEDURES.
1. NAIL PERIMETER WITH 1 3/8 " DRYWALL NAILS 7" ON CENTER.
2. SCREW FIELD AREA I FOOT ON CENTER WITH 1 1/4 " DRWALL SCREWS.
I AM IN THE PROCESS OF ARRANGING FOR THE FINAL INSPECTION
TO TAKE. PLACE AS SOON AS CONVENIENTLY POSSIBU E .
THANK YOU
yf 7/4�
JJ
1r I.4.� �� �lIy yJ/t
by
c.v f:,ao aYN -t-kc-, 1 ►^ d+f r c..�ye
44�• -^-4- ( VC .� g 1. d Ni i eat
/1•� I v.`, :+.� i �U . ^nr �.P�,( r. I� c�r^ij (A)
4,.,,,.,
-30-94
City of Tigard Bui ldira C'er,': .
1D145 • .W. Hall Blvd .
Tigard . C11k 97223
RE : Permit # 94 -0096
This i et1:er is a descr•i pti on of ':he inet hods and mater•i a I s
user in wall 1 fr•.ami na and vial l /cei I i ng inc I ati c:tn fiat 8770
Thorn . Tigard . {7h .
0
Wall Fi•amina ( Exterior- ) - 2 walls . ? 1 LF
1 . I%e exteri oP• wa I l s were --med f r. i nches on center, wl r.h
�„r- I �,..✓" 2x0 studs tie I or and Exi st 1)a 4 x 0 I)eam, wh i h was Lls�d
(�Y4v for• SLIPPor•t of a previou_ porch . rn_r•e wis no* any
I•oot frami na bEcause of thc• eNi .t i na por-ch , Wal I
;;tads were toe nai led wi th # 16 �.inker•s .
� / 16 t ; ake board was used tr.r• 1;:31 1 �.hesthi n•;; and
attached wi rh an air _t�,p l er• . r, .t.�Ce t0- 5��.L5 9�```u c
Vim' InBu � E+ti :�n
Hi :jh density h-• 15 Kr-art tnc -d wO I I nsulat , on w s
..tan t e'i between StLId 11)51.1 I at 1 C)h we'� a I Sig c UfI C d
into a:iv holes that penetrated the t0 P I gate The
i<!-aft face was faced towar-ds t h- inside c.>f the room.
%Twt� layers of untacecl R- 1 £c was r:. , •aced between cei 1 i na
:i sts tc) form R -38 Thickness . - -it WC, c-
st1 tfd tiahtl v
anc completely into a : l caviti :. .
S ' LJ Insulation was also _rt,lffed in-.o czlvlties ar•o lnd the
�Vt. ester• i or• door- and al 1 wi ndc;-1 .
Si ncerE l v .
lowai d Wood
.)cl ..olt:'tl••uct1on Inc �� NN ✓vim-i
ia7 ;5 .W. Sun:-et Clva .
C h e r w o o c g R 97 140
R
r,
INSPECTION NOTICE 1-1_
J City of Tigard Building Department
13125 BA Ball Blvd. Tigard, Oregon 97223
Inspecti,n Line (Rec-O-Phone)t 639-4175 Bunineee Phone: 6_9-4171
Inspection:_
�. '.c� lct C -
-Footing Plbg. Undels Mech.. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gan Line FINAL:
Pont/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Pain Drain InnulatLon -Plumb.
Plbg. Underfloor Water Line Gyp, Bd. -Mach.
Date Requent.eo•_ (L U � ))�v _______Time: - —AM PM
Addrenn: L / - Permit
Builder: l �,'1 - G �r oc)
THE FOLLOWING CORRECTIONS ARE REQUIRED:
0
i
G
l
Inspectur: �� _ Data:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
__Call For Reinap.
Page No. 1 CASE HISTORY FOR CASE NO.: MSTS4-0096
DAVE TO2,ER
08770 SW THORN ST
09!09/98
4/
Action Description Re Schd/ End/ Action Notes Disp By Update Upd
Code
Sent Done Done Date By
MSTA007 Application received / / / / 03/01/94
PASS JLH 03/03/94 BLT
MSTA010 Plan check depnsit paid / / / / 03/01/94
PASS JLH 03/03/94 BLT
MSTA020 Plan check by
03/03/94 / / 03/03/94 PADS RT 03/03/94 BLT
PASS VG 07/03/94 BLT
MSTA030 Check for prcl. restrict. / / 03/03/94 03/03/94 JF 03/04/94 SW
MSTA092 (F) Issue cumbina,.ion permit / / / / 03/04/99
MSTA705 Foot/found Insp / / / /
03/19/04 APP GS 03/10/9: GES
MSTA710 Post/Beam Structural / / / / 03/16/94
PASS MWS 03/17/94 MRS
MSTA710 Post/Beam Structural / / / / 03/16/94 ALREADY INSPECTED- COVERED. PASS RB 03/17/94 RB
MSTA725 Framing Insp / / / / 03/29/00 PENDING DOCUMENTATION iOR FRAMING AND PASS RB 03/31/94 RB
INSULATION.
Gyp COVER THIS DATE
MSTA740 Insulation fnsp / / / / 03/29/94 PENDING- DOCUMENTATION 'IF PASS RB 03/31/94 RB
FRAMING/INSULATION
GYP COVER THIS DATE.
MSTA745 Gy} lard Inep / / / / 03/25/94 NO ONE HOME
DIS GS 03/28/94 GES
NO FRAME 1NSP
MSTA',99 Building Final / / / / 11/03/95 closed record letter receiced from PASS RB 11/06/95 RB
contractor in re: to framing, insulation
and gypsum cover- ok Inspection made
after the fact.
MBTA970 Case Fineled / / / /
11/03/95 11/07/95 JF
C11Y OF TIGARD MASTER PERMIT
WiMMUNITY DEVELOPMENT DEPARTMENT PERM1 T #. . . . . . . : MST94-O09E_,
13125SW Hall Blvd, igard,Oregon 97223e819Q.1603p839,4171 DATE ISSUED: 03`/04/94
PARCEL: 1 S 135AD-0170 '
SITE: ADDRESS. . . : 08770 SW THORN ST
S'.IBDIt.'1SION. . . . : GRAHAM ACRES ZONING: R-4. 5
BLOCK. . . . . . . . . . . LCT. . . . . . . . . . . . .
BUILDING
I1L.I SSUE: DWELLING UN I T5:0 BASEMENT. . . . . . . . :0 s f
L:LASS OF WURK. :ADD BEDRMS:O BA'T HS:V1 GARAGE. . . . . . . . . . :17 s f
TYPE OF' USE:. . . :SF FLOOR AREAS-- - ------ REQUIRED SETBACKS._-__ ___.__-
TYPE OF CONST. :5N FIRST. . . . : 104 sf LEFT. . :O ft RIGHT. :0 ft
OCCUPANCY GRP. :R3 SECOND. . . :0 s f F RONT. :0 ft REAR. . :0 ft
STORIES. . . . . . . : 1 THIRD. . . . :0 sf REQUIRED--•----_-_-__-----.--._
HL I GH1.. . . . . . . . : 14 ft T OTAI-•-._ -- : 10/4 f SMOK%E DETECTORS. :
FLOUR LOAD. . . . :40 p s f VALUE:. . . . . : 4784 PARK 1 NG SPACES. . :0
Remarks : PATH I
PLUMBING
S I NKS. . . . . . . . . . :0 FL OOR DRA I ISIS. . . . :0 BACKFLOW PRE:VNTRS. . :O
LAVATORIES. . . . . :O WATER HEATERS. . . :0 TRAPS. . . . . . « . . . . . . . :0
TUB/SHOWERS. . . . :0 LAUNDRY TRAYS. . . '0 CATCH
WATER CLOSETS. . :0 SE14ER LINE (ft ) . :r11 GREASE TRAPS. . . . . . . :0
1.)143HWASHLRS. . . . :111 WATER LINE ( ft ) . '0 OTHER FIXTURES. . . . . :0
UARNAUE DISP. . . :0 RAIN DRAIN (ft ) . :O
WASH I NG M aCH. . . :0 SF RAIN DRAINS. . :0
ME:CHANILAL __. _.._.___.__._.__._.__._..___.__._______.___._._.._..-• FLLS
1=UE1_ TYF'E5----- - -- -- - UNIT H•TRS. « :0 type amol..rnt by date recpt
VENTS . . . . . :0 BPRT $ 50. 50 SW 03/04/94 -
MAX INPUT:O t-TU VENT FANS. . :0 HPLC E 32. 83 SW 03/04/94 -
FURN ( 1O011, . . :0 HOODS. . . . . . :0 BSP'C $ 2. 53 SW 03/04/94 -
FURN ) =1001-1, . . :1171 WOODSTOVES. :111
FLUOR F URN. . . . :0 CLU DRYERS. : 0
BO).L/CMP < :3HN:0 OTHER UNITS:111
GAS OUTLETStO
Owner: --
DAVE: TOZER
87.70 SW THORN
TIGARr) f1R 97223
'hone #:
Contractor:
WOOD CONSTRUCTION INC
14775 SW SUNSET BLVD
SHERWOOD OR 97140
Ph oTi a ;` a c44-9OB8
Peg #. . : 8.:`941
E 85. 86 TOTAL
This ;vrmit is issued sub iect to the regulations r_ontalned in the ------- REDUI RED INSPECTIONS - ----
Tig.rd Municipal Code, State of Ore. Specialty Codes and all other Foot/fol.ind Insp __� �__�. _•._.�-._
applicable laws. ill: work will be done to accordance with approved Post/Beam Str•_rct
plans. This perms' will expire if work is not started within 180 Framing Ins p
days o' issuance, or if work is suspended tar ?�" than 180 days. I n s i_r 1 at i on Ins p
Gyp Board Inspp
Ira 1_r i A.d i n �=i nal
1 -----•-__.___�...._�..__..
r'er-mittee Signatr..ire : �. _/s >•-( 9
Erosion Control
lssf.red By : Crawl Drair
Cal 1 for inspection - 639-4175
r
Residential Building Permit Application'
City 9 of Tigard
13125 SW Nall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: S T 1C0 54 —
0ltice Use Only
Subdivision: / Lot#
Valuation:
Permit # M
Owner: C Reissue of _ .1
Address: '�) �; t - -- Map & TI_#
`IJ► , c
Approvals Required
Phona: –�
Planning _ _ _�—
Contractor: „,Ar.1 1 AA '1 ; .�� r Engineering_
Address: 775 S U W-1t6111a Other
Iota
� Items Required
Phone:
Subcontractors
Coy.tractor's License #
(attach copy of current Oregon license) Truss Details
Subcontractors: Other
Plumbing: ---
Mechanical:
(attach copy of current OR Contractor's License)
Architect/Engineer:
Address:
PI�o,ie:
COMMENTS: ��� �1 r �y1'1/ . • _ --- ----- --. -
Applicant Signature—& Phone number
Received by.-_ i Date Received: – % 7
— I I 111�=� � W
Permit tt Account Description Amount Amt. Pd. Bal. Due
M Bldg. Permit (BUILD) ' •S� _ � �'��� /—
CCU
Plumb. Permit (PLUMB)
Mech. Permit (MECH) —
State Tax (TAX) �2- 13
Bldg: ,s J?
Plumb:
Mech:
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP) -----
:�s
Parks Dev Charge (PKSDC)
Storm Drainage Clig (SDSDC)
Residential TIF (TIF-R) — —
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C) — _--
Industrial TIF (TIF-i)
Institutions! ;TP (TIF-IS) --
Office TIF (TIF-0) _---
Water Ouality (WOUAL) ----
Water Ouantity (WOUANT)
Fire District (FIRE)
TOTALS:
TY OF TIGARD MECHAN I CAL
Cff Y OF TnWrA RD
COMMUNITY DEVELOPMENT DEPARTMENT Otago" PERMIT
131,16.944 Hall Blvd. P.O.Box 23397,Tigard,Oregon 9722,3 (603)630-41715 PERMIT #. . . . . . . : MEC92-0221
639--4171 DATE ISSUED; 09/03/52
SITE ADDRESS. . . : 08710 SW THORN ST PARCEL: 1SI35AD-01702
SUBDIVISION. . . . : GRAHAM ACRES ZONING: R---4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :7
CLASS OF WORK. . .-ADD FLOOR FURN. . . . EVAP COOLERSo
TYPE OF USE. . . . :SF UNIT HEATERS. . : VENT FANS. . . :
OCCUPANCY GRP— :R3 VENTS W/O APDL: VENT SYSTEMS:
STORIES. . . . . . . . : BOILERS/COMPRESSORS HOODS. . . . . . . :
FUEL TYPES----_--.-_–_–_– 0-3 HP. . . . DOMES. INCIN:
- /GAS/ 11
4 3-15 HP. . . . . COMML. INCIN:
MAX INPUT; B'r LJ 15-30 HP. . . . REPAIR UNITS:
FIRE DAMPERS?. . - 30-50 WOODSTOVES. . :
GAS PRESSURE. . . 50+ HP. . . . ; CLO DRYERS. . :
NO. OF AIR HANDLING UNITS orHER UNITS. :
FURN < 100K BTU: 1 <= 10000 cfm: GV45 OUTLETS. : J
FUR14 ) =100K BTU: > 10000 ctm :
Remarks:
Owner: FEES --------------
TOZER type amoi.tnt by date recpt
6770 SW THORN f-JR1,11 $ 25. 00 JH 09/03/92
5PG T $ 1. &.5 JH 09/0:a/9J
TIGARD OR 97223
Contrac,tcir:
CLIMATE (-'ONTROL HTC & A--C
3315 NW 26TH AVE
PORTLAND OR 97210
Phone #: P23----4393 $ 26. 25 TOTAL
Reg #. . - 62196
------- REQU I RED 114SPECTIONS
This permit is issued subject to the regulations contained it, the Final Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. PH work will be done is xordance with
appriyed plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
that, IN days.
[Dermittee Signati-ire :
I s s t.t e d IA y
3,9A
Call for inspection 639-4175
c;�cy �t i�gara )V)Lv► Ini 41\!1 1 6-1 dill t
13125 SW Hall %d- APPLICATION Permit #
PO Box 23397
Tiaardi, OR 9722311
v�
(503) 639-4171
"-
rescription
Tablu 3A Mechonical(7odo QTY PRIC12 AMT
Job �7� �) tYrnQ, 1) Permlt Fee •01 0- 10.00
AA,,yy
2) Supplemental Permit 3.00
urnace to 1 QU,UVJ UTU
I in(;l,ducts A vents 6.00
Ufnace'100,000 9FU +
Ower � 2) incl. duck 8 vents 7.50
oor urnAnca
3) incl. vuni 6.00
"
M nv-.1 Susponded safer, Wa!I heater
T(�Z2.r 4) or Poor mounted heater 6.00
•, �«�
—Vent noTincr In
Occupant T"VY-)Yrw__ 5) appliance permit 3.Go
r rko A—epai(of heetrng,refrig.
-1;V31--5 G) cooling,ebsorytiat unit 6.00
•�» \ _ or er or comp, heat pump.Air con
O 1 0 3»
-.1 7) to 3 HP absorp unit to 1l)01:f9 T U G.UO
w ". n- o er or comp, eat pump,air confl.
G fJl� (�, �-�� ct; 8) 3.15 Hp absorp unit to 500K BTU !1.00
— -- - --
i
Bo:)gr or comp, heat pump,aii cxrnd-'r
9) 15.30 HP absorp unit 5.1 mil b'rU 1500
°""�++, •�'•'��• — '^`�'r1P. oiler or cornp,heat pump, air con
10) 30.51 HP absorp unit 1.1.75 mil CITU 22.50
FavoleAatFiia app icauon, t hat t le of er or comp, eat pump, air cv
tY+at I Am the owner or authorized agent 11) >50
HP absorp unit 1,75 mil pTU _ 31.50
r,,,. •;, r„” -,i nittod are in compliance with State Air banding unit to
-yMi the Gonsiruotion Contractor's 13owd. 12) 10,000 CFM 4 50
:r,tct (11 axompt from St3to registralinn, Air h7c ino unit
!3) 10.000 1'M ♦ 7.SJ
rlon port3b�le _�-
14) evapornta ouolgr,
.._... .,... .. . -_.r_._.�.�_.. _
Vent lan connector)
15) to a single duct —IY 3 bti
gena etion syaen not --r-
► 16) included in sppl ante perm 4.50
r :;.�u.'i*.•.r .,a W oa :.ervod_.-y
17) noch,4mcil exhaust i 4,$n.
�eACr J wait _•�'f'+ i✓ "'cTnt- riteration U repair Commbrcial or industraf�
to uR done ru.^,icrnVal O r,r.n-ros!dontial O 18) type incinerator
risiing use o1—" 1t her i.e.,wo stovv.�hralpf
b,_,iiding or proporty 19) healer,solar, CJOUhus dryers,etc. 4.50
Prnpasdd uca of 20) Gas piping one to four outlets 4 ! 2.00 ' r
buiiding or pmpr rty
2 t) More than A.por outlet
Typo of fee! -oil 0 naIu,al p0,;-Q I_F'G U electric O
Minimum Fee$25.00 SUBTOTAL
PERMIT`;BECON4F VOID IF WJRK OR CONSTRUCTION
AUTHOF117ED IS MOT COMN!FNCCD WITHIN 130 DAYS.OR 54i:SURCHARCC r J
IF CONSTi1UCTION OR WORM IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 160 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED
10TAL h•c .J
Spacial CondiGnns._ �____.�_._.,.._.-- - -.".�•."�---`" _ -..-•--s...�. _.__ .- -
_ _� C':,1h•
issued
4�!Fp+wt
♦r)runlN
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— –
r
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