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CITY OF TIGARD BLDG. DEPT,
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE 639.4171
CONTRACTOR:
Pursue.,it to Section(s) of the, Uniform Building Code, the
following item(s) require correcting:
4
Dater'' T O-7Permit Nio.---
I
Inspector
CALL FOR REINSPECTION
ADDRESS PERP11T N 0
PERMIT CHARGE noos
0 R C 0 N N E C T 10 N FEE
PAID BY
IL
TYPE OF BUILDI�G
DATE CONNECTEO
SERVICE RATE 1Z,
INSPECTION FEE
CONTRACTOR PAID BY OWE
SIZE OF CONINECTION A35F5SMc'NT PAID
04 )A
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:
10
-2 Ile-
Date: Permit No.
Inspector
CALL FOR REINSPECTION
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:
,.���.�,r�.,� .e..s,� ems.-t'� �-C^e'..�.��-:.�,,�'� ►
Date: T /'`/ --_-- Permit No.
Inspector _
CALL FOR REINSPECTION
bUILuINU UlzeA iUAt;0I,, 1lQiA!%u
Pl.uNll311vG P>:R,tiilr
N0
holda. of a valid p!umbiny contractors license is hereby
authorized to cause plumbing work, as herein noted to be installed in accordi?nce with the plumbing cod'! of
Tigard. Such installations require inspection by the City Inspector who small be notified not less than four #
I (4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for all contractors and sub-contractors.
_
Owr�r Address .� �`l c�G1�� /' l��ate__ •� � -�r.
• NUh13eR OF T01-AL PERMIT NO.'S
f
' TYPE OF PERMIT ITE`.eS FEE ON EACH AMOUNT (Office Use Only)
Sinale Family-1 beh-aach
Dnol!x-Each 1 bath unit 25.00
Additinnal_ba:hroums-aach
Mooila Home Space-each 15.00
INDIVIDUAL FIXTURE FEES
1 to 50 Fixtums in 1 building-such 3.00 „
51 to 100 Fixture, in 1 buildir,-aach _ _ 250
101 to 200 Fixtures in 1 builjinp„yeach 2.00
201 or more Fix-..re, in 1 build?nj -aa�h1.50
ht I S C E L L A N SOUS
Bu!dir;iSaaer-1,t 511 1t. -- �a —' 1000
w
Seer-e,eh edditional 100 ft. - 1000
Warrr Sarvice to buildinrj_ 5.00 X
Private Water Sy3wr:-etch 10 ft. — 10.00
Othrr lSoecif •I: _
PER$AIT Z7,010. d-� ForPlur0irg Phon?639.4171
o S.ata Ci Plumbing Contr
actor B � a
—�
!_ _' TOTAL LdL RECEIPT NO. Issued By
BUILDING PERMIT APPLICATION CITYo f TIGARD DATE_-! _. ty____
-I HE UNDERSI('NED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE__
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE.__—_–__�
LOT NO:'
OWNER L j.t, f)nf1 1, JOB ADDRESSI 1435 5W 1/lRnIJA Lourt HOME ADDRESS
ARCHITECT
ENGINEER
BUILDER ADDRESS _DESIGNEF4"al:)`1 Punc ocher
STRUCTURE ❑NEW ❑RI MODEL ❑ADDI_TION ❑REPAIR ❑RENEWAL. ❑FIRE DAMAGE ❑DE:MOLITION
Q RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO [:]CARPORT []GARAGE ❑STORAGE DSL-AB [:]FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY —3 LAND USE ZONE BLDG.TYPE FIRE ZONE.= PLAN CHECK BY_E.Tt
_._. f onstruct sjnylw I : mi•ly dwe'.linj; !.#Z ttac"d, _garage
1 aswvr Permit i ie 'Wi •-
--- --- --- aLl 20
HEIGHT .-- _ NO,SIQRjf _._._.AFEA
BUILDING DEPARTMENT SET BACKS FRONT 3A REAR 60 LEFT SIDE 4a RIGHT SIDE 7
Permit $217.00
THIS PFRMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, 7JNING
Plan Check 1fJ8� yO REGUI-ATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED 1f AT THE
WORK WILL BE DONE IN ACCOPDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIAN'E WITH
Sub-total r ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Ta7IJLI Ej�►$E..Sw ARATTE PE)9Wj�1:4:,QUIRED FOR SEWER, PLUMBING AND HEATING.
Total 1334.V) iODI POOL U100000
By P1 - -- - ---- --- -- --
APPL 1._ANT OR AGENT
Approved T' T`1a t -wn Recei.pt No. w,
._ .......». ,.. ----....�...... .r-.�M►r.......�rirrr+.r..a.....rr.+».......+n.r.w+.....+rr...,.r..wwr..r..+.ra....+..a,..
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor —
/ SAPQIr[e U r
Permit No.
Rough-in j1_/X-79
Fixture
Final
HEATING
Contractor
Permit No.ej
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
StorMt Drainage
(Rain Drain)Final.
Sidewalk
Curb&Street Fillet
Approach
BLDG. DEPT.FINAL —VTEMPC,tARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final
i' ILDING PERMIT APPLICATION r,I F TIC,%RD DATE�- --'-�..-�.19 N. c�
J OF
c'
i!N, CiNFD HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED 13 11.,DERPHON (
ti AS, SHCWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPFCIF ICA1 IONS OWNER PH F�
OT NO
H LGJ.yS_1� B
ADDRESS K ^� "OMF--E ADDRESSR E
ENGINE -�
ER__— _ -- ------- - ADDRESS ,�_--._._.._w �..•.- DESIGNE ,•� /
URE -- MEW _ ❑FHFMOOEL DADUITION ❑REPAIR -_DRENEWAL ❑FIRE DAMAGE _ ❑DEMOLITION
i^I NCF ❑CO MM ❑EDUCATIONAL DGOV 1DRF l'GIOUS-OPATIO ❑CAR PORT ❑GARAGE D STORAGE❑SLAB ❑FENCE
1POND []MOVING ❑CONDITIONAL USE - ❑D�ESIIGN REVIEW ❑COUNCIL APPROVED DSIGNS
_.,F aNCY LAND USE ZONE _ _BLD_ G
__. /• RPLAN CH CK BY HEAT__`4
_ .___TYPE._. FI._F ZON _
� �Imo• �''Yt �_-_.-
�11E � . 0(1 of
BUILDING DEPARTMENT SETBACKS 1 FRIMLEFT SIDE S RIGHT 51 DE
THIS PERM11 IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check v F RFGULATIONS AND Al L APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DON[. IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
flub total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
----- -- _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
tete Tax G �, LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total
BY c-7 t _ --- _
'' �— APPLICANT OR AGENT
App,owed / tV Receipt No.
- - - — ---- - AO[�RE55 ----- — -- HI�-
� C -
�)
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:
47
)ate: Permit No.
Inspector
CALL FOR REINSPECTION
CIL \� 0 � Cla ! d ��tchatlical per4 11t ?C� x`16 Prr •�it__ _ _ ''-p�p ____
1 l! �\ Fee ._ D r'
Nev: Ins:aation Ri:11yCC �� nCIJCa:ion rJ Adii'ion '� ration 3°n $Ut! y1J
TOTAL fl' �
C^. TRACTO IrJ-- ��C ._ _ O'NNE�� eoeo
ADOREZJt // ZL ► I WORK ADDRESS�..�....�.Y 7ZGt _
PHONE ! 1 _ APPLICANT
Hea: Inpu: Rating (BTU Per Hour). Vent Size Flue Site
FUE_ OIL [j GAS ` ELECT U OTHER
ITEM NO. FEE ITEM NO. FE
l -For Issuance o' Permit _ ( 3.00 Air Condition Compressor 15 to 30 HP 1p,C
New • Un it:; 1 00,000 6TU_^ ` _____���_ 4.00 Air Handling 10,000 CFti, 3.
New • 10 ,000 BTU & over _T_ 5.00 Air Nandliny Over 10,000 CFM 5.0
_Floor Furnace 4.00 ~Eva,zorative Cooler 3.c
Wall Floor_Suspended �-- 4.00 _Ranga_Vent Fan Y
2.c
Install Vtrm Onl�, ._ Y -u` —1_ 2.00 Ven;System
Re:_,i-_ F^at & Cooling T -4.00 --_Hood Commercial _ 3
3C
Air Condition Comp«;cor Un icr 3 HP _ _ _ _ Y 4.00 _Commercial Ruc:Systern
10
Air Corl.,I:ion Compressor 7.50 — —
r:.vc =_-•am_s-_ �as..•z_•-:rc a:-^e-..r ase-�• _a._ .. --
•
INSPEC rOR'S CO MI ENTS�
a CITY BUSINESS LICENSE. REQUIRED FOR ALL CONTRACTORS OR SUS CONTRACTORS
APPROVED RY_ _ _r`_ _, DATE r ._...___ ISSUED 61' DATE