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BUILDING DEPARTMENT, TIGAIID
�T n
PLUMBING PERMIT'
holder of a va'id plumbing contractors license is hereby
authorized to cause plumbing work as noted to be installed in accordance with the plumbing code of
i igard. Such installations require inspection by t,.,. City Inspector who shall be notified not less than four
'•) hours prior to the time the installations are ready )r inspection. City of Tigard Business License required
for all contra tors and sub-contractors.
� :lob
Owner_ A' res
�' G�+��-�• _ dpi it 6 __�r�__ -Date M
NUMBER OF TOTAL
TYPE OF PERMIT _ ITEMS-A FEE ON EACH AMOUNT
RES 19.E y l I A L __ _-- ---- -— - - --- —- 5------- -- _- — t R-
-Sirglle Farrily-1 bath-each _ - 25.00
Due1x-Ea_h 1 bath unit _ 25.00_ _ 1
Additional bathrooms-each _ L� 10.00
Mobile Home Space-each 15.00
_ P —
INDIVIDUAL FIXTURES C0MMEHQIA_ �
_ 1 to 50 Fixtures in 1 building-each .
300----- -- - ---•- .__
`51 to 100 Fixtures in 1 bugE[j2 each — Y_-_-_ _- 2,50 -- -!-_-- —_
_lUl to 200 Fixtures in 1 ouildin -aach _-2.00
201 or mure Fixtures in t buiadinc-each -` _ 1.50
MISCELLANEOUS I
Sewer ee .h additional 100 ft. �~ 10.00
`Nater Service to building _ +v -`500
O[hsr IS ecif I: +-
_PEnmrr rc 12 Fc.r Plumb,'ng lnspec•tio ftf3639.4171
4 ,State _ — Z ve' 'alumbing Contractor By
�TnTAI Pr-rr-IPT nln Iec inrl n„
yi Y f J'% d A+'t 7yp
CITY ��I#
r�
BUILDING PERMIT APPLICATION OF TIC ARD DATE '�- ,9 7s,
THE UNDERSIGNED HEREBY APPLIES FOR APEHMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE '. : 4i= 7. .�
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AtiD SPECIFICATIONS OWNERPHONE_
LO"r'NO. 1
OWNER _- — 1183@J►DURESSlU`; HOME_"ADDRESS
ARCHITECT
BUILDER ENGINEER
OUILD
ADDRESS11 ,14 j '30 I rc)nwo-od LuOP DESIGNER_ _
STRUCTURE ❑NEW �❑RF'MODEL ❑ADDITION _ ❑REPAIR LI.RENEWAL. [:]FIRE DAMAGE ❑DEM_ OLITION
0 RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND_ ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNC.IL APPROVED - ❑SIGNS -
OCCUPANCY._=_LAND USE ZOPIE— Ir-1'U BLDG.TYPE SII FIRE ZONE 3 PLAN CHECK BY I tAll HEAT._ �!
— t'unl�trtart single family awailing w/pttacheu V8V8g*. 4 Ou,aroomel
awwr� Purmit ir18P,76 — NO ::!,p.QQ
Q", LQAQ. -- F ,4DH-LQA.2_ _tlEl HL_ 21 No,�SI2�5 ," �.''NO BEDR9QM-;i �AL�E�b9tILI�-
BUILDING DEPARTMENT ,0 40 7 7
SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit — >r:cl3.�rU0 -- — -- _ -- — - —
- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
Plan Check �.0ia bf.j HIS
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
Subtotal 307s`-j(I 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 T'' ,j 0 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWED, PLUMBING AND HEATING.
Total ----_ . 7i''
`)DG f"I '1011,no
BY 1A
--
1 ,11 Q L�� APPLI1-ANT OR AGENT - ----
;J t,T
Approved Rr,r.pipi Nn
_♦. - .W.v�.:W'I�Y+... ..w11tl11�.+Y+YFsMIR'MIYIY'.• -- rW1111�4 - _. - y�..�.....��.. _—.—._
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
j — Permi[NQ. 19I7-
1011 AtA, r -------- -- ---- Rough-in _ -- --- —
�{ — -- -— Fixture_
J4 ` OI/L'/1 ! --- -- —SL/� —_ Final
71AL-21—Vote . IL l Lkt HEATING
Jb_�L [M se1, ,y4 Contractor
00bk4L t •� t) Permit No.
Gas or Oil a
3 -r./^J'' �A �i� --- Rough-in
Final
------- -- SEWER
Final /.2-1'-7P
DRIVEWAY
----- -- Final
Stoma Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT.RINAL —Tt_WPORARY CERTIFICATE OCCUP NY Final
CERTIFICATE OCCUPANCY
T Landscaping
Zoning Final
. ---- CITY TIGARD HATE 417—
.
BUILDING PFf� Jli_r ;',(' '{_iC�� l (ON of3�• laid
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE. WORK HEREIN INUIt_ATEp BUILDEFtPHGNF G S' /
OR AS SHCIWN AND APPROVED IN THE ACCOMPANYING PLANS AND spFC1F ICA TIONS O11•NEF)PHONE.__
/ �/ �1 LOT NO�-�Nd1%A!
rIWNEA ^ 0" " '
'.'. AC R E 5 5 �
_II711V5O_ Ve� `j�• �. ---- -
ANCHITELT
`�� F 4GINF_ER
RU1�_OER 19am� ADDRESS ♦� Le•
STRUCTURE X SEW LJ n MI)DEL L�A1)DITION Q R E P A I R ❑ +":EV4AL [:]FIRE DAMAGE_ �C 4',''.+L I)'
rr--V11Y�-- r-t -1 �-�1 �ry
I RESIDENCE--OCOMM DEDUCATIONAL -CJGC,VT-1JRELIGIOUSCIPATIO OCARPUHT GARAGE ❑SfpHAGECJSLAB �`EN.:
nIDG Ir"r .�_N FIRE ?ONF Pi AN LmECK BY _ .HES CIAS
dee. ao4rav(-a �40v� ,aja4
_ --- -3 �.
SEWER PCF;,'`
OCC LOAD 1/tl FIEIGHT NO 5T09IES A 7EA,Z33S�".? BF.QROQNIS VAl.11� �� 000
9U!Ef1+N; C BACKS tHUNT ;20 REAR 4119 ) E+ OE 7 P,:-,oT Sin', 7
Pk. mit
••'G r LF: IF I!.SUT.D SUBJECT TO THE REGULATIONS CUNTAINED IN THE BU!LDIN(., GOOF ZiJNIn
[plan ChrCk :3 AND ALL APPLICABLE CODES AND OROIhLNCES AND IT IS HEPEBY AG9E^D '. :t•T )'
�...-----^"�- 7)oNE IN ACCORDANCE WITH THE PLANS •'40 SFELIFICATIGNS AND IN CGI.IPU&N I
CODES AND ORDINANCES THE I,,SUANCE OF THIS PERMIT DOES NOT
k
cit COVENANTS. CONTRACTOR AND SUB rn,:lRACTORS TO HAVE CUPRENT CITY BU5 'IF
State Tex ft _ 20 "F l'4FTArE PERMITS REQUIRED FOR SEWER PLUMBING AND HEATING
Total 2 ,y P
By ------------- - --
APPLi( A•VT (jN AGENT
Approval 4n• r c) _
t qc oHoTv�€
SDC
PDC _- _$
5FIAR 01M CTION GAO
SEWER .1NSPECTIOM .23w Q,�
SF'WE:R SURCHARGE
Comments: - Red 7/6•7?
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9- 4 71
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Law4tf- F� 567
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2/ 7
SAS
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CITY OF TIGARD BLDG. DEPT.
124n S.W. MAIN STREET
TIGARD, OREGON 97223
PRONE 639.4171
CONTRACTOR.
Pursuant to Section(s) of the Uniform Building Code, the
following item(s) require correcting:
Cz If-
E 134 o( _F_ nee Ce5tate-4 _1�!
Date: �___ Permit No.
Inspector
CALL FOR REINSPECTION
Ci LE }� of Tl � L-3i c� tt�ht�r�c�7f Fer,r)it c� Pti.,it______-��_�0
acj
+2 ': In.5;31ip!ion ,z'i�;�;e=P l._J P0-:?ca:iOn Aldi-:'on '_J PzL•raLon
TOTAL 3
CONTRACTOn^,t`�S=�ly'�G /ri,��Oi_ -- OA'NEP,
AD;aRESS fY�,P SC` ,3y.: WORK ADDRESS,//, O S�� V� �•� r�
PHONE ��l `.a���C� APPLICANT �..!
Heat Inpu: Rating (BTUPer Hour) /r T Q� Ven; C Flue
r/
FUEL OIL [J GAS W ELECT' OTHER
ITEM NO. FEE ITEM
N0. FF
For Iss.ancc of Permi: _ _ O:t� Air Condition Compressor 15 to 30 HP — 10.(
New• UryJer 101,000 ETU _ _ - i (_4.00 ` Air Hanjiing 10,000_CFh! � � 3 C
h!w 10�u,070 $TU & over - --� -� 5.00 !—^Air Handling Over 10.000 CFM
Floor Furnace �+ 4.00 �Evap,rative Cooler -"-- L`—
Wall Floor • 5u;,rended — 4.00 Pane Vent Fan �-- ( 2.(2A
Install Vents Only _ --2.0.0-- Von: Syszem '.
RC air Ficat E Cooiing _ _ _ 4.00 _—_Hood Commercial
_ �t
Air Condition Compressor Un;ier 3 HP 4.00_ Commercial Duc- Systrrn
,•?ir Con r:ion Comrrre:sor 3 to 1S HP f 7.50
i��t.�S^ '�2�3 -•.:���_'i3-:�5.•:_L....T'i...iiL.r'1_�..�..:._ ._ .. ..:��'S-1�.�_.1-•.�'_:t=a:-.��tZ�._.-..'A^-�A1`ll
•� It\SPECfO;i:S CO^!VENTS^•+_,� —.�_--�__ ______._.-_.���_. � � _
CITY BUSINESS LICENSE REQUIRED FOn ALL CONTRACTORS OR SrJSCONTRACTORS
APPROViED RY_ _ __—_ - - — 0A1-E __�._. __ .. . _._ . ISSUED BY----� __-- DATE