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14415 SW 86TH AVENUE 14415 SW 86TH AVENUE - m d L w ro 3 LO M r-1 City of Tigard Mechanical Permit Far Permit— New Installation 1-1 Replace ❑ Relocation ❑ Addition ❑ Alteration ❑ 3%State _ TOTAL..... CONTRACTOR OWNER ADDRESS- WORK ADDRESS— PHONE— DDRESS__PHONE__ _ _ APPLICANT ileat Input Rating (BTU Per Hour) ._ Vent Size _— Flcz Size__.._—_� FUEL OIL ❑ GAS C] ELECT ❑ OTHER ITEM NO. FEE ITEM NO. FEE For Issuance of Permit _ _ X3.00 Air Condition Compressor 15 to 30 HP 10.00 New-Under00. 1000 BTU 4.00 Air Handling 10,000 CFM 3.00 New- 100,000 BTU&over -� — 5.00 Air Handling Over 10,000 CFM _ J� 5,00 Fluor Furnace _ 4.00 Evaporative Cooler _ 3.00 Wall - Floor•Suspended 4.00 Range Vent Fan Install Vents Only 2.00— Vent System _ 3.00 Repair • Heat&Cooling _ 4.00 _Hood Commercial _ _ 3.00_ Air Condition Compressor Under 3 HP V 4.00 Commercial Duct System _ 10.09- Air Condition Compressor 3 to 15 HP 7.50 INSPECTOR'S COMMENTS,____ CITY BUSINESS LICENS_ REQUIRED FOR ALL CONTRACTORS OR S',JB•CONTRACTORS APPROVED BY DATE ISSUED Bl' DATE RECEIPT NO. »+ Signature of Applicant — I tot ADDRESS t) 969 PERMIT N0. PERMIT CHARGE none OWNER � :Z (� a � to CONNECTION FEE / 0(- PAID BY TYPE OF BUILDING � G�dt�a c _ DATE CONNECTED i SERVICE RATE AfAli) INSPECTION FEE CONTRACTOR PAID 13Y DATE SIZE OF CONNLCTION ASSESSMENT PAID 'b� CITY OF T I13ARD ORDIi,lANCE „1.77-26 STREET SYSTEM DEVELOPMENT CHARGE DATE: 3 � � �� I� � ESTIMATED SALES PRICE APPLICAP,T NAME_ Vic' I1 c c' ,, rt- TELEPHONE JOB ADDRESS 1411 1 5 }•� � ��" � BLDG. PERMIT AMOUNT OF FEE FOR S. D. C. c4s) ) �. 7 DESCRIPTION OF IMPROVEMENT EXEMPTIjNS -PER ORDINANCE y�77-26 FEE RATES: A. Single family duelling unit under 560,000.-------- 5300.00 0. Sinyle family duelling unit over 560,000.-------- ;}1�]i x.00..-` IC. Mobile Home Court Space (Neu Devel.upment)---------- 515M]0 D. Multi-Family Dwellings--per unit------------ 5240.00 E. Commercial , Industrial & Institutional(Park. Space) b 50.00 each F. Single family unit under 540,OOO- ----------------- 5250. 00 CITY OF TIGARD ORDINANCE #77-71 PARK SYSTEM DEVELOPMENT CHARGE DATE : _ ->�� - ESTIMATED SALES PRICE $ APPLICANT NAME ...J _ TELEPHONEr _^ 008 ADDRESS !y�y,�- _�`�, jl` _ BLDG. PERMIT AMOUNT OF FEE FOR P. n. C . �Q� DESCRIPTION OF IMPROVEMENT__ C a EXEMPTIONS - PER nRDINANCE #77-71 +� i , 1 X FFF RATES: A. Single family dwelling unit under $40,000.-------------$ Y5. 00 0. Single family dwelling unit over $40,000.--------------s1 C. Mobile Home Court Space (New Development)--------------$ 50. 00 D. Multi-Family dwellings--per unit-----------------------$ 60. 00 CONSTRUCTION IS LOCATED ON � cS.E . _ N.W. SIDE OF S.L,i. PACIFIC HIGHWAY. N.W . is Park District #I . S.E . is Park District #II, i SEWER PERMIT •�T � " `��'�`� �✓ N 15833 ifnifSewerage Agency of Washington County CITY OF _ T�.gard DATE t OWNER : Dales Const . PHONE ; OWNER ' S ADDRESS: TYPE OF INSTALLATION: D BUILDING SEWER ❑ BUILDTNG SEWER AND SIDE SEWER TYPE OF OCCUPANCY: NEW X t�1 SINGLE FAMILY ❑ COMMERCIAL [] EXIST. (PRIOR TO 7- 1--?0 ) ❑ MULT. RES. ❑ INDUSTRIAL FIXTURE UNITS DWELLING UNITS 1 __ ADDRESS OF STRUCTURE : PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY. WHEN CALLING FOR INSPECTION , PLEASE REFER TO THE PCRMIT NUMBER . THIS APPLICATION EXPIRES IN ONE- HUNDRED AND TWFNTY ( 12o ) DAYS. THE AMOUNT PAID WILL BE FORFEITED SHOULD EXPIRATION OCCUR . FEES: PERMIT FEL $ 25. CONNECTION CHARGE 600- _ SIDE SEWER INSTALLATION ISSUED BY OTHER TOTAL $ 625. APPLICANT DATE .�� 15933 SEWER PERMIT 1JISM ri� Y J.V ,111 /f° ADDRESS OF STRUCTURE 14415 5W 86th TAX MAP TAX LOT _ SYSTEM f'ann,_rreek LOT —BLOCK OF APPROVED BY DATE ISSUED BY DATE D . U . ' S 1 REMARKS bldg. #1905 w Iffl w t S W Rr rw BUILDING PERMIT APPLICATION SOF TIGARD THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BU I LDER PHONE__ OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONF LOT NO.— OWNER t JOB ADDRESS 1441b SU Llb-th HOME ADDRESS ARCHITECT ENGINEER BUILDERff^^ ADDRESS DESIGNER — STRUCTURE LJNEW ❑REMODEL ❑_ADDITION _❑REPAIR _[:]RENEWAL _ ❑FIRE DAMAGE ❑DEMOLITION ❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE ❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNC'L APPROVED ❑SIGNS OCCUPANCY—I LAND USE Z.ONE_____BLDG.TYPE FIRE ZONE_= PLAN CHECK BY HEAT mirgl' S'amily cJwbllirfw/attachat (,araL m 3 WA LI! _____— ----- garage jPt,.,r permit UCG I QAC FL4QliLS:9A. HEIGHT �._ N0.51 RIES— AREA 1911 NO.BEDROOMS 4_YALU��1,�'�-�• BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit 101.U1) � THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check 10.U0 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 COMPL IANCE WITH Subtotal 191•CJt• 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 ?.2A. LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING. Total ! .2 By -- ___ APPL;CAN1 OR AGEN1 Approved �� Receipt No (� --_� I 4W DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor p Permit No. 1329 Rou h-in — 1� Fixture Final el* M1 R �IIEATING— _ _ Contractor -- Permit No. fy7 7• /�/�� Gas or Oil Rough-in -- _ ��-------- ------ Final— --- SEWER — � — ----- - ------- Fina! DRIVEWAY Final Storm Drainage (Rain Drain) Final Sidewalk Curb✓3t Street Final ADDroach BLDG DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE(OCCUPANCY Final _ / Landscaping 1 Zoning Final I k CITY TlG,#A%RDDATE -730JILDING PLRMIT APPLICATION OF N2 .. �! �j I r LINDIRSIGNFD HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONrt. L.-F. Ac MOWN APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PHONE LOT NO JOB ADDRESS �6---FIOME ADDRESS ARCHITECT ENGINEER ADDRESS DESIGNER UREORFMODEL OADDITION [j [3 HLPAIR RENEWAL []FIRE DAMAGE ODEMOLITION -V DEDUCATIONAL 0GOV-T ORELIGICIUSOPATIO OCARPORT OGARAGE [:]STORAGE[]SLAB []FENCE IND n kl ,V ING EICONDITIONAL USE ODLSIGN REVIEW OCOUNCIL APPROVED [:]SIGNS N_Cy &ND USE ZONE Q 7-B DG.TYPE IRE ZONE-1,_ PLAN CHECK BY HEAT&—_ 1) :L F L 0.QR11QAQ-- ±i"±ll —AFJ.Atq Ij— -rqQaEDROOC- -----yALvx-1-7T- -BUILDING L)EPA-ii—tMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING "tan Check -'!I REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH 7F;E PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Lit) Intal ALL APPLICABLECODES AND ORDINANCES. THE ISSUANCE Or THIS PERMIT DOES NOT WAIVE R[STR:CTIVF COVENANTS, OVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS iw , Tax 724 LICENSE SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING. la APPI. ICAN1 OR AGENT Receipt No. ,pll CIA, q a� 7 Al City of I lL�f'C� Mechanical PL,r;tilt .�TO Permit_._.--s3p�--• . NFvv Installation !�Re:,;ace ❑ Relocation ❑ Addition ❑ Alteration ❑ 3:; State rt/ TOTA L CC":TRACTORo 1J ��l/t /�' — QA'NER 112 ADnREss_._. yZG/ ��_Sh�rN �i�c/�c„(J ��;- WORK ADDRESS,[_ PHONE ____��G —�� 79 __�Ji('�ArSrt�r.' /• ,,-� APPLICANT Heat Input Rating (BTU Per Hour)_ Vent Size Flue Size_ FUEL OIL ❑ GAS ❑ ELECT 2"f"OTHER ITEM NO. FEE ITEM NO. FEE' ror ksuance_of Permit _ --� 3.00 _Air Condition Compressor 15 to 30 HP _ 10.0 New• Under 100,000 BTU �— _ 4.00 Air Handling 10,000 CFM 10 New 106,000 BTU&over _15.00— 'Air Handling Over 10,000 CFM 5.0 Floor Furnace _ 4.00 Evaporative Cooler 3.00 Wail• Floor • Suspended � 4.00 Range Vent Fan ' 2.00 Install_V_e_nts Only _ _ _ 2.0b Vent System3.017 Repair • Heat &_Cooling -- _ 4.00_ _Hood Commercial _ +! 3.0C _Air Condition Compressor Under 3 HP _ 4.00_ Commercial Dt.. System —� 10.0C Air Condition Compressor 3 to 15 HP 7.50 INSPECTOR'S CON4MENTS_______-__ CITY BUSINESS L!CENSE REQUIRED FOR ALL CONTRACTORS OR SUBCONTRACTORS i APPROVED BY. _- DATE ISSUED BY . DATE _ RECEIPT NO. _�.. . ------------ �` 14 Sionature of ApollEent