14060 SW 80TH COURT --- 14060 SW t-,OTH COURT —�
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RUILDING DEPARTMENT, TIGARD r
PLUMBING PERM T �`•
hol.iet of a valid plumblrig contractors license is hereby
authorized to cause plumbing work as herein noted to be installed in accordant/ with t11e plumbing code of
Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to tho time the installations are ready for inspection. City of Tigard Business License required
for all contractors and sub-contractors.
Owner_ - e"41-1c
NUPMaER or TOTAL
TYPE OF PERMIT ITEMS F':E UN_aCH AMOUNT
25.00
Sime F, -1 c,,�h-each _._ ___..�_ - -
Du lux-Each 1 bath unit _ ____ 25.00
Additional bathrooms-each ___L�_.._.. 10.00 _�-� Oo __.
Mobile Nome Space-each _ 15.00
INDIVIDUAL FIXTUFtEB C0M11ERCIA ._ -----
3.00
A.
I to 50 Fixtures in 1 building-each _ 1
51 to 100 Fixcurei In 1
101 to 200 Fixtures in 1 building-each 2.00 —� -
201 or more Fixtures in t building-eoch_ _� 1.50
MISCELLANEOUS
Sewer-each additional 100 — 10.00 _-- — -- I
`Nater Service to building _ 5.00
Otayeci )•
PERIJ117 i For Plurnbkg Inspection PI gyne 639-4171 I
4 v State Plumbing Contractor By
-rOTAL �1 RECEIPT NO. Issued By
R)�LDING FERMIT APPLICATION TIGARD DATE -.—. _.. ,19 3244,
THF UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDEF Pli_�NE
OR AS SHOWN AND APFROVED IN THE ACCOMPANYING FLANS AND SPECIFICA1 IONS. OWNED+PHONE _
Lcli NO. 'LIFx1. 1 ----
OWNER 4 nt ConsLY,l).JOBADDRESS 14060 W both �,u.url; _
ARCHO'EIIT'
ENGINEER
BUILDER SGmG ADDRESS 5203 SE 78thp Ptld. DESIGNER R.Jeans 1:esigrl
3TRUCTURE [3 NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL FIRE DAMAGE ❑ DEMOLITION
0 RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS O PATIO ❑ CARPORT C_.' uARAGE STORAGE ❑ SLAB 1:1 FENCE
OCCUPANCY LANDUSEZONE I�"7PP_BLDG.TYPE 3�'l ._FIRE ZONE._' PLAN CHECK BY dwt' HEAT__`_"
I.��111.'AruCt Lairtiyle Family dtrellin W a_ttachec! C�arai�e. j dedrogmg�L 3 Hmthr..A "
SEE: CORRECTION SKIT NTTACHFU.
SEWERPERMIT# 1940 m J70ij.00
OCC.LOAD FLOOR LOAD 40 HEIGHT 'T NO.STORIES AREA 1_9(12 NO.BEDROOMS VALUE Y
BUILDING DEPARTMENT SETBACKS FPONT 18 REAR J I_FF: siUr 7 RIGHT SIDE
Permit tiv.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTMNED IN THE BUILDING CODE,ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREE?THAT THE
Plan Checn 9.3. JU WORK WILL. BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPI_ICABLF CODES AND ORDINANCES. �HE ISSUANCE CF THIS PERMIT DOES K T WAIVE
Sub total r.'.006 50 RESTRICTIVE COVENAI. .S. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWEF,PLUMBING AND HEATING.
State Tax 7. 4
-' SDC— `. !.ilt� ,,
Total t'7. 9b
B P1 PDC# %1U0• ' APPLI NT OR AGENT —
By
Receipt No.
Approved dWh ADDRESS PHONE
a
?a► �r � oiw WNw W i"PWAW��
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
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Contractor
Parmit No. 73 7-10-�b
Rough-in U
7 j�dv (/r�•'K 04 fixture — -
T-%: t 1y S�.S 4►� •r�.r _ — Final — - -----
t♦O_V• �0 h� p-_�,� HEATING
Contracto-
Permit No. /
-- — --------'---
Gas orOil
_.---- --
Rough-in --
Final
SEWER —
Final
DRIVEWAY
Final V
—�..-- -�-.-- --.-� Storm Drainage —+ —
(Rain Drain)Final
Sidewalk
Curb&Street Final
_ Approach
8LDGL DEPT.FI:iAL TEMPORARY- CEIITIFICATE OCCUPFinal
CERT F'ICATE OCCUPANCY / _
LarxLcaping
Zoning Final
low
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BUILDING PERMIT APPLICATION ;IGA�S? DAT _.19 80
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT F09 THE WORK H=AEIN INUiCATED BUILDER PHONE 23 J�s
OR AS SHOWN AND APPROVED IN THE ACCUM1RPANYING PLANS ND SPECIFICATIONS. OWNER PHONE
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uti:�lERtl' h� �i0>hS �O. J08AODRESSQ(oOS1V g0-----C4. LOT NOZ� Wdu�men�r •
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BUILDER .atr�k�IP.� AODR'cSSJAO.f S E Z+� '• 1 � DESIGNER R.,Jean jJF•:S ' in I
STRUCTUFENEW ❑ REMOOFL ADDITION 7 REPAIR 1^J RENEWAL ❑-FIRE DAMAGE ❑ DEMOLITION
flESIDEr'`^E [7 COMM C EDUCATIONAL -,1 GOVT ❑ RELIGIODUS.'❑ PATIO ❑ CAR PORT ❑ GARAGE r STORAGE
P_2--,Pk BLDG.TYPE semCl ASO FENCE
OCCUPANCY .1S_,3LAND USE ZONE __FIREZONE_3_PLAN CHECK 8Y _HEAT G114_�
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SEWER PEPMITN Y �l.� _
OCC.LOAC FLOOR Lu AD 1/0 _ HEIGHT 20 NC.:,TnRIES z, AR`EEAA/fg 2 NO.BEDRoams 2 VA.L f/'Po
13UILCING DEPARTMENT SET BACKS FRONT REAR / ' eFT SICE 7 RIGHT SIDE
Pormit 82. 00� THIS PERMIT IS 1SSUEJ SUBJECT TO THE REGULATIONS CONTAINED IN TFIE SUILD1yC CODE,
REGULA110NS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HERESY AGni:_D THAT i PE
Plan Check 1 _ WORK WILL BE DONE 10 ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIMIC,
WITH ALL APPLICABLE CCOES AND ORDINANCES. THE ISSUANCE OF THIS PsR;AIT DOES NOT WANE
�Sub-total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUGINESS
StatB Tax 7. 4
LICENSE.SEPARATE PERMITS REOUiAED FOR SEWER,PLUMBING AND HEATING.
•_ , q
Total -�8 . I$ SOC—
PDC# APPLICANT GR AGENT
By
Receipt N�. _ !�"w• ��I• - 9*0 7
Approved ADDRESS PHONE
SDC
SEWER CONNECTION S 8d
f,FI,ICR TN,C�r TTnN 1t 2�
SEWER SURCHARGE
Re_fililtpntE � I � ''( •�O Y `K `ice"'V "ice 1� �hSI� �)Nl, ��1�E+��"" T ��#;+i'{.., •,�.
140&o SA)
�.v� x`,21
F1�� F to ov--
II- S x 27
11-10 x G-/o 80
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5-80
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INSPECTION NOTICE
City of Tigard Building Department
'12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639-4171
Address—..--- "" _. Permit
'Type of Inspection
The following Building Code deficiencies are required to be corrected:
Pre.%Pat)d to Inspector _
Date
CALL FOP RE/AGRE-CTION
0 YES ❑ NO
Ai �► � 4p I� It IB !� �
City of Tioar-d Mechallirnl Permit N? Permit
Fee_
New Installation RCPlace ❑ Relocatio•i ❑ Addirion ❑ Alteration 47 state--
HEATING l � �,i1, (�,. � TOTAL_ 7. 2-
CONTRACTOR
CONTRACTOR �._5. OWNER
<.!7URra; . Q _ � 7,/.-WORK ADDREiS
PHONE
4P 5_& `_LL I '-rlQ_�. _.._ APPLICA�J r
feat Input Rating (BTU Pyr HOu•)_ _ Vent Sire S�' Flue Size��
I'UEL OIL ED GAS l4 ELECT ❑ OTHER_��z_�.__.
ITEM NO. FEE ITEM NO. FEE
.-or Issuance of Permit SEE ABOVE Air Condition Compressor 15 to 30 HP Tri,.00-
IVaw-up to & incl.100,000 BTU 4.00_ _Air Handling 10,000 CFM _ 3.00
New-100,001 BTU's & over 5.00 Air Handling Over 10,000 CFM 5.0p
Floor Furnace 4.00 Evaporative Cooler _3.U0_
-Nall - Floor •Suspended 4._00 Range Vent Fan i i 2.00
Install Vents Only ~_ _2,00 _ Vent System _ '31,00
Reoair • Heat& Cooling ><.00 Hood Commercial 3.00
Air Condition Comprevsor_Under 3 HP 4.00 Commercial Duct System ^p 10.00
Air Condition Compressor 3 to 15 HP 7.50
I1':PECTOR'S COMMENTS I
CiTY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB•C,"4,r.9ACTORS
/.PPnOVED BY DATE ISSUED BY_ ��_ DATE
RECEIPT NO
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'7' ignature of Applicant