14295 SW 80TH PLACE qF if W
14295 SW 80TH PLACE
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• PLUMBING PERi'41T I
net holder of z vatic plumbing contractors license is hereby
authorized to cause plumbinc work as herein oted to be insta.,ed in accordance with the plumbing coda of
Tigard. Such instailations require inspection/by the City inspector who shall be notified not less than `our
A) hours prior -to the time the installations are ready for inspection. City of Tigard Business License required
for ail contractors and sub ontrdctors.
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Add,--. ` ) �.- Ca.c =�
NUMIGER OF TOTA, i PERMIT NC.':,
TY:E OF PGRSSIT ITEA'o _c 0`: aAC4 AMOUNT (Office Use Ono")
R s : TIAL
Si-ale Pemily-1 bath—each !_ r 25.00
Dua'ax—Carp 1 both unit _ 23.00
ACCIXonal bathrooms—v.ch �— _ 10.00
VOUiie Home SAnce—each
;NDIVIDUAL FIXTu :{E FEES
1 3n Fixtn'as In�1_Si i!din —i!nch
51 to 'CC Fixtures in 1 baUCing—ench I 2.50
101 to 200 F,xtures in 1 buiAinpeaeh
2C✓ r,r more Fixtures in 1 Uu;lding--each 1,50
;3 EI_LANE0US rh
3Ui.6: .g scwar-1st 50 ftp
Sewer—each additional 10i ft. �i �. 10.00
Watt•Jnrvica to building � 540
S st ms—c ch X00 ftp 1040
p- — For Plumbing lnspecefon Phone 6394 191
Piumbing Contractor 3y
—07A,'�� c,��•' PECEiPT NO. Issued 3y
AOJRESS� y `�S �'� bL� z Pt Rrl I f din . �'Sb
PERM[ r CHARGE none
t'W.v E R JI gg c O ra N t_C T 10'i FEE 4" .
PAIn 8Y _i
TYPE IF BUII,.OING �4�'?-�'_ 4 _ DATE CONNECTEr1
SERVICE RATE INSPE CTTcni F LE
CONTRACTOR PAIL? BY DATE,
SIZE Or CONNECTION ASSESSMENT Pry."0
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"Nam IP 0 wo Flow
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CITY TIG ARO DATE :.VJ�4/ .—. 19
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BUILDING PERMIT APPLICATION of
THE UNDERSIGNED HEREBY APPLIES FOR API"IMIT FOR TkIE WORK, 11FRFIN INDICATED BUILDERPHONE
OR AS SHOWN AND APPROVED IN THE AC''OMPANYING PIANS ANn SPECIFICATIONS. OWNERPF�ONF
LOT NO._—
OWNER _ l,c t p JOB ADDRESS tri L•'ADDRESS
ARCHITEC'r''
ENG INFFR
BUILDERADpRES-1C
S
STR �r-Il :ilGNk'Ft
RUCTURE ❑NEW 0FMf1DFL ❑ADDITION ❑REPAIR RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
Q tRE1SIDENCE ❑COMM CIUDUCATIONAL ❑GOVT RELIGI EI
DESIGN C
S PATIO ❑CAR PORI ❑GARAGE [:]STORAGE OSI,Ab ❑ E
FNCE
UBOND 0MOV ING ❑CONDITIONAL 0-E L. DESIGN REVIEW q ❑COUNCIL AP"ROVED ❑SIGNS
OCCUPANCY__ if LAND USE ZONE— J' _—..BL[It-i.TYPE_ FIRE 1ONL--+ PLAN CHECK BY
!t!3truQt sir. -lo i amity iJl, el,.d 2.o +! att;eazhsa garage. 3 bet?> ogm-,:
6146 ti 4' P ici wi t. 19 VA — $62j,00
DEPARTMENT
BUILDING
�BUILDD +
SET BACKS fRfllJT l,a REAR �.� LEFT SInE :� BIGHT SIDE
Permit
THIS P'--,MIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check ILI*UO REG ATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WCtIK 1011tt L BE DONE IN ACCORDANCF WITH THE PIANS AND SPECIFICATION!,A-ND IN COMPLIANCE WITH
Sub total * ALL APPLICABLE CODES AND ORDINANCES. THE IS30ANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANrS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 7,72 2 LICENSE,. SEPARA if PERWUTS RF.OUIRED FOR SEWER, PLUM!IvNG AND HFAT,NG.
Total ���72 P[1C sinc.00
By _ P _ -- -- ---- -
A LICANT L-P Af rir
Approved V X 1 ;�-1 RecP!I�t Nn 2307 _
DATE INSP. TYPE INSPECTION REMARKS PLUMBING I DArE
�Q Contractor
-i<.. s" X.-]'✓s-ate r������•,,,.e>,T,.�y_—l.{-�7.L^II..�.. /-- --
Gy�Mr��l
it No. I
Rough in •—, —
Fixture
C /L—. —t�-�---- --�—T Final
QA - ----- - —
r y HEATING
C3ntractar
-- -- ----- _— Permit No.
Gas or oil
—— -------- -------------- -— Roughen ---
-— — ----- Final
SEWER — -----
-- -- — _ _--- Final
DRIVEWAY
Final
Storm Dosinage
— Main Drain)Final
—. -- - Sidewalk
----- Curb&Street Final --—-
_ -- --- Approach-
9LDI3. DEPT.FINAL TFIAPORARY CERT•IFICATF O_CCUPAN_ Final
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final —^--
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L_UiNG P �M1T APPLICATION 'jTy TICARD DATE_.MgR -14 "1979 _. 14 - N?
IILREBY APPLIES FOR APERMI'T FOR THE WORK HEREIN INDICATFD "OJILL)ERrHnNE
AS '..1(1WK ANL APPROVED IN THE ACC IMPANYING PIANS AND SI'F C'IF ICA I IONS OVO,'1 % NHONF
j0B 4e)ADDRESS �.'S~ � �-�c/ �I:ME AD['7?F:SS ,(�ox
__ ---
ARCHITECT�v
ENGINEER
;lAana ADDRESS DESIGNER
NF. 2,�E W �D REMODEL ❑ADDITION , D HEPAIR [:]RENEWAL-�ClFIRE DAMAGE- DDEMOLITIOV
` ;JN(-.F L-3'.r!MM 17-3EDUCATIONAL DGOV-T DRELIr100SDPATIOnCAF 1'I)RT ❑GARAGE ❑STORA(:,E❑SLAB El
1r 'ND ❑MOV ING ❑CONDITIONAL USE ❑DLSIGN REVIEW n' OUNCIL APPROVED DSIGNC
LAND USE ZONE_ �_Z; B►.DG.TN PF--f%V .-FIRE 70NF `T_ I ' " :HECK BY ._ HEAT---
a 6-(o(o
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' . • aQ_— __ FtT__ �. __H4 STSiRIE$_ �_._PP A%71Q "�C)_t1 CTHQQMS_,/_ VALI�Ea`b`f '
BUILDING DEPARTMENT SET BACKS FRONT �cP^_- REAR �� LFT SIDE. RIGHT SID
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING COOL, ZONIN
''an Check o REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT 114
- — - WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN CCMPl1ANC! 1YIR
"-uh lotal- _ -3 ° ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIS
RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY RIISINII
I;,r Tax ^ 7Z LICENSE SEPARATE PFRMITS REOU+RED FOR SEWER, PLUMBING AND HEALING
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T htal `.��
ACE N1
I.I,•r,ved 0� Peceipt No WAVERLYCONSTRUCTION CO.
I _ ___._ aoliul"1�
AT. 1 BOX 412C
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HUBBARU ORE. 97032
QQI. r�i1tP �� CD' i�� CGaGI-f, �)r ✓1
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City of T ioc-3r d Mechanical Per.mir ,Yo Fee ,
New Ins;sl;,cion Rt:)%ice ❑ Relacation ❑ Addition ❑ Alteration ❑ evASul- .28
"e`,,0 , TOTAL
CCWNTRACTOR � .� _'°7w ONNER _4�z� �
ADnR:SS SSS �� b1�S . f'ii/�. lL� • WORK ')RESs
PHONE l��(D — D�S �� APPLICANTS _
Heat Inpu: Raving ;BTU Per Hour) /f?o�^ Vent Size .S `i Flue Sin
FUEL OIL ❑ GAS L ELECT ❑ OTHER
ITEM NO. FEE ITEM NO. FE
t i^or Issuance o' Perms; _ _ 3 0: �A r Condition Compressor '15 to 30 HP �11D_C
N•w • Untie. 10-3,003 6TU _ ( y ( _4.00_ Ai; Handling 10,000 CFNI.
3 nsw • 10�:0'JO BTU & over Y� �� L 5.00 _Air H;ndlinq Over 10,000 CFM l 5,C
1 Floor Furnace _ __�4.00 Eva,arativeCooler _ ( ,t.0
i
wall Floor_Sus;ended -. 4.00_ Range Vent Fan ( 2.(
t Install VentsQnly� _2.00_ _ Ven:Sys;Em
iRc:moi- • Fi:at &_Coming -_ _ � _ 4.U0 _Hood Comm_eroial • ( 3 �
i Air Condotinn CnmP«:cor Ur; t:r 3 HP ' 4.00 _-Comm_rcia! Due; System
Con-1:ion Comprc,sot 3 to 1S H°
ts.avrrre--3x.a_-n^:-rss��•-:—z:•:�--:-'�-...sc.r-� -
__� __. .. ._ _�'s'�!�•lf:t:3:i:.l SJ'tLS 1tSJ`SL"4CL1.!'�J�b'.�
INSPEC fQ.I'S
CITY BUSINESS LICENSE. REQUIRED FOR ALL CONTRACTORS Cin SLIS CONTRACTORS
APPROVED RYLATE - --••---- ISSUEDBYi_ _`���DAT'E _