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CITY Or TIGARD BLDG. DEPT.
1242 S.W. MAIN STREET
TIVARU, OREGON 97223
PHONE 639.4171
CONTRACTOR:
Pursuant to Section(s) of the Uniform Building Code, the
following item(s) require correcting:
_LCL .:'Q1 S. g E rc�o c T L_A - Cm)t=
m_NEEL) TNRFc�Q4.D FGR Fir noorz +
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Date:—.- // 4f- 7 Permit No.
lnspector<
CALL FOH REINSPECTION
v W exam
CITY OF TIOARD BLDC,. 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:
- � •fir= C T S T Flo r"i_ n "��_ -�' � _,� +
X11gl
KI At., F�;�-w
G6Z 44-,144 Z6
ALS/2�/yc�
1 _
Date: _1 ��—s`. �- "�9 _. Permit No.
!nspector - �C `--
CALL FOR REINSPECTION
1 Ili
MILWAUKIE Ftt
CIIEPARTMENT, TIGARD
15330''''„„ py NI.OLUMBING PERMIT .
5 ! S.E. 87nd r� ,
Cl1�CtW► �.�.
9�►�
14 #__., holder of a valid p.urnt:n.g contractors li,:ense is hereby
authorized to cause plumbing work as Fie n noted to be installed in accordance with tho plumbing code of �
Tigard. Such installations requirr in pection U the City Inspector who ahall be notified not less than four
(n) hours prior to the time the installations are ready for i pection. Cityy of Tigard Business License required
for all contractors and sub-contractors. dabd-f
Owner: � ' l, --- Address/40.21] �`�/ c� / v' Dated
NUMBER OF TOTAL
TYPE O PERMIT ITEMS FEE ON EACH AMOUNT `
Single Family-1 bath-each 25.00 r2 s• !/ V - _- _
Du Itx-Each 1 bath unit _ _ 25,00
Additional bathrooms-each _ _ — -�- t
10.00
Mobile Home Space.-each —
INDIVIDUAL FIXTUREB CGFIl It_RC!fiU )� --�----
1 to 50 Fixtures In 1 building-each 3.00
til to 100 Fixtures in 1 building-each 2,50
101 to 200 Fixtures in 1 building--Each 2,00 p
201 or more Fixtures in 1 building-each _ 1.50 _ :---•-
MISCELLANEOUS
- f
Sewer-each additional 100 ft, _ 10.00
'Nater Servi:a to building 5,00 or
01)ef 5 ecif
PERMIT G CSU For Plumbing Inspection Phone 639.4171
Z,S to ..J •r' 'a Plumbing Contractor 13V
TnYA I oCr`cIDT hin I......l Q
•` � ygMwa�v
Ar. r ^l'4'F.T,Cih"lR rl� 'w ���W'�.,Mf''�"'v�'_ •'•R� /� - - so.'1Y/ y�•C
CITY S '
BUILDING PERMIT APPLICATION aF TIGARD DATE
THE UNDERSIGNED HEREBY APPLIES FOR APERMII FOR THE WORK HEREIN INDICATED BUILDERPHONF
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHON
E_"T"S�XT
LCAT NO.
OWNER ` JO ADDRESS .+ �� r IiOME ADDRESS �a� cTowt*
ARCHITECT
BUILDER ADDRESS
1 � t1Y r t e�E�1(i�T✓] ® C�.HULJ; ,ENGINEER
-- _ DESIGNER _
STRUCTUHE ❑NFW ❑AIMODEL _❑ADDITION ❑REPAIR __❑RENEWAL –_❑FIRFDAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOVT ❑RELIGIOUS❑PATIO ❑CARPOH', ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING _ ❑CONDIpTIONAL USE ❑DESIGN REVIEW ❑COUNCIL- APPROVED —�UsiGNS v—
OCCUPANCY —LAND USE ZONEBLDG.TYPE FIRE ZONE__ PLAN CF ECk BY
istruct family duelling w/rzty ache,,- gimr ajo. Oai racm
TNIs T" A RE-TSSIA'. rtc PtRMIr ;' 2001 - A.429}; 9IJ 60,:h F'1. t.t.;t 9
war vimat:. 20,31.. - ;76t,.00
� —
S2�G.-J.SLq� F1.QQRl4AiZHEIGHT_ SL^.A11Qf3IES—, .._n � S`QMs 3 VALUE
BUILDING DEPARTMENT
SET BACKS FRONT REAR LEFT SIDE RIGHTSIDE
Permit 1.�Ojs uu _`-
THIS PERMIT IS ISSUED SUBJFCT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check io•VO REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
'NORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total �(a��{1„ ALL APPLICABLE CODES AND ORDINANCES 114E ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CLIRFIFNT CITY BUSINESS
State Tax 7• !. LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total ti iICl.72 SUt; — V40i:1.00
POC 42 1100.00
BY D i
,1 APPI H ANI OR AGENT �. ---..�--- -------..
Approved ( Receipt No. 3
1
DATE INSP. TYPE INSPECTION REMARKS PLUMrBINC, I DAYF
Contractor
Permit No. � -7j
Rough4n
i>
I 7,_ {/,...� _ — ----- Fixture
/7✓a-7;' �"""`--- — Final_
_ HEATING
• Contractor --
( �
//-�-7 f we_ LYS•AiJ/Zi2a..Fb —
Permit No.
i ' ` — _ Gas or Oil
ALA
Rough-in
Final
SEWER
Final
DRIVEWAY
•� v�
Final
-- — J--`- —_ Stom Drainage —
(Rain Drain)Final
- ——`--
Sidewalk
Curb 6 Struet Final
Approach
BLDG.DEPT.FINAL — TEMPORARY CERTIFICATE OCCUPANCY Final
CEIRTIFICA-E OCCUPANCY ----.s-- ---- -- ---
r/ Landscaping
/17' Final
/P:i1 4
4 v
1 �
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'yam ;t f r ,G'..0,ws '- ilo,r}vq
iffm
LITY T�G��RD DATE g-.3.. --- — . ,s`�Q hjA
)ILDING PERMIT APPLICATION of C
%f t 0' !(-%! !: ,� REBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED 9UILDERPH0NF_
A"' ;rl;_)WN ANL APPROVFD IN THE AC�C,Q}MPANvING PLANS AND SPFCI�F IICAl IONS. OWNER F 40NE _
LOT NO.L.��
JOB ADDRESS �y 0 [L(! HOME ADDRESS
//Q�oy3 �J,,;�PO/S�/yS�
ENGINEER
IT
F _ NSI ADDRESS ---4/ �* DESIGNER
HEEW O REMODEL ❑ADDITION HEPAIR OPENEWAL ❑FIRE DAMAGE ❑DEMOLI'- ON
- _ .._—. -
lNCr- COEDUCATIONAL OGOV-T ORELIGIOUSOPATIO ❑CARPORT OG.ARAGE ❑STORAGEEISLAB ❑FENCE
�r IND ❑MOV ING OCONDIT-,,,.,l USE ❑DLSIGN REVIEW .DUNCII.APPROVED COSIGNS
r ;•NCY R-I L oND USE ZONE BLDG.TYPE. _N. —FIRE ZONE I— PLAN CHECK HY Mw HEAT-_—q___
ON
_ _C��s ►� �L , Ilao __ floe ___
ry e a �;-- •> ,w aha
.9-4_ lV
� Ap .R
. FL�� .LQAQ- H�l.
- � -- SLHt. !t1_..__.�. NQfiT!?RI�S- z- R L JQ 5.E09_Q0M3VALUE-��c----
Hu LU1NG DEPARTMENT SET BACKS FRONT // RE AP�-Z �Z LEFT SIDE�Q l RIGHT SIDE
- _
` THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
'!en Check /�� �� REGULATIONS AND Al L APfLICABLE 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
Fuhtotal _ — ALL APPLICABLE CODES AND ORDINANCES. THE ISSOANCE OF THIS PERMIT DOES NOT WAIVE
��
-- - RLSTRICTIVF COVENANTS, CONTRACTOR AND SUB CON)AACTORS TO HAVE CURRENT CITY BUSINESS
`. ta1, Tex '. 7L� LICENSE SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
_.r
�y
I(+181 / 0 by
/ t•• ,
anv, irnNY ()P ar.l NT �/7
•;I+t, cued — - — Receipt No oWCG.---
,Y,,�R4,Y CONSTRUCTION HON
i 1 OW SROADACRES N.E.
"UNARD, OR 97032
C #,G /0o '17sz
�c�c�
13e�•,ac- C�Owl. 6'006 _ _._--
1, T�sr . 9& �-
T
2Q,�uuQ
ss >� et■r #� >� l�
F
City 0flo�l �eC� �nlralC�m�}
C��I
Permit
__--/�
Harr Installation epla:e ❑ Relocation ❑ Addition F-1Fee____ too Alteration ❑ % State_
HEATING' / TOT
CONTRACTOR
WORK DR S
PHONE — R APPLICANT J, --z=z
Input Riting (BTU Per Hcur)_ Q Vent Size Ct /Flue Siza
--- ._
=UEL OIL ❑ GAS ❑ ELECT ❑ OTFIcR —"
ITEM ^` NO. FEE ITEM NO.. FEE
1-y Issuance of Permit _i SEE AEOVF _ _Air Condition Compressor 15 to 30 HP 10.0
'pa'µ-up to & d.ne.100,000 BTU e �i_ 4.U0 Air Handling 10,000 CFM_ r �- 3.00
100,061 .BTU & over 5.00 Air Handling Over 10,000 CFfvl 5.00
'loorFurnace _ _ _ 4.00 EvdporativeCooler 3001
;all•Floor•Suspended �~ 4.00 R tr,ga Vent Fan 10C
~,tall Vents Only _ 1.0_0 Vent System 3 OC
14ojir• Heat_& Cooling 4.00 Hood Commercial _ 0C
lir Condition Compressor Under 3 HP _ 4.07 Commercial Duct System T' 10&
kir Condition Cornores,or 3 to 15 HP '50 _
"iSPECTOR'S CO3v1MENTS _
!rY BUSINESS LICENSE REOUIREO FOR ALL CONTRACTORS OR SUBCONTRACTORS
PPROVED BY DATE ISSUED BY ;;DATE
C E I P TN0 —`"_------
.
14
Signature of Annlirnnr i