14405 SW 80TH PLACE _ 14405 SW 80TH PLACE _
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BUILDING DEPARTMENT, T'GARD
f7LUf-IBING PERMITNO
holder of a valid plumbing contractors license is hereby
authorized to cause plumbing work as herein noted to be installed in ac•rordance with the plumbing cope of
Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four
(4) ho irs prior to the time the installations arra ready for inspection. City of Tigard Business License required
for all cq�tractcrs and sylri-contract:lrs. _ �
_ ` Job / / I �Zv
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( - NUN 9M OF —'OTAI_
TYPE OF e'ERMIT NEMS FE£ Oil EACH ,MOUNT r
19E31pFN71AL
Sinale Family-1 bath—eeach _ ` --_--25A0
Oupl?x-Each 1 bath unit _ 25.00
Additionll bathrooms-each _ _ 10.00 �_ U•� _ x
Nlnbde Hume Space-each _ 15.00
trJOIVIDUAL FIXTURES COf�f�ERCIAI
i 10 53 Fi,; res it F il+ r•t_�;rh _ _ _ 3.00 _
51 to 100 Fixtures in 1 b2lldin9_each. -`� ~~-150��
101 to 700 Fixtures in 1 building-each� 2.00
701 or mire Fixtures in 1 bui►din.l•-•each 1.50
IMISr-EL,ANE0US
Sew.r-each addi"ional WO ft. t0A0
I skater Service to buirdinq — -�_ 5.000
IOther iSparif 1: —
1 PERMIT jj.4 V For Plurdting lrrspection Phone 639.4171
I 4 tate _ / Plumbiog Contractor By
V TU7AL r ) RECEIPT NO, ISSUed By
CITY
BUILDING PERMIT APPLICATION of TIGARD DATE_ t„/' ',t?/ 19
1 H UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERP14ONE A
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNERPHONF
LOT NO-= 4 V+ V
OWNER t^i T�t� f'$ ff? r^y1[JQEI ADDRESS IA4r lith P4L HUMS ADDRESS
ARCHITECT
BUILDER `1T1« �[ ENGINEER
ADDRESS'. JJ �.iIJC:I�Ca,y LFJt"1frl� Mil DESIGNER i,,nights bldg, Desitin
STRUCTIJAE `❑NEW ❑__RFMODEL _❑ADDITION ❑REPAIR tl ❑RENEWAAL [-]FIRE DAMAGE ❑DEMOLITION
RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑_CARPORT LJGARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED _❑SIGNS_
OCCUPANCI'.__.A..3LAND USE ZONE_ ''"7C'L BLDG.TYPE -' FIRF ZONE_! PLAN CHECK B`_�_
-
J let_r.uct axnUls faMily duelling wAttachoo areas, 3 GedruoMb 3 bathe*
W -106.,a ;JI' i_at 2, 1441-, Sia 40th Place Ponmit 2852 1b--8-79)
_. Ali ccrrectione pwr _prior pa:mit r�:�uir�a. _
Ego -
.QM_LQAD__ . —_-Ft oo pOAD _LHEIGHZ0 ��B E►-
--
HUILDING DEPARTMENT SET BACKS FRONT ib REAR 30 LEFT SIDE tt RIGHT SIDE
Permit
$191,00
THIS PERMIT IS ISSUED SUBJECT Tr` -i HE REGULATIONS CONTAINED IN THE BUILDING CODE, 7.0NING
P'an Check 10*uta REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
-
Sub-total WORK'NILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
207♦❑li ALL AI'PLICARLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
-- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 'j,at` LICENSE. CEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING,
Total 45 214 9
BV P1 --
APPI ICAN? Op Ar.FNi
Approved DDH Receipt No. 3 ry
.. .. .,.W..:........M....i.......... .w.»..,r..... aUc,RFss...u..+.,.....,..........W...w.W .�1�N... . .. :.,..
�► � � � � �ii II
D11TE INSP. TYPE INSPECTION REMARKS PLUMSIPIG GATE -
--- Contractor —'
Permit P oY- O J
I jolts,t Rough-in
�. ci stun 'I
Final
HEATING
--- — - r:ontractur
Permit No
Gas or Oil �•�[
— Rough•in --
Final —
_ SEWER 1
�. J— -- -- Final
—DRIVEWAY
-- ------ — Final----
Storm Drainage
"Raia Drain)Final
-- --- _._ _.__.-- _------ Sidewalk
-- — _— —_ - -- -- j
Curb&Street Final
— - --------• ,ppraach _
BLDG.D6PT.FINAL TEMPORARY V CERTIFICATE tK CY t incl —
CERTIFICATE OCCUP✓%MCY —�---- — ----
-��U
Lent;--,aping
Inning Final
PIP
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fir'' -� �• ,
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BUILUNG PERMIT APPLICA TION of CITY TIGARD DATE..__-(�'."v�L!___. f
TIaE UNDERSIGNED HERE6Y APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED eull.uLHP4c,rvE ��
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. C°•INERPUNF,_._ � 9
LOT NO-?-'
OWNER I�'.�"1�Y�`l/�. s -�=+•`� M�DDRESS
MR�. ADORR•� I •�
EtU11_OER UF.'i.`i'E.I` 1►
STPJCTURE _ I `ANEW DPEMODE L _ ❑ADDITION- nF ^:.IR ORENEWAL _ OFIRE DAMA_ t�- '_,.
RESIDENCE ❑COMM ❑EDUCAIi ':AL OGOV'T OREL'G10I_ _,( J 110 OCARPORT ❑GARAGE OSTORAGEOSLAE'
rl
AND R`7 ?,DOI.DG.TYPE_S`_ -FIRE ZONE-� PLAN CHECK BY. Y� � .-� HE° C�
°s4c�e. ��o'� i _j.4443 sw�p!1�..PI Pa.�t�l-� 28s�.2 (B���.�______•� �i�,.�
SEWER . PERMIT
OAC-LOAp I LG�7� �D HEIQHZ_ Nl7.e�T HIS$_ •� .RH A� �_N9.QE7Po.OM5
- -BUILDING DEPART%— BACKS FRONT �j0 LEFT SIDE RIGHT SIDE 7
_ r� ,l REAR +_ _ /
- -- !S PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILOINC• CODE. Jr
Plan Check ��, O� LILATIONS AND ALL APPLICABLE COVES AND ORDINANCES, ANO IT IS HEREBY AGREED THAT Ff
-- RK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATION' AND IN COM°I
�Su7 total_ ��?, O e lL APPLICABLE CODES AND ORDINANCES. THi ISSUANCE OF THIS PERMIT UCIFS NOT V
STRICTIVE COVENANTS. CONTRACTOR AND SUB CCNTRACTORS TO HAVE CURRENT TY Bl .i'+l
Stato Tax 'CENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING
DC
Total B 1pC#
e.;
_ .. APPLICANT Op AGd%•I
�Ar.uruvr-d e'ipt No
SDC - - -.00V_
PDC - _ /00
c;rWER CONNE_LTION
SEWER INSPECTION
SEL'ER SURCHARGE
Comments: 0'�1 " > r\ •�� x • 30 �_ — Pik;e 2f-7'
i
Per $300
Of iaar Mechanical Permit NR
Fee___
New Installation ] Replace ❑ Relocation ❑ Addition ❑ Alteration ❑ 4%State _ •2�—�
HEATING TOTAL—', .28-1
CONTRACTOR General Furnace & Air Cor` . Inc. OWNER Arista Estates '
aODRESS 15536 S. E. 82nd Dr. Clackamas, Ore. WORK ADOP.ESS-Lot 42 14405 S. W. 80th Pl. ..
PHONE��ti_ ��6 APPLICANT G. L.. Bel] _
Haat Input Rating (BTU Per Hour)_80.000 Vent Size 5" Flue Size
FUEL OIL ❑ GAS 10 ELECT ❑ OTHER
ITEM NO. FEE ITEM NO. FEE
For Issuance of Permit — EE ABOVET
Air Condition Compressor 15 to 30 HP 10.0—
_New-up to & inc1.100,000 BTU XXXX 4. Air Handling 10,000 AFM 3.00
Ple'•v-100,001 BTU s & over ir Handling Over 10000CFM6.00s:Floor Furnace_ __ 4. Evaporative Cower
_N/all • Flour -Suspended "` 3.00 w
4.00 Range Vent r an 2 00
Install Vents Only 2.00_ Vent System ��
3.00
_hepeir - Heat& Cooling ___ 4.00 Hood Commercial
��ir Condition Compre,sor Under 3 HP -- _ 3.00 r3
_ 4.00 Commercial Duct System 10:00
Air C—on ition Compressor 3 to 15 HP _ 7.50 � -
INSPECTOR'S COMMENTS _
CITY BUSINESS LICFNSE REQUIRED FOR ALL CONTRACTORS OR SUBCONTRACTORS
APPROVFD !r'iDATE ISSUED BY TE_
RECEIPT NO
Signature of Applicant _.._
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