14655 SW 84TH COURT-1 14655 SW 84TH COURT _
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BUILDING DEPARTMENT, TIGARD—
1 PLUMPING PERMIT 1�1 0
_- Sli�w!uake> ':. [��ucii)irnl - holder of a valid plumbing contractors license is hereby
authorized to cause plumbing 1n ork as herein noted to be installed in accordance with the plumbing code of
Tigard. Such installations require inspection by the City inspector who shall be rotifieci not less than four
(4) hour:; prior to the time the installations are ready for inspection. City of Tigard Business License required
for all contractors and sub-contractors,
Owner tihoi tnrn,av trio v35—t')___ Address 14655 SW 14 h c't_______^ Date 1/27Z81
TVPE OF PERMIT NUMBER OF TOTAL PERMIT Nt).'s
ITEMS_ FEE ON EACH AMOUNT loffice Use Only)
R
Sirsr�le Family-1 bath--wcls
Ouplex-Each 1 bath unit
25.00 --'
Additional bathrooms-each
Mobile Home S ace-each
INDIVIDUAL FIXTURE FEES
1 to 50 Fixturas in 1 bw:ding-each
3.00 _
51 to 100 Fixtures in 1 buildiiq-each �- 2.50
101 to 200 Fixtures jr: I bui!!9' -.ach 200
11-F ixtures it 1 tuildin - vacn 1.50 T- - -
MISCELLAN_EOUS �! - _ -----
Building Sewer-1st 50 It. "^!
--.- 10.00
Sew r-each additional 100 ftp 10.0_0
Water Serv!ce to building _ ^^1 5.00 �^
�.(J�
_ Private Water Synems-eaeh 100 ft. 10.00
tither f$oecilyl: --
PERMIT `;4u.2p �rorPlumbing Insp�ecrionPhone 639-4171
96 State cat G.t1 _ Plumbing Contractor By
Kw W >rW
City= of Tigard Mechanical Permit NO.
New InstallationE3 Rel!ece 1J Relowion❑ Addition ❑ Alteration ❑ DATE: —15—Q1
HEATING C}eiieW Turnace & !1/C Inc. hiaca]_ Develox�ment Co.x�.
CONTRACTOR _ OWNER_--- —
ADDRESS 1§§z6 �,;� t R�—a .,_ T, .{ �cP8 ADDRESS Lot 6, 14655 c. w. 84th Ct. —
PHONE 656-0326 APPLICANT .. — L. Be J -' —
Heat Input Rating(BTU per Hour) 88_0.0 0 Vent Size :" F:ue Size--, _-
FUEL OIL❑ GAS [3 ELECT ❑ OTHER
ITEM —� NO. FEE _ ITEM NO. FEE
For !. jance of Permit _SEk BELOW _ Each Air Handling Unit ur Duct System 7,50
L-w-up to & incl. 100,000 BTU 6.0n_ Commercial Hood System — .50 _
New 100,000 BI'T"s & ova_ 7.50 Other Equipment - Each 4.50
Woodburnb Stove 4.50 1 Tri Inspection 4.50
Wall-Floor- Suspended_ 6.00 Air Condition Compressor - up to& incl.3 H.P. 6.00-
Vent System w/Fan _ _ 4.5_0 Air Condition Compressor-3.1 to 15.H.P.incl. 11.00
Repair -Heat Cooling 6.00 _
CITY-BUSINESS LICENSE PEQUI RED BY ALL CONTRACTORS OR SUB-CONTRACTORS
PERMIT ISSUAN_CL 10.00 Comments:
FEES h.00 ----
SUB-TOTAL __71 -.00-
%
'Ott% STATE 74 Issued By
25%PI. N CHECK
TOTAL REC. 0 --
BUILDING PERMIT APPLICATION TIGARD DATE__+!!Z - ,1s.. � 3532
-HE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE Wl-ril<HEREIN I%'DILATED BUILDER PHONE r.,41-0776
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PHONF
LOTNO.�kI 8
OWNER ':j„�1 U�it, Corp._IOBtiDDRESS14(7;jj SW 84th Court.
ARCHITECT —`
ENGINEER
BUILDER Es me _ ADDPESS 6850_ SIJ l05t.11� evtn. DESIGNER Piercy Barclay
STRUCTURE 13 NEW ❑ REMODEL _ _U ADDITION ❑ REPAIR ❑ RENEWAL C3 FIRE DAMAGE f7 DEMOLITION
U RESIDENCE ❑ COMM D EDUCATIONAL ❑ 00V'T ❑ RELIGIOUS ❑ PATIO Cl CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY __P"3 LANDUSEZONF R-7
BLOC TYPE � � ---PLAN —
_—,. i FIREZONE CHECK BY _ dWh HEAT_�S
Construct ain 1H famfl.ydunllinc W attach�ri garage. � 8adrnome 2 bafiths,
SEC (.:QF�RfGT7Clf�f Sl�EET rZTTIi� blt:�C3.
SEWERPERMITM — 7wl7.Un
OCC.LOAD FLOOR LOAD 40 HEIGHT_ NO.STO_ RIES 1 AREA 1479 NO.BEDROOMS 3 VALUI$601600.
BUILDINGDEPAHTM[N—�T
SETBACKS FRONT 42 0 — REAR 34 LEFT SIDE 7. 5 RIGHT SIDE
Permit •Ou
n _. -- —
�” THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 1QQ•.t I3 WORK WILL BE DONF IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WI1H ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAI/E
Subtotal 3134 "A REST RICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS!REQUIRED FOR SEWER.PLUMBING AND HEATING.
statQTa� 4, 8.36
Total 31.a h PSDCC N- II �T4
Ad—ENT N7 By Ft
—-
Approved ,�tJh Rec:elpt No �_
AD- D�9E88 PHONE
t°P
t
i
a ■
..y
DATE INIIP. TYPE INSPECTION REMANKS PLU RING DATE
Contractor -A - y0
Pennit No.
Rough-in --
,2 Fixture
.3 �d� O / Final
HEATING
Contractor
Permit No.
Gas or Til
Rough -
F i nol -
- - ----� Sr SEWER
- Final
DRIVEWAY
- --'—^-_ Final
Storm Drainage
-' - ------ --- (Rain Drain)Final _
Sidewalk i
Curb&Street Final
_ Aporoaeh
^IJL.iJG.. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
LandsceUing
Jr/`\ Zoning Final
I
BUILDING PER.-AIT APPLICATION TIC:•ARD DAT --(__�19�
THE UNDERSIGNED HEREBY APPi IES FOP A PERMIT FOR -,HE WORK HEREIN INDICATED
')R AS SHOWN AND APPROVE0,,V THE ACCO(�;PANYING PLANS ANI] PEO.IFICATIONS. OViONEBUILDER PHONE.
� . 'VER PHONE
Is J08 ADORESSI � LOT NO,
ARCHITECT
BUILDER . ENGINEER
ADCPES -��� I�.y , DESIGNER 0
STRUCTURE NEW ❑ REMODEL _ AUIO
DITN
_,. _ ❑ REPAIR s ENEWAL Q FIRE DAMAGE ❑ DEt
RcSlOENCE. C C'Cmm C EDUCATIONAL _1 GOVT 0 RELIGIOUS C PATIO (_i CARPORT C GARAGE U STOP E
�- -� ----� ClC SLABO FENC
��..LANG JSE ZONE '_ BLDG.TYPEFIREZONF PLAN CHECK BY HEAT`-QP-..Z
�•►� e d T--QP-..Z__
,EWER PEantrr aY
"CC.LOAM _ FLOOR LOAD HEIGH,* —
_ NO.STORIES _ AREA Z NO.BES ROAMS -�
9UItCING ^EPA -f?IEN7 VF UE G 6W
SETBACK!; FRONT ,2 0 REAR 34 LEFT SIDE '' -
PTrmit -0 ' --= _-=- - _ _ ,_ RIGHT SIDE
THIS PERMIT IS ISSUED SUBJECT TO THE `^ _�
��ut;.A.T10.JS CONTAINED IN THE El;IL 01 CGuE, -
1'IanCheck �� l,�a REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED TrA1 THE
WORK WILL. BE DONE IN ACC:OROANCF.: WITH THE PLANS AND SPECIFICATIONS AND IN COMPLJANC_
Suaotal �2 S WITH ALL APPLICABLE CODES ARID ORDINANCES. THE ISSUANCE OF THIS PERMIT DOE'S NOT WAIVE
3. RESTRICTIVE COVENANTS. CONTRACTOR AND SUS CONT TRACTORS TO HAVE CURRE
LICENSE SEPARATE PERMITS REQUIRF"O FOR SEW'r.R,PLUMBIPIG AND HEATING. NT CITY EJSINr.SS
SDC-
Total
9y POCU APPLICANT QR AGENT
A,3proved Receipt No.
ADDRESS PHONE --
C —__-
C - S __ I00
WER CONNECTION $ 7,2j
.IjEn INSPECTION
_UER SURCHARGE S �
��C-* L `.�e VES, omp 7 ..Jc✓r, )sl
'AV*-a-
x 23 66-7
2 ! x 38 74 $
a�( 7 x Z r/4
1 *? ev- ° o
2 ,5-2� �• 19.E
ca 0, 0*1