14575 SW 88TH AVENUE-1 14575 SW 88TH AVENUE _
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BIJILnING DEPARTMENT, TIGARD *�
PLUMBING PERMIT 1� •
hoider of a valid plumbing contractors license is hereby
authorized to cause plumbing work as herein rioted to be install--d in accordance with the plumbing cede of
Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the tirne the installations are ready for inspection. City of Tigard Business License required
i;tr all contractors and sub-contractors.
Oviner__1�� .stir sem— Address_!.,
NUMBER OF TOTAL PERMIT ;BO'S
TYPE OF PERf11T ITEMS FEE ON EACH _ AMOUNT (Office_ U.e Unly)
StM Femilr-1 bath-each 25.00
Ea.;1, 1 h,ttn un t -__ 25.00 -"-
Additic nal bathrooms-each 10.00 —
Mobile Home Space-each 15.00 I
INDIVIDUAL FIXTURE FEES _ --"-
— 1 to 50 Fixtures in 1 building-each -- 9.0_0 _ y_—
t b'
_2_100 Fixtures in 1 builuing-each - 2.5C_
1 101 to 200 Fixtures in 1 building-each 2.00__
?Of or more Fixtires in 1 building-each 1.50 �~
M I S C E L L A N F 0 U S
Buildioj Seow-1st 50 ft. _ 1000 _ --
Smer-each additional 100 ft. _ _ 0.00
_ -- --
Water Service to building — � 5.00
_Private Water Systems_aach 10.0 ft. —� 10.00 - -
Other (S iecifv): ---
PERMIT _ — fr-Plurrrbing lrrspecrion Phone 639 4171
395 State Plumbing Contractor Ely lrr�t.� `» � \
TOTAL _ RECEIPT N0. Issued By
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1� BUILDING DEPARTME-NT, TIGARD �jD mi
�// PLUtilEi1NG PcRh11T 1�
_ �A 0 �p r� CI -y;-`' / fy�b Y , holder of a valid plumbing co, license is hereby . I
authorized to cause plurnhing work as horei noted to he installed in accoWance with the plumbing coda of
Tigard. Such installations require inspection by the City Inspector who shall be notified not less then four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
ror all contractors and sub-contractors.
Job / '
Owner' Oermw � _ Addres>v.1��___`_�=_ 1r' I �— Date'_.1'r
NU11.111MR OF TOTAL_
i i t�pE CF PERMIT ITEMS FEF: Odl EACH _—A?.'0UNT,
Single g4mily-1 hath-each _/ _ 25.00
� t!
Du I.x•-Eacli 1 bath unit_-- _ _ -- 25100___
LAdditional bithruoms ch _L._� T 10.00
Mobile Home Spice—Each 15.00
INbtVICUAI FIXT_URE9 COf�f"EFtC1Al i �» - A
I to Z:• Fixtu•es in 1 buildi22:Loch 5.00_ I
I 51 to too Fixtures in 1 building-eeach _ _2.50 li
101 to 200 Fixtures in 1 buildincLeach _ 2.00
�' 701 or more Fixtures In 1 buEding•-each 1.50 _
MISCELLANE0US r
SSWer-tach additional 100 ft. __- 10.00
INicer Service to building_ !_ _ y5.00
I_ t7ther ISo�riiy!• - _�__
l PERMIT For Plumbing Inspection Phone 639.4171
I 4MState _ Plumbing Contractor By
TOTAL RECEIPT NO. Issued By
I gard
U P
for
INSil"ECTION TIME: PERMIT NO. :-.-
DAT E ' Z57 DATE ISSUED :--L-L-
OWNERS NAME ' --
ADDRESS:
CONTRACTOR '. -
TEST : Air 0, WaterCl Visual El Laboratory El
RESULT ' Approved 0 Disapproved 0 Pending E]
SKETCH.
t
INSPECTOR DATE
[NOTE. Attach supplemental test data beretal
I - -
BUILD;NG PERMIT APPLICATION TIGARD DATE_ _ `�� 1s_vq� 3304
THE UNDERSi aNED HEREBY APPLIES FOR H PERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONE SNE . 127-7169
_ '
OR AS SHOWN -,ND APPROVED IN THE ACCCiVIPANYING PLANS AND SPECIFICATIONS. OWNER PHONE r 63
OWNER Tom hu13e, JOP ADDRESS 14U l`..i SW 88th Avenu6 LOT NO. ly,P1nQ TOQ
-- - -- -- -- _ 9?uENG NEERT� � y22
efJ
� Kr:haT
BUILDER Mikd Richert ADDRESS Z7 SW 12th, Ptld DESIGNER 631-4�`i'i6
STRUCTURE i- NEW ❑ R:MODEL EX ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
E RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE [J SLAB❑ FENCE
OCCU^ANCY R-3 LAND USE ZONE "7 BLDG.TYPE ljr` —FIRE ZONE 3 PLAN CHECK BY d -HEAT
Construct addition to existing singlePmily dwelling (enlssgu kitncen
dining areas)
SEWERPERMITM
OCC.LOAD FLOOR LOAD 40 HEIGHT y NO.STORIES _ 1 AREA 11E'N_0.BEDROOMS -" VALU164 p OOO.
BUILDING DEPARTMENT SETBACKS FRONT SE E PL A'R&AR_ --'.O
LEFTSIDE -- RIGHT SIDE
Permit 62B.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATION! CONTAINED IN fHE BUILDING CODE. ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check_ 14.110 WORK WILL BE !SONE iN ACCORDANCE WITH THE FLANS AND SPECIFICATIONS AND IN COMPLIANCE
42.00 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOE's NOT WAIVE
Sub-total _ RECTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 1.12 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
X43 11 _1SDC—
Tota_I .w .
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�— _--I PDCN APPUCANt ORGEf ANT
By P1
rApproApproveddUhl ADMESS PHONE
r
I� W W 4W ! %
DATE INSP.i TYPE INSPECTION --� REMARKS PLUMBING DATE
!Cz
Contractor
. 4•K!�t — Permit No.
Rough-in
Fixture
Final
_._ HEATING
'+
Contractor —
Permit No.
-� Gas or Oil
Rough-in -- - —
_ Final --- �-
-- SEWER
T Final --
- -, — — DRIVEWAY — ---'--
Final
Storm Drainage — —— --
�_ (Rain Drain)Final �-
Sidewalk _-- -
---- ----'--- r : d Street Final
Approach Y— -
ItLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPA C
CERTIFICATE OCCUPANCYFinal
Landscaping
Zoning Final
i
DATE. _. l__.�. 19�'�_ ..• ••�
BUILDING PERMIT t:I I Y APPLICATION of TIGARD ff 9
7 LIMLDEfi P`iGNF`Z?-7't f
THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN IND CA ED xj
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPFCIFICATIONS. `..NNO r,NF �'J9-�f
�+ �/ L.�•_/T NO_�,[Q��YYYN�dfN1�-Is►fM!'e,
OWNER N_ 14ULS E l ----JOB ADDRESS 1'1_.57f . S W T hl A -____..�_ _�(OlX b/ 1ZO__ �S/` �/�9
/� - -
ARCHITECT
fG/•) 4DORE55
BU11_OCR M1tKs��m:Ql.f��---.. .___.I.dJ ��![.-. - 'J�- •�i20J DE51G ENGINEER
_-! ry
STRUCTURE ���W , lEMT10El UDITION OREPAIR-_ OHENEWAL - _ CJ DAM, L�ID�I�tOI I '!
RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUSI.JPAT10 C]CARPOR7 ❑GARAGE ❑STORAGEL,4Lag =(�FEN:r
---------- ---•_r=.� r'---w-r�_ _.� � .-...Y...-.. .� -:;._._.-_ - - - --=�=.�s.._r.. _ .ter_
1FIRE ZONE ? MEAT
—7_.LANDUFr ZONE OG rYPE v�°ti rt Ch H�
DE - --•- -
_. _...._-
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.v�_.r_._._ �:cn�b`kee�' a.aQe��Por..-_�. aY;s - 4h� ,�-���!'s�°"� �E+e�.�e K.�'�.�# J7�P� o�+w��•
SEWER_ PERMITS
1 QCS_LOPD
H.1gREA _NQ �EQA9S2Mc _'�'.-VA.LIi .
- ----d�-STQ�)�`�._�
BUILDING OEPaR'r, F'd' -I SETBACKS FRONT (AW REAR 20 LEFT SIDE RIGHT SIDE r
Permit .2dG
— ---•- -- r 4- AMIT IS ISSUED SUBJECT Tn THE REGULATIONS CONTAINED IN THE NUILDINR C001:. Jr NIN
Plan Cheek 14,00 c>ULATIONS AND ALL APPLICABLE CODES AND OFiDINANCCS• AND IT IS HEPEBY AGREED THAT l,-
.•vRK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN CONIPI I bN.E N'IT
Sun-total - ��&I ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT Wt'i"
------ -- '�- - RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CUpAEN i CITY Pt,
State Tax r.lx LICENSE. SEPARATE PERMITS REOUIRED FDR SEWER, PLUMBING AND HEATING.
Total , POC#
_ APPIICANt Op
LA' pprov
y AGE S_`
Pt;elptNo ?N VE G3Cr^�{.S7G
---• - - - -- - - nringF55
SDC - $
4w4
PDL" -
SEWER I'ONNECTION
SEWER INSPECTION $ to
SFWER SURCHARGE
� // 000
Comments: Rpm�, 7 P 1►1 i?�fi 1 f OrLB� 1`�"!'!'i!MI►.
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