15815 SW 88TH AVENUE 15815 SW 88TH AVENUE
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Connection Fee
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CITY
BUILDING PERMIT APPLICATION of TIGAR® DATE .�..��..�'�;' — 19--
THE UNDERSIGNED HEREBY APPLIES FAIR APERMIT FOR THE WORK I'EREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS ANC SPECIFICF T I )NS. OWNER PHONE_ -- —
LOT NO,
'ack :.1�net. . .I:.
OWNER IJJOB ADDRESS ` �'�1 r( HOME P_DDRES5
ARCHITECT
SA1-C ENGINEER
BUILDER '— W ADDRESS �- Y` DESIGNER
STRUCTUREOk,-, URFMQDEL -_EJADDITION OREPAIR Ct=11w
.NWAL _IJ^^FIRE DAMAGL DDEMOLITION
[:)'RESIDENCE DCOMM DEDUCAHONAL I_GOV'T ❑RELIGIOUS EIPATIO ❑CAR PO' ❑GARAGE ❑STORAGE DSLAB ❑FENCE
MOND QMOVING ❑CONDITIONAL USE DDESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY- LP.ND USE ZONE._-_._ I _ BLDG.TYPE_�_.__FIHE ZONE_ PLAN CHECK BY HEAT
Uli!tiai—Lifly W OttaChOd ',,8,r8gQ .S Lourclom 3 both
-- - ----- -- Issas q0t4ye
W_Q, LOAD —._Fb4�fiLOAD 4 ; HE&Jli �Q` NO,STQFlIES ` -_.AH5A_� �dC) N-0 @bQHCC0MSY LUE
BUILDING DEPARTMENT _ I BACKS FRONT 2P) REAR ? LEFT SIDE RIGHT SIDE
Permit -- -- -- _—__._.----_--------- —�-----
!"� T',IS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CON AINED IN THE BUILDING CODE, ZONING
Plan Check RkGULATIONS AND ALL APPLICABLE CODES ANI,i ORDINANCES, AND IT IS HEREBY AGREED THAT THE
`--'-- —- WORK WILL.BE DONE IN ACCORDANCE WITH 1114F PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total ALL APPL.ICAP-.LE CODES AND ORDINANCES. '.HE ISSUANCE Or THIS PERMIT DOES NOT WAIVE
--" RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State tax LICENSE, SEPARATE PERMITS REC)UIRED FOR SEWER, PLUMBING AND HEATINCC.
Total ' ------- U.01 C•
By -_ —__.. -- -------- - -- -
+--rt-- JAPVLICANT OR PGENT
Approved Receipt No
IN N-Ut AM/ / / /
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor — —
0--1 Permit No.,/CL
Rough-in —
Fixture
Final
HEATING
Contractor p
--__ — --• .—_—___� ------+._.—._ Permit No. �j /a l�"_ �`�7`74•��
i Gas or Oil
Rough-in — -
------ ----___ .__._—_--, Final -- —
_-- ----- -- ----- — SEWER --
Final
-- DRIVEWAY --
---- Final —.�--
_�— Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
__�— -- --— Approach —
BLDG. DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY —
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
rw
SEWER PERMITJ, -�
Unified Seweraga Agency
of Washington Cointy CITY GF _?i _ DATE 6-29- 6
OWNER : Rrocic_ Cnn"t. Co_ PHONE :
OWNER 'S ADDRESS:
TYPE OF INSTALLATION:
K>Q�BUILDING SEWER ❑ BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
Cj�EW x'OtINGLE FAMILY ❑ COMMERCIAL
❑ EXIST. (PRIOR TO 7-- 1 --70 ) ❑ MOLT. RES. ❑ INDUSTRIAL.
FIXTURE UNITS DWELLING UNITS J_
AnDRESS OF STRUCTURE : ISH15 SI,I Bath Ave. _
PERMIT CONDITIDNS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES AND
REGULATIONS OF THE UNIFIED SEWERAGE AGENCY. WHEN CALLING FOR INSPECTION,
PLEASE REFER TO THL PERMIT NUMBER. THIS APPLICATION EXPIRES IN ONE-
HUNDRED AND TWENTY ( 120 ) DAPS. THE AMOUNT SAID WILL BE FORFEITED SHOULD
EXPIRATIOJ OCCUR.
FEES:
PERMIT FEE $ 25,
CONNECTION CHARGE ---600.
SIDE SEWER INSTALLATION B. Greene
OTHER
ISSUED BY
T T,'1L y 625.
APPLICANT i DATF
SEWER PERMIT M 15981,
Al�iir,�_;,:> OF STRUCTURE _ ibUl.'i ;,I.l HULh Ave.
TAX MAP _ M TAX LOT _ SYSTEM Tann❑ creek
LOT 68 _BLOCK _ OF
L .-I I ri 3n 6-•29-78
APPROVED BY DATE ISSUED BY DATE
D. li . ' S REMARKS bldg. # 2.182
i
3UILDING PERMIT APPLICATION cOF TIGARD DATE___
HF OND[ ASIGNED HEREBY APPLIES FOR APERM17 FOR THE WORK HEREIN INDICATED BUILDER PHON
L-R AS SHC)WN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIF ICAl IONS. OWNER 1`140Z�
LOT
.-RI•l ���_.._ j 1(?v JOB ADDRESS�^Q �_ W ? HOME ADDRESS
ARCHITECT
ENGINEER
R.__.._..._.. ._. _..� ADDRESS- --__— _ --- DESIGNER
UAE 1.EW ❑REMODE L ❑ADDITION OFILPAIR ❑RENEWAL [:)FIRE DAMAGE ❑DEMOLITION
7�DUCATIONAL ❑GOV'TvORELIG10USCJPATIO ❑CARPORT ❑GARAGE ❑STORAGEOSLAS ❑FENCE
1.1_0_VING �❑.�CONDIT'ONAL USE ❑D�LSIG�N ^REVIEW ❑COUNCIL APPROVED ❑SIGNS
-�•I�'Y � � LA —USE ZONEO__ __ BLDG TYPE_ P —FIRE ZONE FLAN CHECK BY�� HEAT_ .-�
` --
------------
:c_l Q9A__._. -_ ._ f LQS2f��4'A�_`�`_��_N._EiG1�I_.'*"�____ N4_�.T_S?flIF.&.Z'-_9ftE.g�l-�•��.52..�.6LRQ9.M�.��1.A11!€7 .!'/��
--BUILDING DEPARTMENT SET BACKS FRONT REAR s�
7s-?� LEFT SIDE RIGHT SIDE —_
- -------- _ L � __.__——_-- ---- ----
i ermlt
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
flan Check REGULATIONS AND ALL APPLICABLE 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
Sub total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RE.T CTIVF COVENANTS. CONTRACtOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
`;ttltt' Td �G LICENSE SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total
- - --- v----- --
HV
APPL SCANT Op AGENT --
Approved J -� Receipt No _-------^� _ _
c'j�
7
_-------- .
y-
City of Tioaf d Mec' hanieal Permit �� ~Permits I
Fee
Novf Installation Replace ❑ Relocation ❑ Addition ❑ Alteration ❑ 7 State
{EATING 1 TOTAL
r.ONTRACTOR \Y1 4�k�r _ OWNER
ADDRESS WORK ADDRESS
__L,�_ �hl �jl fel III
I� I,. ..�
PHONE r � APPLICANT_
He.:t Inj.ut Rating (BTU PiHour) �—~ Vent Size. Flue Size
-UEL OIL ❑ GAS E:1 ELECT , OTHER _ _
ITEM NO. FEE ITEM NO. FEE
=pr I<suarce of Permit SEE ABOVE Air Condition Compressor 15 to 30 HP 10.00
'-",1;-u to & -in--. 100,00_0 BTU _ ~4.00_ Air Handling 10,000 CFM 3.0_0
L00,00t BTU & over 5b0 Air Handling Over 10,000 CFF,,l 5.00
=io_or Furna a _4.00 Evaporative Cooler 3.CG
:all • Floor •Suspend-ad 4.00 Range Vent Fan 2.0C
�stail Vents Only _ _ _ _ —2.00 Vent System __ `—
3.0C
?p sir . Heat Pe Cooling_ 4.00 Hood Commercial 3.GC
i r Condition ComprNssor Under 3 HP 4.0p ^ ttriercial Duct System 10 0
lir Condition Compressor 3 to 15 HP 7.50 �— �— —
iSPECTOa'S COMMENTS
ITY BUSINESS LICEI SE REQUIRED FOR ALL CON TRACTORS OR SUB-CONTRACTORS
?ROVED EY _
DATE ----,---- ISSUED BY_ DATE
cCEiP7 N0._-____3_L2 5 - - ✓ __..I
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