14820 SW 92ND AVENUE now fw wu
— 14820 SW 92ND AWIME
s i
CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE E59-4171
CONTRAcarok:
Pursuant to Section(s) of the Uniform Building Code, the
following item(s) require correcting:
Date: — Permit No.
Inspector"A
CALL FOR REINSPECTION
BUILDING DEP.'_'.F.T�'AE,Ni T, TIGARD �Tf,
PLUNIGiNG PERMIT d
Central Plumbinjz Inc. oOregan hol.ar of a valid plumbing contractors license: is hereby
authorized to cause plumbing work as herein noted to be installed in accordance with the plumbing coda of
Tiyard. Such installations require inspectif.;n by the City Inspector who shall be notified not less than fuur �
(4) hours prior to ,he tima :he installations are ready for inspection. City of 'I igard Business License: required
for all contractors and Subcontractors.
Owrf:r Carpenter Smith Const_ gddrz,;_ 14820 SW 92nd (Lot 20) Date_4/23 79 .—
I NUh13FR OF TOTAL PERMIT NO.'S
TYPE OF PERMIT ITE&IS FEE ON EACH AMOUNT (Office Use Only)
1-11Q.;-&T S
Sin-34 Family-1 bath-each 25.00 CIO — s
OripIgx-Each 1 bath unit 25.00
Ad kiungl bathrnums-e ch 10.00 . GO
Monde Home space-etarh 15.00
4
IN01V1DUAL FIXTURE FEES _ M
1 to 500 F;xtumi in 1 building-each �_ 3.00
5i w 100 Fix;u•es in 1 builc'ir;_each _ _ 2.50 _-
�... .-.
r ' 101 c Z00 Fixtures in 1 buil�irt�'-each _ 2.0J
z—----__..�—
+4 -201 ar more Fix_ure% in 1 bu;lrtingeaeh — y 1.50
M1I I S C E L LA_k E 0 U SS
13uildir,Saver-•lii 50 f!• _ _ 10.00
7 Sew.tr-Tech elditlonel 100 ft. _ 10.00 _
Vhr»r Syvicy to buildinq___� _ — 5.00
_
l Private Wttar Syateprr-,�-etc_h 100 ft. 10.00
Other• ($OyCify):
PE;;,1m'r_ _ for Plum?lrng in.%p,rN'^n P,`rorre 63s'.4171 i
I '#6 St.3ta / y/D Plumbinu Contractor By
�J TOTAL RECEIPT NO. Issued By
........, -s�;irc_rarnarr,•;-;iip arg>rt�---..-._ .. ..�:".•2 14.�tix•.. •..-,A.rsn�:�rya7F xr,*p� ,._,�..>.�,,,y�i .. ,r� .. .,,�=•rY�/1��.__...�,-.—._� -
BUILDING PERMIT APPLICATION 11TY TIGARD DATE ___ 19
_7794
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BLIll-DER PHONE'
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHQN J .
LOT NO.__
OWNER ;rr~rin r.srpwiiter JOB ADDRESS 1482113 SLI 92nd HOME ADDRESS
ARCHITECT
BUILDER DOM, ENGINEER
ADDRESS DESIGNER
STRUCTURE ❑NEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL [IF IRE DAMAGE_ []DEMOLITION
❑RESIDENCE ❑rrC-�11OMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARA,3E C1 STORAGE❑SLAB ❑FENCE
❑BOND 1_I MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS _
OCCUPANCY—; LAND USE ZONE_f+— —BLDG.TYPE FIRE ZONE—.. PLAN CHECK BY tl HEAT—.'d_� y
,t:tj9,ruct single family dwollin6 w/ettuuhla gor®.ju w :i seLAj:.lms 2 ui?tho.
NE.-135LIE Gt PERMIT j:231 - Lot 29 Lnur•aiynds Pari- --
__ _ Sower Pei mi t ,16776 S625,00 ..amus f t, --
QQ.Q_14A ____F1.QORLOAD_�► 40 1f>7 ). i�i1 ' +0'J,�(��)•
—�N_�J.Sa.tiZ _ NQ,.$ZQBIE$____Ajq_LA_ NO BEDROOMS 'ALA
BUILDING DEPARTMENT -
— 5ET BACKS FRONT REAM LEFT SIDE RIGHT SIDE
Permit 1,17b.00 -_ — - - _—___
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, 70NING
Plan Check l0. REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub total _r.(l[1 ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
71 UE) RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
Slat! Tax - LICENBI#, SEPARATE PEKMITS.REQUIRED FOR SEWFR, PLUMBING AND HEATING
Total 1:1 92 00 L;L
By P1 _..
q nar'1 ICANt .)R AC:f NT
Approved -- — Receipt No
DATE IN SP. TYPE INSPECTION REMARKS PLUMBING DATE
-- -- - -
t/_ Contractor /Z-"N
y-ZS-7 T _ Permit No. /� �9-- 414 >6. 79
t p�iJ
Rough-in__1.-.�—.-�—. Q.L.-1(�
L
Fixture
jz Final
HEATING
Contractor
_- Permit No. /6-0-7 /14 yS-7y
Gas or Oil
Rough-in --- _- ----
- --- Final ---
�— SEWER ---- -- ------
---- - - Final
DRIVEWAY
v --- Final
Stumn Drainage
Li
in Drain)FinalavaIIt
Curb&Street Final
Approach
BLDG. DEPT.FINAL. TEMPORARY CERTI i ATE OCCUFAI"w Final
CERTIFICATE OCCUPANCY es r- f/Jl --
J /( Landscaping
- - Zoning Final _ '
CITY �-tr F� PATE
�Jll D(�:G PERMIT APPLICATION UF i ►, ., ., D ���----L�-_.,9 N°
",.q`.""NED HEREBY APPLIES FOR APERMIT FOR THE WORK HERE!N INDICATED BUILDER.PH0NC2-qAl l -
R A5. S-1C.:'N AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIF ICA i IO%- OWNER Pri`7N _
J/Q Lor No ._E1k►'1 H -
ORJDDN (?ARP�6R;CR ADORESS1a-V. �. � _/{11C,Mfa'E •�U:)FE55
- -- ARCHITECT f
EN 9 -INEER
ADD OF.' IGNER
uaE NEW _-O RFI nC.DEL _nnQ oGGi f ION -- []REPAIR - _ =_NFW�AII_ ❑PERE DAMAGE r--� CDEMOt n IuN
�� _.r-+CF ❑`.''_MM ❑EDLICATIONALv0GOV_T �� I IulOUSUFy?ID ❑CA^ PORT OZ:ARACE r-STORAGE O$I.AB ❑FENCE
,FOND ❑_ MOVING ❑CO_NDITIONAL_USE - ❑DESIGN REVIEW - ❑COU14CIL APPROVED ❑SIGNS _
QQ c
CL;PA�NCY R"J^LAND USE ZONE___!Cn"1_ _Bl OG TVPE.,�- .FIR
_�� E ZONE—!Q PLAN CHECK BY HEAT_ _
rle.L2AQ
BUILDING FR-FAF/1MENt— SET BACKS _FRONT �
_ _- REAR- ZS _ LEFT SIDE RIGHT'SIDE
— THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 1O a 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
�•.b^IOtBI /Q 4p ALL APPLICA9LE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
J v RESTRICTIVE COVENANTS, CONTRACTOR AND SU9 CONTRACTORS TO HAVE CURRENT CITY BUSINESS
Fi„ie Tax 7 . Ind LICENSE. SEPARATE PERMITS RFOUIRED FOR SEINER, PLLMBING AND HEATING.
Total^ _ j 2—
Byj -- - _
_ AVPI iCAN, OA AGE N1
ApRloved Receipt No.
— -- -4-65-0 E�55 -- "-- —PHON —.
S_QI,Ier
i 2
I� #� wKw1wX W e
VX.DiNG PERMIT APPLICATION "LIF Y " IC,",.RD DATE--__________.____. ,___ N9
- -!E UNDERF,'r NED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
�)R .AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND Sf ECIFICAIIONS. OWNERPHONE — --..
LOT NO
JOB ADDRESS HO_N.L ADDRESS
ARCHITECT
ENGINEER
�ADDRESS_— --_ _- iDESIGNER r
URE_ ONEW OREMODEL OADUITION ❑RcPAIR ORENEWAL [:]FIRE DAMAGE `DEMOLITION
:51DENCE OCOMM [-]EDUCATIONAL OGOVI DHFLIGIOUSOPATIO ❑CARPORT ❑GARAGE OSTORAGEOSLA13 [:)PENCE
I-IROND 13 MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED OSIGNS
_CUPLNCY_.- _ LAND USE ZONE_.__.-----BLDG TYPE-- FIRE ZONE__ PLAN CHECK BY -- HEAT___
__
SICQ_IQ9Q _________F_LDQ9�QA___.__�____UEJkdT- _ _— N"TQF�____._._-AP-EA- - _ NQ.BE DRQQMS VALUE _
f _ BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIOE RIGHT SIDE
Permit —
"' THIS PERMIT IS ISSUED SUBJECT TO THE RE"ULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan 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 COMPL LANCE WITH
Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
-"-- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINFSS
F,,we Tax LICENSE. SEPARATE PERMITS REOUIFIFD FOR SEWER, PLUMBING AND HEATING.
ITotal
BV____
-- - ------ APPI ICAN1 OR AGE NT
Applovrd Receipt No,
- - �._� ------ AUUNES5_
City of Tigard Mechanical Permit N? Fie
New In;_ollation ❑ Replace ❑ Relocation 0 Addition l_1 Alteration ❑ 4%state
bEA.TING r -r u' TOTAL _
CONTRACTOR J or/ IVO 4h, h OWNER C
I'0DRC-3S Z v vu's• WORT: ADDRESS 14JOao
rHONE4.76-/7Z 1 o-t C Z •/7jy:S APPLICANT_
F;eat Input Rating BTU Per Hour) ,2/ r, c� 0Vent Size _- - Flu ize -
.1FL OIL ❑ GAS ❑ ELECT Q OTHER /XPi Z 2- ►1 _
ITEM NO. FEE ITEM NO. FEE
r or Issuance of Permit EE ABOVE Air Condition Compressor 15 to 30 HP 10.00
Now-up to & inel.100,000 BTU 4.00 Air Handling 10,000 CFM 3.00
Ncw-100,001. BTU Is & over 5.00 Air Handling Over 10,000 CFM 5.00
Floor Furnace 4.00 Evaporative Cooier 3.00
Wafl • Floor •Suspended 4.00 Range Vent Fan 2.00
Install Vents Only 2.00 Vent System _ 3.00
Rt�pair • Heat& Cooling 4.00 Hood Commercial _ _ 3.00
Air Condition Compressor Under 3 HP _ P. 4.00 Commercial Duct System 10.00
Air Condition Compressor 3 to 15 HP 7.50
INSPECTOR'S COMMENTS
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS
PPROVED BY DATI: ISSUED BY_, DATE
RE=CEIPT NO.
T
/14 SlUneture of Appli nt