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'�> 'J�\ 1 1 New Installation Replace C Relucation L, Addition Alteration DATE: — HEATING CONTRACTOR OWNER N ADDRESS�J L���,L[ f._ � JOB ADDRESSF�1 PHONE 1 r APPLICANTS•.—_ Heat Input Rating(BTU per Hour) Vent Site Flue Size_i FUEL OIL L.J "AS ❑ ELECta OTHER —�_ ITEM T�O. FEE ITEM NO. FEE Lor Issuance of Permit SEE BELOW Each Air Handling Unit or Duct System 7.50 New-up to & incl. 100,000 BTU 6.00 Commercial Hoo-1 System 7.50 New 100.000 BUT's & over 7.50 _Other Equipment • Each 4.50 Woodburning Stove _ 4.50_ 1 Trip Inspecticn 4.50 r Wall-Floor- Suspended _ 6.00 Air Condition Compressor . up to& incl. 3 H.P. 6.00 Vent System w/Fan _4.50_ Air Condition Compressor•3.1 to 15. H.P. incl. 11.00_ Repair•Heat Cooling — 6.00 i CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS! ! _P[RMIT ISS_ UANCE 10.00 FEES _ C SUB-TOTALJ� .f/ -- --- •----- ------ % STAT6 Issued By----,,; INSPECTION NOTICE City of Tigard Building Department 12420 S.W. Main St. Tigard, Oregon 97223 Phone 639.4171 Address _ _ Permit # Type of Inspection _�. ------- ----�.- -- - —The following 9uilding Code deficiencies are required to be corrected; „ / go Presented to--_-.-. --------- -- Inspector -.-.-----...-_-... Date G41--L FOR REIWECTIO N ❑ VES ❑ NO BUILDING PERM ITAPPLICATION TIGARD DATE___ %? 1 �g 80 3.1+67 THE UNDERSIGNED HEREBY APPLIES FOR A PEilMI I FOR I HL.V�ORK HEREIN INDICATED BUILDER PHONE 543'"2591 OR AS Sh+OWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PHONE LOTNU. 1 6-LaunsLyrida Pk, OWNERJim Bell .hardt _JOBADDRESS1485,,: SW Wsi6 let!-t 9,Z�viZ E�� BUILDER SamE9 _ ADDRESSP.0.6OX 31, SCappooac3 DESIGNER Pisrcy 9arClay STRUCTURE IN NEW ❑ REMODEL_ ❑ ADDITION _ _ ❑ REPAIR f=] RENEWAL ❑_FIRE DAMAGE Ll DEMOLITION XY RESIDENCE ❑ COMM CJ EDUCATIONAL 0 GOVT ❑ RELIGIOUS_ ❑ PATIO 0 CARPORT G GARAGE ❑ STORAGE ❑ SLAB FENCE OCCUPANCY E7 7J '.ANDUSEZONE -7 BLDG.TYPE _ an FIREZONE` ,._PLANCHECK BY ^bCrP HEAT q !c. �Oristruct sinQlE family dualling w/attscheu garage. 3 Bedrooms 2 Beths., SEWER PERMIT# 22024 - 1750.00 Qsrgue 4bp sq. f t. OCC,LOAD FLOOR LOAD HEIGHT 14 NO.STORIES 1 _ AREA V'72 NO.BEDROOMS 3 VALU$61 S2©. BUILDING bEPARTMENT SETG_ACKS FRONT 20 v REAR ,4* 21 LEFTSIDELZ.W-b ' RIGHTSIDE QOJ+,O Permit _ i2ll.OU THIS PERMIT IS ISSUED SUBJECT REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check 105. 50WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS 6111) IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Sub-total _ _ 316. �JO RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS SteieTex 1j. 44 LICEN5IE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. ��. _ Tota _ 91374.y4 S'"3C— S40U,00 ,? PUCA II 100tD APPLICAN1OfiAG-ENT — By pI, . ' _ Approved bCr Receipt No. E3 ADDRE ' ` - _� PHONE DATE INSP. TYPE INSPECTION _ REMARKS PLUMBING DATE ��� flstt ^AP�114jq 0�, _ Contractor 4- - -- Permit No, Z34--) 0 1}( Fixture NS41A//U v Final ----- /.l_-(`� � � _.e�-�� �d.��QrQCltct-.►1� HEATING �/-'T --- tContractor js_l� Permit No. ` ! Gas or Oil ughl Final _ - -��--- --- SEWER Final -- -`- ---- DRIVEWAY Final Storm Drainage (Rein Drain)Final Sidewalk Curb&Street Final `_L __ Approach G. — BLDDEPT. 'FINATEMPORARY CURTIMATE OCCUP CERTIFICATE OCCUPANCY Final Landscaping Zoning Final �I BUILDING PERMIT APPLICATION TIGARD DAT% 19 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE�11�, OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OV1NER PHONd ut":`1ER t1� a.� JOB ADDRESS ,�� S� e 1� LOT NO ' er„I, (� Af1'CrfTTECT BUILDER �Q„ ADDRESS rD DESIGNERt Q STRUCTURE NEW ❑ REMODEL C AOD'TION C REPAIR PAI . _ E _ ❑ RENEWAL C FIRE DAMAGE iw] GE'_iJOU i I JN RESIDENCE COMM Cl EDUCATIONAL ❑ GOVT ❑ Ri�LIGiOUS C PATIO C CARPORT ❑ GARAGE C STORAGE Cl, Slgg❑ FENCE "UPANCY V LAND USEZONE BLDG.TYPE FIRE ZONE..,==PLANrCHECK BY �HEAT_ �i w SEWER PERMIT N OCC.LOAD FLOOR LOAD HEIGHT / y NO.STORIES AR k,/-{ .- • NO.BEDROOMS v�� BUILDING DEPARTMENT SET BACKS FRONT 7 REAR LEFT SICE ,` __ RIGHTSIDE y Permit ' THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUt�_DiNG CODE,ZOPt:NG Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORCINANCES, AND IT IS HEREBY AGREED THAT THE WORIt WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE I SLu�total RESTRICTIVE COVENANTS. CONTRACTOR AND SUS CONTRACTORS TO HAVE CURP.ENT CITY BUSINESS r- LICENSE SEPARATE PERMITS REQUIRED FOR SEWER,PLUmaiNG AND HEATING. State Tax • Total SOC By — PDCB APPUCAN i dR AGENT Approved Receipt No. A6DRESS PHONE -------------- oC - a oC - $ # /oy • EWER CONNECTION S EWER INSPECTION $ 2J 'EWER SURCHARGE 9 .'` D' iS 7,c ,/ 4e ' V C�iL ti"C-- rd f