14930 SW 92ND AVENUE-1 _ 14930 SW 92ND AVENUE _
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AOORESw PF:RriIT
PE.Rrii l CHAHGE inone—__,_
OWNER 4�ONM1!FCTIO�J FEE
PAID ByTYP--- OF BUILDING -
�, ,� , TATE: CONNECTE0
/ INSPECTION FEE ;2
S E p V ICE RATE
PALO BY ___— GATE
Cor;TF'A(.:7'oR
CLI�,�,�i•cCTION ASSE55ME.NT _ _ PAW
SI,rc OF _ _ ��
CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE 639.4171
CONTRACTOR
Pursuant to Section(s) of the Uniform Building Code, the
following item(s) require correcting:
,moi.
Date: _ ?—.�-?� Permit No.
InspectoL�- ,
CALL FOR REINSPECTION
BUILDING DEPARTMENT, TIGARD
PLUMBING PERMIT N0.
holder of a valtb piu,;,nin; contractors license is heresy
Z;Uii10,'LCd to Cause piUmbing WO,iC U' erein noted to be d;;sta„ed in accordance with the piumbin, code of
Tigard. Such instaiiations require inspection by the City Inspector who shaii be notified not less than four
hours prior to the time the instaiiations are ready for inspection. City of Tigard Business License requireu
for aii contractors and sub-contractors.
Add7-79
TYPE OF Pci1",',',' NUMTEMSGEr OF =Cao ON EACH r, -r PERMIT NO Vis_
— __— _ ioffice Use Only
ngln znmily-1 bath—anc1� - 25.00 Z S%VV
a. Each 1 bath unit 25.00
Arc,,t on- bath room s—ench _ / 10.00
w.ob, a i,rma Space—eocii _ 15,00
INDIVIDUAL FIXTURE FEES
1 to 30 Fixtures 1n 1 building—each _ 0,00
51 to '.CO Fixtures in 1 building—anch I 2.50
1 to 200 Fixtures in 1 buildin —each 2.00
1J1 or more Fixtures in 1 building—each 1.50
5 „10ELL.ANEOU5
t
i;uiwi„r; sowar-1st_50_ft, j 10.00
Srwnr—r.nch additional 100 ft. 10.00
Watt•service to tiullding E,00 a
�'r w,in 'W.-iter d;ystams—ouch 100 ft. 10,00
Y�'S 0 For Plumbin Phone 639-1191
4/0 Plumbing Contractor By
A,. �fy0 RcCLtP; ,,G, Imed By �~
I
R WXWLWALE
CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE 639.4171
CONTRACTOR:
Pursuant to Section(s) of the Uniform Building Code, the
following item(s) require correcting:
Date: Permit No. -
--- --—
a _ y
Inspector
CALL FOR FOR REINSPECTION
City Of Tigard Mechanical Pit L Permit_
Permit � Fie-----.�
Now Installation Z' Replace ❑ Relocation ❑ Addition ❑ Alteration ❑ 7 State_
HEATING TOTAL
CONTRACTOR T
— -1:F a ? 1 r � r -,OWNER
ADDRESS1\) .a r ? '117./,/2. WORK ADDRESS JLlj".JG .�c.
FI,ONEG'i c,' "i ,►A `. . ' l �_. APPLICANTy
Heat Input Rating (3TU Per Hour)f,- , " ��� Vent Size -- Flue Size —-
i-UEL OIL ❑ GAS ❑ ELECT 'OTHER__T�''
ITEM N0. FEE ITEM NO, FEE
Por Issuance of Permit _ __ SEE ABOV - Air Condition Compressor 15 to 30 HP 10.00
NeW�-up to & inc 1. 1001000 BT ,/ ----4.00 _Air Handling 10,000 CFM_ 3.00
N,!.,V 100.00t BTU',s over 5.00 Air Handling Over 10,000 CFM 5.00
Floor Furnace _ 4.00 r Evaporative Cooler 3.00
gall - Floor-Suspended _ _ 4.00 Range Vent Fan 2.010
.nstall Vents Only 2.00 Vent System �V 3.00
:repair -_Heat& Cooling_ _ __ 4.00 Hood Commercial _ _ 3.00
kir Condition Compressor Under 3 HP 4.00 Commercial Duct System 10.00
Air Condition Compressor 3 to 15 HP
iiNSPECTOR'S COMMENTS
:'ITY BUSINESS LJ 'E R gWIRED FOR ALL CONTRACTORS OR SUBCONTRACTORS -�
PPRUVEp BY DATE ISSUED BYDATE
,ECF_IPT N0. '
Slj,nvur3 of Applicant
'rinr5"•"i^�'-'YR .�:e',.+';{arm:L'Upy"'�lNyvr�"''e':i� Htl'rew''Y('_."yyM�nt+"'4y+'�,.�"l '.
` CITY 3/T W'? 2600
BUILDING PERMIT APPLICATION of TIC ARD DATE__ �. 19 7Q
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK IIFRE1N INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONF
LOT NO._-�.�
G '
OWNER ;;,J M 9 I I JOB ADDRESS 16CJ%i i 1, I.42Iy4i HOME ADDRESS Vit, eft _: y.. ►►Civ - -
ARCHITECT
ENGINEER
BUILDER i,7 t; ADDRESS --__�_— _ nESIGNER 0.LE1T fLj( , L- 11fks; lam__
STRUCTURE NEW ❑RymnDEL ❑ADDITION ❑REPAIR ❑RENEWAL [-]FIRE DAMAGE ❑DEMOLITION
RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIC'7US❑PATIO [_7C_ARPDRT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
DBOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED' ❑SIGNS
OCCUPANCY— -- LAND USE ZONE BLDG.TYPE SIL—FIRE ZONE--3 PIAN CHECK HEAT---
L-.i!'L I U C
EAT— _L -.t!LIUC X140 , t(jjjX w:1uJillif1u 4tlmlttAcAhltl__
I
V W-
ocG.14AQ.-_ _F1.441�I, AD 46 HEIGH.r_-_..__.----1�N4
BUILDING DEPARTMENT SETBACKS FRONT jU REAR L ,LEFT SIDE RIGHT SIDE
Permit 1,214 _-. ------ --
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTA!NED IN THE BUILDING CODE, ZONING
Plan Check E t� 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
Subtotal 267,O +, ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax L4 LICENSE, SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
- (!' — *406600
Total 1�y.�. r!;!. 1lUt)•CIO
BY APPLICANT UIi�AGENT
"—_� —
Approved ',lo.] �31� Receipt No.
r
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATR
Contractor
Permit No. 3 bi7v 5,y�
Hough
Final —
HEATING
Contractor
Permit No. / b /s /0 _7q
Gas or Oil
—
Rough-in
Final
SEWER
Final c 577
DRIVEWAY
Final
Stom Drainage
(Rein Drain)Final
Sidewalk
—__ Curb&Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Toning Final
1
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_i'JILDINIG PERMIT APPLICATIGN rU Y I_I',.'.RD DATE_— N9
-N9 t
"-!F i �I�'"^QED HEREBY APPLIES FOR APLRMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 617�d t
:�9 AS S-I-_1.N AND APPROVED IN THE ACCOMPANYING P NS AND SPECIFICA11ONS. OWNERPHONE*f� `
LOT NO14
'^7...-- .\ I IJCff ADDRESS ✓lam—�. - �^ E ADDRESS �1.� J4� J &C", ("p' 7p f'.pf'.
ARCHITECT
ENGINEER }y. 744
DESIGNER V�.�r/] ���ej' t4--
URE _ LY:titW ❑REMODEL OaG[)ITION ❑R:PAIR []_;4_•JF'AAL_--❑FIREDAMdGE ❑DEMOL! ION
^�NCE ❑.' MM ❑EDUCATIONAL ❑GOV'T ❑Rrl -GIOUS❑PATIO OCAR. PORT 0:ARAGE OSTORAGE❑SLAB ❑FENCE
74CNb ❑MOVING ❑CONDITIONAL USE ❑DFSIGN RkVIEW ❑COUNCIL APPROVED ❑SIGNS
UPANCY�` NC USE ZONE' — BIOG TYPE N— FIgE-ZON PAN CHECK BY_ � H AT''
_ L C C — E
LI-5-4,
._ LO-6ED �OM1�3
BUILOING DEPARTMENT
SET BACKS FRONT - _ REAR LEFT SIDE��/' RIGHT SIDE
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
j Plan Check �` RFGULATIONS 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
S�h•tUtal AL1_ APPLICABLE CODES ,END ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
— —' - �- RF.STRICTIVF COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
e1we Tax LICENSE, SEPARATE PERMITS RF.OUIRED FOR SEWER, PLUMB# G AND HEATING,
Toial
APPI.ICANT;OP A,
Aaptoved Receipt No.
A OD P LSS Pt.4014E
U 0
Ar
r r.
J
I CITY fIGo�ARD DATE_... . --- _ t9 ---- N2
_
i JILDING PERMIT APPLICATION OF
;I 7 HE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE—_
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIF ICA1 IONS. OWNER PHONF _.
LOT NO.��
�_R JOB ADDRESS ___—__HOME ADDRESS
- —— ARCHTECT
ENGINEER
DESIGNER
LURE ONEW ❑REMODEL OADDITIONREPAIR — -CJRENEWAL ❑FIRE DAMAGE —ODEMOLITIbN
' 151DENCE OCOMM OEOUCATIONAL OGOV-1 ORELIGIOUS[3PATIO ❑CARPORT OGARAGE OSTORAGEOSLAB OFENCE
I_]BONDY—` OMOVING �OCONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED OSIGNS
__CUPANCY ____LANU USE ZOIVE�___._,__BLDG TYPE _ FIRE ZONE_--. PLAN CHECK BY HEAT_ _
0(:"00 --_AR_fA--___lY.Q.BEDROOMS VALUE
—BUILDING DEPARTMENT
SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permll— �—
I THIS PERMIT 15 ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Pian 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
---- — ----- RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total -----�
By. _ AVPI ICANT OR AGENT
i Appl Hued — Receipt No
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