15070 SW 92ND AVENUE 15070 SW 92ND AVENUE --
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Mumma
AOCi>; s y ?a� % PERMIT NO.
PF'RMIT CHARGE none
OWNER _ i� ct� ti � CONNECTION FEE
PAID BY
TYPE OF BUILDING �,�_- DATE CONNECTED
SERV i :E RATE /�% INSPECTION FEE
CONTRACTOR PAID BY !__ DATE �
SI7.: OF C0':NECTION ASSESSMENT PAID
CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE 639.4171
CONTRACTOR:
Pursuant to Section(s) of the Uniform Buildi:ig Code, the
following item(s) require correcting:
762
7 �
Date: „r - �'' % Permit No. —
�.���
Inspector ...-
CALL FOR REINSPECTION
CITY OF TIS ARD 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 correctircq:
01
Date: ,2-2 -z-Z j Permit No. _ —
Inspector
CALL FOR REINSPECTION
2324
BUILDING PERMIT APPLICATION 11T TIGAPD DATE
THE UNDERSIGNED HEREBY .APPLIES FOO APE°MIT FOR THE WORK HEREIN INDICATED BUILDERPHONE_,, 3794
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPIiONE-_
LOT NO. --
OWNER fjoi iun Larpante JOB ADDRESS 1 jQ70 5W Jinu HOME ADDRESS
ARCHITECT
ENGINEER
BUILDER ADDRESS DESIGNER
STRUCTURE ❑_NEW ❑RI MODEL ❑ADDITION _ ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL CJGOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIC=N REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY 4'w3 LAND USE ZONE lig j BLDG.TYPE �N FIRE ZONE PIAN CHECK BY._.-_ T . HEAT_ lJs�.-
Cofostruct minuls faai.r dwy11ir1.(:j at/r+tt - ad uarawad. 3 bedroom - 2 Lath. _
Sower Permit #174: 0 - $6213.00
9sr_4--��,' �c .
OCC,LQAD _-_...__._�L44H LOAD 40 HEIGHT 20 _ .STORIES NO.BEdROOMz3 VAL0�'
BUILDING DEPARTMENT SET BACKS FRONT 20 REAR c LEFT SIDE I .+ RIGHT SIDE 1
Perms!
-- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 87. (1 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
SLIb-total 262 Li ALI. APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
Stat;Tax! 71 LIF�NSE. SEPARATE,P€RMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
+,, . w..
Total i,269. t'['!t. 2 - 1
By pl
APPLICANt OR AGENT
Approved - % .h!si dsn Receipt No -_
DATE INSFP, TYPE INSPECTION REMARKS PLUMBING I DATE
r Contractor
Permit No. 165-1
�. /per 04 ,�ruir, Rough in Z -tel%f
Fixture
Final
r HEATING
Contractor
Permit No. Y�� -- y/7/77
T
y.?o 79 j - Gas or UII
Rough-in
Final
--- SEWER
Final
DRIVEWAY
Final
Storlh Drainer
i
(Rain Drain)Final.
Sidewalk
Curb&Street Final
^ — Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY —
J�_ Q Landscaping
`Y 7nning Final
r
I
0
.BUILDING PERMIT APPLICATION co FY "fIG:ARD DATE D �,^ ,sly_ N9 -2S��
THE LINDE RSIGNED HEREBY APPLIFS FOR APERMIT FOR ThIE WORK HEREIN INDICATED BUILDER PHONE2_Y_ / �/
1 OR g�-6HOWN G APPROVED IN THE ACCOMPANYING PLANS ANp SPECIF ICATIONS. OWNER PHON —_f
A&"BADDRE-;S/_Y0
LOT NO_I HOF_ ADDRESS
ARCHITECT
ENGINEER
ADDRESS-_ DESIGNER
L17URE �L�J_NEW 0REMODEL 0ADDITION ❑_ RkPAIR _CJRENEWALFIREDAMAGE ❑DEMOLITION
`L1'DFNCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUSOPATIO ❑CARPORT ❑GARAGE ❑STORAGECOSLAS [:]FENCE
CIPOND' QMOVING 000NOITIONAL USE ❑DLSIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
PANI''Y.E-s LL USE CONE V _BLDG.TYPE`S _FIRE ZONf�^ PLAN CHECK BY r9 HEAT
11 IL2—le
a-2t-e-t1
L.QAQ FLOOR LOAD _�IEIGHT "rte_NO,STL2lllu __ _Q,6E.QROOMS � V�
BUILDING DEPARTMENT `
- SET BACKS FRONT _`� REARi�..S ` LEFT SIDE J�� 11.GNT SIDE
Permit S'_D
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
S� WORK WILL BE DONE IN ACCORDANCE WITH THE PLANL'ANDSPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
Bute Tab LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING,
Total
Ay
APDL(CANT Oq AGENT
+ Approved , -Receipt No.
A00RESS
._ ._...___ ......__........ ....... .... ...... _ _... BUILDING DE,�r,r^.l'i`,tcN•i, TIL,4�ti) _..._ ., .._.._.�...._...._...._.._____.._.__.___.__.__..
-•� O T .
PLU„t:;ivy PEnr:il7 � •
' Central Plumbing Inc_. of Oregonholder of a va1Ed plun,o;��y contractors license is hereby
authorized to cause plumbing work as herein noted tc be instailed in accordance with the plumbing code of
Tigard. Such installations require inspection by the City Inspector vrho sha!1 be notified not less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigerd Business License required
for all Lontractors and sub•contracrars. ��f Pow
Ovrn_ert=S � f� �,f1t� A�ddresa .../.so Date_
si NUMIRFR OF TOTAL PERMIT NO.'S
TYPE OF PFR,,AIT — ITc!.tS FEE ON EACH AMOUNT (Office We Only)
Sincie Fa_rr.il 25.00
— _ __. —� _ 25 00
Duolex—Each 1 bn:n unit _ _
4dditional btthr�em;-eft —�— --�__ 10.00 /�� 11 d�
H�melgE�a_� _h ..�.. ._ .__..—___..- ----••-"--- - -� —_._._.15.OJ_ _.� —. --
IN01VIOUAL FIX IURE F_EE5_ —"-
1 to--50 Fixtura7 in i builr!irg-.ea..;, _ -`---- _0_00 -- ----�_
2,50
_ 101 t0200Fixturesin 1 buiidi ,g ^.:+,_h ..__._...-- ..----•_ L_------ 2Ar)...__.—
201 or m_nr.t_Fixtu•c9 i_n 1 buiii'nr--e�..h-_ 1.50
Is
10.00 ---•------
-SSritt Vie, !i.._;nA 100 f tt
l _
Wo tor S•-rn to tniiidi r _ 5.G0 _ — t
F'riv�pf'± i:_. ;ti• llrl'. :.CF_IOU !t 10.00
For
For Plam')inj Ins,., :crch P,r���633-1171 � ►
4�'�Stat? Plumbif.q conv3crar Pv
I
■r )s � iii i■► � � t ■
•cf � C
-1 r �.
City
� � O � � l � c� r�l � ,)��r�ical Permit � .Q ------
r,=a Ini:el!etiofi S`-:,!e.P Fcc
1_1 F,Clocat;on -� -djiTion A!tira;ion _.� 4-ftState_ ,Z —
__ r" TOTAL__ "A ZIP
'CONTRACToci _L CJjtlA:17� '.-7 !0 0 r, /�ER (,.�i e1j-,7V7�;'v�riI117- (p,►?.{7'�
ADr)RESS ��(�. SIP, � � o7?7UI�UD %'J? K ADDRESS_Z:g2Z J&� %Z-
PHONt T� APPLICANT��F_���lf(� -
1-Ieat Inpu; Rating (BTU Per Hour) _ Vent Size ^ Flue Site
FUEL OIL CJ GAS e ELECT ❑ OTHER
ITEM NO. FEE ITEM No. Ftr
For Issuance o! ?er,nu _ '-� �� ,,00—� Air Condition l.,ornpressor 15 to 30 HP 110.0
New - Under 10_1,000 ETU �� 4�� 5.00 Air Handling 10,000 CFM g 0
_
New- 10U.000 5TU & over `_-- __ _5.00 J— Air Handling-Over 10,000 CFM 15.0
Floor Furnace _4.00 Evap;,rativeCouler
Wall - Floor • Sv;pended -" - �' 3.0
_ ;� 4.00_ Pangs Vent Fan
Install Vents Only — _ — --- _.- --� � 2.0
_ )_ `— .--_ ^� __ -2.00 _ Ven; S_ys:em_ 3 0
Re_pai; Heat-F Cooling _ __- _ - �_ _ 4.00 -_Hood Commercial __ ^—T-
Air Con:lrtion C�+mp�;�or Un;ier 3 HP _- � � _ _^ 4.OU tommerciat Duc Sy_ � 30
l stem —'
10.0
>.ir Condition Comprrssor 3 to 1 S H° 7,50 --
atraZetr'.ar.^_:_t_a�"_•:_. as weer a. ac.__...... sL �•_:_::_...s..:_.. ..•.r•y:a.-rad:::_:.._
INSPECTOR'S CO;SN,ENT5� ___ �__.�..----._..�.. _w_____•-__--- �_
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB CONTRACTORS
APPROVED BY_ _ __., __r__. DATE -------- ISSUED