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15150 SW 92ND AVENUE MEN 15150 SW 92ND AVENUE — v c N rn cn 0 U-) un - � to 3 3 BUILDING PERMIT APPLICATION CITY OF TIGARDDAI i THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE— LOT NO OWNER Ct71r(1C1r1 carpenter J013 ADDRESSI Jl!J' u 92rid HOME ADDRESS ARCHITECT ENGINEER BUILDERADDRESS DESIGNER STRUCTURE ONEW 0 RumnDEL OADDITION OREPAIR ORENEWAL. []FIRE DAMAGE ODEMOLITION 0 RESIDENCE Ocomm EJEDUCATIONAL OGOV'T ORELIGIOUSOPA110 OCARPORT EIGARAGE OSTORAGE EJSLAB OFENCE DBOND CIMOVING DCONDITIONAL USE 0 DESIGN REVIEW ElcoUNCIL APPROVED [:]SIGNS OCCLJPANCY--) LAND USE ZONE _7 BLDG.TYPE FIRE ZONE- PLAN CHECK BY_ F T11 A ii fs HEAT ,,,.)I1a0'UC:t vin.1a f4pily dwajjjnc, ij/Adt,t8(:hed Sewor Purmit 17449 - 1625.00 4D 20 _ 439U A41 "I QCC. LQA0AHEA , _g VALUJ 91UILDINC DEPARTMENT SET BACKS FRONT 20 REAR 26 25 LEFT SIDE RIGHT SIDE 24. 410.00 THIS PERMIT 19 ISSUED SUBJFCT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check 6 REGULATIONS AND ALL. APPI-(CABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMI)LIANCE WITH Sub-total 244. !20 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE --- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS 10 HAVE CURRENT CITY BUSINESS State TaA , LICENSE SEPARATE P40f8ITllI:f4ECIUIRED FOR SEWER, PLUMBING AND HEATING. Total wL By P1 APPLICANT OP Approved re Weldwik Receipt No. F_ DATE INSPP, T-fPE INSPECTION REMARKS PLUMBING I DATE OC _//_ — - Contractor Permit No. ,/�O Rough-in —U fixture N S ./s+/ r C� final HEATING -- - -/AAa Contractor L Permit No. �y."� '78 1447 Gas or Oil8.3 -is 77 Rough-in ��— final — ------------- SEWER -- ----- ---- Final _ L � DRIVEWAY Final Storni Drainage (Rain Drain)Final Sidewalk Curb 6 Street Final _ Approach BLDG. DEPT. FINAL TLMPORARY CERTIFICATE OCCUPANCY rival CERTIFICATE OCCUPANCY Landscaping Zoning Final 61JILDING PERMIT APPLICATION cOTECRD F , , DATE /___� / _7�r- ,9 � No THE UNDE RSIGNEG HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUI LDER PHON12-4 q'� r OR SHC. WN APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPMONrl l/�/�wOLOT NO ER - SB ADDRESS �]-�iJ 1 -� ` r HOME ADDRESS .r.— ARCHITECT ENGINEER 1T 1^:SER � ADDRESS —__ DESIGNER UCtURE NEW ❑REMODEL ❑ADDITIJN QRLPAIR _ ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION ESIDFNCE ❑COMM ❑EDUCATIONAL ❑GOV-T ❑REUGIOUSOPATIO OCARPORT ❑GARAGE OSTORAGEOSLAB ❑FENCE Q OND ❑MOVING _ GCONDITIONAL USE—�ODLSIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS CUFANCY-_ L SE ZONE BLDG.TYPE �V FIRE ZONEZ7 PLAN CHECK BY HEAT tL 5 i FL00A I DAD HEIGHT j�JQ� E$_� AREAL IYQ��D'R^OO VAL F. 2 BUILDING DEPARTMENT SET BACKS FRONT REAR ° LEFT dIDE c./ RICHT SIDE Permit 12::1) �-1 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check S V 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 (/ ALL APPLICABLE CODES AND ORDINANLES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS ;tete Tax LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total � k3Y APPLICANT OP AGENT Approved Receipt No ADfiS� H-0 F4 i City of Tigard Mec11,2n cal Permit PFeermit_ e _ New Installation Replace ❑ Relocation ❑ Addition U Alteration *State 3 Y _ TOTAL__ CONTRACTOR C .- (S (321''�, _� �L� OIVNER ( [i C,�.��",�, - i�•ni ---- �'' ---f&---____ ADDRESS _�(�, 1 ` / --�--.-_�� o U�-�-�{ WORK ADDRESS_L._/SC1 PH0NJE �" 3 6 (v1i2- ' � APPLICANT Heat Input Rating (BTU Per Hour)__._ �� 7 Vent Size Flue Size_ FUEL OIL ❑ GAS ELECT ; OTHER ITEM NO. FEE ITEM NO. FEE _ _11115- Ai ' r Condition Compressor 15 to 30 HP _ 1_0.00_ Naw- Under 10_0.000 BTU 4.00 Air Handling 10,00_0 CFM�� _ 3.00_ New• 100,000 ETU &over _ _ �_ 5.00 —Air Handling Over 10,000 CFM _ _ ____ 5.00 Floof Furnace 4.00__ _Evaporative Cooler 3.00 W311 • Floor-Suspended 4.00 Range Vent Fan 2.00 Install Vents Only 2.00 Vent System_ Repair • Heat& Cooling 4.00 Hood Corr.mercial _____ _ _ 3.00 Air Condition Compressor Under 3 HP 4.00 Commercial Duct System_ 10.00 Air Condition Compressor 3 to 15 HP 7.50 INSPECTOR'S COMMENTS 0TV BUSINESS LICENSE REQUIRED FOP ALL CONTRACTORS OR SUB-CONTRACTORS�� APPROVED BY DATE ISSUED BY DATE _ RECEIPT N O. � � r114 Signature of Applicant e i ........r,.._...._.��»..—.. .......... ..... moi.« .. ....,._.. �........._....._....» ._. .. _ .. . . _. _.. ,_..._ ..,......�....�r.._..........._......�...... `= BUILDING DEPARTMENT, TIGARD k PLUM,*:,`!-. TO PERMIT � . .i Central Plumbing Inc. of—ORagon holder of a valid plumbing contractors license is hereby authorized to cruse plumbing viork as herein noted tc be installed in accordance with the plumbing code df Tigard. Such installations require inspection by the City Inspector vsho shall be notified not less than four (4) hours prior to the time the installations are re:ldy for inspection. City of Tigard Business License required s. for all contractors and sub-contractors. Owner C" •'--rLe4y _ Date --R _ � Address�S/S-o •S. `�-zl'� NUN1dER OF TOTAL TYPE OF PERMIT ITEMS FEE ON EACH PERMIT NO:S M.,OUNT (Office Use Only) E S t a k Stu-LAL. Sincte F7rr,ily-1 bath-each DuolexYEaeh 1 beth unit 25 00 - - Additionat abile Ho_rng 5t!acv••aayh INOIVInUAL FIXTURE FEES�- to V FL--xturas�n 1 builc!ing._�a.;h 51 to 100 Fixtura3 in 1 buileing-each -� 2.50 —10-1!0701 O1to707 Fixtu_ros in 1 + 2U1 a!more Fixturta in t bui:i'n -"'------ _.___ _.....-._._ --_-_•-_____-___ ! &I I S C E L L A N F.O U S __ -__»_�._r_-. _ __ '____.-__-�- _ -..__._.__ __- --• _ _ --- v - -- +{ Bu•ilc.'i�q S_!wir--llt 50 f'. _ - -------• i Sn►vLrw.r;! h J+.ti-iun.rl 100 ftp ----- i PrIva tn_L';.v:•!: w_sr_!rn�•_esch 10U !t. -- 10.0i1 PF:�i �_I'r �� d Far Plirrn.5ing lns,e,.�a ?. •�.rN 639!i 71 S7-n •..,._._.__ _—_ -- _—__ - Plurr.bir,g CJrt!1 etaor By 1u��•%� � 1 1 1 i I SUN i ,1y 5 �� PERMIT N0 . ADDRESSy 7 PERMIT CHARGE none OWE:Ei✓ ✓ CONINECTION FEE PAID 8 Y TYPE OF BuILDING —" DATE CONNECTED SERVICE RATE INSPECTION FEE CONI r,CTOR - PAID BY _ DATE _ w SIZE SIF CONINECTION ASSESSMENT PAID ___