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City- of 'mart Mechanical Permit NO.-------
Now instolletion [g"/ Replscs Q Reloestion❑ Addition Alteration f DATE:
HEATINA _- l
CONT FACTO td� tin A. _ 1'�^b ��.... OWN ER�.L.,:�.^
306 ADDRESSiLI&tea --
F,TONE l;`.5Q APPLICANT
Nose Input hatinglBTU per Hour) Vent Site Flue Size
FUEL OIL C] OAS , ELECT ® a' HER _ - - --
1 _ _ l►10. FEE ITEM NO. FEE
FQr Issuanu of,ft mit SEE BELOW _ Evch Air Handling Unit or Duct System
►deal to ind. 100,000 BTU 6.00 ('.ammerclai Hood Systens 7
Now 140.000 491's& p�nr ___ _ 7.50 Other 200"mnnt_• Each 1 d
Woodeurning Stove 4.50 1 Trip In , at
Won-Fkxw+Sumpended _ 6.00 A_ir_Candltion Camprouor tpto a Ind.a H 1P. LOO
Vent tem- [¢an __.. 4.50 AirSandif l4.H.P Ind. 11.00
CITY-BUSINESS LICENSE REQ111 RED BY ALL CONTRACTORS OR SUB-CONTRACTORS 1 I
"RNT ISSUANCE 10.00 Comnwats: _
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BUILDING PEHMIT APPLICATION TIGARD DATE- 1/11/ 1R__-f?Y 3999
THE UNDERSIGNED HEREBY APPI 1-'FOR A PERMIT FOR THE WORK HEREIN INDKIATED BUILDER PHONE
ORAS SHOWN AND APPROVLf-�IN ;_ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE_
LOT NO.-6 OTNesu f 7-c,res
OWNER Falcon Constr. i~.1106AD_DRESS 11285 SIJ 94th Avc3nue
ARCHITECT
ENGINEER
BUILDER SG^t(* ADDRESS F,.955 SWCCt*srcia: DESIGNER Studio 5
STRUCTURE a NEW 11 REMODEL ❑ ADDITION 0 REPAIR ❑ RENEWAL 17 FIRE DAMAGE_ ❑ DEMOLITION
ja R� ESIDENCE P COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS [_I PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
O,CCUPANCY _ '" LAND USE ZONE " BLDG.TYPE 51 -FIRE ZONE"--PLAN CHECK BY c3wh HEAT_ as
�►17 t1~Llt"k Rinqle fmrrily dwe111ncr w/AttAched crav;gn. 3 I'r?c3Xtaor^^ ?. qaths,
SJ':b.', CORRECTION SlIeLT ATTACHED,
SEWER PERMIT#__2 3 12 ^•� }[ ��I1 $ct1�).OA-- - garane 3gt3 sq.ft.
OCC.LOAD FLOOR LOAD 41-1 HEIGHT 1) NO.STORIES 2 AREA 14 74 NO.BEDROOMS 3 VALUE Sit 1`''`
--_-_-..�.T -- --- - --
BUILDING DEPARTMENT SETBACKS FRONT 2.0 REAR 50 LEFT SIDE F _RIGHT SIDE 1 Q
Pdrmit f 2S+F1 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Flan Check l93 71) REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
• WORK WILL BE DONE IN ACCORDANCE WITH THE PIANS AND SPECIFICATIONS AND IN' COMPLIANCE
41+1.70 WITH ALL. APPLICABLE CODES AND ORDINANCES. THC ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE SEPARATE PERMITS REQUIRED rOR SEWER,PLUMBING AND HEATING.
State Tax I 1 • i
Total �a�13.67. SDC- $4A0,0o
By
PD00 'f S1000001 APPLICANT OR AQENt -L'-- �_ - '—'---
_ P l
- _^- Liwh Receipt No. I
Approved ,�- PHONE.
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
4
to
Permit No.
3027–
[Rough-in
7e, Fixture
Final---
HEATING
CA
Contra
�Mw--� — +L`% �–— Permit No. &
Gas as 96
Rough in
Final
SEWER
Final
DRIVEWAY
Final
Storm DralnW
(Rain Drain)Final
Sidewalk
Curb&Sheet Finol
Approach
BLDG. DEPT. 1NAL7 TEMPORARY CERTIFICATE OCCUPANCY
,rU:RTIFICATE CCCUPANCY Final
Landscaping
4 Zoning Final
3UILDING PCRMITAPPLICATION TIGARD DATE- I(____ Tg 39 81
T'-IE UNDERSIGNED HEFIEBY APPLIES FOR A PERMIT FOR THEV'iORK HEREIN INDICATED BUILDER PHONE W—q'bb&O
()q f,S SHOWN AND APPROVED IN THE ACCONIPANYING PLANS AND SPECIFICATIONS. OWNED,PL�OtiE�.•,�•�_ _
f-0-1coh 3>01-f*`t•y1 0M)B ADDRESS 11266 C,� S.LNee77Jcf
Q Q �p ARCHITECT
GUIL.C.FS _ JO►w1 __ ADDRESS `J,� Sw 1 M►�M1' �tjQ,� DESIENGGNEER
NER ..%AtA*,o S
.�TAL1. T11RE: NEW ❑ REMODEL _❑_ADDITION Cl REPAIR ❑ RENEWAL _❑ FIRE DAMAGE ❑ DEMOLTPIO
R'ESIOL,dCE C COMM ❑ EDUCATIONAL ❑ GOWT ❑ RELIGIOUS Cl PATIO Cl CAR PORT Cl GARAGE ❑ STORA E ❑ SLl�I?❑ FENC
LAND U:, 3- � -
fs,:%u'r•,NCY USE ZOPIE 5 BLDG TYPE -!;"__FIRE ZONE--- PLAN CHECK BY - HEAT_
- --_ _ --%�-r'hd�r'� Pah. ale s � o,
63
LOAD FLOOR LOAp CO HEIGHT 19 NO.STORIES .2 AREA 1� NO.BEDROOMS .,7 VAI Ud';4._/
_ GUILCING DEPARTMEEKT SFT BACKS FRONT 20 _REAR 1� LEFT SIDE RIGHT SIDE_ /O
�;?, t1:it __ 7B•ao THIS PENiv117 IS ISSUE0 SUBJECT TO THE RFGULATIONS CONTAINED IN THE LUILDING CODF�-ZOii:"i•
REGULATIONS AND AI.l_ APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGRiEED TY,A7 7F
CJ•Lp"!' _ / .�� WORK WILL. LBF DONT. IN ACCOP.UANCE WITH THE PLANS AND SPECIFICATIONS AND IN COf iPLIANC
_ WITH ALL. AI'PL!l:.^.ULE CODES AND ORDINANCES. THE ISSUANCE OF THIS P£R`JUT DOES NOT WAIV
c•ta! �;l / 0'
RESTRICTIVE COVENANTS. CONTF,ACTOR AND SUB CONTRACTORS TO HAVE CURRENT CIT' F�05I'�t5
LICENSF_SFPARATE PERMITS R QMRED FOR SEWER,PLUMBING AND HEATING.
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�� sd.74�n
I'DC# A PUCANTORAGENT
Fler.eipf No.
Ar,pLwL?d ADDRESS PHONE
Tr / oo
5CUER CONNECTION $ 774'
3EtJE INSPECTION � 33
7EWCR SURCHARGE S _
/.310
�OT^?prlia. .2. Z3.61 I,2•24 �� A•►I.Iw- -'I c��LIQ ��.'A Ind ��SM�.
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