15220 SW 94TH AVENUE 15220 SW 94TH AVENUE
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d--) � PERMIT NC). '5c l
PERMIT CHARGE _ •_,none
roNNECTION FEE
PAID BY
TYPE OF BUILOINIG _ ��yaJ DATE CONNECTED __ ______�•
INSPECTION FEE
Sf.RVICE RACE -""
CONTRACTOR PAID 6Y DATE
'—
A55ESSMENT PAID
SIZE OF CONNECTION •_, � �'�
City of lJoard Mechanical Pk mit
Nevv ins'allailon Add,,,1on L-1 Ah�ral.ion -44"L S a e
TOTAL
==TRACTOR 1u&A.AFrkhj
ADf)RESSWORK ADDRF-SSIC
PHONE 61 APPLICANT
Heat Inpu, Rating (BTU Per Ho Vent Size Flim, i
FUEL OIL C.I GAS ELECT OTHER
ITEM NO. FEE ITEM NO. FE
For Issuance of Permit 3 60 Air Condition Compressor 15 to 30 HP L 10.
New-Under 100.000 BTU 4.00 Air Handling 10,000 CFM 11
New 100,000 B T U &over 5.06 "Air Handling Over 10,000 CFM 51
Floor Furnace Evaporative Cooler 3
Wall - Floor - Suspended I4.00 Range Vent Fan 2.1
Install Vents Only I 2.00 Vent System 3
Repair - Heat & Cooling 4.00 Hood Commercial
Air Condition Compressor Under 3 HP 4.00 Commercial Duct Sysiam
T-I
Air Condition Compressor 3 to 15 HP 7.50
INSPECTOR'S COMMENTS-----
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUP CONTRACTORS
APPROVED BY, DATE ISSUED BY_ DATE J
RECEIPT NO.
.a. -.w 41h 9Nr. a ar... • . a..•,Mw+ •.+11F�.e+rv.,.. x i,n. „ry -„,xet. '
JOHN E. REIN A101 Plt!h M�, % BUILDING DEPARTMENT, TIGARD NO
P. 0 any 129 PLUMBING PERMIT i
!lfWOEf,�, Cnf�7l 91132 holder of a valid plumbing contractors license in hereby
authorized to Cause plumbing work as herein noted to be installed in accordance with the plumbing code of
Tigard: Such installations require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for all_contractors and sub-c
o
ntractors.
Owne it r� LRt.r �� x Address/rJ, vl O j l�) / r ti C c��. Data A�.7 9i
NUMBER OF TOTAL PERMIT NO.'S
TYPE or PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Only)
single 11 1 at —sa*ch f_ 15,Oq a
pu IsG x_E�c bat unit __ 25.00
Additional bathrooms—each 10.00
Mobile o ace—each _ 15.00 _ _ �_--
INIDIVIDUAL FIXTURE F _jR
I
_i to 50 Flxturn In 1 buireach 3.00
i
51 to 100 FixturesinJ_L)uildlnp each 2.50
101 to 2W Fixture In 1 bulldin� 2.OQ
201.SLrrror0 Elpitural In 1 buildirva:±_h 1.50 i
I�lCELLANIQU•
WWI Sewer-1st 50 11, 10.00
8 wotr—each edditlonal 109 ft. 0.00 `
Miter Service tobulldinj] 5.00
Private Water Sveems--eech 1.00 ft. 10.00
othor 5
PERMIT for Plumbing Ina wrion Phone 639-4191 /
% Steb Plumbing Contractor By �,1”'_(�fr1 %'ll w�J1 lA
TOTAL RECEIPT NO. Issued By
c� 14404
BUILDING PERMIT APPLICATION 11T TIGARD DATE e— --. 19----
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HERFIN INDICATED BUILDERPHONE --�
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE__.
LOT NO.—
OWNER «.i.l.£Jr.. ii 1ev. 1,U- JOBADDRES4 '220 SW 94tti AVSI'IUU HOMF_ADDRESS _
-- ARCHITECT
ENGINEER
BUILDER ADDRESS — DESIGNER_
STRUCTURE _ ❑NEW ❑RFMf1DEL. ❑ADDITION C3 REPAIR ❑RENEWAL- ❑FIRE DAMAGE -]DEMOLITION
0RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO [:]CAR PORT ❑GARAGE ❑STORAGE❑SLAB [:]FENCE
_❑_BOND C1 MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW []COUNCIL APPROVED ❑SIGNS
OCCUPANCY....:kn_3_LANU USE ZONE. —.--BLDG.T1 PE_`I_- _ FIRE ZONE— PLAN CHECK BY � �-HEAT_._ ,0Cr _
'''!h 14 , "-Iaaun Dana as 1561 Y SW SuMMerfif,ld .ane
frame dualling w/at~:tectioEf- frlamo garage - 2 jodroom 2 bath*
Barra. i�ar t 1 1 - �6i 00. ---- � ���F`
9W,C_.LOASi�-� NO 5ZQ1iE.�� AREA} .StDC!_�y��1�h94.M� �CALSLtt_ -��4•
BUILDING DEPARTMENT SET BACKS FRONT 10 REAR^ l:a�- LEFT SIDI_ T RIGHT SIDE
Permit 1:a�.tJCi
—^ IHIS PERMIT IS ISSUED SUBJECT TO 1-HE REGULATIONS CONTAINED IN THE BUILDING CODE, BONING
Plan Check 00 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 COMPLIAN,'F WITH
Sub total 167s I ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF T141S PERMIT DOES No'r WAIVE
- RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Ta)4 Et,a LICENSE. SEPARA] PFTPMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
- - !L:
Total 1173.28 I;+I: �-2 100*01)
BY APPI_1(,ANT OR AGEN I - -
Approved %o '11 tfeII Receipt No.
f '
�91
DATE INSPI TYPE INSPECTION REMARKS PLUMBING. DATE
Contractor
lit - — -- Permit No.
— Rough-in
Fixture
Final _
HEATING
Contractor
_` �--_— --- — - Permit No.
Gas or Oil
Rough-in
Final
SEWER
—_---
- Final _ 9
_ ---_------- --T"-- — DRIVEWAY
—_._- - -- — --------- Final
Stonh Drainage
(Rain mein)Final.
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT.FINAL TOPORARY CERTIFICATE OCCUPA CY
CERTIFICATE OCCUPANCY `Inal
Landscaping
Zoning Finel
i
i
j�
1 ;
1
OUILDING PERMIT APPLICATION 1ITY TICARD CATE,_10-27 ,__ . ,e__Z�. ya•�y0'1'
;IIF UNDE RSIGNED HLPEBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 639 3101
L-F, AS la'714'^; AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
i•1i 11 V LOT N&
Tutlatin Development_C(L- JOB ADDRESS S W _9kth AYe— ____ HOMEADDRESS_ _
ARCHITECT
ADDRESS ENGINEER
DESIGNER
^'LSE".--_ ''•!-W_�OREMODE L_ ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
XX %rF r rrM 17EDUCATIONAL ❑GOV'T ❑RELIGIOUS(]PAT10 (3CARPORT ❑GARAGE ❑STORAGE EOSLAS [:]FENCE
iNG —11'ONDITIONAL USE _ ❑DESIGN REVIEW �OCOUNCIL APPROVED ❑SIGNS
R-•3 V 11SE 70NE" R-7 _BLDG TYPE _--AN.--FIRE TONE-1� PLAN CHECK 8Y
Mk 1.4 Re issue same as 15518 S.W. Swmeet rfield Lane
Frame_dwelling_with attached fr I—
C-
39,564.00
—C39,564.00
_BUILDING UEPA_gTMENT SECKS FRREAR EFT SIDE j ,a
157.00 �T SACONT LRIGHT SIDE
- _.._---��- 1-�—.=-_
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, TONING
Plan Check 10.00 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
SUL)total _ — ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS
PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS 10 HAVE CURRENT CITY BUSINESS
`,tatf-Tax r `6.28 LICENSE SEPARATE PERMITS REOUIRED FOR SEWER. PLUMBING AND HEATING.
T Bial 173.28
by
- __...-_- _"a_ A PP l i C A N 1 p R A '.N 1` 3ao.a•-a�i.�I��---...----..----. ���
.;1,1,,(,ved Receipt No. (�
t1�
tcr-
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