15240 SW 94TH AVENUE 15240 SW 94TH AVENUE
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ADDRESS - C�� PERMI f NO. F703
PERMIT CHARGE _ non_^_____ _
OWNER _ y _ CONNECTION FEE
-- o
PAID 6Y
TYPE OF BuILDING DATE CONNECTED —
SERVICC RATE / INSPECTION FEE
CUNTRACT0R _ - __-- PAID 6Y - - 0ATF..
SIZE OF CONNECTION � — ASSE5SMLNT PAID
MRwxRON W,
W
Of I'J's - rd 'N?
Fee
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70TAL
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!)r)PEWORV ADDRESSSS
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JEL OIL ED GAS ELECT ol-Fl R
ITEM NO. FEE ITEM 140. FE .
Com- passorto 30 HP
or Iss.;3mcc 0 Perml, 3.01
ew
4.00 Ail Han.11ing 10,000 CFM Tc
fjr�ei 1 0,003 BTU
5.00 Over 10.000 CFM 10�000 5TIJ & over _L )I -
-- .6;i ' t 'ap:".-��
�i_�r_f u
W111 ran
ati - Floo, - st!sp!ncled
,15"all vent, _Only
j....4.00 3
7COndiiiOn— cOmpleV Under 3 HP OucSyten
7.50 1`\ -4 - :
�i; C 3 to I_ H'
m
K.
-'SPECTOR'S
1TY BUSINESS LICENSE REOUIREO FOR AU. CONTRACTOR'.) Oil SUE CON(HACTORS
nPROVED Fly TE
ALL
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jrhK E. REINN,4Rnj Plli'tiziNG, INC BUILDING DEPARTMENT, TIGARD NO
P. lS. BGX 119 PLUMBING PERMIT �
MEWREh510,1[CG'I 91131 holder of a va"d plumbing contractors license is hereby
authorized to cause plumbing work as herein noted to be installed in accordance with the plumbing code of
Tigard. Such installations require inspection b•1 the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations are ready for inspbction. City of Tigard Business License required
for all:contractors and sub-contractors..
wne_+ i .t.�.' AddresuL x�� ;". `L'i!_.LA.&9— Date_`: •C III
NUMBER OF TOTAL PERMIT NO,
TYPE OF PERMIT ITEMS _FEE OAS EACH AMOUNT (Offlce Use Only)
1DKNTIAL
Sinop Femll eth-each 25.00 l 510
Duplex-Each 1 bath unit_ 25.00
Additioe-ouctL L__ 10,P0 1y1,O
_Mo¢Ha Horne&pace-each _ 1600
JA-R VjDUAL_FIKjURE
to 60 Flxturan In t bull[Rk_ach �__ __4.00
61 to 100 Figuirnl In 1 building-eech _-.150
1QJ_to 20QLixpJreE,jr1 1 building-each _ 2,00
1 or more F xt rglf 1n 1 building-each
All t2jA_LJ_k_Y"YL-
aulldlSewer-ltt 50 ft. �_ _ 10
Sarver-eec 11 additional 100 , _ 10.00 +
ater orvlq tobulldlnu 5.00 <,
Privete Water fjyjmt-eech 100 It.
Otter (SoeclfY):
PEP.MIT_ p For Pnumbing InWwrion Phone 6394191
_& !:tate D Plumbing Contractor lily
OTAL RECEIPT NO. hued By
I III
CITY
BUILDING PERMIT APPLICATION OF
TIC ARD DATE 9 13
THL UNDERSIGNED HEREBY .APPLIES FOR APE RM I r FOR THE WORK HEREIN I NOICATED SU I LDER PHONIi 79
OR AS SHOWN AND APPROVED IN THE ACCON'PANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO
2VLINER ;'41fulti(I L eVr JOB 11DRESSIJi4O JW ')4tfs AVto. HOME ADDRESS
ARCHITECT
BUILDER ADDRESS ENGINEER
DESIGNER
STRUCTURE ONEW 0 REMODEL OADDITION OREPmIR ORENEWAL OFIRE DAMAGE [jDF--MOLITION
C1 RESIDENCE 13COMM EIEDUCATIONAL (3GOV'T C1 RELIGIOUS CIPATIO EICAR PORT LIGARAGE 0 STORAGE EISLAB CIFENCE
OBOND 0MOVING QCONDITIONAL Urs C1 DESIGN REVIEW CICOUNCIL APPROVED Y OSIGNS
OCCUPANCY"_-3_LAND USF ZONE_ "� --BLDG,TYPE--FIRE ZONE PLAN CHECK BY—_ HEAT
_
l-istlue same (is I,,, fU 5ij Suffifnerfii1ld Lane
Frame dweiiini, w/attachoo garage - 2 Bedroom - 2 Both,
Fuundstihon Permit 314%fx issued an 12-,6-79
Q;_Q_LOAD F QQ8 LOAD
BUILDING DEP IRTMENT _ SET BACKS FRONT IIS REAR LEF r siDr. RIGHT SIDE
Permit 1U61 ou
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check Ito '13— REGULATIONS AND ALI- 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 170,71 OR ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT C17Y BUSINESS
'State Tax- 6*64 LICENSE. SEPARJ51E�"T .f4lC3bIR1D FOR SEWER, PLUMBING AND HEATING.
, , .llu$
T3tal
By q
APPLICANI OR OZIENT
Receipt Nu
t
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
i. Contractor
201
CIO _�_ — Permit No. a_n/8 �.� s-7-7�
Rough-in
Fixture - --
C'
Final
HEATING
Contractor
Permit Nn.
Gas or Oil
R ough-i n
— Final T —
__�_ __—_ - ------- SEWER-.--
- Final'
— — —�— -- — DRIVEWAY
Final
Storni Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
_ ____—�.--- -- �----- -- Approach _
BLDG.DEPT.FINAL T TEMPORARY CERTIFICATE.OCCUPANCY Final
CERTII'ICATF_OCCUPANCY _ —_ —__—•
Landscaping
Zoning Final
i
i
!JILUING PERMIT APPLICATION rOF
_ .,r{C-�.RD DATE-1 -r-- --' t9.�- N2
,F CNDEHSI(_,NED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONEE43 - 101�
_)R aLOT NO
�, SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. EIo�
"� L07 NO
SLA✓ HOME ADDRESS
ARCHITECT
ENGINEER
ADDRESS --- ^r_ -_._DESIGNER _
URE_ _' EW C3 REMODEL DADDI^^TION__ QREPAIR �ORENEWAL ❑FIRE DAMAGE ❑DEMOLITION i
rI NCE ��CFJMM ❑EDUCATIONAL ❑GOV'T 0REI.IGIOUC L3PATIO ❑CAR PORT ❑GARAGE ❑STORAGE OSLAB [:]FENCE
/. ..
OMOVING OCONOITIONAI USE ❑DESIGN REVIEW ❑COUNCIL APPROVK SIGNS
`uPLNCYfZ3- LAND USE ZONE W.1_ .,..BLDG Tyq F_A L.-._--FIRE ZONtla PLAN CHECK BY--,-
Q
Y___G LQS0 -_._.._. F.L9�R LS)A� ___--N�I�HT_ -----N-9ra_ Aff—►�'l-=1S.i11+4 .@EI�RSLQMS r VAI.U��t�l��
AUILD OLP qq-RLLNI N SET BACKS F VONT AEAE� LEFT SIDE RIGHT SIDE
- --- — THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
LPlan Cheek C`SD RFGULATIONS AND At L APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
— --- - - WORK WILL OF DONE, IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub totel ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
i - RESTRICTIVF COVENANTS. CONTPACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
5we Tax LICENSE. SEPARATE PERMITS RFOUIRED FOR SEWER, PLUMBING AND HEATING.
Tota.'_.___
BV
APPI
IC TOP OP A
ApPloved Receipt No. l
ADD E P NE
�R E'`t Y' 10.jC7C1 l�v-7
1■r ew
.,:...,. . .,.. : ...,... .,�
^�?
"yrte; �` 499
BUILDING PERMIT APPLICATION
OF TIGARD DATE__-_ � �L.— 19---
THE UNDERSIGNED HEREBY APPLIES FOR APE RM IT FOR THE WORK HEREIN INDICATED BUILDER PHONE —
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERP'AONF
LOT NO..
ammert'1slu .?.
OWNER C err i1_i Tt _ _`JOB ADDRESS__ _tom HOME ADDRESS
ARCHITECT'
ENGINEER
BUILDER ADDRESS DESIGNER
STRUCTURE [:]NEW _❑RFM_nDEL —❑_ADDITION ❑REPAIR ❑RENEWAL. ❑FIRE DAMAGE ❑DEMOLITION
C3RESIDENCE ❑COMM OEDUCATIONAL ❑GOV'T ❑RELIGIOUSOPATIO ❑CAR PORT [:]GARAGE ❑STORAGE❑SLAB ❑FENCE
❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OBOND [:]MOVING ❑CONDITIONAL USE
OCCUPANCY -LAND USE ZONE BLDG.TYPE-----FIRE ZONE�v PLAN CHECK BY_ HEAT--.—,
r4u �Irfteir.
O�' OA F1.L7Szfl LQ9R HEI HT NO_STORI ._� ARE$ �,t IaVO•@F,�flQQM� t vAwE �C..
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, 70NING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL RE DONE IN ACCORDANCE WITH THE PIANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub total ALL APPLICABLE CODES AND ORDINANCFS. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
TESTRICTIVE COVENANTS. CONTRACTOR. AND SIIB CONTRAC70RS TO HAVE CURRENT CITY BUSINESS
State Tax LICENSE SFPARATE PERMITS R50UIRFD FOR SEWER, PLUMBING AND HEATING.
Total
APPLICANT OR AGr NT
Approved 4 Receipt No, t.
DATE 1NSPP, TYPE INSPECTION REMARKS PLUMBING — DATE
u Contractor
Permit No.
Flnugh•in
Fixture
Final
— HEATING
i
Contractor
— T- —
Permit No.
Gas or Oil
--- Rough-in
-- Final
Final SEINER `--
—
DRIVEWAY
--- — Final
Storlh Drainage
_ (Rain Drain►Final
Sidewalk
Curb&Street Final
I ---- � _ ---- -—
Approach
t3 DG. DEPT.FINAL —TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY —
Landscaping
Zoning Final
l
1
' w
�s'JlLDiNG PERMIT APPLICATION ��Y I'�C-k RD DATiN N9 9
`4 HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
R AS SHCWN AND APPROVED IN THE ACCOMPANYING FLANS AND SPECIFICATIONS. OWNERPHON
LOT NO
ARCHITECT
t R
ADDRESS ENGINEER
���
u�+E PNEW —, ❑REMODEL OADDITION _ DREPAIR TQRENEWAL ❑FIRE DAMAGE ❑DEMOLITION
V iC°NCF r-1:1,MM ❑EDUCATIONAL OGOV'T OFIF I lGIOUS OPATIO ❑CAR PORT—QGARAGE O SIORAGE OSLAS []FENCE
QMOVING ❑CONDITIONAL USE []DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
NCv P,'�_ LAND USE IONE� _•._--_BLDG TYPE ._ FIRE 20N_-5,1 PLAN CHECK OY, _ HEAT_
S' C LQAQ F-1-4SZp_LQAQ__— _H.E1rtHL_. -.. hIQ.�SIS�IlLE$. —_�ntnr�"IV �DROOM YALUE� � '
BUILDING DEPARTMENT SET BACKS `F tiONt REAR-,���- LEFT SIDE r O/ RIGHT SIDES%bp s-
qm_THIS PERMIT IS ISSUED SUBJECT TO THE RFGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check RFGULATIONS AND ALL. APPLICABLE CODES AND ORDINANCES, AND IT 15 HEREBY AGREED THAT THE
WORK WILL BE DONE. IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Fuh 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
F,wu Tax LICENSE. SEPARATE PERMITS REOUIRFD FOR SEWER, PLUMBING AND HEATING.
Total
iCANt OA GENT ----- -- --__ —T...
Aprocwed _ Receipl No
A_5 01_5 --'�--ANO-NT__
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