15255 SW 94TH AVENUE -- 15255 SW 94TH AVENUE
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CITY OF T IGARD 81.0G. DEPT,
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE wi39•1'171
GOf`LTi 1ACTOR.
F irsuant to Section(s) of the Uniiorrn Builr±lng Code, the
lollowing itern(S) require correcting:
date:.__—S'S'T Z/ Permit No.--
CALL FOR REINSPECTION
A 0 D R F 5 S J�s �/ PERMIT N0.
PERMIT CHARGE none
0IJNER CONNECTION FEE /t"
�^ PAID BY
TYPE OF BUILDING fix,/, DATE CON%ECTED
SERVICE RATE I�'�� _ _ �.SPECTION FEE
CONTRACTOR PAID BY DATE
SIZE. OF f_ONN--uTION ASSESSMENT �___ � MAID ___
Eff
Pe.,Mlt--
City of Tioard M c I i a—n,i—c—a I—P e r—t i i
e- -Z, Fee___ Ak&5
New lns,,E,1:ai,on ce C Relocation F-1 Addition 10 Alfle'ration Sate_
TOTAL....
Cr—",s.TR ACTOR �`�►SLI+l�,�_�"r. OWNER (,—."
6
WORK ADDRFSSjSaZ%-q
PAONE APPLICANT
Heat Input hating (BTU Per Ho r) Vent Si
zt
FUI:L Oil.. CJ GAS I ELECT 0 OTHER
ITEM NO. FEE ITEM
NO. FE
HP
00 Air Condition C4r)
For Issuance of Permit Compressor 15 to 10.
New- Under 100,000 BTU L 4.00 Air Handling 10,000 CFM New- 100,000 BTU &over 5.00 Air Handling Over 10,000 CFM F—
Floor Furnace 4.00 Evaporative Cooler
Wall - Floor -Suspended 4.00 Range Vent Fan
Install Vents Only 2.00 Vent System -3
3
Heat & Cooling
Repair 4.00 Hood Commercialr�
Air Condition Compressor Under 3 HP
Commercial Duct System
..Nit Condition Compressor 3 to 15 HP
INSPECTOR'S COMMENTS
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS
APPROVED BY DATE ISSUED BY DATJ
RECEIPT NO.
4.
n'
e
\f
JOHN r. REINHARDT iWILDING UEPARTMENT, TWAHD
PLUMBING INC. NO.
P fl. BOX 128 PLUMBING hCi'MIT
NFVVRFRG, OR.871.12
.____ _ holder of a valid plumbing contractott, lict-nsu is hereby
authorized to cause plumbing work as herein n,31rd to he installed in nccordance with tho plumbin!I coria of
Tigard. Such installations require inspehtion by Lige City Inspector who shall be notifies not Iess th,m four
(4) hours prior to the time the installations are ri ddy for inspection. City of Tigord Business License required
for oil
11 contractors and sub
�-cnntractors, p ,,L/
OtNnel � ^!LI Yds_ y _ Ad(ii e�5, rP �.`� 5�. ./_�tk�VE f7_.,r! _/ah-2L
.�� .____ --- _.._...—... ._I�Uh1it it OF •.._ .�._..........T.._.__. TOtAL PERM1Y NC1:3
TYPE OF PEWIT ITLIMS Fl t ON LACl/ AMgVNl (t..lick! Use.Only)
Sirs leFamily-1 bath`oach
Q_uplox-Foch 1 batt unit 25 uQ _
Addlllonal bsthromns_-each_____y� 0
Mobile Home Spetr�vech r� - — M �p
INDIVIDUAL VINTURE Pets
tn_50 Flxtores in 1 bullftl-each
61 to 100 Fixtures in 1 bulidin -each
101 to 200 Fixturei in1l building_oath 2.00
201 or morn Fixtures In 1 bulidin each
MISCELLA�dE0U! — ----- __�
auildinp_Sewer_1►( 50 its_
BeW0-%Ach adrytionel 150 f1, 10.x10
Water Service to builds ---5.00
Priyetr Water S sy teml-eea tt*0
Other (Specify]:
PERMIT _ j,C)U For plumbing lnafiec.rron phone 6.79-091
96 SteteILL, / p Plumbing Ctmtractor ny (
TOTAL 11ECEIPT NO. 1aued By
u*uuu UUQU UC31 0
.............
BUKCITY
-DING PERMIT APPLICATION OF TIGARD 19
THEUNDERSIGNED HEREBY APPLIES FOR APERMIT FOR TH. WORK HEREIN INDICATED BUILDER PHCIN12
OR V, SHOWN AND APPROVED IN THE ACCOMPANYING .2 A.�b AND SPECIFICA-TIONS. OWNERPHONE
s w 411— LCT NO_
OWNS iqi JoV, LQL_j08 ADDRESS*A91' 19tl! t:00�C 1110MI:ADDRESS
ARCHITECT
ENGINEER
Ir'
BUILDF.R. A r,D-R ESS DESIGNER
STRUCTURE ANEW 0 RE IAnDFL OADDITION CIREPAIR OFILNEWAL OFIRE DAMAGE ODEMOLITION
C1 RESIDENCE OCOMM DEDUCATIONAI OGOWT EIRELIGIOLIS OPATICI OCAR PORT OGARAGE (:]STORAGE OSLAB OFENCE
_h')NDITIONAL USE CIDESIGN REVIEW []COUNCIL APPROVED ❑SIGNS
DBOND El MOVING L 0
QCCUPANCY_1____LAND USE ZONE_!1_t1_ _BI_DG. TYPE_A____F IRE ZONE A PLAN CHECK By (Tid HEAT
a-Amus memo assio2s., sw caveniwer Terracc,
Framed Townhouse w/attaChed garage.
,— sewer Pqrmit #17441 - $b25,00
Q"-LQAQ
FLO —ND-5-MEM-------_8fLkA 1?BDDM1VALUi 9,
BUILDING DEPARTMENT SET BACKS MONT REAR LEFT SIDE RIGHT SIDE
Permit $1 7100
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CO'ATAINED IN THE BUILDING CODE, ZONING
Plan Check 10000 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total 167.00 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENtiNTS CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Ta)4 LICENSE SEPARAYEedaTIff
�FIEQUIRED FOR FEWER, PLUMBING AND HEATING.
Total 4173. 70 -- I$lot),U0
By
V_ pi — 9 9 9 APPLICANT 7i-RW-nVijI
Approved we I den Receipt No.
i
'i
i
r
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE 1_
Contractor —�
74 Permit No.
:�L71 Rough-in , -L Y
_79Fixture
Final — _ —
sy- HEATING
Contractor r
- -- _
Permit No.
1-331 2✓31
Gas or Oil Q
�— — Rough-in — ---
Final --
— ----- - ----- SEWER
— ----_.._-- -- Final
_ --- '--r—� —v DRIVEWAY —
..__�_,______. Final
Stonh Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final —
�_ Approach
BLDG.DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Fine(�— --
'T/ Landscapir g
Zoning Fi,iel
` mar � a�► �I Int Illi► �
I
-)UILDING PERMIT APPLICATION SOF T!C ,�,RD D:�TE_.CS . g � 0 23iy
_� $ N.
,t'r.' LINDE RSIGNED HEREBY APPLIES FOR APER AIT FOR THE WORK HEREIN INDICATED BUILDF.RPHONF-
AS SHC)WN AND APPROVED IN THE;ACCOMPANYING PL AN PFCIF ICAI 10 S. OWNED PHO ELOT NODDRESa_ AU RF. S
� ARCHITECT
/1
�/e �7�7 _ �'` ENGINEER
iR ADDRESS DESIGNER
URE NEW ORFMODEL ❑ADDITION ❑IiLPAIR ORENEWAL ❑FIRE DAMAGE ❑DEMOLITION
I NC[ C] r1,�M ❑EDUCATIONAL ❑GOV'T ORELIGIODUSOPATIO `-7.4H PORT ❑GARAGE ❑STORAGEDSLAB []FENCE
-''ND [,MOV TNG ❑CONDITIONAL USE DDLSIGN REVIEW "COUNCIL APPROVED ❑SIGNS
NCv -,L L AND USE ZONE. ---f _SLOG TYPE_. &,...FIRE IONF --PLAN CHECK BY_— _ HEAT�i
a�
:JAQ--- --- F1,QD_Fi__SJBp HEI_GHL—______ 9L-3,%-Q_HDRQOMS Z. VALUE
BUILC)ING DEPARTMENT SET BACK;; FRONT REAR LEFT SIDE RIGHT SIDE
emit d U
1415 PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
J0. 00
00 REL,U...TIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
LL. WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
`'Uh total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
`--' — - - RESTRICTIVF COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
181F_Tax_ LICENSE SEPARATE PFRMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
1 r.
' ACPI ICANOP AG!
�hlrrlvPd Receipt No
00
GG
00
00
to