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15280 SW 94TH AVENUE -� 15280 SW 94TH AVENUE I I a� C (U 3 cn O O N Ln r-1 I CITY OF TIGARD BLDG. DEPT. 12420 S.W. MAIN STREET TIGARD, OREGON 97223 PHONE 639 4171 CONTRACTOR: Pursuant to Section(s) of the Uniform Building Code, the following item(s) require correcting: Date: ' r ' Permit No. Inspectorl��,,� -- - ('BALI. FOR REINSPECTION ADDRESS`L:Sd a, q- PERMIT N0._ I 00206 PERMIT CHARGE none OUNER J 'tom 12 . e CONNECTION FEE _ 6" . PAID BY �n� th-- TYPE OF BUILDING _ c-0-4-1 OA,rE CONNECTED SERVICE RATE c • INSPECTION FEE a2S. CONTRACTOR PAID BY DATE. SIZE OF CONNECTION AS SSMENT PAID laaaa ossa la -.•,,„�,.rY;�� . iIQNN E. REINgRni PU141BING, iii BUILDING DEPARTMENT, TIGARD NO. P. 0 BO'{ lig PLUMBING PERMIT !_ NEWBE rki, 901131 _ holder of a valid plumbing contractors license is hereby autYiorized 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 Licensr, requirel for all contractors and sub•contrectorg It r (_ 1 (t�, y �a f,�u i' � !� �� Date_�� 3 � Owner.—L � � J G-h�ra Address 1 5 a Sl U _>L< NUMBER OF TOTAL PERMIT NO.'S TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office use Only) Du If-Each 1 bet unit _ x'00 --- Addition I oblle Nome SWrc1-each 16.00 MDIVIp _A4 f`_JT AE FEES - 1 to 60 Flitlyrol in 1-build ing-each 3.00 61 to 100 Flxtures in 1 build!nt-such 2.60 i1ikL to 2.&f Ixtures in ildinp-each _ 2. 201 or more Fixtures in 1bulldirw-each 1.60 M 1 S C L_L”II o u S _�_ -- ----- --' Ildina sewer-l st So ft 10.00 10.00 Sewer-e h idd oval 100 ft.r_ __ 10,00- _ Vifeter Service to buildirw 6.00 Private Water Systeme--ash 10_0 ft. 10.00 ---- Other ($Milli; PERMIT ' 4)& for Plumbing Inspection Phone 63,9-�19t % Stets o Plumbing Cantra9tor av OT L " ( RECEIPT NO. Issued By _ t - y' G l �� ,� � i IY{tl'ill�jlf�:L�1 Ft�i�rlf� Fee _ �t Pr3�. Ins;�flation Se�:eC! ��-11�_-I Relocation ❑ Addition 0 A!t!ratlon J /.)t�S,ate Z ----t+-- TO ra L___ -�- Cv..t RA..TUR ADORESS_Vt. PVA- '�'�r l-�A.r�r_1�A�•t WORK ADDRcSSjr4-je0 _"h.._._`�xl7U PHONE �_te,--- D��2. _ APPLICANT_ �. �.� lI1 = _ •« HP3: {np.j; Ra-zing (BTU Per Fi ur) �_ — ( C= – Vent Size _ Flue ize�� FUEL OIL GAS ELECT L7 OTFI R ITEM NO. FEE ITEM NO. FE For Issuance_o' Perrna �^ _ 3,6FT Air Condition Compressor 15 to 30 HP - 10 ,0�0 ETU � _ 5.00 Air Handling 10,000 CFM1I, 3. New• 1M_000 3Tll & over 5.00 J 'Air Haniling Over 10,000 CFM 5. �} Floor Fur nace - �� 4.00 Evaparative Cooler — I -� 3. Wall - Floor_. Suspended �_ 4.00 Range-Vent Fan -� 2. Install Vena Only_ 1.00 Ven: Sys e, "i 3 Rte )Ji? Heat E Cooling 4.00_ Hood Commercial _ "-'-'-'-''-3 Air Condo-tion Compey%or Under 3 HP - j _ -r-_- - -_4.00 -Comm- ercial Duc:Sys-,cm Air Condj:ion Com,-,r sot 3-t; 15 HP - __._...- �__.S�_.-�_ _.. _... S. __i.�.:t ..11=.�•'i_. -_. .. - ._ ...=VSs:��..Y::_�:s:G__e�.'LC�.:�:.—_•:ice.='_—IIY�'2'_•.S� s� a INSPEC fO:VS CITY EUSINF;S LICENSE: REOUIRED FOR ALL CONTRACTORS On. Sus CONTRACTORS APPROVED FY- DATE ISSUED BYr.__._`___ DATE ;.I40 ? 2537 BUILDING PERMIT APPLICATION CIT TIU,kRD DATE_ i/ l/ 197i, OF THE UNDERSIGNED HEREBY APPLIES FOR A PER"!:T SUR THE WORK HEREIN INDICATED BUILDER PHONE 39� CR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE_ LOT NO. OWNER ;. r J,r '..-2 s JOB ADDRESB1 b280 Sk,l 940 Avis* HOME ADDRESS —_-- -` ARCHITECT ENGINEER BUILDERADDRESS DESIGNER S'TR_UCTURE _ ❑NEW ❑RUM_ODEL ❑ADDITION ❑REPAIR ❑RENEWAL [:]FIRE DAMAGE ❑DEM1-O-tLITION ❑ E RESIDNCE [COMM ❑EDUCATIONAL ❑GOV'T ❑REL.IGIOUS❑PATIO []CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE ❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY' •-,'f .LAND USE ZONE .._BLDG.TYPE- FIRE ZONE— PLAN CHECK BY .____:_—_ HEAT___ 17k,_jseuu samt- as itJrtt vii s'ramle dwelling w attatchedynrs�a. 2 8*d.f00M3 --- F uundatian Permit issued* Sower permit F.18706 - t YM $625.00 O(;c,I.QAD _-FJ.G4N D bCJ _J±EiQhla N4';.$SOB ._�_ AHE9.l4 9{� N9_•_@. _ B-Q- .lI�_ BUILDING DEPARTMENT SET BACKS FRONT REAR 14 L"EFT SIDE � RIGHT SIDE Permit I — -- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING Plan Check A. REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THF "'— WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANT: WITH Sub 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 State Tax !b *+0'- '+ LIC6 E. S.tPARATE PERW7S REOUIRE.D FOR SEWER. PLUMBING AND HEATING. rr . i/r.�``ff Total 'ki72,L,Q p0f, ,i iljM1 l.OU By P1 APPLICANT OR AGENT -- - - - • II 1 RPCei ,t No. APPI.F1YPxC�...,. -.�_._._ ,_.__.........r...,. f' ...............� .—_ ...rrnr�+..un......�,�...+.s.....rr...r...,r..........yr..rd..........;..........,......�.. i i 7 DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor —. — -- S— -7 C/3� Permit No. s' J �J Al -- ------------ Rough-in � Fixture Final _ `— ---. HEATING _-- •-_ Contractor O Permit No. Gas or Oil --- -- -- — -- --- Final —____-- --_ ----------�— ___----- `_ — SEWER _—.- - -------------- Final DRIVEWAY - _ _^— --- Final Storm Drainage (Rain Drain)Final. Sidewalk Curb&Stmet Final Approach —BLDG.DEPT. FINAL TEMPORARY CERTIFICATE OC 4NCY Flnei�— CERTIFICATEOCCUPANCY ��Zf / Landscaping Zcning Final t i _"JIL DING PERMIT APPLICATION CITY flC.".RD DATE 19_ No �s �� -4 ,!N,;, H'1C-NFD HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE0:'Jl(C) A5 SHOWN AND APPROVED IN THE ACCOMPANYING PIANS AND SPECIFICATIONS. OWNER saHONE-- _ ADDRESS HOME LOT NO. ARCHITECT SC 11 ADDRESS��„rypLJ �.J,-g t" A LL ENGINEER r R � _ ^1 ADDRESS _ �1 __ _DESIGNER _ URF. r�'G��JNEW �CJREMODEL ❑ADU111pN-'— OREPAIR V_DRF.NEWAL ❑FIRE DAMAGE ❑DEMOLITION ( '. -NCF t._JCQMM ❑EDUCATIONAL ❑GOV'T ORELIGIOUSOPATIO ❑CARPORT OGARAGE ❑STORAGE DSLAB []FENCE �FC'.ND El MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS 0'_-.NCYT1-LAND USE ZONE.=: BLDG T YPE_.'sk—F IRE ZONE PLAN CHECK BY__0ft&.ge—_ HEA TC -..E f CTD c C LQAQ ._._... ..._F_L.O.QF.LLOAD y�KElQHt__./ �!_AI4y6LQR $__ ____85EP til l)IhG DEF HT1110iSF T BACKS I RONT / y REAR / _ LEFT SIDE% RIGHT SIDE rlm1t---- - � _ THIS PERMIT IS ISSUED SLIBJFCT TO THE AFGULA71ONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check _ RFGULATIONS AND AL L 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-tr,ral ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS P':RMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVe CURRENT CITY BUSINESS State Tax LICENSE. SEPARATE PERMITS RFOUIRFD FOR SEWER, PLUMBING AND HEATING. Total BY _-- --------- ---- - AVPIICANI OR ENT Appiuved I'- ecelpt No — — I pL`LURESS _—. --_—PHOWE 1A i i CITY 2 4 ry BUILDING PERMIT APPLICATION of T�G�RG °ATE - '�- THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE. OWNER -_;JOE! ADDRESS E %isnU9HOMC AUDRG'SS ATtEAR T E:NC',INEER ADDRESS -- `)q-=SIGNFR BUILDS-: �-ry � l _-- STRUCTURE_IJNEW _❑RI MODEL _❑_ADDITION e ❑REPAIR—^ C.J_Rr WA L [:]FIRE DAMAGE ❑DEMOLITION 0 RESIDENCE OCOMM ❑E_DUCATIONAL—OGOV'T ❑REL.IGIOUSLPATIO ❑CARPORT ❑GARAGE ❑STORAGE OSLAB ❑FENCE ❑BOND 'OMOVING— ❑_CONDITIONAL USE ❑DESIGN REVIEW u DCOUNC L APPROVED ❑SIGNS _ OCCUPANCY_—' LAND USE ZONE._�'...ay- -BLDG TYPE_-_ FIRE ZONE___MPI,AN CHECK 1 — -- __ -- HEAT — CiC.Eli(1�'1L1CJC1 11178'111:a�. �111A • _— _____�,.�._. _.._ -- ------- _ �_._._— la->�I�yut�41mms a* IL)511 SU Summerfield Lenso -- — - -- OCCQ.LOAD - JnS?9BLOAD_ _ __N�lGF1T �_ NO.STQBIES�- --__Ai_C.AV 1490 L28�4M " �AL51 "42y Hf• BUILDING DEPART MENT SET BACKS FRONT 10 REAR 141 EF T :,IDE � � RIGHT SIDE -.j l l da --_— -- =— Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check — RFGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THF -- WORK WILL BE DONE IN ACCORDANCI WITH THE PL ANS A.NDSPECIFICATIONS AND IN COMPLIANCE WITH Subtotal ALL APPLICABLI. CODES AND ORDINANCES. T14F IS`'UANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACT09 AND S11(1 CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax LICENSE. SEPARATE PERMITS RFOUIRFD FOR SF WER, PLLIMBIN('• APiD HEATING, Total 1C1.00R By p 1 707 APPLICANT OR AGE iE� 4 ADDroved ..�, ,.. .., Receipt No. Y +YM1i{ 4 DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE — - — Contractor - Permit No. Rough-in Fixture �-..._.- Find - ` ----- .- HEATING -- ^- 4 Contractor �_---_---- Permit No. — - Gas or Oil Y- - Rough-in --- — ----- Final -_— -------- SEWER - ---- Final DRIVEWAY --------- -- - ----- Final - Storm Drainage (Rain Drain)Final. Sidewalk Curb&StraetFinal _ Approach BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final Lenuscaping Zoning Final AdF 'I "UILDiNG PLRMIT APPLICATIONcoF TIGARD DATE��_— 19 -NQ J •4F UNDE RSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONIIC!_-� �„ IGI ,4- AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPFCIF ICAT IONS. OWNER PHONE---.. i LOT NO �- tDRESS �� GME ADDRESS ARCHITECT ENGINEER R _ _�/ _ ADDRESSDESIGNER NF t14t? EW ORFMODEL 0ADDI71ON ❑REPAIR _[3R_F.NEWAL ❑FIRE DAMAGE__ ❑DEMOLITION L,---: ) N('F LJCr)MM ❑EDUCATIONAL ❑GOV'T ORE LIGIOUSOPATIO 0CAR PORT ❑GARAGE ❑STORAGEOSLAB ❑FENCE ❑MOVING OCONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS C l'FANCVl�_� I AND USE ZONE ;��_ _BLDG.TYPE��.1.L11..._-FIRE ZONKPLAN CHECK BY _ HEAT ��/ _ ` c ___ ', fA.J�o�Cl L•'b�C C�a �� _�. _1.L� AU .`F1.�9fl1.S?�_ _--_KE 1GiLL_ _/+__NSt S.IQR1€;r._ __AREA ��1.1*Q_@EpR00M&Q VALI1� �, ;��7 EUiLl NG DEPARTMENT SET BACKS FRONT( L✓ REAR LEFT SIDE RIGHT SIDE THIS PERMIT 15 ISSUED SUBJECT TO THE RFGULATIONS CONTAINED IN THE BUILDING CODE, ZONING ,Ilan Check 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 `ul) 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 ';tate Tax LICENSE SEPARATE PE RMITS REOUIRED FOR SEWER, PLUMBING AND HEATING. Total Nv I. - APPI iCANI AGENT "worcived_ - ` //�� Receipt Na