11030 SW 106TH AVENUE-1 YF
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CITY OF TIGARD
k OREGON
11 Owner• Steve Spiegel Pe No. i,.6 _ 1 �
----
Building Address 11030 S.W. 106th St.
, 13th rel�r.�a•r 79
Certi:icate is hereby given this __ day of Yw19__..._
Occupancy-R-3 b'
that said building may be ..,cci jn.�>ki and that I,
_ Land Zone-R-7
{., Bldg. Type-S-N it complied with all reyuiren-, ra'-s of the
41•
Fire Zone- 3 Bu'lding Code for the Cit- 'Tigard, as ,o
approved by the Tigard City Cco,nri.l. :•
f
* h. Building Inspector
40
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ADDRESS 11 aJ(; ��•l� �D�, , I�L��
_ PERf'1IT NO. ;r�l�,0
PERMIT CHARGE none
OWNER CONNECTION FEEc�0- —
PAID BY
TYPE OF BUILDING DATE CONNECTED
SERVICE RATE _ � � INSPECTION FEE ;2-�
CONTRACTOR PAID BY DATE
SIZE OF CONNECTION ASSESSMENT PAID
Cite of Tigard Mechanical Permit Perinit__,$3.00
Fee--•__—__ _
New Installation 0 Replace C1 Relocation ❑ Addition ❑ Altvration lJ 3%State
TOTAL—
CONTRACTOR
oT#DRFS`;_ ------ ---------.�.. WORK'. ADDRESS—_______�--- -- _.—
PHONE _ APPLICANT
Heat Input Rating (BTU Per Hour)----_ Vent Size Flue
FUEL OIL ❑ GAS ❑ ELECT ❑ OTHER —�
ITEM NO. FEE ITEM NO. FEE
For Isc-Ijance of Permit —_ — 3.00 Air Condition Compressor 15 to 30 HP ___ 10.U0
New-Under 100,000 BTU _ _ 4,00 Air Handling 10 J00 CFM 3.00
New 100,000-8TH i &over 5.UU Air Handling Ove r 110,000 CFM 5.00
Floor Furnace _ 4.00_ Evaporative Cooler_ 3.00
Wall • Floor Suspended _ _4.00 Range Vent Fan 2.00
Install Vents Only __2.00 Vent System 3.'JO
Repair -Her.c&Cooling 4.00 _Hood Commercial _ _ 3.00
Air Condition Compressor Under 3 HP 4.00 Commercial.-Duct Stirst9m 10.00
Air Condition Compressor 3 to 15 HP '7.50 — --
l"IS11ECTOR'S CON'MENTS
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS --
APPROVED BY DATE _ ISSUED BY DATE
RECEIPT NO.
774 Signature of Applicant
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BUILDING PERMIT APPLICATION cOFY TIGARD DATE_ 10/12 ty�_
THE LINDCkSIGNED HEREBY APPLIES FOR APEFIMIT FOR THE WORK HEREIN INDICATED BUII_DERPHON 11'b
OR AS AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS 4ND SPECIFICATIONS OWNER PHOME---__
LOT NO.
OWNER V 4P3 111 a It 7. JOR ADDRLSS i,-021 1 Litt i HOME ADDRESS
ARCHITECT
BUILDERENGINEER
ADDRESS DESIGNER
STRUCTURE _❑NEW ❑RFMnDEL ❑ADDITION _REPAIR ❑RENEWAL. (:]FIRE DAMAGE CLjFhAOLITICIN
❑ OESIDENCE ❑COMM,❑EDUCATIONAL ❑GOV'T E]RELIGIrjUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE CJSLA B ❑FENCE
— ❑BOND UMOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGt'_J
OCCUPANCY LAND USI:ZONE..1,..-—IBLDG.TYPE ',P1 FIRE ZONE - PLAN CHECK BY j _� HEFT
__— .,onstruct single f atailly dwelAintj w/alt.t,achad ,jaraWee 3 Uwdr,.0M – 2 IJathruam«
Sower Permit ;174+60 – $675.00
0C.Q-L2R__.r___--QQ-QR LOAD 40 dEIGHT 20 — � 3 1,37 g AJ,,01
__N9. TJQBl�_-_._.AREA 1,,V- NO,
DROOMS VALU __—__
BUILDING DEPARTMENT SET BACKS FRONT 21 REAR A* LEFT SIDE RIGHT SIDE ex 9
Permit— libiloo
THIS PERMIT IS ISSUED SUBJTCT TO THF. REGULATIONS CONTAINcD IN THE BUILDING CODE, ZONING
Plan Check 75,J ) REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS ANDSPECIFfCATIONS t:ND tN Cow'LIANCF WITH
Sub total 726. 54 AL1 APPLICABLE CODES AND ORDINANCFS THE ISSUANCE Of: THIS PF.4MIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TIT HAVE- CURRENT CITY BUSINESS
I,ICENS4. SEPARATE tM4' ,REQUIRED FOR SEWE7, PLUMBING AND HEATING.
State Taxi 0.04
otal 1232,54 ,si t. 1 - ' 00. 1
By P1
APPI,(CANT r7p A(TF N f
Approved F.. 1481jobt) R{ celpt No
I
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
t Fixture
Final
/ - 7h d34 HEATING -
Contractor
_— Permit No. _—
Gm or Oil
Rough-in
Final
SEWER
--- Fh al --_-
DRIVEWAY
Final
Stonh Drainage
(Rain Drain)Final `
-- —� Sidewalk_
Curb&Street Final
Approach
BLDG. CEPT. FINAL Tt:MPORARY CERTIFICATE OCCUPANCY'
CERTIFICATE.OCCUPANCY Final
Landscaping
Zoning Final