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11150 SW 106TH AVENUE-1 11150 SW 106TH AVENUE r L -N �O O r-I 3 (n O U7 �-1 �-1 r � I I w w w w w w CITY OF TIGARD UDG. 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: 1124(y Date: _Tr-/1-�2y9_— Permit No. Inspector CALL FOR REINSPECTION f tWII-IJINU U:F Ah -; i Prtt:04 1, 1 I%J] AMW 1 PLUI!r1B1�1G PERAMT N• hder of a valid p!urrbing contractors license is hereby authorized to cause plumbing wor'Was herein noted to be installed in accordance with the plumbing code of � Tigard. Such installations raquir` inspection by the City Inspector who small be notified not less than four i (4) hours prior to the time the instillations are ready for inspection. City of Tigard Business License required for all con tractors and sub contractor;. Owrer—,1! L.� _ P.ddres� 11 �Q�Q Oate_. �— NUr,13FR OF —� TOTAL PERMIT NO.'S T"Pfl OF PERMIT ITE'.tS EE EACH AMOUNT (Office Use Only) SNTIAL_ 5in•le Family-1 bath-enrh --_ 25.00 Did Ouolex-Each 1 beth unit 25.00 f� Additionnl ba,hroums-each 10.00 M0003 Home space-each M_ 1S.o(1 - INOIVIDOAL FIXTURE FEES_ _ I to 50 Fixtures In 1 building-arch 3,00 51 to 100 Fixtures in 1 build-r,,_eoch __2250__ �— S 101 to 200 Fixtures in 1 b'.r.liirc`ear.is 2.00 1 2U1 of more Fix.c r., in 11bui!rl.:A3 ea,:h— _-_ 1.50 �1 ISC E L L A N E O U S o� BuilCiny Saer-llt 50 t't. 10.00 Seyvsr-each additional 100 ft 10.00 W.1ty s•rrvice to hirilding- 5.00 f Private V"'Ity Syaters-eirh 100 It. _ 10,00 Other lSoe,::f,r1��, •_'—�L:-- _.r ___.—�_ '� �.t=��. —_—.�_.__ �. t For?lurthlrg Phoma 639-4 171 Sta Plumbing Contractor By � — i TOTA _ — PIcEc',r NO. ISs:r:d Ey I CITY OF TIGARD BLDG. DEPT. 12420 S.W. MAIN STREEY IFIGARD, 0':C-GUN 87223 PHONE 639.4171 CONTRACTOR: Pursuant to Sect'on(s) of the Uniform Build�.ig Code, the following item(s) require correcting: ------- - - - _ tom__ --- _---- -- — 110, Date: `� �' __- Permit No. _ Y Inspector v .._�-•,s...•�:w.�7r ¢R' A"'pl' ` �.��; �,.,;• .'",71 'Rip„'''q�Ip1�Fx:rr^��^:.—..—..r,•-�,..-�rvra CITY 7yt� 1!tDJI BUILDING PERMIT APPLICATION OF TIGA,R© DA IF THE LINDER�IGNED HEREBY APPLIES FOR APERMIT 10R THF WORK HEREIN INDICATED BUILDERPHONFb!q4'b!r OR AS SHOWN AND APPROVED IN THE ACCOMPANY NG PLANS AND SPECIFICATIONS. OWNERPHONE�--.�—' LO NO.— - OWNER Le31�� '►�71mo�`.h JOB ADDRESS i-0 : k. �' L LIi HOME ADDRESS —. ��jj ARCHITECT !afiti7 ` ` S I.Jf. 04 ENGINEER Jahn L Porter BUILDER ��--tt _ADDRESS ��� ri/�l � • DESIGNER _ STRUCTURE_ IuINEW ❑RFmnDEL ❑ADDITION C3 REPAIR ❑RENEWAL []FIRE DAMAGE GDEMOLITION -] RESIDENCE [:]COMM ❑EDUCATIONAL ❑GOV'T QRELIGIOUS CIPAT10 ❑CAR PORT CGARAGE O STORACE SLAB ❑FENCE C380 NO []MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW OCOUNCIL APPROVED ❑SIGNS -- �_ — w'/ ~ _R__L� OCCUPANCY l� ; LAND USE ZONE BLDG.TYPE FIRE ZON!— PLAN CHECY, B�' HEAT--L COf1itFtrwc.t 191nq a faMily 'Jalelling W/At\`Achlwd }juragY 3 Lwdt'uuMs--i fjc tLh ,. ? ,.17l�FtECT:�1�1 "�EtEA T ATTACHLO. Sower F armit inti ov.� -=t!1 •�E7 ,.�r�.i� Oyll�iS3=ice_ ___ Sower ._ - q it 1;� 1 1:�Q f.; :t _x.a>.� A 1 OCA I_QAL-- _ 171.0 ADAN{f�___—:_._�i LGtIL_.------ ND.STORIES_.—_.AA.I:�A NO�E.Q$4011dS BUILDING DEPARTMENT SET LACKS FRONT "tI _ REAR _LEFT SIDEt j� _RIGHT SIDE Permit 11163.U0 —` TN;S PERMIT IS ISSUED SUBJECT TO THE REGULATIOAS CONTAINED IN THE BUILDING CODE, ZONING Plan Check bl• '�Cl REGULATIONS AND ALL APPLICABLE CODES AND ORDIN4NrES, AND IT IS HEREBY AGREED THAT THE V;VKK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPF.'^.(,(CATIONS AND IN COMPLIANCE WITH Subtotal 244. '30 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTIICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTOR± TO HAVE CURRENT CITY BUSINESS State Tax (J•`'2 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total 2 1.L)d By - -- - -�--"------------- APPLICANT OR AGENt Approved Receipt No. -.- DATE IINSP. TYPE INSPECTION REMARKS PLUMBING DATE y y �� Contractor Permit No. Rough-in Fixture i 77,; Final HEATING Contractor Permit No. Gas or Oil -- RoL ph-in Final SEWER — – rinal DRIVEWAY Final Ston Drainage (Rein Drain)Final Side%elk Curb&Street Final Approach DG. DEPT.FINAL TCMPORARY CERTIFICATE OCCUPANCY BLFinbl CERTIFICATE OCCUPANCYT — 9-ys- Landscaping Zoning Final .�T '.�ILDIN'G PERfViIT APPLICATIO Cu Y ��r�;1.' DATE a+ 2 ,19 ? - 2 �+ r , '-'E ll•J';"5r��ti'ED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED y'eult.DErr�,oNE�_ V� A�, S 1i:. =-':D APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATICN5 owv=R PNxNE LOT JG?_ADDRr-Ss. -,nIE ALlJ4E55 _ --- - - --- ARCHITECT ,l 'I ENGINEERn- EQ _.. -- - -- �_.._ A0--)R ''__.-- 'DESIGNE:R a�hR�9a1'S�Y' f+ L,qE NEW _ ❑REMr-DEL —_—DADLINON n PF!R (]=;f NFWAL OFIRE DAMAGE ❑nEMOLITION x ,iC`ENCE ❑COMM 0F7UCA1IONAL-- 06i)V-T CPI GIOUSOPATIOMOCARPORT ►...JCARAGE ❑STORAGE[ISLAS [:IV'-NCE ��POND OMOV IN3 ❑CONDITIONAL USE ❑DESIGN Rt VIEW- ❑COUNCIL APPROVED ❑SIGNS 1 .4'PANCY`1 a LAID USE ZONE— .___. BlnG TYPE,.V Lam.-__.FIRE ZONE 3 PLAN CHECK BY-2;L -fl.-- HEAT--.. -4/�''o ------ I•.r s_L QAQ F.L.Q.Qq..I.Qp'�_ ..-•----- -�QMT....._.i3-__--►v_Q.�TQy!.I .L__AS.Iz.e_.�--X 9..8 12 —v al..�!���. - BUILDING DEPARTMENT _ SF T BA^_.KS.,:FRONT �Q REAR G8 -- LEFT SIDE /) RIGHT THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING Plan Cluck _ 8 REGULATIONS AND ALL APPLICABLE (ODES AND ORDINANCES, AND IT 15 HEREBY AGREED THAT THE WORK WILL BE. DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH SLh Ictal Z �ro ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE --•-- - -- --- R4!STRICTIVF COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS Fio1F Tax LICENSE_, SEPARATE PERMITS REQUIRED FOR SEWER. PLUMBING AND HEATING. 70111E—., - ----- - '','t� - 8v •l�!!�Lli-. A DPI (CANT Op AGENT- Aop,oved Receipt N,) ..__ _ -_.—.__ -------•------- ADUpESS �� —.J-PHC1rvE T ��zs ',GILDING PERMIT APPLICATIGN `� I .A.RD DATE - N° '-4F UNDERSIGNED HEREBY APPLIES FOR APE RMII FOR THE WOFIK HEREIN INDICATED GUILDER PHONE_ OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIF ICAT IONS. OWNER PHONE— LOT NO R ADDRESS _.._HOME Al?DRESS_ w—.. _.—.. ARCHITECT ENGINEER ADDRESS ___ n_._ _ —.DESIGNER ❑NEW O REMODEL ❑ADUITION — REPAIR —_❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION <<,ID�_NCF OCOMM_❑EDLICATIO_NAL ❑GOVT ❑RELIGIOLISOPATIC ❑G40PORT -OGARAGE ❑STORAGEOSLAB ❑FENCC �_15ONQ DMOVING ❑CONDITIONAI_UEE J-� ODESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS _ rUNANCv_ _ _. LAND USE ZONE--- BIOG TYVEy FIRE 20NE _—_ _PLAN CHECK BY--.--- LQAQ--- — F1.QS? LQA.Q — --._HESiHI __.. --- -NQ. L491E$ - .-..--- F-QROOMS VALUE ,---� BUILDING DEPARTMENT SET BACKS__f liON'T REAR_ LEFT 51QE _ RIGHT SIDE �rlmit -- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan 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 Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF T-IS PFRMIT DOES NOT WAIVE -- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS VE CURRENT CITY BUSINESS St&te Tax LICENSE. SEPARATE PERMITS REOUIRFD FOR SEWER, PLUMBING AND HEATING, Total BY WP—11i ICANI 0 AGF N'i ---- — —� Appinved Receipt No• a City of Pgard Mf chanlcail Fern?:t �!�'� Permit New Installation 10Ret%taco ❑ Relocation r' Addition l__' nra•rarirrn El ---- FOR ---4'��— TOTAL 7.00 CONTRACTOR Imperial Mech. Steve Spiegel 4r 0WNI:T1 7.28 ADDRESS 4532 SE 63rd Portland, Ore 97206 �w � 11150 SW 1061-h . WORK nl,I�rlrs•r PHONE 777-3801 APPLICAN 1 HT`at Input Rating (UTU Per Hour)___._ Vent S;ze Fluo Size FUEL OIL ❑ GAS CI ELECT n OTHER ITEM _A'(�, FFr _ 17r"�. nrrr, FEF_ For Issunnce oI Ilerm't _ r_a•r'�_ �!• Ove, r New_Undrr 100,0')r) 11l-�J ✓`� —1 (, a �.r' ( '`� _ ,�.C� -Nr,- Ov^r 1()Q.n(lrt ')t. r�r_ ,:•r'� •_I 'rrrrr_�US)rrnticrr._.._ ._—..—�--- ..�. , - - ----l�r•r,t r .rr ._.� __..., I .rC! Mail Wws n (I I(I`I,pir Ili-at Nr Cooling�^_ - _- _ _ .' „• ._.__ _..- _�. �, ��r._...`._.I 1�C n 'rIS r'rrrrr 'l r i" _•.__ _._____ _.....__. . .'i. ' .�_ �..._ "•,i,,.. � 'nr �•r,�rt•I �t•�•n� ,,,r ,rt 'crs 1!i t� .r;� I.:r ,r , � •� rT r r .I I "nC lrrt :10 to I'.f7 I.L'r - -_ 't:"PCCT0rI*S commFNTS CITY (jr�rl��I�ici '_IC:[�'"I? "'�?G.11il�s'� F�"(--,r`. �r�a+fn"'..;Tt` n? r'j­' .;r1 rT' C- ,,:,:r AMMOV"^ ')Y C:'�!' I�"-(rh f.Y DATA �-r ,17..cr_IPT NO.,� r,�