13465 SW 107TH COURT 13465 SW 107TH COURT -
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City of Tigard Mechanical Permft N_ 3523
Now Installation Replace Relocation i'1 Addition Alteiation DATE: J� 14H
HEATING
CONTRACTOR OWNER
—
ADDRESS---.. J013 ADDRESS rL/ G�s -/[/�_.__ �.
PHONE APPLICANT
Heat Input Rating(BTU per Hour) Vent Size Flue Si ze
FUEL OIL GAS [] ELECT OTHER
ITEM TKOT, FEE ITEM NO. FEE
or Issuance of Permit SEE BELOW Each Air Handling Unit or Duct System 7,50
New-up to & incl. 100,000 BTU 6.00 Commercial Hood System 7.50
Now 100000 EILIT'&& over 7.50 Other Equipment - Each 4.50
W,00dburning Stove 4.60 1 Trip Inspection 4.50
tell-Floor- Suspended 6.00 Air Condition Compressor - up to& incl.3 H.P. 6.00
Vent System w/Fan 4.50 Air Condition Compressor-3.1 to 15.H.P. incl. 11.00
Repair-Heat Cooling 6.00
CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS !
PERMIT ISSUANCE 10.00 Comments:
FEES
11JID-TOTNt�_
STATE Issued BvWy_5______
PLAN CHECK
TOTAL REC.#t QJr
Si re of Applikant
I
CITY OF 1}
BUILDING PERMIT APPLICATION TIGARD DATE ¢�w! --_, 19 ` NO
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PHONE_ —
OWNER _ ADDRESSBUILDER PHONE _
ENGINEER
BUILDER _ ARCHITECT DESIGNER
STRUCTURE ❑NEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING L .I-,ONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY LAND USE ZONE _BLDG TYPE_ _FIRE ZONE_- PLAN CHECK By HEAT
QCC. LOAD FLOOR LOAD_ _ HEIGHT NO.STORIES _ AREA VALUE Jou
BUILDING DEPARTMENI� SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit
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
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total
BY -
-- ----.— APPLICANT On AGENT
Approved Receipt No.
ADDRESS r'l ION
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
9 -/.2-75 Contractor
Permit No.
100,Z,
Rough-in
Fixture
C 411 C le -/f" C_.-i,/40, Final
HEATING
e Conti-actor
Permit No,
/7 Gas or Oil
Rouqh In
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
Approach
BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final