10890 SW 108TH COURT I I I I
10890 SW 108TH COURT
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ADDRESS y ;. :> �.' f b " PERMIT NO.
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---._._...._. PERMIT CHARGE none
OWNER CONNECTION FEES-'i `—
PAID BY
TYPE OF BUILDINGuP
ti �---�- DATE CONNECTED
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SERVICE RATE / INSPECTION FETE
CO►,TRACTOR PAID BY DATE
SIZE OF CONNECTION ASSESS^IENT PAID
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BUILDING DEPARTMENT IIGARD
PLUMBING PERM T lr •
holder o a valid plumbing contractors license is hereby
auth�to cause plumbing work as herein no"Pd to be in .ailed in accordance with the plumbing code of
Tigard. Such installations require inspection by th City In pector who shall be notified not less than four
(4) hours prior to the time the installations are ruddy for i spection. City of Tigard Business I icense required
for all contractors and subcontractors.
1 �/
Owner _ ? !� _-_ Address / _
' NUMBER OF TOTAL PERMIT NLVS
TYPE OF PERM11 ITEMS FEE ON EACH <JJIOUNT (Oltice Use Jnly)
F(�s_tP_E—N_t.tA L. --
SIn le Family-11 beth-each _25,00
Duplex-Each 1 beeh unit _---� -_--__— _-.2500 __-
Additional bathrooms--each 10 00
Mobile Home Space--each
N O I V 10 V M FIXTURE FEES --
1 to W Fixtures L; t building„eaeh --- - 3.01) _-- -_--- --___-- -�-.- -_
51 to 100 Fixtures in 1 buildingeach __ - _ 2 brl
101 to 200 Fixtures 1q_1 bulldin_q-eech _ 2 041
201 or more Fixtures in 1 buildin each 1.511
MISCELLANEOUS
Buildin Sewer-1st 50 ft. 10 on
-Sewer-eachadditional 100 ft, 10 00
Water Service to buHdinq `_ - _ — 5.00_
-Private Water S�rstems_emth 100 ft._-- -- ---^ - -- 1000 --_----.--___--
r Other (S eclfV):�_
PERMIT G C� ^ For Plumbing lnspe..tion Phone 639.41%1 ”
State�— ��'J_ —_ Plumbing Contractor BV keasl��.o
,;�.. TOTAL�Q�, r G� —� , RECEIPT NO. ('9�� It;eueti By
.,..+a-:•g+!.er>s...,.z,..a.. .,e,._ r.. .. .. ..,..,...�,�...� n,,.-...-ems.ant*"...! .r._w.r--;•e*.-�,.._�--........., n.. .._..r.,,,�,..
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BUILDING PERMIT APPLICATION 1OF
1T TIG ARD DATE__ 19
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE UQfa�Ljl�b
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWfZRPHONE
LOT NO.
rhino rens liamais 10�;�C� SW '.06c.h *� ----
OWNER nogram ADDRESS HOME ADDRESS --
ARCHITECT
ENGII.EER
BUILDER ��77 0141111® ADDRESS _ — DEI iGNER
STRUCTURE GNEW _❑_REM_ODEL _ ❑ADD^IITTION _❑REPAIR ❑RENEWA.. ❑FIRE DAMAGE ^ ❑DEM�—OLITION
❑fi.[SIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T LJRELIGIOUS❑PATIO ❑CAR PORT GARAGE ❑J1ORAGE CSLAR ❑FENCE
❑BUND ❑MC`VING ❑CONDITIONAL USE ❑DESIGN REVIEW '�JCOUNCIL APP90VED C;,IGNS
OCCUPANCY ter' LAND USE ZONE yZ—_BLDG.TYPE_;;.' FIRE ZO^:r PLAN CHECK BY. ...... HEAT_ ____.
%myis I'mmili dwiAlin,, w,/OtLil Lh dd ;;acjue_ Uedrugm 2 timid
(jeregs 420
bouar pbrmit il;J906
QCC. LEAD __E_I QQELL0AD 411 ----HEIGH1 20 NQ.STQRIE --.- 1 APEA"60 N"fQ8-29MS __VALUE}'i-.1Lfai1a._
BUILDING DEPARTMENTSET BACKS FRONT �� REAR s.:a LEFT SIDE,J RIGHT SIDE 1_
Permit
— THIS PERMIT 19 ISSUED SUB�cCT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check fjAr „ (� 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-I-ital 2SL'd 1 ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF 'THIS PERMIT DOES NOT WAIVE
RESTRICTI%E COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BI)SINFSS
State Tax 6,7L LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING ANC HEATING
-- . .3U0•
Total _ ?t�t1.2c, •Lo #2 $IOU.
L1y
_- APPLICANT OR AGE N t
Approved ctl of flv(vipl No
AQ 'S5
DATE INSP. TYPE INSPECYION REMARKS PLUMBING DATE
S, Cyt Contractor
Permit No. ��(//
jo 1A noughdn
O Fixture
Final
HEATING
Contractor
��� �i_-✓ori-� / i .
��.�� �d� — rermit No. 'I7 &113/79
rr
/ Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storlih Drainage
(Rain Drain)Final.
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final r
fii @ff w tti i< # W til
46P7 3 :o
SEWER PERMIT ;vel 15906
Uf
nfied Sewerage Agency
of Washington Cou :ty CITY OF _Barri_ DATE S_12-78
OWNER: Mnnnpram Hnmpa _ ''HONE
OWNER 'S ADDRESS:
TYPE OF INSTALLATION:
xi BUILDING SEWER ❑ BUILDING SEWER AND SIDE SEWER
'TYPE OF OCCUPANCY:
XfA NEW D 3ANGLE FAMILY ❑ COMMERCIAL
❑
EXIST. (PRIOR TO 7- 1--70 ) ❑ MULT. RES. [] INDUSTRIAL
FIXTURE UNITS DWELLING UNITS. 1
ADDRESS OF STRUCTURE : 10890 SW 108th
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES AND
REGULATIONS OF THE UNIFIED SEWERAGE AGENCY. WHEN CALLING FOR INSPECTION,
PLEASE REFER 1-0 THE PERMIT NUMBER. THIS APPLICATION EXPIRES IN ONE--
HUNDRED AND TWENTY ( 12o ) DAYS. -FHE AMOUNT PAID WILL BE FORFEITED SHOULD
EXPIRATION OCCUR .
FEES:
PERMIT FEE $ 2;
CONNECTION CHARGE _,-600.
SIDE SEWER INSTALLATION B. GreenR
ISSUED BY
OTHER
TOTAL_ R F„
APPLICANT DATE
SEWER PERMIT N 15906
.. -,ADDRESS OF STRUCTURE 10890 SW 108th
TAX MAP TAX LOT SYSTEM _ farms creek
LOT 7 BLOCK OF
_E _ i,laldon 5-12-78 �1f'
APPROVED BY DATE ISSUED BY DATES
D. U. ' _^ 1 REMARKS bldg. #2090
i
BUILDING PERMIT APPLICATION 1OF
1T TIC,,.RD DATE
HF LINDI RSIGNED HEREBY Ac PLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE`�`',`�.,�, ��,~�
OF AS 5H 1WN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIF ICAT IONS OWNI R PHONE
E
Q LOT NO. ((((((JJJJJJ�������
Oe ADDRESS 140 E 2�iZG�/�� WOME ADDRk55._
ARCHITECT
ENGINEER
R rr ADDRESS DESIGNER
R � NEW__O RE MODEL OADDITIONOREPAIR ❑RENEWAL ❑FIREDA_1AGE ❑DEMOLITION
E
FNCF DCCIMM ❑EDUCATIQNAL ❑GOV'T C.�RELIGIOUSOPATIO ❑CARPORT ❑GARAGE OSTDRAGEOSLAB [:)FENCE
!""ND ❑MOVING _ -OCONDITIONAL USE ODLSIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
L'F'aNC.v S- ..'_L-AND USE 70NE_LBLDG.TYPE_ G�—FIRE 7ONE� PLAN CHECK BY --L _ HEAT_-
'.AD
_BUILDING DEPARTMENT SET BACKSFRONT REAR_ FRON _�� REAR_Qh1 =_LFFT SIDE RIGHT SIDE
--(�� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Flan Check 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 COMPLIANCE WITH
uh 10181ALL APPLICABLE CODES AND ORDINANCR ES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
--�4 RESTRICTIVE COVENANTS, CONTRACTOAND SUB CONTRACTORS TO HAVE CrJRRENT CITY BUSINESS
Tsai, Ta 70 LICENSE SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
c a
APPL ICANI OR AGF NT
+hlnnved Receipt No
_ _�_ -------- - ------- A4URE55
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WIN
Ci of Tic M chanical Perrnit �To Permit-51.00
Y Fee— -Oo
New Installation ,r Ren!ace C Relocation D Addition `-3 Alteration 10y/�'�,L Sato
' I OTAL ?
C^.`:TRACTORyl'/V�1�RL G[ OWNER /lVl4�/UD6�A/N
�^ ApnRE'aS +U, /�R. [ .CA� c WORK ADDRESS—� _�'.(,t� /OT/75
PHONE .Sw '" t�3 APPLICANT_ _ G�
Heat Input Rating (BTU Per Hour) l _O Vent Size Flue.Size
_ FUEL OIL CJ GAS EDELECT ❑ 01'HER�__
ITEM NO. FEE ITEM NO. F
For Issuance o`Permit 9.00 Air Condition Compressor 15 to 30 HPI 110.
=;' N-w- Under 100,000 BTU 00 Air Handling 10,000 CFM 1 3•
' New- 10U,000 BTU &over #4.00
00 ''Air Handling Over 10,^0')CFM 5.
Floor Furnace Fvaporative Cualer I 3.
Wall - Floor -Suspended 00 Range Vent Fan Z,
F:-
Install Vents Only x.00 Ven; System_
3.
Repair - Heat & Cooling 4.00 Hood Commercial3
Air Condition Compressor Under 3 HP 4.00 Camm4rcial Duct Sy_stem 10
-Air Condition Compressor 3 to 15 HP -
7.50
INSPECTOR'S COMMENTS_.__
II rr� CITY BUSINESS LICE.NSIE REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS
4PPROVED BY _ DATE ISSUED BY DATE
-
:"� NO.
RECEIPT
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