15510 SW 109TH AVENUE 15510 SW 109TH AVENUE
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IMAMB
76G 4:
CITY OF TIGARD BLDG. DEPT.
1242.0 S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE 6394171
CONTRACTOR:
Pursuant to Section(s) of the Uniform Building Code, the
following item(s) require correcting:
')ate: !_4-7':' _ y Permit No.__
Inspector
CALL FOR REINSPECTION
city O f ward Me6anical Permit +; gFee— p - '
New Instant ticn Ir Replace ❑ Relocation ❑ Addition ❑ Alteration ❑ - % State
HEATING _ TOTAL � 1 ► —'1
CONTRACTOR giE�F—Lr7!QPr4-- t Lj -F -m. a OWNER�-- L��t-1y ��s.�. ,71✓c. �f
ADDRESS `2LA-1C1C-A--"A4S_. WORK ADDRESS Wls710 S U l bq
PHONE ( c , APPLICANT____
Heat Input Rating (BTU _P.er/H�xrt) — Vent Size Flue
-UEL OIL ❑ GAS 4;Q ELECT ❑ OTHER
ITEM NO. FEE ITEM NO. FEE'
�sr Issuance or Permit SEE ABOVE Air Condition Compressor 15 to 30 HP 10.00
�+-up to & tnc,100,000 BTU ��-4- 4.00 Air Handling 10,000 CFM 3.00
a'r 100,001 BTU & over 5.00 _Air Handlingver Oi0,000 CFrvl 5.00
=door Furnace 4.00 Evaporative Cooler 3.00
;'all •Floor •Suspended �_ 4.00 Rar•g:Vent Fan'— 2.00
nstall Vents Only _ 2.00 Vc.11 Sy;ter.
-2pdir •Heat& Coolin9 4.00~ ` ---- HoodCommercial 3.0C
� v
air Condition Compressor Under 3 HP_ _ 4.00 Commercial Duct System 3.0C10.0c
'iir Condition Compressor 3 to 15 HP 7.50
I ' SrECTOR'S COM...MF.NTS
rY BUSINESS LICENSE HEQUIRED FOR ALL CONTRACTORS OR SUBCONTRACTORS --Y
?ROVED EY DATE ISSUED BY��
_rElPr rao._
JOHN E. REDJNARDI P1p8INC,li(CBI%it-DING DEPAR rMENT, TIGARD NO.
P. 0. BOK 119 PLUMBING PERMIT
v NEP:°EFo, C"EG1,14, 91132 _ holder of a valid plumbing contractors license is hereby
authorized to cause plumbing work as herein noted to be installed in accordance with the plumbing code of
1 i,ard. 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 License required
for all contractors and sub-contractors. ��,
Owrw !! �Zlt;tL /1L C�>-' _ Address_/ :�'S/O JCCJ/O�y/t Date
NUMBER OF �— TOTAL PERMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Only)_
E N T I AL
Single Family-1 beth-r sch_- _ i __- � 25.00 c-
Ouplex-Ench 1 s,atn unii _ _ _ 25.00
Additional be hroom_s-each _- �'^~ 10.00 77 0
4
Moblla Home.pa(e-each 15.00
JNDIVIOUAL`FINT_URE FEES
1 to 50 Fixtures in 7 building_oech 3.00
_51 to 1100 Fixtures in 1 building-each _ _ 2.50
101 to 200 Fixtures in 1 building-each _ 2.00
I 201 or more Fixtures in 1 bulldiN-ee_ch 1.50 `
MISCELLANEOUS
Building Sewer-It! 50 ftp_ _ - 11.00
Sewer-each additional 100 ft. _ 10.'10
d _
_Water Service to building_ 5.0c
Private Water Synems-each 100 ft. 10.10
Other (Spe911!9): __ 1
PERMIT 5. 0r) Gor Plumbing ln,:pection Phone 639-4191
% Statay�/o �( Plumbing Contractor By �LL.1►
TOTAL HECEIP - No. Issued By
t .
Or
'°u��u wit was ,-wn T-rr-'r.►v�.w mn*-w-+srrts�-wrus�ru■►-.._-ry...v----�--�`oAo�_ �w�•. _ ,-,
BUILDING PERMIT- APPLiCATiJN IIT' TIGARD DATE July 27 __. Is0 IF
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AN,O SPECIFICATIONS. OWNER PHONE
L tT NO.. —_ —
Vrlil�0„>r1E1[:L �7�}t
OWNER — J�6 ADDRESS —_ HOME ADDRESS
ARCHITI:CT
ENGINEER
BUILDER ADDRESS DESIGN,:)'
STRUCTURE ❑NEW QRvmnDEL ❑ADDITION ❑REPA,F, ❑RCNEWA LIRE DAMAGE 0DEMOLITI011'
0RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV"T ❑RELIGIOUS❑PATIO [:]CAR PORT ❑GARAGE ❑STORAGE❑SLAB [:]FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED [:]SIGNS _
OCCUPANCY— LAND USE ZONE—.- _BLDG.TYPE_---_—__—FIRE ZONE—! PLAN CHECK BY HEAT,—_
” t"b+Sd�FHt r Q; :l82 10.1."t }11Iklcl ll'iVKi !iIL1440 f'Dv1j ljt :.'4J�i11�E1ry
}yam}
""Ara-v /,�Z`,.I
Qs&, LVAD F_LQQS LOAD..-----.-- hlF:_1Stlj.L_ _ -.-----NO.STORIF.5ASA----� 1 'U2M�_.�-YALl1E-
BUILDING DEPARTMENT SET BACKS FRONT x"1 REAR �`� LEFT SIDE RIGHT SIDE a
Permit i45• ------ — _—_._�— �—�
Xli� THIS PERMIT 19 ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING Cont. ZONING
Plan Check REGULATIONS AND ALL APPLICABI E CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
��� WORK WILT 9E DONE IN ACCORDANCE WITH THE PLANS ANO SPECIE(CATIONS AND IN COMPI.IANCF WITH
Subtotal ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV:
RESTRICTIVE COVENANTS. CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRENT CITY RUSINFIS71
State Tax ' LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total SOC $4000
B
------ — APPLICANT OR AM NT
Approve•I RIrelpt No.
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
ILik- oor Contractor
Parmit No.
O -5-7` ��r=.o /�i��oiJ.UJaEi� Rough-in
Fixture
final
-� HEATING
_ h9r �d-p` - Cr ntractor
,;A Permit No.
Gas or Oil
Rough-in
Final
-- — SEWER
Final,S,.
DRIVEWAY
Final
Stow Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPA y
CERTIFICATE OCCUPANCY ,J((/ Final
Landscaping
Zoning Final
1
I
i
3'JILDING PERMIT ,APPLICATION roF ► IC,",RD DATE ���c?; t9�2 N
--!E " 71, REIGNED HEREBY APPLIES FOR APERMIT FOR THE WO IK HERF,r: !ND ILA l F BUILDERPHON E_63q_-,NQ/_
qC-iCLVN AND APPROVED IN THE ACCOMPANYI,JG PI ANS AND SPECIFICA'11CINS OWNERPHON
LOT NO._f07D "__
(c It
OB ADDRESS ')SI � _
�L(Iv01(�C.u,rl �� �8�-��-- L, D 4-�1 i � HOME A D D w E55
p ARCHITECT
ADDRESS Iy 3 -I� - — DESIGNER ENGINEER
URE (��W ❑HF.MODEL ❑ADUILION ___0 REPAIF ❑RENEWAL ❑FIREDAMA13E ❑DEMOLITION
I1< F I J C1MM DEDLICATtONAL DGOV'T DRf IGIOUSDPAT'v 'JCAR PORT DGARAGE ❑STORAGE DSLAB r1FENCE
N!, C 7MOVING _000ND1110NA_L USE DDESIGN REVIEW DCOUNCIL APPROVED _ LISIGNS
1 Jj 3 LAND USE ZONE.: BI DG—TYPF.:t_ _-FIRE ZONE PLAN CHECK BY__ `HEAT - _ _
A. .�,rl ._�Q� o.�_ Le1_rt-1
IQ AD 6 01 4*oV2
wa
r_Ttn1 BUILDING DEPARTMENT SET BACKS F PONT
LEFT SIDE REAR RIGHT SIDE
---- — ----- .j
L J' v THIS PERM11 IS ISSLIED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check t CCFORFGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
"'--"-'-- I
- - WORK WILL BE DONE IN ACCORDANCF WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal J l"���P� ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINFnS
clioe Tax FO LICENSE. SEPARATE PERMIT-, REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total
BY I AIA t1i
-- ---- - - APPI ICAN'T OP AGI
Appi oved Receipt No
4UUHF.6S --- _. _ -LHON•------�-
wwww / t
4
Building department • 12420 S.W. Main Strdc'. - Tilbard, Oregon 97223 « Phono 639-4171
B LUIN P' E R
U G
'' Date Issued date Expires
Issued to Building Location T/0 .5u) Ja
Owner _ - - _ Address of
Builder _ „(� `.. _ _ _ Address of
Permit Issued
Notify Building Department 24 Hours Prior to the r allowing inspections:
11 EXCAVATIO � 1�r'LUN1BiNG
CSh,,FOOTING C.1 HEATING
C I REIN FORCIN S l" 'L' F-1 WALLBOARD
I,,;J7 R A M I N G X FINAL
This Card Must Be Conspicuous'iy Posted, Facing the Stroe,t Until Com letlan