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P 0. 6CX 129 PLUMBInt, PERMIT Zl:tLB 'k!O '9838.M3N IiEitiBEGO, CRIED 91132 6Zl X08holder of a v�lid plumbing contractors license is hereby ' ONI DN10401 orized to caus3 plumbing work as herein noted to bo installed in accordance with the plumbing code of 1GHVHN13U ' t�V : Such installations require inspection by the City Inspector vvho shall be notified not less than four (4) hours prior to the time the instailaJons aro ready for inspection, . ity of Tigard Business license require( for all contractors and tub-contractors. Qwn®I' T-1 -- � ��.� _ AddresL15515 S.W. 109th C1ate1U El 11 NUMBER OF TOTAL PERMIT NO.16 IIrPC OV PERM!-i ITEMS , LE ON SACH AMOUNT .�,,.. _ � (Office Uv Only Slr�i� F�rn(11,..1 beth—each — 1 25.00 25. 00 uplox_Each 1 both w It -- -- 25.00 f Additional bathrooms—colt _ _ 1 10.0) 10. I Mobllo Homa Space—etch i_ _ 16.00 �N!OIVIQUAL F1;1—, UnE FEES 1 to 60 Plxturei In 1 bulldlnq-ouch i 3_00_ -- —_ _ 51 to 100 r-Ntures in 1 bull —oath S01 to 200 Fix,trot In 1 bulldinfl—each 201 or more Fl%juroa in . building—tech 1,60 MISCELLANEOU5 _ nullding So;var-1st 60 It. 10.00 — E.-ar--e&ch `ddltlor0 100 11 10.00 r Neter Sorvla to bulldln� _ 1 6.00 - 5. 00 1`,•''l. Private W a t a r yatamo—Doth too It. 10.00 91h�r ISrgclPrl• rVERMI'T , OD for Plumbing fnrpection A one 6.79.4191 % State w �� ' „ Plumbing Contractor By TOTAL � � RECEIPT NO. Ixtued By __. BUILDING PERMIT APPLICATION TIGARD DATE ':m:ir Xr_ lg �ql_ 3925 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR i HE WORK HEREIN INDICATED 9UILDER PHONE _63�-3101 OR AS SHOWN AND APPROVEG IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PHONE—�— -_-.. (4� I OWNER Ti.'C __—�-- JOB ADDRESS 155 .5 1+(a 109th Ave. LOT N0. 706–Su>mnerf�.ei_ _ _ �— ARCHItECT ENGI':EER BI,ILDER TTX' ADDRESS lQ� ' 11(stf� flye._ DESIGNER TDC I rRUCTURE 13 NEW _ ❑ REMODEL _l- ADDITION— ❑ REPAIR _❑ RE14EWAL 1-1 FIRE DAMAGE ❑ DEMOLITION P-P-RESIDENCE ❑ COMM 0 EDUCATIONAL C GOV'T ❑ RELIGIOUS -1 PATIO 0 CAR POF'1'_❑ GARAGE ❑ STORAGE C SLAB❑ FENCE OCCUPANCY R"3�LAND USE ZONE R" PR BLDG.TYPE 5`� FIRE ZONE_ .--- PLAN CHECK BY dMh_v HEAT Construct single farilily dvelling with attached Barrage. Neo construction sheet attached. 2 bear„Q� `J 2. bath9 SEWER PERMIT# 23345 – $,11U.00 OCC.LOAD FLOOR LOAD 40 ` HEIGIIT 12 N).GTCAIES 1 AREA –1150 N0.BEDROOMS 2 VALUE 50U,700 BUILDING DEPARTMENT` SET BACKS FRONT 10 REAR _ 3 LEFT SIDE – RIGHT'SIDE Permlt_ I�;9IOU THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING REGUTATION6 AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS 14FREBY AGREED THAT THE PInn Check 94.50 WORK WILL. BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE 2u .50 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Sub-total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACI ORS TO HAVE CURRENT CITY BUSINESS State Tax 4% 7•g6 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING.IND HEATING. Total 21.06 SDC - 4U.l.i1U f ..r t9' r”By r —�PDC# 11 100.OU APPLICANT 00 AGENT Receipt No. i Approved _...------– --- – - -----— ADDRESS PHONE i m4k1 DATE INSP. TYPE INSPECTION REMARKS PLU GING DATE Contractor ra Permit No. /� —^ Rough•in — y Fixture Qsr . / � �/�' _—�.-- Final i o --� HEATING Contractora" l AG�(�7 T�L��_/�/dtE.i_ ,�iV 6 iQJ. o.•C s' —ZY• _ +F"u _ti ,o .cn.y'' .fit-/c'c-�sE�_1ai �A.CA:►E_ v�� �b� Gas or Oil �L�Jo jj �A Rough-in Final SEWER _-- -- --- Final / DRIVEWAY Storm Drei rage (Rain Dr;nn)Final Siderelk ',urb&Street Final Ap,-)roach BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY jCERTIFICAYEOCrUPANCY (1 Final Len&-aping Zoning Final I I l BUILDING PERMIT APPLICATION TIGARD DATE_.*1o2r��g '23 THE DERE •.•QED HEREAPPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE4(��✓/Ile OR AS SHOWN AND APPROVED IN THE ACCOt,,PANYING PLANS AND Si"ECIFICATIOMS, OWNER PHONE -_���� E'�o/99JI�+tJrJ08 ADDRES�,r'�5/,y, •Su� _������ ARCHITECT BUILDER ENGINEER ADDRESS fJ:jQQ t./�(l f/�.+ - $ DESIGNER 7��C'. STRUCTURE NEW ❑ (REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEIAOLITI RESIDENCE C COMM. ❑ EDUCATIONAL ❑ GOOV'T C3 RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE (1 STORAGE ❑ SLAP,❑ FE .Gii`rANCY '3 U►ND USE ZONE -kp_ BLY OG.TYPE S�/V -FIRE ZONE �_PLAN CI IE(;K BY oo - � - - EvvER PERMIT 1 CC.LOAD FLOOR LOAD �© FIEIGHT �Z NO.STORIESNG.BEDROOnt;_-Z yF�U70p BUILDING DcPARTMENT SET BACKS FRONT _ _-�� REAR X LEFTSIDE _r RIGHT SIDE ------- - --- ---- --—_ P'rmtt — THUS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE 70t1: Plan Check �`. REGULATIONS AND ALL APPLIrABLE CODES AND ORDINANCES, AND IT IS t+E9E3Y AGREED TPAT T WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIAN Sub-totalWITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERrAIT C JES NOT WAI �.Qj 3,fes-- RESTRICTIVE C ENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINE 7 ' LICENSE SEPAR..TE PERMITS REQUIRED FOR ScIVER,PLUMBING AND HEATING. tate Tax , Total • SDC— q>� A)uA k3 -3io/_ 13r PDC# APPUG N OR AGENT _ Approved Receipt No. ADDRESS PHONE �- DC - s. 7yr0 .. OC - EWER CONNECTION EWER iNSPECTION $ ~ EWE''i SURCHARGE S �Wl� t �L'rt,rl3ld� M cN r AcitLA- gikaa4 w' e r Sx 3c> 114o FP ,S k 2- to 's sp— do CA. o . /