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15530 SW 109TH AVENUE 15530 SW 109TH AVENUE - 5 A F- dt tT 4 O 3 LO O t�7 Ln Ln I i Oler CITY OF TIGARD BLDG. DEPT. 12420 S.W. MAIN STREET TIGARD. OREGON 97223 PHONE 639.4171 CONTRACTOR: Pursuant to Section(s) of the Uniform Building Cods, the following item(s) require correcting: - - ----------- ��1 Fes? ---�--�E,.l�-1.CzEIV T L .� Cj OT C- /� �, Date: Permit No. Inspector : CALL FOR REINSPECTION ' ei Cite of T ioard Mec' hanicn! Permit „�/�� Fee ,po I Navv Installation UCI Replace 0 Relocation Cl Addition ❑ Alteration ❑ % State HEATING TOTAL.��'1���— CONTRACTO(n�R R-1F.1JE1 _ .+�Na L OWN •T,;J 2,,, ADORESS on. &x 3S ��rC.�,�.lti-"S WGRIC ADDRESS�S'�S3p�,{ PHONE �� -- C)���, APPLICANT_ � k Heat Input Rating (BTU Per Hoyr� Vent Size �`"� ----�-(35��^�C'2._ _ Flue Siza ------.-. =UEL OIL ❑ GAS ELECT ❑ OTHER ITEM NO. FEE ITEM NO. FEE or Issuance of Perm;t EE ABOVE74.00RarC ir ondition Compressor 15 to 30 HP til U0 up, to & int.100,000 BTU ir Handling 1_0,I CFM — �0 �ativ L l0U a 001 BTU & over r Handling Over 10,000 CFM 5.00 ;1oor Furnace aporative Cooler 3 0+r "311 •Floor •Su;pandud _ ge Vert Fan r _ Z.00 nstall Vents Only ____ �' "^,�� Vent System 3.0C tip iir.Heat& Cooling _ 4.00 Hood_Commercial 3.0C er Condition Compras;or Under 3 HP 4.00 Commercial Duct System 1C 0f it Condition Comp essor 3 to 15 1;' [*--,-* 7.50 !SPECTOR'S COM MENTS ,TY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS w?ROVED BY DATEICSUF.D 8Y ECEIPT N0. y �' c� — MIiH i REINHARDT PIOMHING,INCBUILDING DEVAR fMENT, TIGARD P. Q> BOX 119 PLUMBING PERMIT NO. 97131 holder of a valid p,umbing contractors license is hereby authorized to cause plumbing work as herein noted to be install^d in accordance with tha plumbing code of Tigard. Such installations require inspection by the City Inspector who shall be notif;ed not less than four (4) hours prior to the time the installations are ready for inspection. City of Tigard Business Licerl.,; required for al: contractors and sub-contractors, ,I r Owner Tri., /�, .�r,[111_.�G����' — Address_1h,� 35 _ a `/ _ Date--LL_ NUMBER OF TOTAL PERMIT No.'s TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Ura Only) -fiX,5J-P-ILN ­_ _ ( S I Single remlly-1bothuni- 25.00 h � Duplex--Each 1 baothhural; 25.00 Additional beth_oms-each }-- 10.E -- Mobile Home Spu,-e-each _I - 1500 INDIVIDUAL FIXTURE TEES _ 1 to 50 Fixtures in 1 builds -each r 3.00 _ I 61 to 10_0 Fixtures in 1 building-each 2 50 101 to 200 Fixtures in 1 building-each 200 ---"�� 201 or more Fixtures In 1 hui!dirq_•ech 1,50 MISCELLANEOUS _ _ Building Sewer-1st 50 ft. — -- - 10.00 _Sawor-each additional 100 ft. 10.00 Water Service to bulldl�n 5_00 Pr weta_Water_Synems-each 10C 10.00 Other S hf_)_ --- PERMIT 0 1 for Plumhing M4,m:tion Phare 639-4191 % State Plumbing Contractor By TOTAL ,L (J RECEIPT N0. Issued By I i �"�"°: �91Y11r� tk�j�k"avpi��:�W'`lut9 �.�� y'M.61uyM4�Fw' gk�t` 1+5R f � r 57M ,riga' . ' BUM GING PERMIT APPLICAT119N �o V TIG�ARD DA-tE 6�2a/ to '74) I 39-31P1 THF UNDERSIGNED HEREBY APPLiES FOR APERMIT FOR 1HF WORK HEREIN INI:�:'"ATED BUILDER PHONE OR AS SHOWN AND AFPROVED IN THE ACCOMPANYING PLANS AND SPECIFICAT 7NS OWNERPH(JN LOT NO. ' ' I I=• JOB x_,30 ,jkj 109th AVE,OUy� :�� Tex' isle iJf OWNCR :, y- TIOlAE ADDRESS ] ^� ARCHITECT •;L.IrllS.` At:0.T SU' 1INth ENGINEER BUILDER __ IL; _ADDRESS _ DESIGNER STRUCTIRE 3NEW CJREM.)DEL _❑ADDITION ❑REPAIR ❑RENEWAL _ ❑FIRE DAMAGE ❑DEM'JLITION ❑ RESIII':IvI:E OCOMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORI ❑GARAGE ❑STORAGEDSLAB [-]FENCE ❑BOND ❑MOV ING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑CO'1NCiL. APPROVED ❑SIGNS OCCUPANL'Y ~'� LAND USE ZONE r'-_7 —BLDG.TYPE 'r F!RE ZONES PLAN CHECK BY 1"f' HEAT_ y86 ortistruct ,single family rivalling w/attached gmraijee 2 Usdruumb 2 Ba Mi. L -1 5SUF 38MV rye 1 1 W 3ummurfield Lane. i SEE PE RMI T x'2816', __--- �`,faujiur 1JiilTtAl f'YLl DL Ea$lL1 y2j1__ 1L.7,d' ----- r— _LOAD_4() __._.kj.E1G.}iI3_--1yQ�4TQIiI 4.1—REA_ BUILDING DEPARTMENT SETBACKS FRONT Ri. AR 14 1 FFT SIOE + RIGHT SIDE Permit - THIS PERMIT 1% ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE 9UILn'NG CODE, ZONING Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAI THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPEC!FICNTIONS AND 114 COMPLIANCE WITH Sub-total A,.L APPLICABLE CODES CNC ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE — ' RL'.iTRICTIVE COVENANTS. CONTRACT)R AND SUB CONTRACTORS TO HAVE CURRF_NT CITY EUSINESS State Tax + - LIC`NSE. SEPARATE PERMITS REOUIF E) FOR SEWER, PLUMBING AND HEATING. Total 31 - Paid an j,2►ylo 01 PIAL, Po y d an ;'281.6 APPI IC-ANT OR AC�FNT Approved - 7,71_- � Recelrt No. 7 / -Vill-DING PERMIT APPLICATION L"OF .I_�(��"•RD D.TFJ�SJ:�. .2.�.,s��_ �s° 218 7-1- -[ 0 1CNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICAA BUILDERPHON - CI'-SIC I R S-I(-'IWN AND APPROVED I'd 'THE PCCOMPANYING PIANS AND ;,PECIF ICA(IONS. OWNER P ONS:SG YV-a ODRESS I �q � Jf'�LL�� Lor No. _l +-/-a---� �;r� ADDR%S ARCHITECT ENGINEER-c ADDRE=SS /S �. DESIGNER 0wF P-1/NEW ❑REMODEL --LOADGITION -_,OREPAIR �ORENEWAL ❑FIRE DAMAGE ❑DEMOLITION A,'-' 'NCF ❑C•CiMM ❑EDLICATIONAL 000V•T ORF I IGIOUS OPATIC ❑CAR PORT ❑GARAGE ❑STORAGE DSLAB QFENCF !14OND 0MOV ING ❑C-ONDITIONAL USE ❑DESIGN REVIEW OCC JNCIL APPROVED - ❑SIGNS I'4NCYR 3-LAND USE ZONF T_.__. Bl bU_1 � F� __FIRE ZONE t�1,�3L1L 'LAN CHECK BV_- _ HEAT_ _ Jag 92 �,1CT - --rte✓G.t.l�L1.1t-.. -Zri-ri - --,s' 1_s�(d.i��ii.mm� �Q�LQ�- �QAQ --- - _ UILDING DEPARTMENT SET BAC'�5 FpONT-- BLEFT SIDF RIGHT SIDE 00 'Amit I� wXa. - THIS PERMIT 15 ISSLIE0 SUBJECT TO THE REGULATIONS CONTAINED IN THE BUII.DING CODE. ZONING- PlIm Check ...M REGULATIONS AND ALL APPI.(CABLE CODES AND OP'TINANCES, AND IT IS HEREBY AGREED THAT THE --—" WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS o NO SPECIFICATIONS AND IN COMPLI ANCE WITH Suh total ALL APPLICABLE CODES AND ORDINANCES. THE ISS JANCE OF THIS PERMIT DOES FIOT WAIVF RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CON14ACTORS TO HAVE CURRENT CITY BLISINESS !;tate Tax � LICENSE, SEPARATE PERMITS REQUIRED FOR SEWER. PLUMbING AND HEATING. Total BY �Njl GF 1 App oved Rerept No uAtAkner U�-. �T �� jns,n_ » ow /44 G,Rz: n , -� ,cl{ i z+ `3 e YS L\ ____-� Sa,r,.� L� � ,t-.tom._ �° k.e►u.:e l 1L. BUILDING -PERMIT APPLICATION "" TIGARD DATE i _ 19 _ �I ;T THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONE _ OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS ;ND SPECIFICATIONS. OWNER PHONE- LOT HONELOT NO.---- r_2wNLR __ .10B ADDRESS Sw HOME ADDRESS _ ���y� ARCHITECT 49rviv ENGINEER BUILDER ADDRESS GESIGNFR STRUCTURE ❑NEW ❑RFMODEL ❑ADDIT'ION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION ❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T L_IRELIGIOUS❑PATIO ❑CAR PORT -OGARAGE ❑STORt ;E OSLAB ❑FENCE ❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW UCL'1NCIL APPSOVED ❑SIGNS OCCUPANCY_—___L>NO UfE ZONE—_._________BLDG.TYPE .___--_FIRE ZONE.N PLAN'-HECK BY__ HEAT (DARK 15 = SUOSTITUTED FOR ABOVE , (SEE PERMIT 2 8 7 5 - _-- OCCLLAR_ FLQQB LOAD -.__ _ __H�lSt.Flt_------._N�1..._LQR�E�----- -AREA.--- NO,BE.QLLJS�MS---1L91�E_. BUILDING_DEPAR7MENT — SET BACKS FRONT � REAR LEFT SIDE RIGHT SIDE Permit • THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, CLONING Plan Check REGULATIONS AND ALL APPLICABLE CODES 1iND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCF WITH SUL,,Otal ALL APPLY-11: CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT VRIVE RESTRICTIVE COVET.:.':'.`_' CONTRACTOR AND SUA CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax LICENSE. SEPACATE PERMITS REOUIRED FOR SEW?--'R, PLLIM91NG AND HEATING. Total ' By , p, -- APPLICANT OR AGENT Approved RSI t No. DATE iNSR! TYPE INSPECTION REMARKS PLUMBING I DATE A i AO'"iyr� -- Contractor Permit No. Fixture Final HEATING Contractor t Permit No. /42f_,.' •Ar—/7-71 / Gas or Oil L v Rough-In _---�� Final SEWER final —�i_/=79 DRIVEWAY � -- --�^— Final Sto,+t Drainage (Rain Drein)Final Sidevvelk Curb&Street Final Approach BLDG. DEPT. FINAL TEMPORARY CERTL:'ICATE OCCUPANCY final CERTIFICATE OCCUW NCY '.andscaping Zoning final I� CITY f br.".R� DaTE , _ — Ig1-1-- N9 ,28�C0 �II.D(NG PERMIT APPLICATION OF F IN ) ' I"' FD HEREBY APPLIES F JR A PERMIT FOR THE WORK HEREIN IN ICP. .D BUILDER pHON�63�- 3r0/ _ N 44ND APPROVED IN THE ACCOMPANYING PLANS AND SPFCIFICA1IONS. OWNERPHHONp��L LOT NO�J ((�;�ADL•RESS � �1Q��4 HOME ADDRESS .r- ARCHITECT ENGINEER i � —�_— ADDRES�� L��!_+�`! �-'-- DESIGNER ER URE V.vEW ORF MODEL 0ADUI IION, �^ DRL, AIR _ �P.F.N":WAL ❑FIRE DAMAGE - ❑DEMOLITION IT'' MMOEUUCATIONAL OGOV'T 13RELIGIC.USCJPA7I000ARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE I 1 NG �— OCONDITIONAI USE — —[]DESIGN REVIEW []COUNCIL APPROVED ❑SIGNS —_ •• ,, r IRE 10NS PLAN C TVPF HECK BY__ HEAL LAND USE ZONEN. - I`.L_Q.QR_LQAIZ �JD - - HEISjFIT / ._.. -N.Q_ajVhIf5 AREA�� -= DE R�6H' 51 ( rL.C_ LQAQ..— . ___. -- --._— tt BUILDING DEPARTMENT SET BACKS f FIONT /v REAR _Z�j_ LEFT SIDE J — Pet M '� --- ---- '� — THIS PERMIT IS ISSUED SUBJECT 70 THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Checkt' 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 COMPLIANCC WITH 15Ut,tolel /G ALL APPLICABLE CODES ANU ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RE STRICTIVFCOVENANIS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY .USINfSS State Tax LICENSE. SEPARATE PERMITS REOUIREb FOR SEWER, PLUMBING AND HEATING. foul d 8 • A �C lrN1 OR AGI NY Approved Receipt No HON ------ - - ---- R� T n,,p a`�-