13825 SW 118TH COURT NOW
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BUILDING DEPARTMENT, TIGARD �T __ ~
PLUMBING PERMIT 1�
holder of a valid plumbing contractors license is hereby
authorized to cause plumbingwork as herein noted to be installed in accordance with the plumbing code of
Tigard. Such installations require inspection by the City Inspector who shall b? 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.
Owner � �'�' _�r, _. Address Z!&�Z � � i ><<
_. Date__ -- ------
NUMBER OF TOTAL PERMIT NU.-S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use only)
RESIOE_ NTIAI
—Single Family-1 bath–each �� 25.00 `.3-
Ou I-!•–^ach 1 bath unit 25.00
Add tional bathrooms–each 10.00 !�
rMobilo Home Spacs– ,_h _r 15.00 i
IN01VIGUAL FIXTURE FEES
1 to 50 Fixtures in I building–each 3,00 ~
SI to 100 Fixtures In 1 building–each _ 4.50 _
_101 ;o 200 Fixtures in 1 building–each 2.00 _ –
20i or more Fiatwet in 1 building–each 1.50
- MISCELLANEOUS --
Building Sawdr-1st 50 ft. 1000 �—
Sew.tr–eacn additional 100 ft. 10_00
Waver Sdrvicr to building 5.00--- _
P—rivate_ N!a!er Svsrems–tach 100 It. 1000
I Other ISpxrifyl _
I - -
PERMITfor Plumbing Inspection Phone 639-4171
1%State Plumbing Contractor ej,
TnTA1 -----
w is w w W- W W '
• 1
-- ----- ; - _ --- I � TIGARD' DATE-4 �!d 19190
BUILDING PERMIT APPLICAIO TIS R
THE UNDERSIGNED HEREBY APPLIES FGR A PERMi r FORTH E WORK HEREIN INDICATED BUILDER PHONE �39 SSS
ORAS SHOWN AND APPROVED IN THE ACCOt,,PANYING PLANS AN SPECIFICATIONS. OWNER PHONE
LOTNO14
_-_
Em JOB ADDRESS
BUILDER _ � � ADDRESS /# 133 . DFS IeGNEF arC,t _� '
STRUCTURE NEW 0 REMODEL G ADDITION_ ❑ REPAIR CI RENEWAL_❑ FIRE DAMAGE ❑ DEMOLITION
34 RESIDENCE C COMA 0 EDUCATIONAL _❑ GOV'T ❑ AELIG10US PATIO ❑ CAR PORT C] GARAGE a STORAGE ❑ SLAS❑ FEVC
C-GCOPANCY R-3 LA USE ZONE _BLDG.TYPE _ FIRE ZONE PLAN CHECK BY HEAT _ T
SEWERPERMITIt_ _ . ��—tie _----
OCC.LOAc FLOOR LOAD -� HEIGHT NO.STORIES I AREA I/v8 NO.BEDROOMS 3 VALUEO:4"a
BUILDING DEPARTMEN��T/� SET BACKS FRONT ,244 REAR 22 LEFT SICE 20 RIGHT SIDE
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING GORE, ZOWNG
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCE% AND IT IS HERESY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCOPCANCE WITH THE PLANS AND SPECIFICATIONS AND IN CXOIPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PEW-10DOES NOT WAIVE
Sutrtatal _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CUH F.NT CITY BUSINESS
LICENSE-SEPARATE PERU. 1TS REQUIRED FOR SEWER,PLUMEIING AND HEATING.
.StatB Tax
-____ /`a'3-
- SDC--
Total _ _s1 L� -------–-- --
_— L ___ PDGN APPLICANT OR AGENT
By
Receipt No
Approved ADDRESS PRONE
]CIC �0
Doc _ # /OCA
SEWER CONNECTION S
SEWER INSPECTION S ZS
SEWER SURCHARGE S
12 sa
-TmI1.1onta; Rft)l 91.2.-00
q /O.O o Gee
2
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6? y f
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BUILDING PERMIT APP'_ICCATION TIGARD DATE_ 9/1n/. 19 3392
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE d•a`�-635
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PONE 1 :y1�L, ;�r
LOT NO.
OWNER Ed Gaube ,,OBADDRESS 17,925 SW 116th Court _
99=Ef{'
BUILDER a:3me _ ADDRESS 1463` 5L) 133f d `DESIGNER Piercy, Hari-isy
STRUCTURE "AEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
M RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE Li STORAGE ❑ SLAB G FENCE
OCCUPANCYr-- _3 LAND USE ZONE —7 BLDG.TYPE FIRE ZONE PLAN CHECK SY _ — HEAT_ SL
Construct single family dualling f,r.ttschs(j garega. 3 Uedruams baths
SEE CORRECTIQN SHEET ATTACHCIJ.
SEWERPERMIT# x,2035 — $750.00 _Gataos 476 sq. ft. _—_--- —
OCC.LOAD FLOOR LOAD 4101 HEIGHT IA N0,870RIES 1 AREA 17013 NO.BEDROOMS 3 VALUE66u 600.
BUILDING DEPARTMENT — SET BACKS FRONT 2 t$ REAR 27 LEFT SIDE :'9 RIGHT SIDE :36
Permit '2 1THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
---- -
110.50 REGULATIONS AND ALL. APPL'CASLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT
Plan Check WORK WILL BE DONE IN ACC )RDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODEi AND ORDINANCES. THE ISSUANCE OF 1HIS PERMIT DOES NOT WAIVE
Subtotal 331. 50 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 6•F3 Q
411.'. .1,.111
Total '340. 34 soC—
PDC# ,`1.00.00 APPIJCANT UR AGENT
By P1
Approved
duh Receipt No. �� ADbRE98 HON ___
DATE INSP. TYPE INSPECTICA REMARKS PLUMBING DATE
Contractor
Permit Nc,
Rough-in
Fixture
Final
No
HEATING
Contractor
Permit No.
Gas or Oil
Rough-ill
Final
SEWER
Final W^30
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT. FINAL TEMPORARY CERTIFICATE OC Y Final
CERTIFICATE OCCUPANCY Ell
Landscaping
Zoning Final
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CITY I _,• .. � � �
•, DATE -t�ILGNG PERMIT APPLI ATIG + U
,c r,'VED HEREBY APPLIES FOR APEP.MIT FOR THE WORK HEREIN INDICATED OWNER
H NON
q aSYS-, ::IV A%D APPROVED IN THE ACCOMPANYING PUNS AND SPECIFICATIONS. LOT 1 R PHONE
LST 110.
�.--` T/0 u� r••c A L NR SS
"�"�� JG2 ALORESS 139 _SZ.___ ��[ 1 — --- —�
Ownepr--- ENGINEER
�1 � ENGINEER
40DRE55 � ! ( 3 3 DESIGNFq
8 L i.l-rye r _ -1- 31----�.-- —n- .. ____ !
A;� ITI
C]pt —�l-J'EI tWAL ❑FIRfc [l4M t ❑DEM01.1710N
` O U oN ---
u�� REMODEL ._
-� - PATIO ❑CAF PORT ❑GARAGE ❑STOAGE CISLAB ❑FENCE
X - SICJANCi ( ] Mt4 C�?DU TIO_NAL ❑GOV•T wLJ_ 4EL .,IOUS_U - �-y -
C]DES!GN REVIEW WCICOUNCIL APPROyEO ❑SIGNS
-3aOND L�mOVING
�COINOITIONAL USE _ _ ��----_----
Y�FIF,E IONE r PLANCHFCf 8Y r HF.AT��
pANCY q� y LAND USE ZONE. - _ _BLO Ti?E -
�__
00
-
� IIULtJafL_.C1�1!1.._���LaS.l.ciwl -�
/ `TS��ME�o �►�a�►s r _
A ,
_!�..----►�-Q.�;i?SiP��-..��. A3�.-911_"—�Q BEDH.4SM3.s�.sA�SLE,--�•�'
I �
BUILDING O;-PAF.TMENT SET BACKS_�FRONt REA�: �L--,• LEFT SIDE .3%L RIGHT SIDE iC0 _
�r.rm t
THIS PERMIT .S ISSUED SUB.I# T0 THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
PlanjChvck'. REGULATIONS AND ALL APPLI LE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONk IN ACCORVAti(CE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
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total ,�O ALL APPLICABLE CODES AM O4 INANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
_ - -- `'� REStRIC'IIVE COVENANTS.F.ONTRAC OR AND ='18 CONTRACTORS TO HAVE CURRENT CITY BUSINESS
r .tLICENSE. SEPf%RAT[ PT-R' ITS HsRE FOR SEWER. PLUMFIING AND hIEATING.
ntBVrA ; iC OR aGERPcelpl NoHoNE 4UU SS
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City tit Tigard Mechanical Permit
Permit_______ S3.K_
Fee__._.-
New Installation T� Replaca ❑ Relocation ❑ Addition ❑ Akeration ❑ �� 'N.State. 2 _�
TOTAL
CONTRACTORImperial Mech. OWNER Ed Gause Const.
ADDRESS_ WORK ADDRESS
4532 SE 63rd Ptld. 97206 13925 SW 118th Ct.
_ (Pr-ek,
PHONE 777-3801 APPLICANT Imperial Mech.
Heat Input Rating (STU Per Hour)I9�c,nnr, Vent Size ,� Flue Sized
FUEL OIL ❑ GAS ELECT ❑ OTHER ,i
ITEM NU. FEE ITEM NO. F E �, -
For Issuance of Permit _ J 3.00 iAir Condition Compressor 15 to 30 HP 10.00
New- Under 100,000 BTU _ �M 4.00 Air Handling 10,000 CFM_ _3.001
New- 100,000 BTU &over 5.00 Air Handling Over 10,000 CFM 5.00 l9
Floor Furnace _4.00 Evaporative Cooler 3.00y
Wall - Floor -Suspended 4.00 Range Vent ran _ 2.00
Install Vents Only 2.00 Vent System _ _ 3.00
Repair- Heat&Cooling _ 4.00 Hood Commercial 3.00
Air Condition Compressor Under 3 HP 4.00 Commercial Duct System i ron10.
",ir Condition C.omplessor 3 t 15 HP ��1 7.50
INSPECTOR'S COMMENTS
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS
APPROVED BY+ DATE ISSUED BYDATE
RECEIPT NO.
'r+ Signature of Applicant