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12350 SW 124TH AVENUE i 12350 SW 124TH AVENUE -- .0 4J Q N :a to O U, P'7 N City of Tigard Mechanical Perva!t New Installation [] Replace � Relocation L_.l Addition '111r,,ration LJ DATE: HEATING CONTRACTOR ^� __ '� '':; - OWNEI ADDF JOB ADDRESS: PHOIVE-_. ._ .-- _ APPLICANT_.—__ — Heat Int„( Hating(i)TU per Haur) —_—_ Vent Flue -- I FUEL OIL u GAS ELECT ❑ OTHERFEE _�___ �_ -.---------.----- _ -----`-- _—__ — ITEM NO. FEE _--- ITEM-- NO. For Issuance of Permit SEE BELOW Each Air Handling Unit or Duct S sty em 7.50 New up to & incl. 100,000 BTU —r 6.00 Commercial Hood S 7_50 New 100,000 BUT's & over — ---7.50 Other Equipment - Each _4.50 W — oodburnin Stove ;.oU r;N :_oection 4.50 Wall Floor Suspended _ _ 6.00 u Air Condition Compressor up to& in_ci 3 H.P, f.+?0 Vent 5ystert w/Fa.: _ _ ___ 4_50Air Consiition Com ressor 3.1 to 16.H.P,incl. _ 11.;.D Repair•Heat Coolin ^_ _—_ 6.00 --��_- _---- — -^ CITY BUSINESS LiCENSE'REQUIRED f3 ALL CONTRACTORS OR SOR-CONTPACTORS ! !—� — ('ERM►T ISSUANCE 10.00 Comments: FEES — -- SUB-TOTAL — % STATE _�_ IssuedBy�r��_- Z5%PLAN CHECK TOTAL_.— REC. # _---- S;goature rif Applicant t••._•; BUILDING PERMIT APPLICATION ITi V.�RI: DATE-_. JOF638-8577 1H UNDERSIGNED HEREBY APPLIES FOR APL RMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE-.r OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE LOT NO.- OWNER 34, Lhamberlinin JOB ADDRESS 1350 SW 124tn HOMEADDRESS ARCHITECT ENGII EER BUILDER ADDRESS DESIGNER STRUCTURE ❑NEW ❑REMODEL — ❑ADOITION� ❑REPAIR _❑_RENEWAL- OF IRE DAMAGE ❑DEMOLITION RESIDENCE ❑COMM ❑EDUCATIONAL 0GOV'T ❑RELIGIOUS❑PATIO ❑CAF. PORT OGARAGE ❑STORAGE❑SL-AB ❑FENCE ❑BOND _LIMOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY LAND USE ZONE t BLDG.TYPE_.. FIRE ZONE-" PLAN CHECK HEAT const. a0lx240. +t daitiun a ;U exilstirl(i storage pluge ka�,t)vovuu t)y. , iannirtiv i ,)x uvage. All to he constructed kN per Municipal City Uniform Uldg. Cade. (-oncrerte 7n mint 1 '480 :30000. S!'Q_;QBiZ_.___r.1O4H�.4�D HEIGHT ,d.Q>�ORIES_______-���J—NQ.BE)?H4QM$—__VALUE BUILDING DEPARTMENT _ SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit %4.1.3{7 ---- -- — ---- THIS PERMIT IS ISSUED SUBIECT TO THE RE -ATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Checl 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- otal ALL. APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PEIIMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUR CONTRACTORS TO HAV-_ CURRENT CITY BUSINESS State Tax .72 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWE'A, LOMBING AND HEATING. Tota x4.72 nPPL.tCANT OR AGENT Approved Receipt No '- AdD E5�S_....e - ------ --tii�7NF DATE-? INSP. TYPE INSPECTION REMARKSPLUMBING- DATE JPermit tractor No. Hough in — Fixture Final _ HEATING Contractor Permit No. Gas or Oil Rough in �— — — --- Fir,al — SEWER Final _ DRIVEWAY ,µ — - -------- -- ----- _- Final — -- — ----- —— -------- Storm Drainage -_ th ain) Final treet Final __ BLDG DEPT FINAL TEMPORARv CERTIFICATE OCCUPANC CERTIFICATE OCCUPANCY I © ping ural 6s r; Y r .y L � r o � az r _ r O �. I L. e. 0 CI u;l=- QoZ m' MM —� 1 W y / � � J r Q, ep O m z H ] Uw °' yU M 0 Q w w cn y rn W Q p ZOppz _ Q V O W WW i � mz ~ � z u' z (-1O _4l 5wz :e0 i p a eo w= Q w w z n I m w z N a W T W 0 0 W w 2 � _ _ zW:3 LL Cl 0w oo �~ oo , b m O w cr a rt zzLLU0 Q Q _ x Q a m W QyU W 007 Z m J y n zU, N � vz Q O , CQ7 z = F UQL7Faj N IL) Q 3 O U , ur Zz Qyza Q V w u 7 J 0 0 w Z U m ¢ ` ' as w 1- O Cl a ' ¢ ` N 14 CI � I 0 � 7ul _ 0 is — W ul C/I � Wi � `� � Q Q Q 3 Q 0 w 0 Z Q 2 F0 Q U. ' Z w a 0 m Q Om `' O -' o ` ¢ LLI g H ;� t J off% z a CI Cl w � � no~ w ° o ? `J � 0 Cl NQaW ` � -- V_ lL } m U C) ' 7. Ozw Wi w ' O a > a a W x O m to , T H oL) zvWF W O O liT O j OI QO _,O L a U Q Ul.< O W IT H m U cr Q' d O 7 _I o�I '� o ,Jj i >w O O LLI 0 O v' c2r a H 7 v C I 1• m' a -i n I 0 ,N td J Z C O u) yu, 0 _1wcwJ 4i CL ul CL d ul %J a 0 O Q } d u < u, V J rt4 cn F - w C a u N �{ F Q a d C ) n `, u 0 r iv_+ _I u n" n 0 � 7� p � O r r z d ( ) ?� al T V a 9 z T OI Q u I- -. U II 0 cr 1 7 r I N Q W (l .. C U C Q WI _ d L 1 C) n F IL c V v o I [Il F CI fl ci l+ v �_ a O N R p 1 ` ( o E ro a) a` I� u U I n. t H c'. < V II I O