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CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE 639.4171
CONTRACTOR:
Pursuant to Section(s) of the Uriform Building Code, the
following item(s) require correcting:
e�7
Date: Permit No.
I n s p e c t
CALL FOR REINSPECTION
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 Code, the
following item(s) require correcting:
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late:-'-" Permit
I n s p e c t c)
CALL FOR REINSPECTION
Cir," OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE 619.4171
CONTRACTOR:
Pursuant to Section(s) of the Uniform Building Code, the
following item(s) require correcting:
Z AF
Permit No.
I n s p e c t
CALL FOR REINSPECTION
1.1i
BUILDINGPERMIT APPLICATION 1oF TIGARD DATE_..•__.�1� _-�L-, tq 79
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AN' APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHQN�r.�n D �
LOT NO..�`5�ha
Drive
OWNER' DDRESS 13190 5U FaIG-in F11.40-10ME ADDRESS
ARCHITECT
ENGINEER
BUILDER ADDRESSSIIS�:7 JU Uvtn Huey* BVtn DESIGNF.Rf'1Jeduwaod HQ�'mmus Inc.
,--,--IRUCTURE ONEW ❑RFMnDEL OADDITION ❑MaPAIR _ ❑RENEWAL []FIRE DAMAGE ❑DEMOLITION
(,,,,, RESIDENCE ❑C:OMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGEQSLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS _
OCCUPANCY=__.LAND USE ZONE BLDG.TYPE •�_FIRE ZONE PLAN CHECK BY U4+H
•Q()gtrUt^t sitjylw f,18MI .y ijtral1irig w/attached__yLs>war� 'S fleritl:lrams 2
5LE Cf RRUTION SHEET ijTTALhEU. __--__—,--- --
sewer pjLMjA
avwww -sem --O%j;-ft.
OCC._:a&Q – F-LQQB LQAQ _ �a HEIGHT 11 NQ IQfi!€:x 1 �► (a_ 103
BUILDING DEF ARTMENT SET BACKS FRONT 21 REAR 29 LEFT SIDE 7 RIGHT SIDE
Permit ' 201 U0 +tUn M-161171, ti r F� S1,501001113 -- - �—
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING COD' ZONING
Plan Check a REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK Wit L BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPL IANCF WITH
Subtotal ;�1• (� ALL APPLICABLE CODES AND ORDINANCES. THE IS.SUAMCE OF THIS PERMIT DOES NOT WAIVE
— RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax ., ka(�(+ LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLt1MBING AND HEAnNG.
Total - - .-�Llt�s :ti4 L,(, —
� ilJf�a X1.3
— — PDC #1 i100o nill
BY P1
APPLICANI OR A(.FNt
Approved I)LIH Receipt No.
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor � ~`
�.,�,�, �. • __ � Psrmlt No. � � v ��'-56'79
-- �-• — Rou h In _
Fixture
I �X ---- Final
� ---
/.7S y0 let '0%! f7/Sw HEATING
Contractor
l'ermltNo. /2- !51'7?
Gan or Oil
—� —`-- Rough-in �--
Final — -
---- -- -- --_--- --- SEWER- —
Final 42,21-
DRIVEWAY
2,21 DRIVEWAY
Filial
Storm Drainage
(Ran Drain)Final,
Sidewalk
Curb$Street First
—I—_� — Approach _—
BLDG.DEPT.FINAL TEMPORARY C ERTI►KATE OCCUP N Y Final
CERTIFICATE OCCUPANCY
L.an Jscap ing
--� Zoning Final
City of Tigard Mechanical Permit i; Bch Psrmit—_ 53.0(Z_
New Installaiiun �4 Replace U Relocation ❑ Addition ❑ Alteration ❑ 4 State
HEATING TOTAL___;,? _
CONTRACTOR �.,1.��l.ic t -- -- ONNER �� —l_-y/
en
WORK ADDRESS
_,ZU 9 0
PHONE � y _U /� _ APPLICANT—J! n-j t12, �(
Heat Input Rating (STU Per Hour) ?•��_- Vent Size, _� _ Flue Size,—�
rUEL OIL ❑ GAS 54 ELECT Q OTHER
ITEM NO. FEE ITEM NO. FEE
For Issuance of Hermit SEE A OV Air Condition Compressor 15 to 3.0 HP
'N"s'�-up to & inc1.100L900 BT 4.00_, Air Handling 10,000 CFM _ 3.00
Neyy r i n^Incl
_0 5.00 - i --- --- _--
100. ,O_� 2 t V s & �e r - _Air Handiing Ovef 10,000 CFM y OU
Floor Furnace _4.00 _Evapo,ative_Cooler
�
YVall . Fluor -Suspended -� 4,00 R.inge Vent Fan
In2.00
stall Vents Only _ _ 2.00 Vent System _ ~—~~_ 3.00
Repair . Hear& C_oolirg 4.0_0_ Hood Commercial �— 3 00.
,4ir Condition Compressor Under 3 [If' 4.00 Commercial Duct System � � 10 p0
- —
4ir Condition Compressc 3 to 15 H?
1N5PECTCR'S COMMENTS
''TY BUSINESS LICENSE REQUIRFO ri "O ALI. CONTRACTORS OR SUB-CONTRAC 70RJ
',PPROVED BY^ DATE ISSUED BY DDAATE
" Sig,:atur� of Applicant