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Cl ty of Tigacd Mechanical Permit
Fee ,
r1av-i Instsllaticn [Fr Replace ❑ Relocation U Addition ❑ Alteration ❑ % State_ L_ 1 _
HEATING � TOTAL `1.25 —.7
CONTRACTOR C"S��LrUrl_- YVK;� I�nr� t+ ' ire_ OWNER_l vAt_a.�Ct►.> ��.�• �N_ ,► ae �
ADWIESSK �LA-�x_A��14-� WORt: ADDRESS '1Op 5.�..k� , �AtgNt,AnjQ ,1U�
PHONElrl --iy2� '�. w APPLICANT_ = t� ,F__
He:t Input Rating (BTU Per Hqur) 4A"�e] d^ ^*i Vent Size lue Size_
-UEL 011_ ❑ GAS 5a ELFCT ❑ OTHER__^
ITEM NO. FEE ITEM NO. FEE
or issuance of Permit — SEE_ LBO / Air Condition Compres,or,15 to 30 HP 10 00
'*a' to & inc.l 00,000_ETU r- 4.00 _ Air Handliny_10,000 CFM
=et,. 1003001 BTU & ov-er _—_ 5.00_ _Air Handliog Over 10,000 CFM 5.00
=poor Furnace _ _ 4.U0 Evaporative Cooler 3.00
la�l •Floor Si viend.d 4.00 _Range Vent Fan _ 2.00
nstell Vents Only _ _ w 2(1') Vent Ey5tc 3.0C.
1-:pair . Heat�c Cooling __-- _—� _4.00 Hood Commcreial —�_ A ' - 3.0C
Yir Condition Compressor Under 3 HP 4.00 Cnmmarr'ai Dunt System 10,0r-
sir Condition Compressor 3 to 1.5 HP �— 7.50
'&':CTOR'S COMMENT:
'TY BUSINESS LICFNSE REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS
?PROVED BY DATE ISSUED BY----'4DATE
=CEIPT NO.
--
1OHif E. PHNF,.�RPT PtLl%jhG, INC BUILDING DEPARTMENT, TIGARD
P. O. Box 129 PLUMBING PERMIT r�O'
i
HEWBEfiG, ORION 91132 _ no der of a valid plumbing contractors license is hereby
authorized to cause plumbing work as herein r,oled to be installed in accordance with the plumbing code of
Tigard. Such instal',dons require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations am ready for inspection, City of Tigard Business LicLnsP required
for all contractors and sub-contractors.
Owner - ��.� m�� Address_..AQ-ZL .d
NUMBER OF TOTAL PERMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Only)
l '�51Df.NT11Al —
Sir�{le Femhy_1 hath—each wr 25_00
DU lex--Each 1 bath no
Additional bathrooms—each 10
Mobile Home!;Pace—each 1600
INDIVID:AL FIXTJRE FEES
1 to 50 Fixtures n_I buildirg_ench _ 3.00
61 to 100 Fixtures in 1 building_riech 2.50
_101 to F
200 ,xtures in 1 bulldiN—each
201 or mare Flxtures in 1 builds ,.60 ~� �II
n0—each _ 1
MISCELLANEOUS
Bulldiny Sewer—Sst 50 ft._
_ _
Sewxr—each e _1 0.00 100}t. 10.00 _
Water Service to build_. Ian ___— —�_ 5,00 — — -- �
Priwte W.eter Systems_tech 100 ft. _ 1000 ^I
Other Swscify): — ---
I
PERMIT 0 For Plumbing Inspection Phone 09.4191 /
% Stvwte'i`
---� U Plumbing Contractor By
TOTAL �j' RECEIPT N0. Issued By
rt1+R+^ �gtfllru�* '9M'M'lel"""'- -�r--w'�k�'+1
BUILDING PERMIT APPLICATION CI OF
Y TIG ARD DATE
THE UNDERSIGNED HEREBY A-PLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN: AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONr -rm- ,•
f �! {����,;qq LOT NO..
OWNER r i.,inlat in Uew• i ° JOR ADDRESS 1"1l0V Jtd Highl,�t�ci r'}ItlK�E ADDRESS
ARCHITECT
HUILDER >E"(IMO ADDRESS L,.:)300 Sul 1,16tlu _ DESIIGNER
STRUCTURE ❑NEW ❑RFMnDEL ❑ADDITION ❑REPAIR _ ❑RENEWAL ❑FIRE DAMAGE ❑DE=MOLITION
❑ RESIDENCE ❑COMM ❑EDUCAT IIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAO PORT ❑GARAGE []STORAGE❑SLAB ❑FENCE
❑BOND ❑MUVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY_-_--_LAND USE ZONE R-7
BLDG.TYPE— .FIRE 'C-ONE--'I PLAN CHECK BY.- HEAT
^! Lansstruct, single family dwallioy w/ettactiso gar w0 �bearlsumb
SCE CURPf. TION 'SHP T ATt�'AYt3 0CHEU* Truss detaidetailsreq,41 X80.
:.il,✓>r��^ PI. ),mit dWJ19 - !0,00
40 l!€1SaN.1—_�.2 N4�IQfll�� 1. 1`ti 'I NO•_dEI?aQS21Y15 2�y�y.�t_E�_���847w
BUILDING DEPARTMENT {` ` `
_�— — SET BACKS FRONT PEAR LE4T SIDE '-.
RIGHT SIDE
Permit
–� �– ThIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTA114ED IN THE BUILDING CODE, ZONING
Plan Check 93 0 REGULATIONS ^ND ASL APPLICA IL'c CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECI FICATIONS AND IN COMPLIANCE W:,,H
Sub-total l( . _J0 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
--- — ' - RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTIIACTORS TO HAVE CURRLNT CITY BUSINESS
State Tax 0.tJ LICE �NSE, SEPARATE PERMITS REQUIRED FOR SEWE4, PLUMBING "YO HEATING.
COM UL - 4U6.Wk,i
- - -- : #2 100. 01)
ByI ----- �_�_.. -- -------- --- -
APPLICANT OR AGENT
ApprovedIL Rerelpt No.
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DATE INSP. 'YPE INSPECTION REMARKS _- PLUMBING _-_ DATE
Contractor
is -
t1' Permit No.
La Rough-in0-10-72 jv —_
,.� Fiztury
Final
-71
HEATING
Contractor q
��•71 �A Permit Na
Gas or L
Rough-in —
Final
_—.—�-- - SEWER
- — --- Final -/Sr7 w
- — _ Final
- tRan
inage
v in)Final.
-- �— _—�_.—�----.
treet Finel
Approach
BLDG.DEPT.FINAL iMt'ORARY CERTIFICATE OCCUPACERTIFICATE OCCL-ANCY _—ir,ginal
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