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C'TYOFTIOrARD l::'F:RM1'F NO . IAA:191.(.-�00
crn�ry�OFTWAIIW I
COMMUNITY DEVELOPMENT DEPARTMENT 04190" x s"10E.!) 6/ .1.3/El 19
13125 S.W.Hall Blvd.,P.O.Box 23397.figard,Orvgon 97223.1503 16394175 PNIM PM NO. H10 1;.*.13 0
,1(313 AF OPESS- 107%*R5 SW AND I:)FT
'TAX MAP/11.-OT P':O. 10LA) J.'.'000 !:iUF? : 'AJMt1l":Rr Tli;]-l.) L-'T' : 689 BK :
11-AND USE : It/1 X 10
I (XT 5 E VOL.UAJ .1'()N 7 1000 F3—'T D A C K Cs
WOPK CL-ASS : ADIXUTTON 10WEA.1.. . LJN.I'.-T'5 :
U%-.' I'YPE : S11,461 F.;,. I:AMTL..Y NO . HEDPOOMS : EXT . WAIJ- T :
CON5*r . ,ryr)ij:--": VN NO. FRA11-41'i : N : E . W
DUCUP. GPP. : P3 1::'PO T . OPE-KNI NG5
OCCUP. I F.JAn N S E W
I LYY Al APE.() : 200
NO . 57*0RICS : 3. ('.1(JN!:0 F,IPE NEA"?
HE;.1.U'H'T : 16 !:')F..PfN.P7
BAWMEN'T'7 OCCIR.". IiEPAPI? PA*T E10
MEZZANINE:7
F1 OOP LAW): elo F,I S 0 P 10-H I? AL..Af4M'?
F 1-01AI DEJEUT"?
HEWI TYPE: GAS (-,(0mr?
1:1-AN CHECK BY: r 1 t
wk 1.)eTC)r44 J.14ti*Ir 1:,.1ania RETSOAJE L)F NO .
I W0' 1*:1=*15S1.II1-"-.
0 DEKAN COI VI N PEPM11' '50
W :1.0*7 P5 5M FIJX.4-11 AND Ok pt-AN l4EV.IA
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E T I GA R D OR 2 I PP.*
1072A Fr : DI"P*T'
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SIWTE 'TAX $A 1.'3
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0 I*4FG.15*TPA7'ION NO. 688A 101 Al...
PECEIFIT NO .
This pr.,rmit Is issued subject to the regulations contained In Title 14
of th,, TMC. State of Oregon Specialty Codes.zoning regulations :[WiPE(:IIJONS
and all other aoplicable codes and ordinances, and It is hereby F:C)('.)'T:1:W.,
agreed that the work will be done In accordance with the plans and POST a BEAM
specifications and In compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have Current .,It% F*1:16 M 1:N G
husiness tax permits This permit will expire ana become null I'Nl!iLJI AIJ ON
void if work is not started within 180 days,or If work Is susppndeu or GYP , BOAPE)
abandoned for a period of 180 days any time after work has
commenced It shaft be the responsibility of the permittee to assure F::I:NAL..
all required inspections are requested and approved
errmttee Signature
Iss,iecf By
SEPARATE PERMITS REQUIRED FOH WORK OTHER THAN DESCRIBED ABOVE
IIIIIIIILMULWSrl
PERM1 I
PF'RM31T NO. MF.-.:k391.i39,(I
C11Y OF TW"A" V RDA64
Crrf OF TWO
COMMUNITY DEVELOPMENT DEPARTMENT Ono" VIP I'M . PKT .W.I . WI.ILF280
1;125 S.W.Hall Blvd.,P.O.Box 23397,Tigaro,Oregon 97223.(503)639-4175
CAW 0,101, R.944—
1! IW;6HI A049
0
'TAX MAI:*,/I.('jl cl!ili 101'.)1:1 if.3000 SUID : SUMME.NIF: 1,A:,I_D 1_.'T• : 609 BK
i AND UrME : P I P D
LOT S:I:ZF: :
E,M- NO : NO:
WC)PK CLAS!iii : ADIX.E.-VIL)IN FL)"NACE: <100K AIA HANDLP (10
USE TYPIT : Fif.NGI E. FAMIA..Y F't.JIQNACI:.. 1.001(+ Al:G2 HANDL-P 10K
CONST .TYPE : Viv F L.0(JP FLIPINIALIE. I:::V()P .COL)LE'R
(RICUP .Gpp. 1-113 Vl::'.N*T' F*AN
VENT 2 VE::Nl* . SYSTE'.M
HI 174 COME' <3VIP I_IO(JD
NO . F-0 OAIV:� .1. 3 151-11::, TNC 1:NEPA TOP(E)OM
DWELL .UNITS U4.-P CX)MI.) 1.530HP 1 NC I NE PATO P(COM
FILIEL TYPE (.'4AS 13I.J.4 COMI'.) *130 11501.-1P I:4I;:'.PAJJ4 UNITS;
MAX . 1NPUT I.)I P ('10MV1 ".5 0+I.-I F,
FIRE Dl` IPQS7 G,ASi V1TP:I'N(*., OUTI EA'S
1_11GH PRIXW51?
L.(:)W PRESS?
REMAPKS :
nevirl c�mntr-vmtar 1`11.1111111el'
ii4i;11;
DUAN COLVIN $1.0 00
0 1.07"c:!5 SW 1-41GHLAND DI1 PI AN I1r..*V.IA.-:'W A14 . 00
W rl,u,A- n 1*) DFT 9 F 1:X 11114FFS) $011 . 00
N 1:1 FA TE: TAX $ L 80
rt D I H E,I I
C
ON
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TO'TAL : X26 .00
0
R W.) /1) / -7L/
This permit is issued subject to the regulations contained in Title 14 PFU,11134EA) J:N5PE:CT1OW-i
of the TMC. State of Oregon Specialty Codes,zoning regulations GAS LZINIF
and all other applicable codes and ordinances. and If is hereby POST & REAM
agreed that the work will be done in ri,=rdance with the plans and 14011.11(.2*4 TN
specifications and in compliance with all applicable codes and
otriinRnces The Issuance of this permit doe, not waive restrictive FA:NAi_
covenants Contractor and subcontractors shall have current -'ty
business tax permits This permit will expire and become null and
void if work Is not started within 180 days,or It work is suspended or
aband ned for a period of 180 days any time after work has
comm, iced It shall be the responsibility of the rerinittee to masure
all required Inspections are requested and approved
41rmitlee Signature, (IAl.A.. FOP T.NSPEC"TTON 639--A1 V�
Issued By V 1� ---
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
oo
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( ( of Y ��� � I�"{t�lf� ,�r11�1�� Pcr� if NO � .Fee
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New Ins,allation C ge:r:aCe l� n�I�Ci+l10n I'� Cipi; c
' r�•.i ~ice���''�.__.� i.--
C�,,,,TRACTOR C�-�6,]�d•�--
� � WORK ADDRESSP" OLICAN-1
p pn R ESS �•Q• „ -� �L�LS Q
PHONE - — _--
Vent Sire
Heat Input Rating (BTU Per Hour)_ r0Q0_-
FUEL OIL CI GAS El-ECT ❑ OTHER ___-..�___- -_--
ITEM NO. FE
TEM NCS. FEF -- --- �-
__ --E- 3 p0 MAir Condition_Compressor 15 to 30 HP
FOr IsSu3nCe o! Permlt !—ri- �- -� - - I f
4.00 T Air Handling 10,000 CFh'r -__ ___'.5
New Undet 100,000 BTU ^ - — I _I
- — - 5.00 Air Handling Over 10,000 CFM
100,000 BTU & over -- 'Evaporative Cooler— 3
4.00 __ 2.
Floor Furnace _ -- Range Vent Fan I
_ ___ _ 4_00 — _-- ---
14a11 Floor -+Suspended I 2 00 _Ven; System 3
�:- -- -- _ - ----- -T
Install Vents Only - — _I
- --- 4.00 Hood Cummercial E_.Repai• . 00{Ing __ 0Commercial Duc; System1(IAir Condition Comp esso, Unier 3 - - --
ressor 3 to 15 H. 7.8�
\ir Condition Comp
INSPECTOR'S COh4t�iENTS_
CITY BUSINESS LICENSE REOUIREU FOR ALL C(tNTRAC;lORS OF SUB CJNTRAC RS
_ ATE
DATE ISSUED RY-
APPRO\,ED BY_ - — -- -
_
_+ " RECE ioT NO. -.---
. �r v-qwrr...►T ,�tlW��. '�y.�"''^►l+r"y"�"�'.° . P,a 1�11,e
CITY TlGARD DATE �' 28 , 19 '
BUILDING PERMIT APPLICATION OF (
1.1E UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONY
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. LOT NRPHONL '---
LOT NO. Esf�4il
hii�hlgri�i V HOMEADDRESS
OWNER TV r 4j n i fm ll. Lir JOB ADDRESS1Lj7� j 5W Kms'
ARVn��Z,..
-- - ENGIN-6R
ADDRESS DESIGN
r;UILDERER
SIH 1CTURE_ L'?NEW Ru-MODEL ❑ADDITION ❑REPAIR _RENEWAL []FIRE DAMAGE DEMOLITION
❑ (3ESIDENCE []COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUSCOPATIO ❑CAR PORT
[:]GARAGE ❑STORAGE❑SLAB LOFENCE
❑BOND []MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW OCOUNCIL APPROVED �� []SIGNS I ffJ53
fl«
OCCUPANCY LAND USE ZONE 1..7 BLDG.TYPE -`ISI FIRE ZONE=� PL0.N CHECK BY HEA
Mntk 14 -- R� •I8aue cemt► lie l�bl8 SW `i�um�lE,x . iLald Lanse 1 klc,ur 7ur�
f" reme dwelling
131.?t3 No.B 1ZP�QMS '� VI�L"339t
RIGHT SIDE
BUILDING DEPARTMENT SET BACKS FRONT_ REAR _ LEFT SIDE _
Permit 11,A,00THIS PERMIT IS ISSUED SUBJECT t0 THE REGULATIONS CONTAINED IN THE BUILDING CODE, TONING
Plan Check j(j*tet? REGULA'IONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
_ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPEC!FICATIONB AND IN COMPLIANCE WITH
ALL APPL►CABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub total
107.1 G
State, Tax RFSTRICTIV' COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
's 60 25 LICENSE. SEPARATE PERMITS REOUTAED FOR SEWER,PLUMBING AND HEALING.
SOL - %4UJ*LAU
Total 17 3.2E3 ou #2 5104.00
By Pi APPLICANT OR AGENT
_ - — 3"ry 90
Approved lft.'Il Receipt Na. v- ,_
z +3.
..., ...«_.......«. ........._ .., ,f'�p :'til n �..w ��,�, .f t }� �•�ll `�� l '?a
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
s► ///�
Permit No. S e
eK L Rough-in
Fixture
�- (✓ �a» a KSS C11�----
--- o Final it 11
–
HEATING
1 II_171 Pn A�_ —
Contractor
t'ermitNo• 15'7
Gas or Oil
Rough-fn -
- – Final
SEWER
final
-- DRIVEWAY
Final r'=
StoAn Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach _
— BL DG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final _
CERTIFICATE OCCUPANCY / �� Wy
`Y �C Landaceping
Zoning Final
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