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BUImING DEPARTMENT, TIGARiD
PLUMBING PERMIT - I.
holder of 0 valid plumbing coniractor-t license is hereby
authorized to cause plumuing work as herein noted to be installed in accordance with the plumbing code of
Tigard. Stich installations require inspection by the City Inspector who shall he notified not less than four
(4) hours prior to the time the installations .re ready for inspection. City of t igard Business License required
for all contractors and sub-contractors.
Owner-_ _ _ Address_ - _ Date-------.
NUMBER OF TOTAL PERMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT !Office Use Only)
RESIDENTIAL --
SI le Family-1 beth—each _ _ 25.00
_Ouplex.-Each 1 beth unit 26..00 v, _
Additional bathrooms—each 10.00 _
Mobile Home Space-each _ 15.00
INDIYtDUAL FIXTURE FEES --
1 to 50 Fixture9 in 1 building—each 3.00
^ 51 to 100 Fixtures in 1 building—each 2.50 _
`101 to 200 Fixtures in 1 buil,'in„ ecce J 2.00
201 or more Fixtures in 1 builoine—each1.60_ _
MISCELLANEOUS'
Building Sawyer-1st 50 ft. _ 10.00 _
Sewer—each additional 100 It. 10.00
Water Service to building _ 5.00
PrIvate Water Systems--each inn ft. _ 10.00
Other (Specify):_
PERMIT For Phimbinrg Pispection Phone 639-4171 '
3%SidLu Plumbing Contractor By
TOTAL RECEIPT NO. Issued By
C / ..� .a.s a-w ...4 r` sro'r "^_A1 1 ' s� l� ti•�..� 4�� (.1,
` 0 C
ORECON
Owner:..... ........................................... ..........PLrlr)it No...865.... ........
10960 SW Hi Mlend Dr. >
Building Address....... .................... ...9............. '•-
�.
9 ` ly 76
Certificate is hereby given this................day of..... ...... `
that said building may be occupied antj
that it complies with all requirements of C ��
the Building Code for the City of Tigard,' '
as approved by the 'Tigard City Council. Jt'
C
Building Inspector
i
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in�a.w u.1•
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I ' SPEr� ICN I�EQUES T
for
DATE: .L ' OA7Z 'SS'M
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INSPEDT0R DATE
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City 9 of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: X Lot' PERMIT NO. :
DATE: e 14174, DATE ISSUED :wL�__
OWNERS NAME : 7 ,42L'
ADDRESS: L•t J y-I .Sw•,,m !.,t
CONTRACTOR : A4,fp
TEST : Air O, Water�T'suol tT, Laboratory O
RESULT: Approved as pp roved L7 Pending p '
SKETCH: `
�j
INSPECTOR DATE
50TEAttach eupplementel test data beret
CITY OF
BUILDING PERMIT APPLICATION TIGARD DATE' jam'= -. 19 _ W 0915
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND , PECIFICATIONS. OWNER PIioNE___.__._:__.______._
!. c:'i T' BUI DER PHONE
OWNER_ _�� ADDRESS, --__ �.—
ENGINEER
A,RCHITECT .--_--- DESIGNER
STRUCTURE ❑r'Ew ❑REMODEL_ ❑ADDITION ❑REPAIR -- [RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑C(,N'M ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUSDPATIO ❑CAR PORT ❑GARAGE ❑STORAGC OSLAB ❑FENCE
❑.BOND 0 MOVING ❑CONDITIONAL USE QDESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
C?CCUPANGY� —_LAND USE ZONE-_ ---__-__.BLDG.TYPE--.,... ZONES PLAN CHECK BY_.._ — HEAT-_
(JCC_-IQA� FLOOR LOAD• _ -__ HEIGHT NO.STORIES AREA `, VALUE t "
-� BUILDING DEPARTMENT v SET BACKS—FRONT 1 REAR `I LEFT SIDE ra RIGHT SIDE
Permit
- - - -- '- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINFO 1!4 THE BUILDING COBE, ZONING
Plan Check REGULATIONS AND ALL APPIACABI_E CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
---- -,-.-- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WIT H
RecordingALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE JF THIS PERMIT DOES NOT WAIVE
--------- '"---— RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
I%State LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
I Y
CITY Of
BUILDING PERMIT APPLICATION TIGARD DATE---'—"-------tg.-- N° 0564
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE ____..—_-.._
--- ADDRESS_`- _—_ —.._._... -- -- -----BIDER PHONE
ENGINEER
�QT - ._�..__ — ___ DESIGNER
S, r 1
I fit X1 UREO
_ NEW �0 Rr-tEMODEL _—�t-.IADDITION IREPAIR _ DRENEWAL ❑FIRE DAMAGE ❑DEMOLITION
[ NISIUFNCE DCOMM OEDUCATIONAL ❑GOV'T ORELIGIO--USUPAT10 ❑GAR PORT OGARAGE ❑STORAGE C:ISLAB_ OrENCE
I .POND ( MOVING -- ,[:]CONDITIONAL USE _ iJDESIGN REVIEW^ _ OCOUIvC l APPROVED {.JSIGNS i_
f)CCUPANCYr!_._..I_AND USE ZONE--- �_BLDG.I YPE __ �FIFiE ZONE. PLAN CHECK BY.---._— HFAT_
12
C. IOAD Ft.OOR.I,OAOHEIGHT --- -- - -- NO.$IOR11F.9AREA ----�- VALUE
Ptn1 uiNG Dt PARTMI,NT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
-- - THIS PEPMIT IS IRSt-Ir--D SUBJECT TO THE REGULA TIONS CONTAINED IN THE BUILDING CODE, ZONING
C ht-ck i;Er3ULATIONS AND ALL APPLICARI E CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
- - - - WORK WILL BE DONE IN ACCORDANCE WITH THE PLAN5l.ND SPECIFICATIONS AND IN COMPLIANCE WITH
ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE Of THIS PERMIT DOES NOT WANE
--- -- - --- RESTRtr.TIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSIN. .5
1 State LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING.
T otel
APS' SCANT Uri AC ENT
i
1�tR;Q"��rw^.ryMwr.:::---•--.0. .,MM...,�,..r,_,�.-....r...,....,,,,,.f
CITY OF
BUILDING PERMIT APPLICATION TIGARD DATE
✓4 "�� N° 0865
THE UNDE ISIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPKOVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE �? ,
OWNER Tr Ue L:U• , Inc. n960 I1_' H� r,,•.i�Irl� Dr
ADORESS'
B I DEq_ PHONE
1301 D A l7fi#rnri9 ENGINEER
.� AR HIT l'T
DESIGNER
STRUCTURE_ ❑NEW ❑REMODEL_ ❑ADDITION OREPAIR
❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
Q RESInENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATH) ❑CAR PORT DGARAGE ❑STORAGE❑SLAB ❑FENCE
_ ❑BUNU MOVING rOCONDITIONAL USE ❑DESIGN REVIEW` ❑CUUNCII.APPROVED
0SIGNa-1fac 1
QCCUPANCY -._LAND USE ZONE_BLDG.TYPE
-- FIRE ZONE-. PLAN CHEEK BY HEAT hUrr)t'
207[', "fatel oq. t''t. I'r:I,nre cu011irry w ettecheci garage
No t) 2 bedrooms ---
7CC._LOAD _'FLOOR LOAD HEIGHT --- "
--- NO,STpRIES !
_ BUILDING DEPARTMENT : ------- ARS VALUE
r:
SET BACKS FRONT REAR LEFT SIDE
Permit RIGHT SIDE
Plan Check — THIS PERMIT IS ISSUED SUBJECT TO THE REGU-ATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Recording WORK WILL BE DONE IN ACCORDANCE WITH THF PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
-7— ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
1`fb State RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTCRS TO HAVE CURRENT CITY BUSINESS
LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total ��-
By
Approved AP` 'ANT OR AQEN? -_
Receipt No 16th
;S1Q1
AUURE55 �`
1
DATEINSP. TYPE INSPECTION REMARKS PLUMBING DATE
6-— Contractor _
-76 — — Permit No. 0503
Rounh-in
/ Fixture
Final
PSS•76. — _ I +���,�e-� _ HEATING
"T Contractor
Permit No. l—�L 17C
Gas or Oil
Rough-in
Final
SEWERI�I-7�
Final
DRIVEWAY
Final
Storm Drainage
_ (Rain Drain) Final _
—_ - --�—-- --- — -- Sidewalk IL C 7-�p• 7G
Curb&Street Final
Approach _! 7-36-)G
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
r o7G CERTIFICATE OCCUPANCY
�ol Landscaping
Zoning Final
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