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of Tigard Mechanical Permit Permit—_
Fee—
New I El Replace F] Relocation D Addition Ll Alteration 0 3%State
T01 AL-_- ��
(.ONTRAC;T0K
L---
(.ONTRACT0K OWNER
7/711-
WORK ADDRESS
PHONE APPLICANT---
Heat Input Rating (BTU Per Hour).------- Vent Size Flue
FUEL OIL F1 GAS, 1-1 E I E T [D OTEER
ITEM NO. FEE ITEM NO. FEE
For—Iss-,—!jnce of Permit 3.06 Air Condition Compressor 15 to^O HP 110.00
New- Under 100,000 BTU 4.00 Air Handling 10,000 CFM 3.00
Now 100,OOOBTU &over 5.00 Ai, Handling Over 10,000 CFM --5.00
Fioor Furnace 4.00 Evaporative Cooler 3.00
Wall --Floor_-Suspend;a 4.00 Range Vent Fen 2.00
Install Vents Only 00 Vent System 3.00
Repair -Heat&Cooling 4.00 Hood Commercial 3.00
Air Condition Compressor Under 3 HP 4.00 Commercial Duct System 10.00
Air Condition C)mp,essor 3 to 16 HP A 7.50
INSPEC'TOR'SCOMMFNTS--.----------
CITY ROSINESS LICENSE REQUIRED FOR ALL CONTRA,"TORS OR SUB-CONTRACTORS
APPROVED BY—_--______________ DATE ISSUED BY------ DATE—
RECEIPT NO.
-,.74 Signature of Applicant
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BIJILD;NG DEPARTIM>F!4T, TIGARD
PLUMBING PERMIT NO.
I
holder of a valid plumbing contractors lieenso is hereby
,�mhcrized to cause plumbing work as herein noted to be insta;;e+d in acmrdan--a with the plumbing code of
Tigard. Such installations require, inspection by tho City insulator who shads �,e notified not lose than four •
(4) hours prior to the time the installations aro ready for inspeftion. City 0 TiVM Suzsirtaes Lican," required
f:,r all contractors and stAw-cwitridom
2 erne- � '' `'t' .[ � ti _ _ Address.��`- "�. Data_�-=:,.. ;'�.;,
NUM6F.R or — Tn""Aw FIR1 1'r NO.'S
T:Fi CF PEPAIT ITEMS FEE ON EACH I ANiQUM� (plRimr 1i81 Only)-
IA L
nly)_._ _. -..__�._ .�.r...,,..�....a,.�_._! ..._ j.......,......_._...�,�
I Si In Mn11tJ bat="= 2 QA
Addit rias twth
I 1 to aQ Flxturn)n 1 burl#I . ech
j yt to_��CO Fixturrs 1_ n ,1 �ir�--�►a�ch� Z,gp�
101 to 00 I turf in 1 bvlWlffl=each ^ 200
01 qr ors f ixtu.L In 1 twr�l¢�i�—Beth (
MiSCEl6A iVE_ Us
Se r—eeeh WJltion*1 1Q0 I� w 1000
�C
„�,_r�vai�WapL_�1f�tM�1R—m4eh 100 It _ iQ.00
'P:.P. _ LC '95 For PAemwv IniovWdon Mone G'?9I tot
7'4 .;,ata �.�C �, ...._i Plumbing Cont-actor
1 j
RECEIPT NO. I.wued By
awjvm
SEWER PERMIT N9 15863
Un0ified Sewe+aa
ee Agency
Tigard
of WrshingtonCounty CITY OF DATE '
OWNf P : E -1. Strm dberg PHONE : _
OWNER 'S ADDRESS:
-TYPE OF INS-rA�.LATIONs
xE3xBUILDING SEWER ❑ BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
'®'NEW ❑ SINGLE FAMILY ❑rx>COMMFRCIAI_
❑ EXIST. (PRIOR 'TO -7- 1-70 ) ❑ MULT. RES. [1 INDUSTRIAL
. IXTURE UNITS DWELLING UNITS 4
ADDRESS OF ziTRUCIURF : —.3 .25: SW Hampton
PERMIT CONDITIONS: THE APPLICANT AGREES TO CDMPLY WITH ALL RULES AND
PEGULATIONS OF THE UNIFIED SEWERAGE AGENCY. WHEN CALLING FOR INSPECTION,
PLEASE REFER TO THF PERMIT NUMBER . THIS APPLTCATION EXPIRES IN ONE-
HUNDRED AND TWENTY ( 120 ) DAYS. -THE_ AMOUNT PAID WILL BE FORFEITED SHOULD
EXPIRATION OCCUR.
FEES:
PERMIT FEE
CONNECTION CHARGE 2,J/Q0.�_
SIDE SEWER INSTALLATIONH.Greene
_ ISSUED BY
OTHER
I'D $ 2, 650.
APPLI A DATE ~-
SEWER PERMIT N . 15863
ADDRESS OF STRUCTURE 71-?-� SW Bampton
TAX MAP TAX LOT SYSTEM Fanno creek
LOT __ _____BLOCK O F
_
APPROVED BY DATE - ISSUED B'Y DATE
D. U. 'S 4 ______ REMARKS bldg. #2039
.w..."-7tY'wm7R...;•�;�,..ien^!'Tt+^^t"`TYsv'3^!s�Cia'm•vt'F7i1';F'F^.T"'�,-m►+ws�_.+T.w..--,-n--...........7M'"Yq/"R""'R"" _
BUIL-DINS' PERMIT APPLICATION 1OF
1T TIGA,RD DATE__ 19_____
THE UNDERSIGNF1) HEREBY APPLIES FOR AI ERMIT FOR THE WORK HEREIN INDICATED BUII-DERPHONF _•_ -_
OR AS SHOWN AND APPROVED IN THE ACCOMPANYM-i PLANS AND SPECIFICATIONS. OWNER PHONE -_-__-.-_-
-J I7S LOT NO.------.—_
OWNER L •.J• ;atrasndGary JOB ADD7fSS 444,4- 5W Ear. mptaIn HOME ADDRESS _
ARCHITECT --—
BUILOERF -a• 174'randberg Cts„ 10700 ralw ENGINEER
ADDRF_rrS-_1S_ ���y���•�1��• (�W; DESIGNER
rr--tt r,
STRUCTURE JJNEW C REMnDEL OADDITION ` _ ❑REPAIRr-y ❑RENEWAL OFIRE DAMAGE CJDEMOLITION
C] RESIDENCE L.JCOMM ❑EDUCATIONAL CGCIV'T ORELIGIOUS CPATIO OCAR PORT UGARAGE ❑STORAGE C3 SLAB ❑FENCE
❑BOND L_IMOV ING -- [:]CONDITIONAL USE ❑DESIGN REVIEW 13COIJNCIL APPROVED 0 S I G N S
OCCUPANCY_LAND USE ZONE t"� BLDG.TYPE— rl �_FIRL:ZONE. PLAN CHECK BY -tlA HEAT._,
c0nst , 2 •Cory commercial bidgo all. p(jr -_qlgnk.gnd ap*c1ficatiunr)_ sl'ISNts
14 -1 thru A& and S-1 tlhru 5-4
:wwsr psrmi t #15663 --- -
OCC. LDAj2FLQ0FL1.QAV--40- _-MSt►iLNo STOOIE5_._.2—ARAO937 vALUe� 1 r 4lltl.
L BUILDING DEPARTMEN r _ SE i BACKS FRONT REAR _ LEFT SIDE RIGHT SIDE
Fire
it UU
_ -
� '--- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plar.rhock 257150 REGULATIONS AND ALL APPLICABI F CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT ''HE
"-- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal I- ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMI" DOE:; NOT WAIVE
RESTRICTIVE COVENANTS. CONIRACTOppR AND SUB CONTRACTORS TO HAVE CURRENT CI I nLJSIPIFSS
State Tax LTi IT�Ef.SEP/11A. E IPEPMITS F!f2 N�1.t7. ,SEW�ELj _W,I p.Iy ,IIFEA TING.
Total 793.10 F� ++�v
By
-- — ---- _
APP!_1C11Ni OR AGENT
Approved - r.. "t.w Receipt No.
I
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
3 ,33v 29 OL �f �,✓ Contractor p
Permit No.
t . Rough-in �f (�a�9'�. it-
Jt
1- —
Final --
6_ HEATING
�/r%L _fit,L Contractor
�a ��� A ♦ 2-- , Permit No.
--- do -A m ' Gas or Oil
it of 4 4 4 .UJAw G Roughen
Final
— SEWER
Final ' r
179
DRIVEWAY
Final
Stolt Drainage
(Rein Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT.RINAL — TI=MPORARY — CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY -
Landscaping
Zoning Final