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8855 SW HAMLET STREET w MJLWM w �s 0855 SW l]AMLE..0 STREET I -N cn N E ro r_ .3 n Ln Ln m CD INSPECTION NOTICE City of Tigard Bui,oing Dep,4rtment 12420 S W Main St. Tigard, f' -qon 97223 Phorf (J9-4171 Address Permit Type of Inspection 'he followinti Building Cade deficiencies are required to be corrected: Presented to Inspector Date --—4z;,- cr L-1; (:;41.L FOR REiwEcnoN 0 YEF. ❑ No a w City of Tigard Mechanical Permit Permit__ QC Fee-_�- _ New installation: I Replace ❑ Relocation ❑ Addition I Aiteratinn ] i6 State V TOTAL_L-Gt, acyl CONTRACTOR OWNER WORK ADDRESS" ,r- -5- PHONE PHONE _! _ — v—_ APPLICANT Heat Input Rating (BTU Per Hour) _—� — _ Vent Size �— Flue Size_.__- FUEL OIL CJ GAS ❑ ELECT ❑ OT HER -�-^ ITEM NO. FEE ITEM NO. FEE For Issuance of Permit_ 3.00 Air Condition Compressor 15 to 30 HP 10.60 — New- U,,der 100,000 BTU - 4.oO Air Handling 10,000 CFM _ 3.00 New 100,000 BTU&over 5.10 _Air Handling Over 10,000 CFM _ 5.00 Floor Furnace _ _ 4.00 Evaporative Conler 3.00 Wall - Floor -Suspended _ _ 4.(0 Range Vent Fan 2.00 Install Vents Only -- - 2.00 Vent System - 3.00 Repair- Heat&Cooling _ _4.00 Hood Cam_mercial T6-0 _Air Condition Compressor Under YHP HP 4.00 _Commercial Dur,(System -_ 10.00 Air Condition Compressor 3 to 15 HP -7.50 - A TC.)y F - Y 7.n4 INSPECTOR'S COMMENTS CITY BUSINESS LICENSE (REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS APPROVED BY -__ DATE _ -3 {�_ ISSUEC BY --` DATE RECEIPT Nu. __-_- 'r4 Signature of Applicant rt�r address".SS S- l� Permit No. ��. ,� ,3 Y l Permit charge Z) 0 y a:!- Cuner _�«, e�J Connection fee � �d Paid b y :�-t - Cf rl e Type of building _,�e;Z Data connected Service rate i . Inspection fee g? ,� Contractor _ Pa (.d by Date Siva of connection Asses meet paid r i S'JILDIt,1G DEPARTMENT, TIC:Aa[) '"��� PLUN1 ;;i1ly PERMIT 1 L - �^ 1 Y hold,?r of a valid plumbing contractors lirense is hereby t authorized to au Se plumbing +rr rk as herein noted to be installed in accordance with the plumbing code of Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four � (4) hours prior to the time. the insrallations are ready for inspection. City of Tigard Business License required for all contractors and su`i-cont;actors. Owner-•1. �� !�1r ���a_. Add ress.—_._ NUMSER OF TOTAL PERMIT NO.'S a TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Oftice Use Only) incl* Faml►t-1 bath_�eah — -- _Dur�Iex—Cach — 1 bath unit — I I hlobila Hnme S�aLw-•rarh _---_--- 15.00 1NOtVIDUAL FIXTURE I --vI to 50 Fixtures in 1 building-yearh� 1 3.00 51 tg 100 Fi,tiure3 In 1 bufldtn i — — r- .fi_a.tch i 101 to 2Un Fixtures in 1 builditi se..h 01 yr mare Fixtu•ts In 1 building,rush-.-_...._ 1.1ISCEILANE7US I t3 U?Idini)�i,t.,Vyr •19t 5.1 t_ --(} 00 10. ... _. __.__v•i•r.-" _.—... �— _.,. 1, 5eavr :..rtt��:!i:iurt!I 100_ft. 10_00_ 5.00 ---- _.....�._......._—_.—._ _._...`..._ _ Private Yds; r Srstemseach 10U ft. _ .. .- ---- - -- - -- 1000 t r PE. .^ITY-___. �L ror Plumbing 63J y:171_.. St8tp _ Z Plunib;r.g Canti mto, s ToraL ;y nECEIPT NO. r BUILDING DEPARTMENT, TIGARD NO. 0031 PLUMBING PERMIT I' ►rl < i U , holder of a valid plumbing contractors license is hereby authorized to cause plumbing 4ork as herein noted to be installed in accordance with the plumbing code of Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four (4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required for all contractors and sub-contractors. Owner--B.' 11l�hgr': Address _ ' � U 4�. f10-, k t Date —C NUMBER OF TOTAL. PERMIT NO.; TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT tOffice the Onlyi "I -E-N T I A L -- -- �---- -- - -- Single Family-1 bath-each 25.00 0 Duplex-Each 1 bath unit 25.00 Additional bathrooms-each _ 10.00 _ Ad. Mobile Home Space-each 15.00 _ INDIVIDUALFIXTURE FEES 1 to 50 Fixtures in 1 building--each 3.00 61 to 100 Fixtures In 1 building-each -- 2.50 _ 101 to 200 Fixtures in 1 building- sch 2.00 ?0__ 1 or more Fixtures in 1 building-each_ — 1.50 _ wIISCELLANEOU$ Building Sewer-1st 50 ft. ---^ 10.00 - — -- -- S"�-aach addalonel 100 ft. 10.00 W__te►Se�ia_to building 5.00 Private Weter Systems-each 100 h. 10.00 � Other $ 1°ERMIT_-_y; �, p a For Plumbing Inspection Phone 40000M 69y 7/ =1%_.S�" /, p Plumbing Contractor By TOTAL ` -3RECEIPT NO. Issued By — WWI Y --6 SEINER PERMIT V 13s32 of Unified Sewerage Agency Of Washington County C ITY OF Tigard DATE _._ 2-24-70 _ OWNER : _ i:ii1y _Junes _^ PHONE : OWNER 'S ADDRESS: TYPE OF INSTALLATION : ©W.1JLDING SEWER ❑BUILDING SEWER AND SIDE SEWER TYPE OF OCCUPANCY; XONEW X& SINGLE FAMILY ❑ COMMERCIAL ❑EXI`=T . (PRIOR TO 7-1-70 ) ❑ MULT . RES. ❑ INDUSTRI /0 FIXTURE UNITS DWELLING UNITS 1 PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY . WHEN CALLING FOR INSPECTION, PLEASE REFER TO THE PERMIT NUMBER. THIS APPLICATION EXPIRES IN ONE:—HUNDRED AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL BE FORFEITED )HOULD EXPIRATION UCCUR. FEES: PER N1 I T FEE $ 2,s. CONNECTION CHARGE rinn- SIDE SEWER INSTALLATION _ ISSUED BY OTHER 7-- A APPL CANT DATE t4OTICE: _I.hla lit Ilii A80VE DATE.CNA,3GE Will BEGIN A FOR pTH 3 PCN"MT SEWER PERMIT N" ADDRESS OF STRUCTURE B855 SLI Hamlet St. ^ TAX MAP ` TAX LOT SYSTEM_ Panna crelyk LOT 26 BLOCK OF �� APPROVED BY DATE: ISSUE D,r(`3Y DATE REMARKS blg. ;, 1914 BUILDING PERMIT APPLICATION 10 Y TIG ARD DATE__.--_°—��hY�7`� �� 4 THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HER FIN INDICATED BUILDER PHONF la�=!.L� OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE Jilly Jorlus [3b;jb SW H&MlsWt, LOT NO. OWNER JOB ADDRESS HOME ADDRESS ARCHITECT BUILDER 9)13mi3 ENGINEER ADDRESS — DESIGNER _r-� STRUCTURE J NEW rr ❑REMODEL OADDITION _OREPAIR ❑RENEWAL FIRE DAMAGE ODEMOL ITI N RESIbENCE ❑C--OMM L.JEDUCATIONAL ❑GOV'T EIRFLIGIOUSQPATIO ❑CAR PORT LJGARAGE L.J STORAGE❑SLAR []F CE ❑BOND UMOVING ❑CONDITIONAL USE ODE-SIGN REVIEW ❑COUNCIL.APPROVED ❑SIGNS --�= —� —_ O — ,S :CUPANCY_____LAND USE ZONE .BLDG.TYPE. FIRE ZONE_._,_ PLAN CHECK BY_ _ HEAt — Conets mingle i'esrtily L ucIliny to/sttrabbed jars® 3 budroom i betrl - snr parmit -'115937 saver ci im— 61tlyar Insp, 625,, -- QC�,.LQf1D FI,QQp LOAD ;n --- Ii�Ci}iT--_?-Yy9 STORIES _ AREA�a®� NQ.BEDROOMS `S VALUE u! BUILDING DEPARTMENT SET BACKS FRONT ZL REAR $ ALEFT SIDE 10 RIGHT SIDE l Permit •1010 ---- ----- -- – - –---__... ------— ��•J THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BF. DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Sub total • ALL APPLICABLE. CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax • LICtNSt. SfPARX�TE.�ERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total *54 V000L• ff2 iluu" By --- A P ` DANT OR AGENT Appioveii Receipt No. r( ADUR UATE INSP. TYPE INSPECTION REMARKS PLUMBINCi —Y— DAT[ _ r 3W IContractor -- Permit No. 4-1�^7 -3 1 Rou h-in Fixture 7P 0V'C -._�— O lel/' ----- Final ----- - HEATING f•,.... A� �}.�rQp{•'y t� Contractor Z 3-2 i � — _---- Permit No. ��••-- Gas or Oil - -- Final SEWER .�_ — __..._---------.------- Final_ -- DRIVEWAY -----__._ —_— -------- Final _ Storm Drainage ---�--��--_-- -'- (Rain Drain( Final -.----- ---- —._-- _._ Sidewalk — `— _— Curb A Ztreet Final _-- -_-__- _ q — BLDG DEPT FINAL. —� TEMPORARY CERTIFICATE OCCUPANCY Final _ CERTIFICATE OCCUPANCY , Landscaping I Zomng Final SIL Oi E [��i-C� � 1t�hatt)�Izl I-'tr:n)t t Fee 144;&, 7i r Pr3r: IRS:i1.8!r011 � ge:r'a^.0 L..: helOCntiOn L�� aCl7i'iOn � �IIE•fdlion '� (���ie $Late � / Q TOTAL Ti.ACTOR 5�2 ,Pili,9�'E �'� Oi'�tiEF _._ ADn�._� V C� - c�X 35 - �.lf��i WORK �1.006R r � • Pi�nNc + APPLICANT Heat Input Rating )BTU Per Hour)_ t% — Vent Si;e Flue Size - FUEL OIL EJ GAS ELECT D OTHER ITEM NO. FEE ITEM NO. F For Issuance of Permrt :/ 3.00 Air Condition Compressor 15 to 30 HP 10. New-Under 100,000 BTU —�_ 4.00 Air Handling 10,000 CFM 3. • 106,000 BTU & over V 5.00 Air Handling Over 10,000 CFM 5. Imo-: Floor Furnace --�� 4.00 Evaporative Cooler _ 3. r`. Wall - Floor -Suspended _ — _ --- Ranye Vent Fan - �- 2. — 2.00 Ven Install Vents Only t System r. _- 3. , -'.`. Repair • Heat & Cooling 4.00 Hood Commercial —_•T 3. n Air Condition Compressor Under 3 HP 4.00 Cninmerciil Duct System _ - 1C. .Air Condition Compressor 3 t 15 HP -�---� 7.50 1____ _—__-- -?` INSPECTOR'S COMMENTS y CIT( BUSINESS LICENSE REOUIRED FOR ALL CON TRACTORS OR SUB CbNTRACTORS 't* APPROVED BY _____T DATE ISSUED BY DATE,-i RECEIPT NO._�. `, ,,, Signature of App;cant