11930 SW MORNING HILL DRIVE-1 11930 SW MORNING HILL DRIVE
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CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE 6394171
CONTRACTOR:
Pursuant to Section(s) of the Uniform Building Code, the
following itern(s) require correcting:
Date. �� � �? Permit No.__ _
Inspect0f-9;� _ _
CALL FOR REINSPECTION
i
ADDRESS 11 '� C� ( PERMIT NO. 1$"
PER^1IT CHARGE none
OWNER L (J us e CONNECTION FEE
PAID BY
TYPE OF E IJ I E D I`.'G ,g. DATE CONNECTED
\� S r R JI C E RATE INSPECTION FEE
�` �• ___.
CCN TRACTOR PAID DY _ DATE
Y d
SIZE OF COP1'j'�CTiON A5SESSCICNT PAID
Bli11..MNG iDEPAR 6-M=NT, TIGARD NO. '
MIIY�ktlKlf I UMPING CO. r PLUMBltiNG PERMIT
15330 S.E. 82nd DR. _
holder o` a volic a;l,mbing contractors license is here:),/
a,j',hOr;z0(, . C-auW PlUmbinC'.Wor rC, hfurcln noted to be i�s,a..oa In accor dande Wth the plumbing code of
Tigard. Such in;taltations►*uira inspeti ion by the City Inspector who sha,i be notified not less than four
•;4) hou. ; pricr to the tlriie the instailations are randy or inspection. C;ty of ;iyald Business License recuirad
for a;i contractors and sub-contractors.
Gov-e- � �m:•�-' P•ddres /ez 4�e, Da-'e— ;x x
PeRMI ?q
TYPE OF Pc 1'f!T ITct'3 ^Ec ON 'ACH A;auvr (Office U:c On.;)
�F i.� NTIAL y i
y!;�^,gio =a.mil,_1 bath—cych _� 25.G0` I � .�i✓� D �i �._._.___
0up'nx—Each i both unit
--Acda.ona, bath!oomssench 10,C0
_v0IV 'DUAL. FIXTUPF FECS I �� '
1 to -0 Fixtures in 1 huMinn—ea:h �+ I 3X0 ! — -
� 1�a�C0 rixtures in 1 building—enh
,JU to 2,00 Fixtures in 1 bi�E�7each ( I
201 or more "ixtures in 1 buildi%—each --
" i33CF.Li.AAIE0L,S `--�-
loxg
—
c7uiiding Sovvcr-1st 50 `t.
5ewnr—each Odditi7n^1 1(0 It, -
1".'ate'snrvicc to builrtin _ 5.00
Water 513t0ros—inch 'Ju It. _ _ r 10.C;
For Plumbinj InW.-cion Phony 639 131
a;. lel c� _ Plumhin;, Cantrc;or 3y
`07A,, 'y/1 G Q REMPT wNo. Issued By � "-
BUILDING PERMIT APPLICATION coF - ,�
TlGARD DATE
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 4si
OP AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERP140N
0WNER':IOdG!I'7;':-tri 140mes JOB ADDRESS j 193(1 %t j Mo rni;'ig Ni lkIME ADDRESS
ARCHITECT
BUILDER f-� _ ADDRESS iVkn-h1wil. hWIV ENGINFER DESIGNER
ledgwooi
STRUCTURE 1�ONEW r,ORFMCIDEL — ❑ADDITION — ❑REPAIR^^ ❑RENEWAL. ^ LIFIRE DAMAGE ❑DEMrO�LITION
0 RESIDENCE OCOMM OEOUCATIONAL OGOV'T DRELIC,IOUSOPATIO i,..1CAR PORT ❑GARAGE O STORAGE DSLA(3 OFENCE
❑BUND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW_ ❑COUNCIL APPROVED 1.USIGNS
il— i PO
OCCUPANCY USE ZONE--.BLDG.TYPE . ___.___ FIRE ZONE,,. r'LAN CHECK BY— HEAT_
— _-isrfttrIIf ai.r-ule family utillilig W:' •e.aoi o 1ref1w tit,'gdrotarrll
How m >arl wer cannut incl i,netalled on this lot until npipravvd :iy City :Ili,;"'.
4.Pij .;r Permit 1'P is – $624 jb 25,OU
--_HE1G�iL 15 �$TQFiI_ES j AREA _JVQ_BEDF 44fl1L$_—�YA1,U _
BUILDING DEPARTMENT '24 ra
— SEt BACKS FRJNt REAR LEFT SIDE RIGHT SIDE 77
Peirnit 1.0v
THIS PERMIT IS ISSUED SUBJECT TO TH@ REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
Plan Check 136 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THF
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECK=ICATIONS AND IN COMPLIANCE WITH
Subtotal Lyl 00 ALL APPLICABLE COCES AND ORDINANCES. THE r,;SUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 'r 6.04 L.ICFjW. SEPARATE PERMITS REQUIRED FOR SEWER PI.UMBING AND HEATING.
Total ___y3_167.
By r.7 L
t fi 7 2.�__.�. APPLICANT lJR AGENT -...--..__._-..
Approved Receipt No.
i;
DATE INSP. TYPE INSPECTION REMARKS PLUMBINGDA' TE
�Y�--� -- —----A Contractor v
Permit No.
1
Rough-in
Fixture
Final
— —_ --� _HEATING_
Contractor
— _— — -- Permit No. (� --- JIJ� J/—2--7 P �'
— Gas or Oil
--- —•---- --•-- ____
Rough-in — —
Final
—____.__--. —��--------- SEWER
--- -- --- -. _—�—_ Final ------ y .�—�
------• — ------------- DRIVEWAY —
_--- --- — —_ Final
StorMi Drainage
(Rain Drain)Final
Sidewalk
—� Curb R Street Final
_ Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY —
CERTIFICAI'E OCCUPANCY i�/►-R- Final---- _ -- -- ---
Landscnping
Zoning Final
w
NO,
-ION " y DATE
H! H-HMIT APPLICATION 'UF
iF tjNDERiYGNED HEREBY APPLIES FOR APERMIT FOri THE WORK HEREIN INDICATED BUILDER PHONE yam'
-;R AS SHOWN AND APPROVED IN THE AC OMFjjYqNG PLANS AND SPECIFICAlIONS. OWNERPHONIE_ �La
LOT NOS.
JOB A DDRLSSJ) WO-111MME ADDRESS
ARCHITECT
ENGINEER
ADDRESS DESIGNER
URE RNEN 13REMODEL DADDITION EIRFPAIR ORENEWAL nFIRE DAMAGE DDEMOLITION
' '. INCF F]CCIMM [DEDIICATInNAL OGOV-1 '13HELIGIOUSCIPATIO OCARPORT 0GARAGE EISTORAGEOSLAB [_l' ' NCf-
1-)POPID MOVING ONDITIONAL USE OMSIGN REVIEW DCOLINCIL APPROVED 0SIGNS
.-CLIPANCY Jor--_AND USE ZOK71 90—_BLDG TYPE FIRE ZONE-4- PLAN CHECK BY,=--ff- HEAT--,------
?
()C,C 1QAQ r L MR-1.
_Q r.bi IT 1, _Nn 4I.45Z
7� e. O
yl_L1 ti, ENT
SEt A
BACKS FRONT LEFT SIDE RIGHT SIDE:as 1
THIS PERMIT 'S ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check FIFOULATION1. AND ALL APPLICABLE CODES AND ORt)',PJANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL Bi. DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATICNS AND IN COMPLIANCE WITH
Sub-lotal _WL APPI ICx 3LE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
iat e Tax LICENSE. SEPARATE PERMITS REQUIRED FOn SEWER, PLUMBING AND HEATING.
Total
By 1:'N—
Apptover Receipt No.
AUDRESSPHONE
C C9
Ci -L- Of l � tzi cl ���t,t:ht�rlicit� PCir'll(t CI Pircnit__ 5�0� _
NB\\' Ins:al�a?rOn sc:j!a:e 10 r•[•I.J::n;�On (—� .,+.`l.j,.,C l 7A W Stat E _.• a
TOTAL
CCtiTKACTOR .C�,,�Is 11s�_S.!? O:';r: P,
ADn" __cL"1 !_sCS_J ��tlL JOZ WORK ADOPCSS Ilj
pr{f1NE ` 3 _c7(/I
APPLICANT�t1J1
Hea: Inpu; Raving (BTU Per Naur) U_ Vent Size _ Flue Size_ —
FUEL OIL GAS Sl ELECT [] OTHER
ITEM NO. FEE ITEM NO. FE
For Issuance rms _ Cts _T _Air Condition_Compressor 15 to a0 HP� or pe � --�—w ^ -----_ 10.c
New Under 100,000 ETU 5.00 Air Handling 10,000 CFhi 3.0
Air Hand1hi9 Over 10,000CF
f�4w 100,000 9TU & over ~_'A _ er ' M -
�__ --- ---_ _ _ 5.C
Flo_or Furnas' CoolerV ( 3.0
Wall - Floor ` Sespencled _ _ _4.00 _ Flange Vent Fany_�_.__
Install Vents Ong, _�:_ -T__ _V__ -� _ x,00- —Ven'. System
Retiair • Hcat i3 Cooling TW �} _ + — 3 C
_ _ r4.U0^ Hood Commercial
_Air Condition _Compressor Und:;r 3 HP _�_ - 4.00 - - �_Comm_rcia! Duct System
Con?r,ion Comprc,, .r ?.0 15 HP -�---7.50 �..`_ 10vC
• _. _
p r r
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB CONTRACTORS
j APPROVED BY— _..___ .------- DATE ISSUE[) BYDATE
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