Loading...
10805 SW SUMMER LAKE DRIVE i SW SUMNER LAKE DRIVE F � cr- LJ H C3 W Y Cr lil ZD U) 3 M n 0 CO I I CITY OF TIGARD BLDG. DEPT. 12420 S.W. MAIN STREET TIGARD OREGON 91223 PHONE 639.4171 CONTRACTOR: Pursuant to Section(s) of the Uniform Building Code, the following item(s)/require correcting: 7ate:-.3 - ' Permit No._ — ..__ Inspect©f� -- CALL ►r=OR REINSPECTION W W W N F I W i CITY OF TIGARD BLDG. DEPT. 12420 S.W. MAIN STREET TIGARD, OREGON 97223 PHONE 639.4171 CONTRACTOR: Pursuant to Section(s) of the Uniform Building Code, the following item(s) require correcting: late:_ /l- Permit Inspector":_-,-�W CALL FOR REINSPECTION C. t L 7j: f I I c, d 46D 11 Nz!w InsAM91;4 on :!ion 3%Slat t CONrRACTOR \ A00RESS U—) J1 (-1 WORK ADDRESS l � V APPLICANT -Heat Inpu. Razing (STUPer Kour)__ Vent Site -Flue Size_ FUEL OIL (;ASgr EI-ECT 1:3 ITEM NO. FEE, ITEM NO. FE For Issuance 0 -P—,.rrmltAir Condition Compressor 15 to 30 pp 10.( Nevv . Un:Je. 100,007 361 — G4.0 Air Handling 10,000N New 100,0_0-0STU & over "Air Handling Over 10.00C CFM 4.00 Evaparativi Cooler Wall .-Floo, Rang% Vent Fan 2.( Imiall Vents 01.,Iy- 2.00 Ven:System gi�lai. - mca Hood Commercial Coci F1111 3 ( ppes�or Under 3 HP Commercia!Duc-.—syslcm —0 ( Air Condliion CO 4.00 T .iwco;:;,JoTn ompics-sot 3 to 15 HP I.so INSPECTOFCS C01MMENTS CITY BUSINESS LICENSE SEOUIRED FOR ALL CONTRACTORS (in SUB CONTRACTUris APPROVED PY [)ATE ISSUED BY [)AT,-" utw Xw r / -., .. _,rvr-,.•. _..rri'---ar-.... :"; -_..... .. .. ._..,.,.. ..,..:.., 9Y'P�.yab.�SR^?:Y'v....17p1•.Y.-" py PT•hpt... .- .. .yy -...,... .. _� „,' 0 BUILDING PERMIT APPLICATION CI Y TIGARD DATE ___ �_• 19 ___' THE UNDERSIGNED HEHEBY APPLIES FOR APERMI-I FOR THE WORK HEREIN INDICATED BOILVER PHONE OR AS SHOWN AND APPROVED IN !HE ACCOMPANYING PLANS AND SPECIFICIATION;. OWNER PHONE �--_.— LOT NOt .��_ OWNERJOB ADDRESSmUj ?w Stimmor laky 4110ME ADDRESS 'T I brS Sc.✓. s+.�hm��IL i� Y'7.ARCHITEC ENGINEER BUILDER ftp ADDRESS j I' DESIGNER STRUCTURE ❑NEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑LEMOLITION 0RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV`T ❑RELIGIOu.❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB []FENCE []BOND ❑MOVING []CONDITIONAL.USE ❑DESIGN REVIEW ❑COUNCIL APPROVED OSIGNS OCCUPANCY—.'-' .LAND USE ZONE _BLDG.TYPE_ -FIREZONE— PLAN CHECK BYHEAT—__ ;Jo*Li.ULA MirIgIg famZly ciws1]inW w/atto(J10C 6ara 'JO- ;c TIOf,' 3KIT ATTALHEC)o _, _ 1�wrma* 20538 gar y . A mn,;£ Qcc. LOAD __�J.441�J.4:9�__�_ Hi�sI S ��4I�BiF __�`ARl A l�' 52.��.Q�4�MS YL{LUE_.----_-- - BUILDING DEPADtMENT3 .__._ SET BACKS FRONT 18REARn LEFT SIDE RIGHT SIDE - _ Permit 14b•���1 �iT 'rT—T?''1 a fill! , —_ THIS PERMIT IS ISSUED SUBJECT TO THE nEGULATIONS CONT.':INED IN THE nU1LDING CODE, ZONI Plan Check 74,00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE V.—WILL BE DONE IN ACCORDANCE WITH THE PIANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Subtotal 222.C)C! ALL APPL CABLE CODES AND ORDINANCES. THF ISSUANCE. OF THIS PERMIT DOFS NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax ,•J*92 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total X1227.92 5tCL -^ "UL .tJL.I By P1 POC 1'1 $100.00 APPLICANT OR AGENT Approved "FF Receipt No. OV DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor _-- - eJ,• Permit No• I -- i4d '?4 Rough-In -- - — _ Fixture Final /y-3-]Y r��l4%i )r�. f �L/� -___ HEATING N'9 G �rsw00�/t0✓o -� i ll Contractor _ -- - Permit Mo. '• 7� 7 l�-�f�-7�1 --- -- -- -------- Gas or Oil • Rough-in - - ---�� Final SEWER Final DRIVEWAY '- Final __-.._- -- --------.-_-- ----'-- Rto/1n Drainage - -Y -�-- -�--- --• (Rain Drain)Final Sidewalk - -- — Curb&Street Final _ - --I--L --.—_ ----- Approach - — M_DG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final CERTIFICATE OCCUPANCY - Landscaping Zoning Final BUILDING PLr IN11 APPLICA T ION CO y T IGARD UArE ���. �. ( &0 TNF UNDERSIGNED EIE.F'Ec;l APPLIES FOR Apui, 11 F FUFi THE wOF HEREIN OR AS SiIOWN AND APPROVE IN THE ACCOMPANYING P:.ANS AND Sil0F IC i110%', Wx r t), I' P', I I-Vl 1_rl ''L Ml tZ. A r.0 R C SS Ii s\N1 1 1'�atn. �A.r� / U�1`i• E� r STRUCTURE .i:W P: •.W)E L CIADDITION ��r r':• R �_I i .i 1'::,i �iESIVENC.E r .!r,'.� FT-P CATIC!'IAL Ucovi URELIGIOU', t c IJ,%.ai it ( .JGAPAt;E `/ nn —.r.. .� _MEI-1 �^y i L�ardCr �.'�. r r OI.DG rtPE .-. -.. :.FIFIE ZONE _--- ?LAN CNE'C.►, n c4»,�l �. �1.�..v° Q. . . 4O EIEtCNT_--tj ..N Q. ..�_ AREA. II N e:,Cr^t.I 3G�hcv I' EACKS FRONT le HEAR I,Ff-I SIDE Q ,�'r Pl�;11 �.r„ I r PERM11 Ii I"SUED SLIRJECT TO THE REGULATIONS CCiI!►AIr:FU IN THE00 1 'LATIONS AND ALL APPLICABLE CODES AND 0F301E4A1V . CES AND IT IS ME=-3 eY tC•r..,rl`.I' 1 --- WILL BE O-ONE IN ACCORDANCE WITH THE PLANS AND SPECIrICA rlWis r IN :�-r•:'I:')Fi ;� �2.2 Q� APPLI�AEILE CODES AND ORDINANCES. THE ISSUANCE OF THIS Pti.•,'I I i4ICTIVE COVENANTS. CONTRACTOR ANO SU9 CCNTSACTOPS0 HAVE CUP.1 (J1' r �•<,. II �. 9 ENSF SEPARATE PERMITS REQUIRED FOR SFYVER, PIUWSINC AND HEATING. 7 u ' �7 ;r J,. �';•L��OvFG' Il e,pl No S LI E C� �Q FJ N FCT ION 5 5E WER _INSPECTION_�� SEWER...SLI F,CHARGE --E Q LavoK Ric AIL x i 1 lobos 5�') SUM...W- Lai %L/e? to x 31� .3#0 /2=8%tax 3Z 20 )c 4vo t) Z,, IIZG Z.. ` 36, a3Z. e '3' (.Zs fav �8G• BUILDING DEPAMMENT, TIGARD N° PLUMBING PL•RPA1T a holder of a valid plumbing contractors lirerise is hereby authorized to cause plumbing work as herein noted to be installed in accordance with the plumbing code of .i igard. 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 c ntract1orr and dssub•contractors. Job Owner! �.�J 1�_ .--- Address—A NUMBER Or: TOTAL —�� TYPE: OF FEPMIT —� ITEMS _ FEE ON EACH AMOUNT _ Sinja Family—I bath--each _ 25.00 Ou lax—Each 1 bath unit 25.00 �__�,_ —_ ► '' Auditional bathrooms—each �•1_ 10.00 klob16! H+nrne 5 17rn_n.1 INDIVIDUAL. FIxTURF8 COI�I�IE'tCTA Ito 50 Fixtures In 1 building—loch 3.00 ng7e —51 to 100 Fixtures In 1 hulldioch _ y2.50 _ ? 101 to 200 Fixtures in 1 building carp 2.00 + �' 201 c more Fixtures in 1 hulldin �oach 1.50___ KIISCELLANEOUS _Sower---each additional 100 ft. 10.00 -- water Service to building, _._ L 00 Other Li�ecifvl: �_ PERMIT For Plumbing Inspection Phone 639.4171 i _4— State Plumbing Contractor By tr4 _ TOTAL RFCEIPT NO. Issued By a