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BUILDII:,', PERMIT APPLICATION TIGARD DATE_ _,te_:i�_ 3315
THF UNDERSIGNED H` 'IEHY Ar'r'LIE,'FOR A PERMIT FOR 1 HE WORK HEREIN iNDICATED BUILDER PHOh.E C7�9��g510
OR AS Sh OWN AND APPHOb FD iN THF-ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHOHl._.�-
LOT N0. —LAuna
OWNER Tom Mi11t,T JOBADDRESS .4985 SIJ Leslie curt _ Park
-- - - 14800 ARCHITECT ^�
E 2INEER
BUILDER same ADDRESS 19IIR®x 51,1 92.,d DI SIGNER
STRUCTURE A NEW L REMODEL ❑ ADDI-BION ❑ r1EPAIR 11 RENEWAL ❑ FIRE LAMAGE ❑ DEMOLITION
XXRESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS U PATIO ❑ CARPORT O GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _P 3__.LAND USE ZONE _RQ'?--BLDG.TYPE _5N _FIRE ZONE---- PLAN CHECK BY __!LC r_HEAT
—�. Construct single fami.1 d-.ielliny-_w/ettaChed garage. —3 bedrooms 2 Baths.
SEWER PERMIT#21909 =
mWAR
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
-�^ Contractor
"��", Permit No.
0 O_Ic _ Rough-in
Fixture
4-Ile -�L_-------------- -- ----
Final
HEhTiNG
.r Contractor 1
Permit No. _,76 Jg
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
—' (Rain Drain)Final
Sidewalk
— ' Curb&Street Final
• —__e _ — Approach
OLDS.DEPT.PINAL TEMPORARY CERTIFICATE OCCU7NCY
CERTIFICATE OCCUPANCY h Final
,---
I l_andsraning
II
i Zoning Final i
+� ra wr I� s e•
7.
BUILDING PERMIT APPLICATION DATE_-� _�L__., e
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR TIME WORK HEREIN INDICATED B'IILDER PHONE `/7Jb
OR AS,HOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPFrAPICATIONS. OWNER PHONE
L\�T NO.
JOB.ADDRESS --
ARCHITECT
S
BUILDER AQDRESS ENGINEER Ar,� --�� ��"� DESIGNER _ � --------
STRUCTURE ❑ NEW v ❑ REMODEL - ❑ ADDIT'ICN ❑ REPAIR - ❑ RENEWAL_ ❑ FIRE DAMAGE LI DEMOLITION
0 RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELAGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE G STORAGE ❑ SLAB❑ FENCE
OCCUPANCY LAND USE ZONE _ BLDG.TYPE FIREZQRE=,•=_PLAN CHECK BY • HEAT_ �
SEWER PERMIT q
:..GC.LOAD FLOOR LOAD PlEIGHT _NO.STORIES AFL:, I(0(0 NO.BEDROOMS
r— sl III T)INC,DEPARTMENT SETBACKS FRONT �_ REAR LEFTSICE RIGHTSIDE
Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZON!Nu
REGULATIONS AND ALL .APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED ;HAT THE
Plan-Check _ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
M'IT'H ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sut-total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTONS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PLRMITS REQUIRED FOR SEWER,PLUMBING AND HEATING-
)tate Tax
SOC—
Total
PDC# APPLICANT OR AGEN 1 - -- - ----- --- �-
By
Receipt No.
Approved ADDRESS _—��_.�_— --- --.--_-'-- PHONE--- '---
SDC
PDC S �
SEWER CONNECTION $
SEWER INSPECTION $
SEWER SURCHARGE $
CaTments : ��I�,k'- -7-24 C/O 7-90 J, G . Phi__ Sri Ins 4floe o )
r■
C7 �
ea ea ea � .� ssi
Cit of Tigard Mecl�w ical Permit NT Permit._- _
J Er-'Replace
�,I/ i7 Fee �j.
New Installation l✓_ Replace ❑ Relocation ❑ Addition ❑ Alteration ❑ 4% State__
_
TOTAL ��'
HEATING 9 J
CONTRACTOR 1u OWNER
ADDRESS' -� LC� WOR DRESS
PH EAP PLICANT ztc—•ti
Heat nput Rating (BTU Si:_e _ Flue Size_
FUEL OIL ❑ GAS ❑ ELECT Cl OTHER _
i
ITEM NO. FEE ITEM NO. FEE
For Issuance of Permit SEE ABOVE _ Air Condition Compressor 15 to 30HP _ 10.00
_New-up to & inc1.100s000 BTU 4.00_ Pir Handling 10,000 CFM — ~^ 3.00
PJe�rr_100 p 001 BTU's & over _5.00 Air Handling Over 10 000 CFM 5.00
Floor Furnace;_ v—� 4.0_0 _ _Evaporative Cooler _ _ 3.00 •
01all • Floor -Suspended _4.00 Range Vent Fan _ 2.00
Instsll Vents Only _ 2.00_ Vent System _ 3.00 '
_ _
Repair-HT at_&_Cooling _4.00 Hood Commercial
_Air Condition Compressor Under 3 HP _4.00 Commercial Duct System 10.00
'kir Condition Compressor 3 to 15 HP 7.50—
MSPEC-I OR'S COMMENTS
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS
APPROVED BY _ DATE _ ISSUED eYDATE
RECEIPT NO. _
71`4 Signature of Applicant _