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BUILDING PERMIT APPLICATION TIGARD DATE�Pebrunry _tO ,19 4025
1'HE UNDI"IISIGNED HEREBY APPLIES FOR A PERMIT FUR'I HE VVORK HEREIN INDICATED BUILDER PHONE 744-4336
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICA EIONS. OWNER PHONE
LOT NO. '--Le;iwCha rota ea
OWNER Ja-)n i'. "„c6ohog JO ADDRESS 13340 S•bf„ 1A0Umhq Court_
gtlit�e 10x1) ARCHITECT
:arse• 10151 SW Sa>rbur Blvd. ENGINEER studio 5
BUILDER ADDRESS 10151
STRUCTURE D•NEW ( 1 REMODEL D ADDITION D REPAIR F1 RENEWAL ❑ FIRE DAMAGE D DEMO,_ITION
12VESIDENCE D COMM Li EDUCATIONAL D GOVT I I RELIGIOUS ❑ PATIO D CARPORT ❑ GARAGE D STORAGE ❑ SLAB❑ FENCE
OCCUPANCY "" LAND USE ZONE _BLDG.TYPE 5�?FIRE ZON PLAN CHECK BY ' HEAT t`
Conaatnirt single family dwelltri;; with attachad garage. -
!{caiRraur. of Permit 1x3919 114:)?.I) S.tl. 03rd Avenue) 2 bedroom
hath
SEWER PERNA IT# 23r' !. :;IilU.l"1U
OCC.LOAD FLOOR LOAD 4f.) HEIGHT
- --- NO.STORIES AREA NO.BEDROOMS VALUE' —---
BUILDING DEPARTMENT SETBACKS FRONT 20 REAR 75 LEFT SIDE_ RIGHT SIDE L0
Permits 2•5U THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
1SQti REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
.
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PIANS AND SPECIFICATIONS AND IN COMPLIANCE
Z5' $il) WITH ALL APPLICABLE CODES AND ORDINANCES- THE- ISSUANCE OF THIS PERMIT DOT-& NOT WAIVE
Subtotal • RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 7.1(?
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING ANC HEATING.
[y�� _
SDC- 'tiJil.l1U - '
Total 7.67.20
�ILah PDC# I 1(1).1)0 APiFGCANTC,I A_GE'NT-- - --
Receipt No. 10291' C-4 A - r` 'PHONE
DATE INSP. TYPE INSPECTION REMARKS
` -� PLUMBING DATE
Contractor f_ ell, _--
- Permit No. " -.�-
1 / Rough-in
Fixture
Final —"—
HEATING
Contractor
4t--f?Z Permit N S -- / G _x 5�y
Gas or Oil
Rough,in
-- --_---- ------ '- Final
-- - ---- - SEWER -
_ —�--- -- Final
_ —. --- -_-.� -- - DRIVEWAY
- ----. -- - - - Final
— ��— Storm Drainage
-- --- ---- -_� _—. �.-_-- -J (Rain Drain)Final
Sidewalk
Curb S Strar t Ffnal
Approach
BLDG. DEPT. FINAL --1 TEMPORARY CERTIPYCAVE OCCUPA Y Final _
:"C:RTIFICATE OCCUPANCY
Landscn,,ing
II Zoning Final
BUILDING PERMIT APPLICATION TIGARD 'JAT FAQ-_3�---_19-o-Z
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILD-_.'PHONF.�T`��O
')RAS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFI ATIONS. OWNER PHO;}'E _
_ �Q �fiti.�A��s�r , r-_ ,� LOT rJQ._.L"L.��-
OWNER�1, ,/N «i,08 ADDRESS p�I� _ LpIM, IE&
« S/O4-D ARCHITECT
Q Q��� ENGINEER
BUILDER G ADDRESS PA) ural btp!!t• DESIGNER g -r-
STRUCTURE NEW ❑ REMODEL ❑ ADDITION u REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
RES;DENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T Cl RELIGIOUS ❑ PP'10 ❑ CARPORT ❑ GARAGE ❑ STORA E ❑ ,SLAB❑ FENCE
OCCUPANCY _ LAND USE ZONE Af _BLDG.TYPE �V_FIRE ZONE � PLAN CHECK BY - HEAT— —
----� Ret"Y'fa df waa,- _ � Vie.:
01
SEWER PERMIT M +i
OCC.LOAD FLOOR LOAD�U HEIGHT �Z. NO.STORIES AREA 813 NO.BEDROOMS t- VALUE
BUILDINGDEPARTMENT SETBACKS FRONT 120 REAR �,'r LEFTSIDE 9 RIGHTSIDE /0
Permit 15 PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZOWNG
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check Il'• ted WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COmPLIANC:E
WITH ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
SL'rtotal - RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1 ,- D LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
.,Lite Tax \
'. SDC-
Total _ fly
--�— — PDGJI APPLICA'11TON AGENT
tlY
Receipt No.
Approved ADDRESS — PHONE
,rspoo cc #
SEWER CONNECTTON S ,_
SEWER INSPECTION
rSEWER SURCHARGE
A / 0
City ®$ Tigard Mechanical Permit NO.
f:e.v In--illation Replace U Relocation Add;Van Alteration DATE:
HEATING Imperial Mech. James McGehee Investments
CONTRACTOR _ OWNER
ADDRESS_ P..' Rox 06327/Portland 97206 - JOB ADDRESS 0360 5W Lamancha Ct.
PHONE
777--3801 APPLICANT.__ Imperial Mech.
. _ � --
Heat Input Ratiog(BTU per Hour) 4--D-,L1T ttmti Vent Site 411 _ Flue Size _ ;rte
FUEL OIL[] GAS L�dx ELECT OTHER
�Y ITEM r _ NO. FEE `ITEM NO. _FEE
For Is---nce of Permit SEE BELOW_ Each Air Handling Unit or Duct_System _ 7.50 _
New-up to & in -1. 100,000 BTU 6.00_ Commercial Hood System _ 7.550
New 100,000 E.'. T's & over 7.50 _Other Equipment • Eachv� 4.50
Woo0burning Store 4.50_ 1 Trip Inspection _4.50_
Wall-Floor. Suspended 6.00 Air Condition Compressor - up to& incl. 3 H.P. 6.00_
Vent System w/Fan 4.50 Air Condition Compressor-3.1 to 15. H.P.incl. 11.00_
^.Coir Float Cooling _ _ 600
CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS !
PERMIT ISSUANCE 1�/0.0�/0 Comments:
FEES
SUB-TOTAL O()
% STATE -� Issued Byf— w