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City of Tigard Mechanical Permit ! �- 3 888
New Installation ❑ Replace ❑ Relocation Cj Addition ❑ Alteration d DATE: j Z 30
HEATING
CONTRACTOR _ OWNER—er— LCjanL�/G�
ADDRESS---------------- JOB ADDRESS �✓[�� __i �.`>U/�>?
PHONE _ APPLICANT
Heat Input Rating'BTU per Hour) Vent Size Flue Size_
FUEL OIL❑ GAS ❑ ELECT ❑ OTHER
ITEM NO. FEE ITEM NO, FEE
For Issuance of Permit _ SEE BELOW Each Air Handling Unit or DuctSystem __ _ 7.50
New•up to & incl. 100,000 BTU 6.Ge. Commercial Hood System 7.50
New 100.000 BUT's & over 7.60 Other Equipment - Each 4.50
WoodburningStove Y/�_t•,A�el' „ire I 4.50 1 Trip Inspection 4.50
Well-Floor- Suspended 6.00 Air Condition Compressor - up to& Incl.3 H.P. 6.00
Vent Svstem w/Fan _,� 4_50— Air Condition Compressor•3.1 to 15.H.P.incl. 11.00
AeEair Heat Cooling 6.00
CITY BUSINESS LICENSE REQUIRED BY A_L CONTRACTORS OR SUB—CONTRACTORS! !
PERMIT ISSUANCE 10.00 Comments:
FEES __— -- ,� /r..LLL�• r=�C' ------ —
SUB-TOTAL
% STATE Sb Issued By
25%PLAN CHECK
TOTAL Is• 0PIEC. M
Signature of Applicant a
INSPECTION NOTICE
City of Tigard Building DepF,tment
12420 S.W. Main S...
Tigard,Oregon 97223
Phone. 639-4171
Type of Inspection
?� U
Date Requested�� _ Time A.M. -P.M.
Address �- 7�
� �0 �ls.d.6e�'G G�2_' Permit
Owner A-/ Lot #_
C '
Builder
The following Building Ce ie deficiencies are required to be corrected:
Presented to �'l�pproved
Inspector 2Tl.r.. ___ ❑ Disapproved
Date --
CALL FOR REINSPECTION
❑ VES LA NO
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,DJ3 14/i9.4-p INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection J_
Date Requested __/Z '� 7 � Time--- A.M.--P.M.
Address 1 -3 n •� .^� _— Permit #.�
Owner_ _ Lot #- _
Builder
The following Building Code deficiencies are required to be corrected:
Presented to p-6-proved
Inspector ( jv✓ Q�r_����., [� Disapproved
CALL FOR REINSPECTION
0 YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested Time XIVI. ---P.M.
Address Permit
OwnerLot
Builder
U
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector El Dimpproved
Date
CALL FOR REINSPECTION
YES It NO
BUILDING PERMIT APPLICATION TIGARD DATE 9/2: _ _ , 561,4
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE _ yu-13/il
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PHONE_
LOI N0. 42
OWNER .1e8td41C Caaetx. JOB ADDRESS 1362U SW Ashbury Lane Cotswald
eortland, UMC ''''' '. ARCHITECT
BUILDER u ADDRESS K I85 SW 68th _DESIIGNER
STRUCTURE EX NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
EICRESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB[-1 FENCE
OCCUPANCY _LAND USE ZONE 9-25 BLDG.TYPE Sr!I FIRE 20NE PLAN CHECK BY�1iCk HEAT t,aa
Construct Singlu FAmily Uwelling W/attached ;,arage
SUbject to &J6f,.U0 Amart/Wedii;woud $ i5U.U0 Lenon ifeigbt Sewer SurcllarKe
SEWERPERMITN 1b561
OCC.LOAD FLOOR LOAD 4U HEIGHT 2 1 NO.STORIES_ 2 AREA 1528 NO.BEDROOMS 3 VALUE 4S6,M)
BUILDING DEPARTMENT SETBACKS FRONT 20 REAR 34 LEFT SIDE 0 RIGHT SIDE 6
Permit 3U s.UU THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 195.6.`). WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALI. APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal _ 46.65 RESTRICTIVE COVENANTS. CONTRACTOR AND SIIB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
12.04 LICENSE,,S�PARATE PERMITS REO11111ED FOR SEWER.PLUMBING AND HEATING.
State Tax GLI.
SUts.69 SDC—
Total
3-2
Pr)CM 1 'r' I SU•UUBy APPLICANT OR AGENT
By
Approved — i--— Receipt No. ADDREN
ONS
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
G� ., c•lin�L� -- - - -- -
Contractor
L �? -�S•
Permit No. 3
1014-
' ^ -- -- Fixture w
Final
HEATING
Contractor
w r -� Permit No.
Gas or Oil
--- ------ Rnugh•in
— --� — '- Final
- — SEWER
---- ------- Final 0 1 /p
- ---- DRIVEWAY
Final
Storm Drsinage
(Rain Drain)Final
Sidewalk _
r�,ro✓L Stant Final
Approach +"1
BLDG.DEPT.rINAL TEMPORARY CERTIFICATE OCCUPANCY 1 Fi,+al
CERT!FICATE O f::UPANCY
Landscaping
1VVV11 \r )
Zoning Final
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