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City of Tigard Mechanical Permit 3 8 3
I New Installation [] Replace Lj Relocation❑ Additi , C] Alteration C7`_) DATE:
HEATING
CONTRACTOR _ ,m,,� •,ft.�r OWN ER__ //� , r/�c>/s��
I .ADDRESS '- JOB .ADDRESS_l 3 70-G
FHO�lF 2- �� APPLICANT------ ----- - -- — -- -
Heat Input Rating(BTU per Hour) ___.__ vent Size._---__ . Flue S-ze —
FUEL OIL❑ GAS [] ELECT Q OTHER
W ITEM — NO. FEF. �! _ ITEM NO. FEE
For Issuance of Permit SEE BELOW Each Air Handlin± Unit or Duc+ System 7.50
New-up to & incl. 100,000 BTU --1 6.00 Commercial Hood System 7.50
New 100,000 B'JT's 6 over 7.50 _Other Equipment - Each 4.50
Woodburning Stove T+/i� 4; 4.50 1 Trip Inspection 4.50 _
Wall-Floor-_Suspended 6.00 Xr Condition Compressor • up to&incl.3 H.P. 6.00 i
Vent System w/Fan 4.50Air Condition Compressor•3.1 to 15.H.P.incl. 11.00
Repair Heat Cooling — - - - — —6.00 —
CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS ! !
PERMITISSUANCE 10.00 Comments: .....__
FEFS _ 56
Slld_TOTAL 0.52 ----— — ----- ('— — ` ----
% STATES
Issued
By
25%PLAN CHECK
TOTAL U REC.
Signature o'A—pdhice t
oIVIldtU10 U+ Amicant
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INSPECTION NOTICE �lrr
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection ._...— 'a '' i --
i
Date Requested _,� Ti 7 A.M. —P.M.
Address_ � T _ 9��,d[� — Permit
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Owner — Lot
Builder — -- ---------The following Building Code deficiencies are requirad to be corrected:
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Presented to -- AApprnyed
Inspector _ ❑ Disapproved
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CALL FOR REINSPECTION
YES C] I-m
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INSPECTION NOTICE
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City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
i
Type of Inspection ----
Date Requested
Time A.M. P.M.
Address _-43 7 d f v LV �- Permit #.S b E
Owner -
— -- Lot # ��'
Builder
The following Building Code deficiencies are required to be corrected:
Presented to pproved
Inspector ❑ Disapproved
Date
CALL FOR REINSPECTION
El YES O No
INSPECTION NOTICE
City of Tigard Building Departmen -
12420 S.W. Main St.
Tigard,Oregon 97223
! Phone: 639-4171
i
Typr: of Inspection —_
Data keq.ves+od �T� Time A.M. �P.M.
Address (,f-) I_ '?, i Permit z
Owner Lot #
E Builder
E The following Building Code deficiencies are required to be corrected:
1=- lit ---s oL_ -- ----- —
Presented to - �� Approved
i
Inspector H Disapproved
Date
CALL FOR REINSPECTION
❑ YES IZNO
sY
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BUILDING PERMIT APPLICATION TIGARD DATE �._ ?Lr r 4L ` ,I9. L' _ 5661
25.1-9084
THE UNDERSIGNED HEREBY APPLY:,FOR A PERMIT FOR 1 HE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO. 16' Ccft—gwa�ai rtea_d-
OWNEfa ;jet hur j, i=up JOB ADDRESS— 131_ U:iiu J'shUury. 'e aws
- 97230 ARCHITECT
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S�ti,AE! 136()5 HE sr,as�ee Lt. P DESIGNER
BUILDER _ ADDRESS
STRUCTURE JNEW ❑ REMODEL_ Cl ADDITION ❑ REPAIR ❑ RENEWAL O FIRE DAMAGE _O DEMO+.ITION
❑XRESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO Cl CARPORT ❑ GARAGE ❑ STORAGC ❑ SLAB El FENCE
OCCUPANCY K3 _LAND USE ZONE _�25 BLDG.TYPE 5h .FIRE ZONE_ PLAN CHECK BY Kit _HEAT mea
---- L�1,i r I:fl-�3ty(► ys ,ar"d.�4'�s��rrr�nd t �I��1 (1 l .�r�n L.ta �1�� �ach;�e. —,
SEWER PERMITM 2B ilfi _garage area 44() 2 bath -
OCC.LOAD FLOOR LOAD 4U HEIGHT 1496" NO.STORIES 1 _ AREA 1232 NO.BEDROOMS 2 VALUE `2,000
BUILDING DEPARTMENT SE7 BACKS FRONT _lV REAR 26 LEFT SIDE _ b RIGHT SIDE ('
2b0.-0U
PermitTHIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
1t31^�� REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HtREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PANS AND SPECIFICATIONS AND IN COMPLIANCE.
WITH AI-L APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total /6.85 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
11.'Na - , k.e.;_)W.t)"�
SDC— 500.UU ,
To,'il PDC#1 150.0U APPLIGANrORAQENT u
By
Receipt No. j ---- / -
Ap�,roved 1S(:k ADORE88 PHONE
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DATE INSP. TYPE INSPECTION REMARKS
/ -- _-- PLUMBING DATE
�Q 29 Contractor
_ - Permit No.
_.-_.i.,15--y
7_. -
!� Rough•in
Fixture
CJI ^` sinal - --
/�f�z — -k) HEATINa --
Parmit No.
Gas or 011
-
Rough-in
--___- - ------ �- ---- Final --- -�-
SEWER - ---
_- -- - - -_ Flm I---
- - _. - -- --- --'DRIVEWAY -
-- ------ Final - -
Y- Storm Drainage
-- - _ (Rain Orsini Final
— --� Sidewalk
Curb&Street Final
Approach --.-._-
BL Ur:. DEPT J•,WAI• TEMPORARY CERTIFICATE OCCU1 ANCY
r.CRTIVICATE OCCUPAI C \ Final
p �I n��DiO Landscaping
V"U G
Zonlnk Final