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CI l" Gf T ioa d Met jhati cal Per.nit `\9 Permit_
Fee _ 1411A
Ne��• Ins;l+llation 'Y Re:r•ace l3 Relocation ❑ Addition ^1 A
I;eraiion F-139'.State
T O T A L-..-,3•Q_.__
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'CO`:TRACTOR �errt,►2� 't'"urr:��>`r
ApnRESS WORK ADDRESS jaj.:,.�. 1W.._ LLou f1 _T.
PHONE (o - �2G, APPLICANT
- Heat Input Rating (BTU Per____
5
Hour) 1a Vent Size
,.1 FUEL OIL tJ GAS fGf ELECT ❑
OPER
_.-------- — ---
t..
ITEM NO. FEE ITEM NO. FE
3.00 -Air Condition Compressor 15 to 30 HP � 10•t
For Issuance o., Permit
New• Under 100,000 FSTU 4.00 Air Hanjling 10,000 CFM 3.1
New- 100,000 BTU >y over 5.00 Air Handling Over 10,000 CFM 5•t
` Floor Furnace 4.00 Evaporative Cooler- --_` _
t4'all • Floor • Suspended _ 4.00 Range Vent Fan-` 2 t
- Install Vents Only 2.00 Ven; System _ - _ _ 3
Repair • Heat & Cooling _ _ 4.00 Hood Commercial-------- �3'
j _Air Condition Compressor Under 3 HP j— - Commercial_.00 Comcial Ouc; Sys;em
Air Condition Compressor 3 to 15 HP - 7.50
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INSPECTOi.'S CONIXENTS_-.__
CIrY BIjS{NESS LICENSE REOUIRED FOR ALL CONTRACTORS OR 508 CONTRACTC'i
F DATE ISSUED gx. ATE
APPRO', D BY_.__ _ — - _._..- -
`.'t RECEIPT P'1
.frit .mrr..Arau.r■fr■
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JOHN E. REINNIta01 Plt!NBiNG, INC BVILDIt. V DEPARTMENT, TIGARD NO
P 0. 801 123 PLUMBING PERMIT i
NEW°EGG, LIF[GUy 91137 holder of a valid plumbing contractors license is hereby
authorized to ejuse pluming work as herein noted to be installed in accordance with the plumbing .:ode of
'Tigard. such installations require inspection by the City inspector who shail 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 contractors and sub-contractors.
Owner.. 116' _ _-- AddressDat(:—"7 � •�L
17N6 3 11 OF TOTAL PERMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT � (Office Usa Only)
Slr2L*_Femlly-1 beth each
I Ouplex_Each 1 beth unit t_ _ 25_(r_.
I Additlona. bathrooms-each _ 1C.90
Mnbila Home Spece_eoch _ _ 15.00
( INDIVIDUAL FIX LURE FEFS______,_
1 to 50 Fixtures In 1 buildiM-ear.ti _ 3.00
51 to 100 Fixtures in 1 building-each A 2.50
1o1 to 2o0 rixtures in 1 bullding-each 2.00
201 or more Fixtures In 1 building-each _ 1.50
�MISCELLAN_EOUS
Building Sewer-1st 50 ft. _ _ 10.00
Sewer—each additional 100 ft_ 10.00
Water Servics_to building — 5.0c
Private Water Syetems-ascf. 100 ft. _ 10.00
ther.Sp"Ifyi:
PSWIT Por Plumbing ln*wtion Phone 639-0191 d
% stateg IV Plumbing Contractor By l
OTA RECEIPT RECEIPT NO. Issued By
BUILDING PERMIT APPLICATION CITY OF
1TYOF TIGARD
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR 'IH',,- WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PIANS AND SI-r-CIFICATIONS. OWNE ;PHONE-----
LOT 1 10.
OWNER 16013 ADDRESS oud 17A. HOME ADD17tESS
AF"CHITECT
ADDRESS ENGINEER
!j'.L1f.0ER DIZSIGNER i41)k fillillf f ornah
STRUCTURE.— 04o RFMOOEL. 13 AODIT,ON OREPAIR [:]RENEW PL [:]FIRE DAMAGE [:IDEMOLI TION
OFIESIDENCE Ocwim 0IriLICATIONAL 0GOV'T ORELIGIOUSLIPATIO f,:ICARFIORT 013ARAGE OSTORAGE DStAB [JFENCE
OF3014D ❑mow-4c., ❑CON 0; ILNAL USE El DESIGN REVIEW EICOUNCIL APPROVED ElsiGNS
2CCjJPANC)L,=.
-ANIJ USE ZONE---,-,() —BLDG.TYPE ---'--.---,FIRE ZONL--- PLAN CIA E B HEAT
Curiet.-ij,A uLngle fealty dw6lLir�, W/fItLAIGP6L, �CI114668* I-iwaloome 84athe .
SHE CT ATTACHED,
40 4 21 u nn.
IT u"_u.LQRQOMS VALUE w'AREA
__!-ijI1J)ING D'iPARTMENT — SET BACKS FRONT PEAR LEFT SIDE 14 RIGHT SIDE 4L
Permit sH:,on
— THIS, PERM91 IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 127. n REGULATIONS AND ALL APPLICABLE CODES AND ORDINANrES, AND IT IS HEREBY AGqEED THAT THF
WORK l,'41LI BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN CCMPLIANCE WITH
Sub-total .31111. ALL APPI.ICABLIF CODES AND ORDINANCES. THE ISSUANCE OF THiS, PERMIT DOES NOT WAIT
RES IRICI iVF COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
Stpte Tax LICENSE. SEPARATE PERMITS REQUIRED FOR SEWF;, PLUMBING AND HEATING.
$39 2. 70
Total V 6!_ 1U(JI•410
By P4
APPLICANT OR ALIEN'
rorove Receil)t Nf) :)'I
DATE INSPT.YPE INSPECTION REMARKS PLUMBING - DATE
7-lo Jf r._� ----- — — ---- Contractor —_ -- —
Permit No.
�7
t7CT �1�ti '�-- Rough-in —
�' Fixture -
Final
A.E reJfal� � Akft - HEATING
Contractor
'n % F :r�,�. - -- -- --- Perv'tNo.
Gas or 011
----- -- --.. - - -Roughen �— - -
— — — Final
SEWER
--- Final g 023-pf
--- DRIVEWAY
Final
Stone Drainage
Inain Drain)Final
Sidesrelk
r Curb&Street Final
-- — -- —
Approach
O.DG4,DEPT.FINAL f TEMPORARY CERTIFICATEOCCt1�NCY Final `
ICErtTIFICATEOCCUPANCY -.,'I,�7el {�
�` Landscapi,,g
----� —�_ tonii,y Final _