11580 SW CLOUD COURT-1 S
Ul
E
n
N
C
CL
0
c
rr
I
w
yak
7
s
4
Y�
4
11580 SW CLOUD COURT
ELAPRA
CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE 639.4171
CONTRACTOR:
Pursuant to Section(s) of the Uniform Building Code, the
following item(s) require correcting
Date: --�--_ _�;'` Permit �o.-----_---------
Inspector .,
CALL FOR REINSPECTION
CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD, OREGON :97223
PHONE 639.4171
CONTRACTOR:
Pursuant to Section(s) of the Uniform Building Code, the
following item(s) require correcting �[
date:_ -•��-� _- _- P,4rmit No.
Inspector�
CALL FOR REINSPECTION
i
CITY OF TIGARD BLDG. DEPT.
124,'9'0 S.W. MAIN STREET
I IGARD, OREGON 97223
'PHONE 639.4171
CONTRAC703:
Pursuant to SectionM c ;.he Uniform Building Code, the
following item(s) require -x)rrectiin :
Date: Permit
Inspector
CALL FOR REINSPECTION
CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE 639.4171
CONTRACTOR:
Pursuant to Section(s) of the Uniform BLOIding Code, the
following itern(s) require correcting:
ZZ.:
02.d-
'e"r,
Date:: Permit No.
Inspector
CALL FOR RENSPECTION
A0DRES5 c5 PERMIT NO. 1750
PERMIT CHARGE none
pWN,ER ���'� J
CONNECTION FEE
PAID BY
TYPE OF BUILDING DATE CONNECTED
SERVICE RATE INSPECTION FEE � •
COhiRACTOR PAID BY DATE
SIZE OF MIJINECTION ASSESSMENT PAID
-7 ? 0 - 30
CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE 639.4171
CONTRACTOR:
Pursuant to Section(s) of the Uniform Building Code, the
following item(s) require correcting:
/ < S
)ate:_f.�' :-' Permit No.
Inspector
CALL FOR REINSPECTION
CITY OF TIGARD BLDG. DEPT,
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE 639.4171
CONTRACTOR:
Pursuant to Section(s) of the Uniform 131jilding rode, the
following item(s) require correcting:
-)ate: Permit
Inspector
CALL FOR REINSPECTION
a
L r
[ a�
a� r +' aCi `- a0
y U
a a7
p . m -d
4f +J
0 �d
L6
c X)
v
� t
fn
u O u s «.
y O ,}_+ O r N o fo of N IN o o ui o _ -do
p
~ V w A d�
H m u �, w E
o Hoa LL m
LZ W y O O c L a —
l.R _ YI LL
p a
U > m O
w i41 -5 ` v
O �'
I c _u LU z Q
1 cr a v
3 , 41 s
.3 a) G w d
c' cr
'� o
W I �
; .E .�' W W 'L7 p
rc
cLL y .0 y .-- .- C „�- u
N
C I tI r c r. c CQ N uld WR C d 7 OV LL
% - _ L nO O r . M X KSCr"I
'�•
y
�+ _ : {
N o g Q �{ $ m e
am u` U LL j' o x O tv E r N fn 3 fn F_ A
c n O — ` o
L i0 C — n v > o V S cr y H
-C mD in c7 V t7 7 ma W d
LO
1
10/23/10/23/
BUILDING PERMIT APPLICATION of CITY TIGARD DATE____ 19i___
THE UNDERSIGNED HEREBY APP[ ESPFOR APE RM I T FOR THE WORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHON4 _
1 LOT NO.___-1
OWNER !11l.1ard3 111IJ, JOB A_DDRESSy.�J��� J�k� ( •4 d CUUrt HOME AUf)RESS
ARCHITECT
ENGINEER
BUILDER _ADDRESS DESIGNER
STRUCTURE_ ANEW ❑RFMIIDEL ❑ADDITION �- ❑REPAIRr, ORENF.WAL. ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCAT IONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT UGARAGE [3rr��STORAGE LISL_AB f,FENCE
❑BOND ❑MOV ING ❑CONDITIONAL USE ❑DESIGN REVIEW OCOUNCIL APPROVED ❑SIGNS
OCGUPANCYLAND USE ZONE " BLDG.TYPE _FIRE ZONE PLAN CHECK 8Y ET�d HEAT.
t;
Lian.atruct #*tidos family (iwalliny w etteched garage, 4 13edroul') - 3 Z bath,
-- -- py-Iseue of Permit ,,�22V _Lot 3
UL.c-,_LQALZ____,._—F1,.P48._LQA_R 0 HEMI Lz1 ____NQ STORIES_ � ARE
J t I�Q_@. _2EQQM — ---vf�LL I�(.--�0 00•
BUILDING DEPARTMENT SET BACKS FRONT 30 REAR 20* LEFT SIDE 14 RIGHT SIDE 26
Permit $207,00
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
P!an Check 10000 REGUI.ATIONS AND ALL APPL ICABL E CODES AND ORDINANCES, AND IT IS HE9ERY AGREED THAT THE
WORK WILL BF DONE IN ACCORDAN('.F WITH THE PLAN'AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sol)-total 217,00 AU, APPLICABLE CODES AND ORDINANCES THE ISSI)ANCE OF THIS PERMCT DOES NOT WAIVE
-�-�-- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINFSS
State Tax4 a.�kl LICF ISF. SEPARATE P OMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total $22.b*2U IIui. ;, l .w X100.( r
By Pl APPI.WANT OR AGFNI
Approved C . Walden Receipt No. ! I
r
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
f Contractor
Permit No. Lff:7
'
Rough-in 3 9
3-7 7Q Fixture
Final
�_�•_„ , HEATING
Contractor
Permit No.
Gas or Oil
Roughdn
Final
SEWER
Final p
DRIVEWAY
Final
Stam Drainage
(Rein Drain)Final
Sidewel k
Curb&Street Final
Approach
BLDG. DEPT.FINAL TItMPORARY CERTIFICATE OCCUPAN':Y Final
CERTIFICATE OCCUPANCY
Landscapirg
Zoning Final
�.�._.._.�...:_.:....._ �_.__��Y";'"y.--.r-.7.»1:J4'K!!-�!X�'n-k•'S�.::��j�''.,,:�:"R�A.:-x l7.,n•;•....a- .... s,,.. / 3. �� _. -._ .. •.... ...
of icla d Pa.mit � _ . e
F
r Nev: Instet:ation Realace I ) Rcl: 4ation l_J lucid tion L� AltEration J IG "�`>L State
J OTAL���--_�
• r
CO?:TRACT OR -_�. . C,/ _ f��"�NER G_ _ - �=� �Z
ADr)RLSS_-__./,& � L�/y �cL I —, WORK ADDRE5S_LL�"
PHONE APPLICANT_
Heat Input Rating (BTU Per Hour) J� & �___—_---- Vent Size __--- _.._..__.__.._� Flue Size_________..-___
—.
FUEL OIL J GAS ELECT ❑ OTHER--_.—__-,__------.!__-
ITEM NO. FEE ITEM NO. F�
For Iv-uance o!Permr•: _ T 3 00 Air Conuition Cur-pressor 15 to 30 HP 10.1
New• Under 100000 BTU A,r iionJlmc; 10,000 CFM 3.
New• 100,000 BTU & ov,^.r 5.UU --Air Handlmy Over 10,000 CFM 5
Floor Furnace 4.00 EYa;1U1ativeCooler 3(
--.
1Na11 • Floor Suspended 4.00 RanUt Vc nt F an w 2.
Install VCnts OnIY 7.OU Vent Sy -.vm
Repeir Heal & Cor
4.0(r Hnnc{ Cnnu rcrridl 3
Air Condition Compres,,o• Under 3 HP
�%ir Condition Compremr 3 to IS HF' _ — I 4.00 V Commercial Duc St cern 10
- _------ - -- 1 _ _- ---- _ ---
7.50
INSPECTOR'S COR1MfNTS---._._-_-- -- ------v_._ _ _----- ._—
CITY BUSINESS LICENSE REOUIHLD FOR ALL CONTRACIOHS OR SUB CONTRACTORS
APPROVED BY._.- - -_ -- — DATE . - - - ---- ISSULD BY ---- - --------- DATE . -
RECEIP'i NO...- --- --- -
i
a