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CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE 639.4171
CONTRACTOR:
Pursuant to Sectio: ;s) of the Uniform Building Code, the
following item(s) require correcting:
------���✓� t -��----may___-r=� ''` � ----
OF' 'AEA/'�i �c.IO�L.dla-Z$�45��c7✓�iQ
t%LA &AIQZ pit /3 CA 9y '
Jrc as vair no a E
Date:_ _._,-..,---Permit No..__
Inspector
CALL FOR RE 14SPECTION
CITE' OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD. OREGON 97223
PHONE 639.4171
CONTRACTOR:
Pursuant to Section(s) of the Uniform Building Code, the
following item(s) require correcting:
Date: .....
� -
,2� Permit No.
—
Inspector
CALL FOR REINSPECTION
1 Of Y;bard Mfrsk*kt •��Ilr 1VTo� Pr2rmit _QO
NewInstallation--d Replace ❑ Relocation ❑ Addition ❑ Alteration ❑ 4%State. ?
HLATING TOTAL._.--.._„r'�. _
CON TRACTOR (� _ OWNER 0-k f_-- i
PHONE
,
E SS- -ALL604ORK ADDRESS
PHON
____ t ---•_---__ _-______ APPLICANT_
le3t Input Rating (BTU Per Hour)-----,— Vent Size -� - ---
•
FUEL OIL ❑ GAS `4' ELECT ❑ OTHER Flue Size_ -
ITEM \ N0. FEE ITEM �I
_ NO. FEE
For Iss.rance of Permit F$>Ft--45
- - --- - --- -
_ Air Condition Compressor 15 to 30 HP
New-u_p__to h incl. 0� 00 BT(1 -- �00,001 $TU s & over0 _ it Handling 10,00_0 CFM_ �_` 3.00
_ _ H- _.0 --
A r Hand'inq 0vr'r 10 000 CFt� 5.0't
4.00 ori
tic Crxil ., ��
ti�lall Flor, Susnandad ;AO Range Vent Fan - ---- -- -_--
istall Vents Only - —•-"-- - -- - - - - ------ ---- - - 2.00 �.
2.00 Vent System 3,00
itr!Pair^HI & f:ooling_ "- -4.00 - . ._Hood Comrn __.
_ . -. .
3.00
�� = Conc.litic,n Compressor Under 3 HP- �-- -- --
- __- ..__-.. ___ Commercial- - -- ----- ---- ---- - - - - -
Air Condit'on Compressor to 15 FIP - ___ Uura-Systcrn -T_- 10.00
.�� -- 7.50 -- _
INSPECTOR'S COMMENTS
CITY BUSINESS LICENSF REQUIRED FOR ALL CONTRACTORS OR EUB CONTRACTORS
API•'HOVED BY -- DATE -__ ISSUED BY
--- --- DATE
RECEIPT NO. -
Signature of Applicant
BUILDING DEPARTMENT, TIGARU Nn
PLUMBING PERMIT
AZA-, holder of a valid plumbing contractors license is hereby
authorized to copse plumbing work as herein noted to be installed in accordance with the plumbing code of
Tigard. Such instdilation; require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business Licanse required
for all contractors and sub
�-contract_or�s. Job
OAddress esS 4=1tatc.�0
NUMBER OP TOTAL i
TYPE OF PERMIT - ITEMS FEE ON EACH AMOUNT ` �,
__§1n2!e Fam1 bath--each 25.00
ll �:r:E
al._._�.r- 1
Du lax -Each 1 bath unit25.00
Additional bathrooms-each _ 10.00 -
Prlghil }r nr, ctn, retch 15.Q0
-INDIVIDUAL FIXTURES
_ 1 to 50 Fixtures in 1 buildir;,-each _ _ 3.00 i♦
61 to 100 Fixtures in 1 building-each _ _ -_ wi-50�_.__
101 to 200 Fixtures In 1 buieach 2.00 _
20_1 or more Fixtures in-1 building-each _- +_ 1.50_ — _-
hi I S C E L L A N E O U S�_
_ Sewer -each additional 100 ft. _ 10.00
Water Service to building..____._'___-_. -` +_+ _-_ 15.00
_ Other (ipaCity):
PERMIT For Plumbing Inspection Phone 639-4171
__Ay.j§
tate,State Plumbing Contractor By
TOTAL RECEIPT NO. Issued By
:•vn:'.. .'1sit.,:,�K.., .ncw�4M+i�9a ,(a„Yd,
BUILDING PERMIT APPLICATION 11 Y TIGARD DATE
THE UNEERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PFyONE .—._..
LOT NO,
OWNER Irt Lutzat J''• JOB ADDRESS-7,
1.k:,.L'�l r d •HOME ADDRESS
'7/ -7, v[.�1✓ cici -I ARCHITECT ^'--
kTUILDER someADDRESSw rte_ �TO�"11• ENGINEER
_DLSIC-N:
STRUCTURE ❑NEW —❑Rf MrIpEL ❑ADDITION ❑REPAIR ❑RENEWAL OF IRE DAMAGE ❑DEMOLITION
Q RESIDENCE ❑COMM ❑E.DUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ]GARAGE ❑STORAGE❑SLALT ❑FENCE
❑BOND _❑MOVLNG _ ❑CONDITIONAL USF. ❑DESIGN REVIEW ❑COUNCu APPROVED —� 0SIGN5ij
i�
OCCUPANCY_. _`LAND USE ZONE BLDG.i'YPE_ FIRE ZONE PLAN CHECr, BY HEAT
singi,® family ig ai.ling w/ettsrhec gerege. 2 Bedrw,mL -- ratt 1�.
--- r w-I s sue of Permit 2400 (106thi 31,1 ;jummlar Lake —
iewur Pvxrnit ,'tyA♦ - i7' ).00 ---
-AA _393 ;---- —
Arsipa 42Lrr� f t_
OCA LQ�3U_ 4 13 � � 11211-,
-FLOQAL_ OAJ� —_ HEIGHT NQ�$IQH�� _AR A—_ -- N4.BE�_RQOMS u
BUILDING DEPf.RTMENT tS y
SE7 CKS FROp4T EAR LEF IDE RIGH SI E
Permit x148.Cl0 "* #z > - - zr --r;- - � _
THIS PERMIT IS ISSUFD SUBJECT TO THE 9EGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 10.Q1 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREE? TNA i THE
E IN
Subtotal 1 E3.001 ALL APPLICABLEIL FIF NCO S(CANDANCE WITH ORDINANCESE THENISSUANCECOFCTHIS P RMIIND TNDOESPLNOTCWAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURR
State Tax _ x•92 LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING. ENT CITY BUSINESS
Total iu .91 •#UC " i'04UUs010
By pi
PUC #1 11 tic*tic)
APProved gPtil_ICANT OR
I la
Ul:H Receipt No �
D/Tr. INSP. TYPS INSPECTION REMARKS PLUMOING DATE
Contactor
Permit No. Clio a 1
// '','r.-• �'+(�� /r� OC Rough-in —
f Fixture ---
��A� Final —
II •i4P wAll OK — HEATING
AIC Contractor
;L 7 J 0 rA L --- Permit No. 1617s— Y /0 .29-Z I,
Cas or Oil
Rough-in
Final
SEWER
Final / 7 7 7
-� DRIVEWAY
_---. Final
Stone Drainage
(Rain Dreinl Final
Sidm Ik
Curb 6 Street Final
Approach
13LDG. DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY FinN
CERTIFICATE OCCUPANCY r(�`�/ —
Landscaping
Zoning Final