13295 SW CHIMNEY RIDGE COURT w
N
10
Ul
Ln
E
n
F,.
9
CD
4Q
to
co
n
O
C
H
Cr'
I 1
IN.,.
{
i
i
1
13295 SW CHIM EY RIDGE COURT
L
INNIMUMMA
10,
BUILDING PERMIT APPLIC,aTION TIGAiR:) DATE_•�-__��__��g
THF.UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR ThE WORK HEHEIN INDICATED BUILDER PHONE/2' A3
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OV'4NLR PHONE
0:1 NEAlt /l�"02-v W- -0 ADDRESS1 • e ^ LOT
7` ARCV EE
ENGINEER
BUILDER /ILNt� AODF,ESSJ�Zv✓JYs'!�! U.DESIGNER
STRUCTURE 0 NEW ❑ REMODEL ADDITION ❑_ REPAIR ❑ RENEWAL ❑ FlRE DAMAGE ❑ DEMOLITION
RESIDENCE f; COMM Cl EDUCATIONAL ❑ GOV'T Cl r4,d,IGIOUS ❑ PATIO Cl CARPORT Cl GARAGE ❑ 5l OR GE (] SLAS❑ FENCE
B
Cy,G6PANCY —LANDUS-_ZCNE I&I BLDG.TYPE _ HEAT�.+��.
FIRE ZONE.--�PLAN CHECK BY
10 pot
SEWER PERM!T N
OCC.LOAD FLOOR LOAD HEIGHT �, NO.STORIES Z AREA 7� N0BEDROOMS VALUr C,
SUI&CINv DDEPARTMENT _ . -
--- — SET BACKS FRONT �-_ REAR — LEFT SICE RIGHT SIDE
Pormit �0_v THIS PERMIT IS ISSUED SUBJECT TO IHi: REGULATIONS CONTAINED IN THE BUILDING CGDE,ZOK:`b;
I r OQ REGULATIONS AND ALL APPLICA19LE CODES AND ORDINANCES, AND IT IS HERESY A.GREEL T;-',AT THt:
X'gv L
K WI'-L BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN CDbtPL1AIICE
Sub fetal �I.as RESTRICTIVE COVENANTS. CONTRACTOR ALL APPLICABLE CODES AND IAND SUB CONTNANCES. THE AACTOC i IE TO HAVE CURRENT F THIS PERMIT OCITY BUSINES Ncr iESS
State Tax
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUP,IBING AND rfEATITNG-
: ,��►
Total SBy C,C— ( r
nOCr v-�.icAri T OR AGENT -_
Approved � Re„eipt No. _ _ _ -_
,10t�FES9i 1�110NE
DC —
DC
'EWER CONNECTION 8
iF:WER IiNSPECTION
3E;JER SURCHARGE og
BUILDING DEPARTIV-,NT, TIGARD NO
MILWAUKIE PLUMBING PLUMBING PERMIT
P. 0. BOX 393 holder of a valid plumbing con tractors,11cense is hereby
authorize-sw rk as herein noted to be installed in accordance with tete plumbing code of
Tigard. Such installation!equire inspection' by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations are ready for i i�aection. City of Tigard Business License required
for all contractors and subcontractors. Job A7— /3
'/
Owner s� � "'�- -� 1lddressl, i3� €�� rates'_. 1'
NUMBER or. r TO'AC
TYPE OF PERMIT ITEMS FEF ON EACH APAQUNT
� gIDENTrAL — -
Sinaln Family—Lath-•each
Duplax—Each 1 bath unit _ 2S.00
Additional bathrooms—aach 10.00 00
Mobile Home Space—ee,sh 18.00 _
r,yDl IVIDUAL FIXE;IYREB COIYIi'�ERC Al _ _ ._.
(- 1 to 50 Fixtures In I building—each _9.00
61 to 100 Fixtures Ir 1 buildinS eech2•50
101 to 200 Fixtures it► 1 building—each 2.00
201 or more Fixtures in 1 building—each1 _ 11.60 _MiSCELLANEOU&_ —
Sewer—each additional 100 ft, 10.00
Water Service to building_____ 6.00 X.40 d _
f Other isaecify):
PERMIT_ y 0,0.0 for Plumbing Inspection Phone 6394171 /
4d State . 40
Plurlhing Contractor By
{ TOTAL RECEIPT NO. Issued By
raseta•latr►
i
S `
City of Tioard MCChanica! Permit jNo , P"It
New Instatlation tR Replace ❑ rieicKition ❑ '__ _� Fee
i ❑ F�ddition ❑ Aiteratlon -
TOTAL
CONTRACTOR OWNER r
AIRES✓ r�4yy-_ C L �°�c�F,% 4�_liv. WORK ADDRESS Zia Pr J'w Cf„h."� . /' /
PMC:.r =11foAPPLICANT_ _ Scl�_tc f �'� .�Cc>: ►c
Meat Input Rating (BTU Per Hour)_ -�1[ ep n Vent Sire _ S” Flue Size 7
FUEL COIL ❑ GAS 2S t__FCT ❑ OTHEri -- ��
ITEM >ti'QFFE ITEM
--jT NO. EE
For Izsvanr_e of_Prrmit L�r,i;c;:Tutt 50 MP _ 7b 0C
New - Under_tO a BTU x_00 /Lr Handling 10,000 CFM 3, Ir
Nev., - Over 100.000 DTU _ �. A r H n lire aver 10 p0 CFM # 5.0r
hlorx Furnace 4 00 Evarative Goyicr r
d'r'ill - Floor _Sumended � 4.00 Vent pan
Install Vent% �� 2_,,_On — ?,OC
_ -1 _ Vent System 3.0(
e-PPir • Fteat & Ce?fing 4�47
OJ Mood _
3•pr
Boilers Under 3 HP _•_f� Domestic Incinerator � S.rX
Coi'rrs 3 to 15 HI` _j' Comm. Incinerator xj p�
Boilers 15 to 30 MP � 10 00_ Other Not Listed I 3.oc
Boilers 30 to bO HP
It�SPL•f,TOR'S COMA"EN"TS �� 1 ____ �.r___._ �—. `�
CITY OUSINE S LICENSE RFOUIRI'C "Ort-ALL CONTRACMRS OR SUR-CONTRACTORS _
APPROVED DY. DATF.r. ISSUED OY DATE
F.[Cr IPT NO. -
axe or Applieant
I