13595 SW CRESMER DRIVE LM
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13595 SW CRESMER DRIVE
ADDRESS I .STjJ ;) ) �;�^td,►vr� l ,(f/,�.��. �� PERMIT NO.
PERMIT CHARGE none
OWNER _ (,�/rAu� � �(�,�,tG�,ID,�, CONNECTION FEE
PAID BY
TYPE OF BUILOiNG DATE CONNECTED
SERVICE RATE / ct INSPECTION FEE
CONTRACTOR PAID BY GATE
SIZE OF CONNECTIONASSESSMENT PAID
t fi FF �'c] �'�1 t: i n�c A t'c rya't �' r r:+n►tl��.t,�____
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Relocation ❑ d .,.on
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OWNc F_lu_4M)0-4
VA43 Atk
C^,`:Tr.AC-TOR —
L WORK ADDRESS j,3SgjL I t(A.
� AD,7RESS�,v . i,.. _ APPLICANT_
PHONE Vent Size kute - -
` Heat Input Rating la Ll Per Ho 1
❑ THE -- -
FUEL OI L ❑ GASELECT --------
t ITEM NO. FE
ITEM MO, FEE
r� Air Condition Compressor 15 toWP .1
For Issuance of ?errnit 4 00 qir Handling 10,000 CFM1
ew• Linder 100,000 BTU 5.00 Air Handling Over 10,000 CFM i
ew 100,0:10 B FU- & o�"' 4.00 Evaporative Cooler - _Floor Funaj -- Range Vent Fan 4.00 wa11 - Floor .Suspended .r
_ _ 2.00 Vent System_
Install VPnts_Only _ Hood Commercial _ 3
4.00 _
Repair Heat & Cooling ��' 4.UU Commercial Duct `.system
Air Condition Compressor Under 3 HP 7 50 --
-� Air Condition Compressor
w INSPECTOR'S COrdrMENTS_
�•�•,- CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB CC)NTRACTr)R ' DATE,___ - _
4: DA-rE _._...... _ IS5UEU BY
=:ae_ APPROVED By------
RECEIPT
Y ________------RECEIPT NO. .___ __ �.
Signature of App
.. 774 ....-�r•..� .,.•-.-.a-.. _..•..c•..w+-•,-+'••..a w.s�ww e•,.•e.+- ..,.y..�+.�-.rr-w.z`si+•:r.-•a
BUILDING DEPARTMENT, TIGARD No.
n rf;v i.!1 PLUMBING PERMIT
holder of a valid plumbing contractors license is hereby
authorized to cause plumbing work as herein noted to be installed in accordance with the plumhing Code of
Tigard. Such installations require inspection by the City Inspector who shall be notified not IeSS than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for all tractors and sub-contras rs. ?
Owrlet lL l _ Address—
NUMBER OF TOTAL_ I PERMIT NO.'S—,
TYPF. OF PERMIT ITEMS^ FEE ON EACH AMOUNT (Office Use Only)
Single Family-1 bath—each 241.
_ 00 --
Dfiex—Each 1 bath uni; 2_5.00
Additional bathrooms—each _ 10.00 _ 1(9e)_
Mobile Home_5poca—each 15,00
INDIVIDUAL FIXTURE FEES
1 to 50 Fixtures in 1 building—each _ 3.00 _
51 to 100 Fixtures in 1 building—each r _ 2•J0 __
161 in 200 Fixtures in 1 building—each 2.00
—_201 or more Fixtures in 1 building—each �M 1.50
MISCELLANEOUS —
Duilding Sewer--_1st 50 ftp 10.00
Sewer—each additional 100 ft. 10.00
Water Service to building ___ 5.00
_Private Water Systems--each 100 ft. MOO
Othei (S ecif — _
PERMIT (,)�) For Plumbing Inspection Phone. 63.94191 �,�
9G Stetey0 ' Plumbing Contractor BY ,_ o
TOTAL C RECEIPT NO. Issue:f By ___
BUILDING PERMIT APPLICATION CITYoF TIGARD DATE._ __ , tg
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HERE'N INDICATED BUILDERPHONE
_ —_
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SP'=CIF(CATIONS. OWNER FHONF _
OWNER C .'kit • 'JOBADDRESS Z C'AfA�I' L `
---- , HOME ADDRESS
ARCHITECT —
BUILDER % Lrl@i ADDRESS ENGINEER
_ DESIGNER
STRUCTURE ;,,A ryEW IJ REMODEL _❑ADDITION ❑REPAIR . ❑RENEWAL ❑FIRE DAMAGE_❑DEMOLITiON
❑RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE.[:]SLAB ❑FENCE
❑BOND 1:1 MOVING _ ❑CONDITIONAL USE [:]DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
QCCUPANCY— LAND USE ZONE + BLDG.TYPE_sµ FIRE ZONE_ ' PLAN CHECK BY, mt'w HEA1
framed dwsl) Q w/attechd rJ I,isrywa 3 bedroom `, la1B>bin —
- _ (,aj6(js '.a7" reiaawr, of 1360b 5u or. I:jsnnit
--
OCC. LOAD FlQQfi LOAD_ NO,STOflIES ,_-, 1 l i A � �NO.BEDR(�QM .i VALUE- 44 L'?slQ.
BUILDING DEPARTMENT SET BACKS FRONT dC! REAR + LEFT SIDE 7 RIGHT SIDE ]
Permit 172 ---"'
1 THIS PERMIT IS ISSUED ',UBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE. PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal 1t+",Ou ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax LICENSE. SEPARATE PERMITS RFGUIRED FOR SEWER, PLUMBING AND HEATING
Total 1843•Elt? y'�' `°���•
U.Ca.L 1 x'100.
BY
APPLICANT OR AGENT
---- --
Approved ~—w Receipt No.
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
\- Permit No. _2 7 �d
I•sa•• A.�r�.__�L�s� C�. Rough-in
Fixture v
Final
1 HEATING
+] Contractor
Nn, I Z 3
/ Gas or Oil
Rough4n
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Strcet Final
J Approach
IILDG. DEPT.FINAL TLMPORARY CERTIFICATE OCCUPANCY Final ,
CERTIFICATE OCCUPANCY
Landi,caping
ton'ng Final
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