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13130 SW CRESMER DRIVE
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:
102
Date: - Permit No. ,-
InspeV:or` ----_
CALL FOR RENSPECTIUN
ADDRESS ' i7 � � PERflI7 NO.
�•,/ d[R�1IT C' Ar7GE _ none
OWtiEh &e.(z. GV- /C 'iy-� CONNECTION FEE_PAID 6 Y
TYPE OF BU ILU T NG —,k DATE CONNECTED
SERVICE RATE AF • INSPECTION FEF_ as.
CONTRACTOR _ _ PAID BY DATE
SIZE OF CONNECTION ASSESS 1cN1 — PAIL)
BUILDING DCPAi-iTMEN-C, TIGARD N0.
PLUMBING PERMIT
Shoemaker's Plumbing _ !;older o` a valia alumni% contractors license is ;iureoy
authorized to cause plumbing work as herein rotcd to be ins:a„ea in accordance with too piumbing Code o`
Tigard. Such installations require inspec,iorl by Ine City Inspector who she., oe iotified not iess than :our
;41 hours prior to the time the installations are ready for inspection. Liity of T igara tsus.ness License required
for d;i contractors and subcontractors.
Allen Drew A_ddre^n 13730 SW Creamer Da13 1/22/79
NU.WhFP OF ;'A. PHAMIT NWS
TYPE OF PERMIT ITEMS � 7Z ON 1:ACH V4 r,T (Office Use Cr'g'
-rmily-1 both—Poch _ 25,00 I
0. —usch I hath unit 1 25_00
aaI_a__ on. bsthrooms—each I I 10.00
r-omn Space—each 15.00
;.iOiyicuAL FIXTURE FEES
1 •o Ll Fixtures in 1 buiid,ng—each _ ��3.00
�t 'o 'CO F-xtures in 1 building—enrh 2.50 I .1
'n 230 F >.toros in 1 building—each 2X0
i20' nr •rorP fixtures In 1 building—each 1.50
M .:Ct: ,.ANEOUS
ak,i jmg ,awrr-1st 5o ft.
,;vwrr—aach additior.il 100 ft. 10.0
W.tr• So vice to bullding I 5.00
' vr. a :tater Systems-aach '00 1,ft. _� 10.00 _
" $40.00 For Plumbing Inspection Phone 6394191
1 .60 Plumbing Contractor 3y G�•� J.�\6t4v\w6k
I ri"'A $41 .60RLCEIPT NO. Issued 9y
BUILDING PERMIT APPLICATION rot TIGARD IJATF— v-
�:I!113-24,'
THE UNDERSIGNED HEREBY APPLIES FOR APE RMII FOE; THE WORK. HEREIN INDICATED BUILDERPHONE-
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNE!tPHONE
J 3730 SW LOT NO.-- ---
OWNER
+allan U. Orew JOB ADDRESS IZYall LrEalrrner t i'HOMEADDRESS
—
ARCHITECT
ENGINEER W. TaliGh
BUILDER 144im@ ADDRESS ��11 _DESIGNER
STRUCTURE ®NEW 0RFM9DEL ,ADDITION QREPAIR ORENEWAL ❑FIRE DAMAGE ODEMOLITION
RESIDENCE ❑COMM OEDUCATIONAL ❑GOV'T ❑RELIGIOUSOPATIO CUCARPORT ❑GARAGE ❑STORAGEOSLA13 ❑FENCE
L_IBOND ❑MOVING OCONDITIONAL USE _ODESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
v
0-7 T' � r�..4: —
raccupgNCY LAND 115E ZONE BLDG.TYPE FIRE ZONE PLAN CHECK BY_ HEAT
_ Eonetract single family dW011111 w/attarhad QaraUs =5 iif*druom -
Hw-Xesua or par,mit, 1471
iwwoL tie,.7mit #1%3!j s3!, w w tS2 ,.I7q —
r
QCC_LSZQ______EJLQQB_LQAD_____40 ±if rata- 1` NOy$TQ9I€S �.A ER gl '►17 NO fLF 44M;'_ V 1q �OU•-
BUILDING DEPARTMENT SET BACKS FRONT _2`•� REAR 9 LEFTSIDE �l RIGHT SIDE
Permit 1a7•CJCI
THIS PERMIT IS 1$SUEr. SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, 7.ONI,"G
Plan ChLzk 1(J.(1U 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 (►1,00 ALL APPLICABLE CODES AND ORDINANCES, THE IS61_IANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax �3;.�2
UGENSE. SEPARATF�,PEIiOITS REQUIRED FOR SEWER. PLLMBING AND HEATING.
"JUl a 4., • IJTotal 1711 a l�ii•�:I(1
BY i P1 APPLICANT OR AGBNt _--- _- +-
Approved t • Walden Receipt No _
DATE INSPP, TV^6 INSPECTION REMARKS PLUMBING DATE
Contractor
3' g�' I Permit No.
2 9 — fir/// - — — Rough-in
Fixture
Final —
y�19 HEATING
Contractor
Permit No. 3 — _ l ` 3/-79
— Gas or oil (/
-
- Final
h— I— SEWER
Final
DRIVEWAY
— —_ --- Final
Stom Drainage
(Rain Drain)Final
Sidewalk
Curb R Street Final
Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUP
CIERTIMCATE OCCUPANCY Final
Landscaping
Zoning Final
i
i
City of Tigard Mechanical Permit JVD Permit MOO
New Installation D Replace 0 Relocation 0 Addition IDFee Alteration 0 — _—'"—
TOTAL
CONTRACTOR MENZ MEINIG bROS. , INC . OWNLr1 ALLEN DREZ
6469 SE 134th Ave Portland 97236 1 730 SW er��'
ADDRESS WORK: ADDRESS �
PHONE 761. -2270 APPLICANT LAU.REY J . MEINIG
Heat Input Rating (BTU Per Hour) '85v 325_ Vent Size Flue Size NONt
FUEL 011_ ❑ GAS ❑ ELEC OTHER
ITEM NO FEE ITEM NO. FEE_—
For Issuance of Permit 3.00 Boilers Over 50 HP 25.00
New • Under 100.000 BTU _ 4.00 Air Handling-10,000 CFM_ 3.00
New • Over 100.000 BTU __ 5.00 Air Handling Over 10 000 CFM , 5,00
Floor Furnace 4.00 Evaporative Cooler 3.00
Wall • Fluor • Suspended _ 4.00 Vent Fen � 2,00
Install Vents i 2.00 Vent S stem 3.00
Repair - Heat -0, 4.00 Hood 3.00
Boilers Under 3 HP 4.00 Domestic Incinerator 5.00_
Boilers 3 to 15 HP_ _ 750 Comm. Incinerator 20.00
Boilers 15 to 30 HP 10.00 Other Not Listed _ 3.00
Boilers 30 to 50 HP _ 15.00
INSPECTOR'S COMMENTS
CITY BUSINESS LICENSE REQUIRED FOR-ALL CONTRACTORS OR SUB-CONTRACTORS
APPROVED BY DATE ISSUED DATE _
RECEIPT N0.
•
74 S etu of Applicant
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