7946 SW CHURCHILL WAY 1
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7946 SW CHURCHILL WAY _
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BUILDING PCERMIT APPLICATION TIGARD DATE_. IJecember !,__,,s_4_ 5.1.05
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.
OWNER JOBADDPESS __ 7946_5W ,rchill WaY_- !�tQ'I
ARCHITF%.,I
ENGINFER
BUILDER Sash ADDRESS P.C. BOX ^3291 DESIGNER
STRUCTURE LANEW ❑ REMODEL ❑ ADDITION ❑ REPAIR n RENEWAL FIRE DAMAGE ❑ 'EMOLITION
Ij RESIDENCE C COMM ❑ EDUCATIONAL C1 GOV'T E RELIGIOUS ❑ PATIO ❑ CAH PORT L1 GARAGE Fl STORAGE ❑ SLAB❑ FENCE
OCCUPANCY k LANDUSEZONE __&'_1ZBI_DG. fyPE —yN FIRE ZONE_ PLAN CHECK BY F.Ti>I HEAT._.
Cr,zatrur;t dingle family dwelli��w�ttached_ garages —Re—Issue of PerTuit #4747
3 Bathroom 3 Baulroom
SEWER PERMIT# 2.6261 Uara;e 481
OCC.LOAD FLOOR LOAD 40 HEIGHT 20+ NO_STORIES—Z AREA 1522 NO.BEDROOMS J --_VALUE 61#U00.%"A
BUILDING DEPARTMENT l SET PACKS FRONT 20 REAR 31 LEFT SIDE 14 RIGHT SIDE C
Permit 315.0Q THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 40.01 WORK WILL BE DONE IN ACCORDANCE PITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
356 t]0 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
silb•total RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACT SRS TO HAVE CURRENT CITY BUSINESS
State Tax 12.64 LICENSE.SEPARATE PERMITS nEO1JIRED FOR SEWER,PLUMBING AND HEATING.
— SDC--
Total 368.64
-- — — PDC1:1 15U0UU A0PLICA100Ai 6£NI
By C% SSUG 2500110
,
A
pproved Receipt No.
--- ,TW = t ADO $-----_.._—.. --- PHONr
1
DATE IN::P.I T POE INSPECTION REMARKS —�
P B G D A E
�t � Contractor '�Q �y,�;
( f � =_� /C• —_— — Permit No. —
inr - Hough-in —
TJ-1/�L/►r/}--1._ f- Fixture ---
C J- Q—( l: r/7 — --- Final — ---._.
—
HEATING
r ` Contractor r 1
2 � _ Permit No.
Gee or Oil —
__ I Rough-ir
—
_ —— Final
----. DRIVE11fAY
Firal
- Storm Drainage
(Rain Drain)Final
--_-------_----. Sidewalk
Curb&Street Finai
Approach
BLbG DlEPT.PINA, TEMPORARYCERTrF'jC AME OC:;UTA14CY --
ICERTIF•ICITE OCCLIPAhGY Final --
i I ii Landscaping
Z.on!cg Final
i
INSPECTION NOTICE
City of'Tigard Building Oepartment
12.420 S.W.Main St.
Tigard,Oregon 97223
Pho ie: 639-4171
Type of Inspection
Date Requested Time A.M. P.M.
Address Permit
C wner Lot
Builder
The following Building Code deficiencies are requires. to tip rorrmed:
Presented to Approved
InspectorDisapproved
Data
CALL FOR REIT PECTION
"e'YES 0 NO
City of Tigard Mechanical _Permit N° 3527
New Installation E] Replace U Relocation�_� Additionv Alteratiuri'N r DATE: ...r
HEATING
j CONTRACTOP��_ !> OWNER
ADDRESSJ� «1 - ��L�� JOB ADDRESS
PHONE,_ `L-_— APPLICANT
Heat Input Rating(BTU per Hour) Vent Size Flee Sire____
FUEL OIL GAF jjZ L'-ECT 0 OTHER
ITEIM NC. FEE ^^ ITEM -_ NO. FEE
For Issuance )f Permit _ SEE BE_L_GW Each Air Handling Unit or Duct Stem 7.50 _
New-up to & incl. 100,000 BTU _ -6.00 Each
Hd System 7.50_
New 100,00[► BUT's r over_ 7.50 Other E uiprnent - Each __ 4.50
Wuodburning Stove 4.50 1 Trip Inspection_ 4.50-
Well-Floor- Sus enHed -`—_— 6.G0- Air Condition Comp--ssor - up to& incl.3 H,P _6.00
Vent System w/Fan 4.50 Air Conditicn Cum ressor-3.1 to 15.H.P.incl. - 11.00
Repair-Heat Cooling i 6.OQy�
CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS !
PERMt s ISSUANCE 1%00 Comments: —
FEES _
SUB-TOTAL --
4L STATE X.- Issued By��__� -.
25%PLAN CHE K _t��
TOTAL -�fj REC. 9
ipneture of Applicant
4�,`j `�'. ,�• '!�� b'+���N� V' .111 ��:(p'\� ` 5An +�,'.tl"�
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INSPECTION NOTICE 1
I
City of Tigard Building Department
I 12420 SM Main St.
igard,Oregon 97223
Phone: 639.4171 {{
Type of Inspection
Date Requested,-- -� Time A.M. P.M.
Address
Owner — -_ tt #
Builder __ _—._ —
6z "r;,7
The following Building Code deficiencies are required to be corrected:
I
Presented toApproved
Inspector — - [.-� Disapproved
Date -
CALL FOR REINSPECTION
f=] yes R NO i
INS?ECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639.4171
Type of Inspection 4-mt Date RequestedZD---r _P.M.
Address �Owner —
Builder
The following Building Code deficiencies are required to be corrected:
c:v
I
I
Presented tr Approvsd
�xOInspector y r ❑ Disapproved
. 2 �
Date _..,t
CALL FOR REINSPECTION
❑ YE8 in Nu