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16100 SW GRJMSON COURT
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BUILDINGS DEPARTMENT, TIGARD N°
�work'yl,
PLUMBING PERMIT
� � _ — —, holder of a valid plumbing contractors license is hereby
authorized to cause plurein noted to be installed in accordance with the plutribitlg rode of
Tigard. Such installations require inspection by the City Inspector who sh-111 be notified not less than four
(4) hours prior to the tune the installations are ready for inspection. City of "figard Busines. License required
for all crntractors and ,vo-contractors. Job
/00
�t1/' � `� ---�- AddreSi-� .
NIRMBER OF TOTAL.
TYPE. OF PERMIT ITEMS FEE ON EACH AMOUNT
T-LA_._;__
___Lmj:j F3rnily-1 bath--each _ -,� 25.00
Du Lax-Each t bath unit !25.00 1•�t
Additional bathrooms-each ��- ____L - 10.00
_Mobile Homa Space-each 15.00
iND1V !DUAL FIxTUREsC0MMERCIA I
1 to 50 Fixtures In 1 buildiny-each 3.00_ _ •- -- -- ! ��
51 to 100 Fixtures in_t bulid ing-each 2.50
101 to 20%; Fix rurr_; In 1 Uuildim-each _2.00
..201 or more Ficures in 1 building•-each 1.50
M ISC E L L 'A N E 0 U S _ --- --- - ------
Sewer-•each additional 100 !t. _ __ __ Y__ 10.00
'Nater Service to buildin __ - ___ ._ 5.00
Othar (SPeciryl: _ -- — -- ---
_PEAMIT For Plumbing Insp:-ction Phone 6.3.9-4171
4 o State _ Plv:nbing Contractor Ry —
mTA I RFCFIPT NO I.sued 13v
City of Tio m r d • / Mechanical Permit N� Permitb Fee
New Ir,stalhtt r�r',-8-.,Replace ❑ Relocation [ I Addition [) Alturation ❑ 4%State
HEATING �[ 0/TTOTAL___
CONTRACTOR �l� ����G OWNER /2,1 2, LLC�Z -
A:tDRF WCRK ADDRESS -'S&, 4/rJ�SU/V_
PHONC~ �Zf2, — _ APPLICANT_A&&> yl g�-
Heat Input Rating (BTU Per Hour] Vent Siae -- FI Sieg ze L.
FUEL OIL ❑ GA- ELECT 17-f OTHER_�
ITEM Nn. FEE ITEM NO. FEE �
For Iss.latice_Of Permit �- rr-=
EE ABOVE _ Air Condition Compressor 15 to 3U HP 10.00
N•�:v-_up_to & incl.100,000 BTU _ —4.00 Air Handling 10,000 CFM ,OQ
rt• ".- l 00,001 BTU}s & over -� 5.00 Air Handling Over 1.0 000 CFM —V ---- 7�
_ ...._.... _
9 .00
4.00 _Evaporative Cooler 3.00
V"ali .-Floor Suspended - ---- -- 4.00 Range Vent Fan 2.0_0 ,
install Vents Only 2.00 _ Vent System— �- - -� Y 3.00
Repair • Heat&_Cooling _ 4.00 Hood Commercial 3.00
,',,r Condition Compressor Under 3 HP _ 4.00 Commercial Duct System10.00 `
Air Cond tion Compresior 3 to 15 HP - 7.50
INSPECTUR'S COMMENTS i
CITY BUSINESS LICENSE REQUIRED FOR ALL. CONTRACTORS OR SUBCONTRACTORS _ -
APPROVED OYDATE ISSUED BY DATE
RECEIPT NO. Ap/ -
7?4 Signature plicant/
BUILDING PERMIT APPLICATION TIGARD DArE___—__j/20/- -. 19"U'._ 3095
THE UNDERSIGNED HEREBY APPLIEfi VOR A PERMIT F01-0 I iF WORK HEREIN INDICATED BUILDER PHONE
CR A;SHOWN AND APPROVED IN ThE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHjNE_
LOT NO.
OWNER Tom Mille- JOB/.ODPESS l6100 51dGrillBOc �,au1 4 _ Pic. l.andin�
ARCHITECT
ENGINEER
BUILDER
sump ADDRESS 14800 Sw, 92nd Avenue DESIGNER Ki6ght
STRUCTURE CINEW ❑ REMODEL 1 ADDITION O REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
M'IhESIDENCE D COMM i..] EDUCATIONAL D GOVT n RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
E;-3 ---- �- P('- yaB
OCCUPANCY ___r—LAND USE ZONE _ TYPE
—— BLDG. _--FIRE ZONE _PLAN CHECK BY — HEAT
_—
Construct single family dwelling W attP shed garage. 3 Bodrouma — 2 1E;athe.
Re—Issue of Permit J'3042 (li285 SU Katherine Sit. ) —
SEWERPERMIT# a jl�jU — 2105,00 --
OCC.LOAD FLOOR LOAD "40 HEIGHT 14 NO.STORIES 1 AREA 1'�`"U N0.BEDROOMS S VALUE 519 700.
BUILD114GDEPART�!EN7 SETBACKS FRONT 20 REAR Uj LEFTSIDE 20 RIGHT SIDE b
Potrn t Ell91 .GU THIS PERMIT IS ISSUED SUBJECT TO I HE PSGULATIONG CONTAINED IN THE BUILDING CODE, ZONING
1n.�)�) REGULATIONS AND ALL APPLICABLE CODES AND ORDIN �NCES, AND IT IS HER•=_BY AGREED'rHAT THE
Plan Check _ WORK WILL BE DONE IN ACCORDANCE WITH THE. PLANS AND SPECIFICATIONS AND IN COMPLIANCE
— —X01 OQ WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
---- -- .
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMPING AND HEATING.
State rax 7r64 64
v L;l)r ll(i
Total 5 2C 0164
PUC# L1 $1 00•(]0 APPLICANT O 'AGENT
By
Receipt No.
Approved C)Li H ADDRESS PHONE
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING -- DATE
..�• Coirtractor
CR // --_--. --__—_..�--- Permit No. �0-11) -- O 41 44
�/_3�iro ♦ SMA+ s,_�_ _ - - --- --
ft 44 tra'�_ Sli... G s'C. _�._.._^-_.__---
Rough-in —
Y-i}L-O ISe-11 �la- O••.T 0 K _--_-- -_-- ----
Fixture v
r•ay�� K TA/L�.L�fA ail. — ----- — Final -
t(�)I HEATING
i♦�� act ^.� /� — _ — -- --- Contractor
- ----- Permit No.
^ Gas or Oil �I
--------- Rough•in --
- --— Final -
- - --- --__----- SEWER -
—^ Final 41-
DRIVEWAY
_ -- —.-_— --._.. ------- Final --
Storm Drainage
(Rain Drain)Final
- __ --- -------'- Sidewalk
--r -`--_---'---J-.---i-_ Curb 81 Street Final
-- --- — - --- --- Approach
BLDG. DEPT.FINAL TEMPORARY — CERTIFICATE OCCUPANP_Y Final
CERTIFICATE OCCUPANCY Landscaping
Zonir•Final