10085 SW KENT PLACE 10085 SW KENT PLACE
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CRY; of i arty Mechanical Permit NO.
New Installation 93 Replace L] Relocation❑ Addition ❑ Alteration ❑
DATE
iv•.ATI NG '
1TRACTOR "=P-*J r�. -'�-• OWNER CZ�) � f�
ADDRESS �aX - �L•�*CY-I A JOB RESS
PHONE �n' L7 . t"���- i- APPLICANT
Heat Input Rating!BTU per Hou e5fOOti Vent Size ,,�„ Flue Size
FUEL OIL❑ GAS E; ELECT ❑ OTHER —
ITEM NO. FEE ITEM NO. FEE
For Issuance of Permit SEE BELOW Each Air HandlingUi,it or Duct System 7,50--
r,;;
New-up to & incl. 100.000 BTU 6.00 Coercial Hood System — 7.60
New 100.000 BUT's & ov r 7.50 Other Equipment - Each 4.50
Woodburning Stove4.50 1 Trip Ins ction 4.50
Wall-Floor Sus ended 6.00 Air Condition Compressor- up to& incl. 3 H.P. 6.00
Vent System w/Fen � 4.50 Air Condition Cnmpressor-3.1 to 15.H.P.incl„ 11.00
ReHeat Cooling 6.00 _ -_
CITY BUSINESS LIC''NSE REQUIRE) BY ALL CONTRACTORS OR SUB-CONTRACTORS ! ! __
PERMIT ISSUANCE 10.00 Comments .
� FEES
;US—TOTAL
2591,
% STATE Issued By
PLAN
TOTAL REC. 0
h
BUILDING PERMIT APPLICATION TIGARD DATE ' _- —..'g fol 3579
639-4069THE LINDERSIGNED HEHF13 y'APPLIEFORTH FOR A PERMIT OR THE WORK HEREIN INDICATED BUILDER PHONIF ._639-40699-
OR AS SHOWN AhD APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.—4J NIC
OWNER Sam (cotter GonStIDiIADDRESS 1008b 5W Kent Pled _._�.srtdina I_�—
--— —'- ARCHI rECT
ENGINEER
BUILDER !game ADDRESS12635 SLI Beef Bond RUaIUSIGNER Gatter
STRUCTURE_ EX NEW _❑_REMODEL 0 ADDITION) 0 REPAIR_ ❑ RENEWAL 0 FIRE DAMAGE 0 DEMOLITION
K RESIDENCE Cl COMM ❑ EDUCATIONAL 0 GOVT O RELIGIOUS ❑ PATIO 0 CARPORT EGARAGE 0 STORAGE 0 SLAB❑ FENCE
OCCUPANCY R 3__LAI' l' ?ZONE R._�Q_BLDG.TYPE 514
-FIRE ZONE PLAN CHECK BY duh _._HEAT
Construct air a family dwelling w/attachad gerage. 3 Bedrooms 2 Baths-..
SEE CORRECTION SHEET ATTACHED.Z ------
SEWER PERMIT# 23262 -- $750.00 yATalUfb 395 11Q♦P
OCC.LOAD FLOOR LOAD 40 HEIGHT 12 NO.STORWS 1 AREA 1319 N0.BEDROOMS 3 VALUi$5 Z#?00•
SET BACKSFRONT 2 is REAR 613 LEFT SIDE 10 RIGHT SIDE 12
BUILDING DEPARTMENT
Permit $l93.O0 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
--fir REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THF.
Plan Check 96.50 WORK WILL BE DONE IN ACCORDANCE. WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub total 289.50 RESTRICTIVE COVENANTS. CONTRACTOR AvID SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
— LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 4 7•?2 SDC— $400.00
., _. .
Total $297.22 --
- l PDC# I $100.00 APPLICANT OR AGENT
By P ?
_ —
Receipt N0.
Approved duhADDRESS --
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contracto
Permit Nom �p 2'Z7' L��
Rough in -
-��_ Fixture
Final
HCATING -
ti
Contractort ,tt �—_ 5"6'03
- ------ -------- -- Permit Na.
Gas ur Oil --T
`- - --- `- Final ---�-- - -
- - SEWER - - ----
-_ __ —_------._-- .Final ---- _? �1----
`- DRIVEWAY
_. _,—�.—� --------- --_� Final -----
— Storm Disinsgp
(Rein Drain)Final
S idewol k
Curb&Street Final
_ Approach
ILD;. OEP'd. FINAL TEMPORARY CERTIF'I_CAT E OCCiA,A Y
CERTIFICATE OCCUPANCY .n/ Final- -_--__
� IC
Landscaping
7nning Final
BUILDING PERMIT APPLICATION `i'IGAR:O DATE_ 19_91
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR TI i[-..''WORK H-EREIN INDICATED BUILDER PHONE r 1
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PANS AND
SPECIFICATIONS. OWN EP PION
• • �4 Im i ('614$�JOBADDRFSs0096� �C 1" I/J .,. LUT NQ. S1tf-
t�^�-' J AENG
RCHITECT
BUILDER _ -- 4 _ _ ADDRESS(2(2' f 8061 � Ra• DESIIGNER a�� �y—
STRUCTURE XNEW ❑ REMODEL ^_0 A_DCITIQN�-_Q_REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑_DEMIOLITIOf
d,-<RESIOENCE C COMM C EDUCATIONAL :, GOVT C RFLIGiOUS ❑ PAT,10 C CAR PORT 0 GARAGE C 'STORAGE ❑ SLABED FENCE
GC:,-A;ANCY _ ,LAND USE ZONE —pQ LOG.T11�E _��N FIRE ZONE _PLAN CHEGK B IIEAT__—
t Q
SEWER PERMIT 0 __ _ 4 ,4
OCC.LOAD f - FLOOR LOAD �� HEIGHT L". .__ NO.STORIES ,�REAL3[ NO.BEDROOMS ,3 VAL)JE..f2 00
BUILDING DEPARTMENTSET BACKS_ FRONT _/ REAR (oR LEFT SIDE /'(7 RIGHT SIDE
IP!!rmit I OQ_, 7HIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THF BUILDING CGDE,zOPJ:fJ
I ?161 3.0 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERc3Y AGREED TY.A`f TP ,,
f
Plan Oheck / WORK WILL BE DONE IN ACCORDANCE. WITH THE PIANS AND SPECIFICATIONS AND IN COM.PLIANC
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PFRMIT DOES NOT WAIV-
�Sub-tctal I=G ► 7RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BJ.�INES
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUf.181NG AND HEATING.
State Tax ?, 7
r - ry SDC -
Total 7.iz PDQ APPLICANTQRAGENT� --"By
Receipt N,)
ADORESB
Approved P ONE
;OC - s �)
30C -
:EWER CONNECTION $ 7211
�EIJER INSPECTION $ -_
SEWER SURCHARGE
`� 1,246--b
!Oo t3 e SW 146*4 L-+ f s'• P,"..$.s 1,�►h�
. cage-
A,-Am Go�
43 791?
111�II a
20 x
17-16K /G 3 r Jt-
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