12245 SW KATHERINE STREET 1224- SW :CATHERINE STgE2T
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uty- ®V U Igar 1 (l/ emanicai verimit NO. / _
thew Installation T1 Replace E] RelocationE] Addition ❑ Alteration Q DATE: .2 � ..
HEl'TING ��G D .�C.�1 (GAT/mac-: OWN ER_��'rV1
CON,fRACTOR r
ADDRCSS Stz u- •- 3 ---��� JOB ADDRESS 1.�.�—s - --9- IZt5l",•G1L--
PHOhl 2 !y`�S - j���- APPLICANT_..-./--is°-�:-P-- rl'
Hrat Input Pating(RTU per H,rur) Vent Size��. Flue Size_.
FU GASTA ELECTF] OTHER �_ ------ -- --�
. NO.�FEE !_ IT.�M NO. FEE
For Issuance of Permit _ T SEE BELOW Each Air Handl inn Unit or Duct System_
New•u to & incl. 100,000 BTU _ 6.00 Commercial Ho, ' System 7.50
(? - . _ 4 50
New 100,000 BUT's & over 7.50 Other Equipment ach _
4.50 1 Trip Inspection 4.6Q�_.
Woodburning Stove -- - - -- -
Wall Floor Suspended _ _6.00 Air Condition Compressor • up to& incl.3 H.P. - 6.00
Vent S stem %V/Fan 4.50— Air Condition Compressor-3.1 to 15.H.P.irr_I. 11.00
Repair Heat Ccolin� _ — 6.00
CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS! ! _
PERMITISSUANCE _ 10.00 Comments: --
FEES -
SUE-TOTAL__
TATE An- 1+sued By� .
25"�6 PLAN
BUILDING DEPARTMENT, TIGARD �
,-� PLUMBING PERMIT N 'j B "
T� ,���1 l 'Lr ' l l/ chot,:er of a valid pliumbing contractors licei,, is hereby
authorized to Cause plumbing work a Herein noted to br installed in accordance with the piumbind ��ale of
Tigard. Such installations require inspectic- by the City Insp::ctor who shall be notified not less then to-it
(4) hours p.-ior to the time the installations are ready for inspection. City of Tigard Busiiiess License required
for all contractors and stab-contractors. Jab d
Address_____ _-�:-5 + '" �rDate_
— NU%inm OF TOTAL
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT
R S ENTIE�1,
_Sin la Famil _
yI both—krch — _?5,00
25 00
buplex—Foch 1 bath un t — -----a �.
Additional bathrooms—each __—_- 10.00 _
_Mobile I�lom_e Space_each _
15.00 11�
INDIVIDUAL FIXTURES COMM
I to 50 Fixtures In t huilc!Ng each
�51 to 100 Fixtures In 1 building each 2`50_ _
101 to 200 Fixtures in 1 building—each_ _� 2.00
_ t _
_201 or more Fixtures in 1 building—each 1.50
MISCELLANEOUS
Smver—each additional 100 ft. 10.00 _
Water Service to building +_ _! J 5.00
other —
PERMIT Fo• Flumbing Inspection Phone 639-4171 �
4-
o State � Plumbing Contractor By
TOTAL RECEIPT P.O. Issued Pv `
BUILDING PERMIT APPLICATION TIGARD DATE /'F't� -_,'19_ �1 3700
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICA FED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE AUCOMPANYING PLANS AND SPEC;FICA,TiONS. OWNER PHONE
LOT NO. 9 " W1nC111li11--
OWNER Tom filler, 81drJOBADDRESS 1224: SIJ KbLiierine :itreel;
ARCHITECT
ENGINEeR
BUILDER Same ADDRESS 14800 SU 92nd W; enue DESIGNER Knight & Piorcy _
STRUCTURE & NEW ❑_REMODEL ❑ ADDITION ❑ REPAIR _ _ ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
01 RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T n- RELIGIOUS ❑ PATIO ❑ CARPORT 0 GARAGE 1[7 STORAGE ❑ SLAB FENCE
OCCUPANCY _ R— LAND USE ZONE BLDG.TYPE AFIRE ZONE._—_"�_PLAN CHECK BY
Construct single famil dwallin w attackled garage. 3 Bedroom& 2 Batha.
SEE CORRECTION SKET ATTACHED,
SEWER PERMIT# 2 -;1 •. 4t7S11.t]Q ---- j1� 6�17_.i4s .�— a —
OCC.LOAD FLOOR LOAD 40 HEIGHT 12 NO.STORIES l_ AREA 1006 NO.BEDROOMS 3 , VALUES47 s 500.
BUILDING DEPARTMENT ^ SETBACKS FF;ONT 20.5 REAR 1 LEFT SIDE 8 RIGHT SWE 20
Permit 'Wi.00_ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAIVED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES,AND IT IS HEREBY AGREED THAT THE
Plan Check 910• aO I 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
Subtotal _ 2�1• '�O RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVES CURRENT CITY BUSINESC
LICENSE.SEPARATE PERMITS REQUIRED FOR SZWER,PLUMBING AND HEATING.
State Tax 4 7.1 d
SDC— $400/190Total $278,74 1 PDC# I 1100.00 APPLICTO
ANRAGENI
By
Approved
duh Receipt No. RE88— _ PHONE
_DATE INSP. TYPE INSPECTION — REMARKS PLUM NG DATE
Contractor
/? Permit No.
Rough in
s-rs–s�+� ,� ��.tir,b✓,� �p�.-air .-------- -- — ---
/_ Fixture
Final
6'/S
HEAT!NG `–
Ccntractor,,,,
Permit No.
e or Oil
Rough-in
Final
SEWER --- ---
- ----- — - ----------- Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE
CERTIFICATE OCCUPANCY // OCC Final
Landscaping
Zoning Final
BUILDING PERMIT APPLICATION TIGAFiD DATE --19
,rHE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE - 0
OR AS SHOWN AND APP OVED IN THE ACC;OMIPANYING PLANS AN SPECIFICATIONS. OWNER,P ON
��// f A � p 7 T! LOT NO.� �I —
:NNER T0+r{ All �'8l+d�JOB ADDRESS 22 h� 7 _
ARCHITECTENGJJ
BUILDER NEER
)^_�G_ ADDRESS �� ; DESIGNER T
STRUCTURE NEW ❑ REMODEL�❑_ADDITION _- ❑ REPAIR Cl RENEWAL _!❑ FIRE DAMAGE Cl DEMOLITION
c�ESIOENCE ❑ COMM ❑ EDUCATIONAL _❑ GOV'T Cl RELIGIOUS ❑ PATIO ❑_CARPORT ❑ GARAGE ❑ STOR E_❑ SLAB❑ FENCE
MGUPANCY _LL: _.LAND USE ZONE BLDG.TYPE r Al—FIRE ZONE---!=PLAN CHECK BY HEAT_
1w� w'N!1i-0 y /w#AtAsw( � -
SEWERPE_RMITM __— —`J— ---r-------
OCC.LOAD FLOOR LOAD ,�! HEIGHT I4 NO.STORIES __ AREA ADS NO`BEDROOMS 3 VA_LUEY&f00
BUILDING DEPARTMENT SrTBACKS FRONT 2o.S' REAR /46 LEFT SIDE RIGHT SIDE,2O
P^rmrt THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE SUILDING CGDE,ZOP1:N3
Q REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
,PlanCheck / � WORK WILL BE DONE. IN ACCOP.C•ANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCE. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal �__7�7/��� RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
__T LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax _• _ _
7 i • /� SDC-
Total
PDCM APPLICAN!OR AGENT
By
Receipt No.
Approved ADDRESS PHONE
lloc
l DC - $ __ -- mo_._
,EWERCONNECTION _ $ ?��
iEWEH INSPECTION $ zj
'EWER SURCHARGE 8 _ ��---
Aiv-v-asp--- ��.L.- .s �, 20 )1)gee
—
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Area. ;r t Ass—
(0*-
..
17
2 4. x 2/-2 308 i