12925 SW KATHERINE STREET 12925 SW KATHERINE STREET
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L;1,01111 VY d igara Mechanical Permit NO.
frew Install ition Replace 0 Relocation C] Addition Q Alteration L.J � J DATE: „
HEATING ,
CC PITRACTOA _ OWNS nz7-7
.
AOLIRESS a ..fir' ? JOB A[jORESS_.�_ `f-s?
PHONE APPLICANT___._._____
Heat Input Rating(STU r,er Hour) Vtnt Faze_____ Flue Size
FUEL OIL GAS 0 ELECT OTHER
ITEM NO. FEE ITEM — NO. FEE T
For Issuance of Permit _ "IME BELOW_ Eich Air Handling Unit or Duct System 7.50 .
Newer to & incl. 100,000 87U _ _ C.00 commercial Hood System � � T 7,5_0_
New 100,000 BUT's & over 7.50 Jthe► Equipment - Each 4.5U�
Wood 3urni22 S.ove 4.50 1 Trip inspection
Wall-floor- Suspeuled 6.00 Air Condition Compressor- up to&incl.3 H.P. 6,n0
Vcat SLstem w:`an _4.50 Air Condition Compressor-3.1 to 15.H.P.incl._ 11.00
Repe rf-Heat C09iin9 _ 6.00
_CITY BUSIN`SS LICENSE REQUIRED BY ALL CONTRACTC'.na OR SUB-CONTRACTORS ! ! '
Pc- MIT ISStJ,ANL'E - 10.00 Comments:
FlEF.
SUB-TOTAL
% STATE Issued25%PLAN CHECK
_�
I
BUII-Pli II3 PERMIT APPLICATION TIGARD DATE ___. L.41 ,1s.�'31 3767
THE UNDEf,SluAED HEREBY APPLIES FOR A PERMIT FOR THE N ORK HEREIN INDICATED BUILDER PHONE _ �+-.�_a8It y
OR ASSN01�VNtND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHQNE b4T4`.5
� _a_4
t,a IBa LOTNO. 1�6-83lwoud III
OWNER 1:,' U111RIM1 JOBADDRESS 12925 SW Katherine Street
-_ARCHITECT
BUILDER ,, nkex'd Nume3 �—i AnDRESS_ 959 NE nroENGINEER
_gden*H19brCDESIGNER Gosser,H.illsboro
STRUCTURE FJ(NFW Q REMODEL ❑ ADUITION 0 REPAIR t] REIiEW.AL 0 FIRE DAMAGE 0 DEMOLITION
IMRESIDENCE ❑ ChjMM 0 EDUCATIONAL ❑ GOV'T L❑ RELIGIOUS ❑ PATIO C CAR PORT 0 GARAGE [3STORAGE 0 SLAB❑ FENCE
OCCUPANCY -,37_3 LAND USE ZONE — BLC3.TYPE SN FIRE ZONE_ PLAN CHECK BY dWf1 HEAT__S�$�_�
,. -ConEatrict single family dwelling W1etteched garage. 3 Bedroome - 2 Betas.
S� E CORNECTION SHEET ATTACHEn.
SEWERPERMITN 23360 - 1750.00 � — aersiuis► 484 aq. ft,,
UCC LOAD FLOOR LOAD 40 HEIGHT 10 NO.STOF41ES 1 AREA 1661) NO.BEDROOMS 3 VALUE_r65 y 900.
BUILDING DEPARTMENT SET BACKS FRONT 21 REAR 30 LEFT SInE RIGHT SIDE - �-
Permit— $219-(30Th,S PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CIDDE, ZONING
lOg U - REGULATIONS AND ALL AFPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AuEr-ED THAT THE
Plan Check ••_ WORK WILL BE DONE IN AC.:ORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN C'OrdPLIANCE
r-
��WITH ALL APPLICABLE CODs ANU _`4DINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total 328.50 RESTRICTIVE COVENANTS. .C,NTRACTOH AND SUB CONTRACTOPS 10 FIAVE CORRENT CITY BUSINESS
LICENSE.SEPARATE PER"ITS REQUIRED F R SEWER,PLUMBING AND HEATING.
State Tax 4 ` — 8.'11a :_�G „w^.ART/WEUGwu' .i ,� ? .Jt`LHAt'G[.. Of S3tiQ.pO
- - SDC-
total $337.26
By P1 PDC# I �I Il•0U APIKLI ANT OR AGENT
fjWf1 Receipt No.
Approved --- - -- I A'JD @ i PHONE - '------
—DATE INSPI TYPE INSPECTION RCMARKS PLUMBING DATE
IL ei,
IAZL .Contractor-112 ;;71-7
Permit Nu.
It!_zf_jk/ _qwin, .47, 0 A 4p,*
Fixv.re
7
Final
HEATING
Contractus
PermitN(,.
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
&St:r.et Final
Appros
CERTIFICATE Y
Final
L11-06:DEPT.FINAL TEMPORARY J—CER'rnc.ATE OCCUPANCY I
Landscaping
Zoning Final
BUILJINa PERMIT APPLICATION TIG;Az2 OArE_—C �s� �•y.3_.�e^/,
THE UNDERS GNEr' HEREBY APPLIES FOR A PERMIT FOR THE WORK H:-::REIN INDICATED BUIL' PHOAE
OR AS SHOWN ANO APPROVED IN•i HE ACC0N1PANYIN`GI PLANS AND SPECIFICATIONS, OWNER PHONL'
�'�� 1 .e•- .a :��I �V ,��� C�
LOT NO.
O:y.�ca mow ' .1_J08 ADDRESS
ARCHITECT
�� `��-�v ENGINEER /� L
w 'L' DESIGNER --G05* LV4B�
ADDRESS� •�f
S`� f7;-' .,
STRUCTURE ❑ NEW I] REMODEL LC ADDITION ❑ REPAIR ❑ RENEV'!AL ❑ FIRE DAMAGE 0 DVAOL(TION
RESIOENCE C COMA n EDUCATIONAL 71 GOVT ❑ RELIGIOUS C PATIO C CAR PORT C GARAGE C STOR GF G SLASC? FENCE
,�Cti.UFANCY I—.LAI ID USE ZONE i�— BLDG.TYPE- �7 .—FIRE ZONE PLAN CHECK RY HtAT_ i
SEWER PERMIT
7CC.LOAD FLOOR LOAD HEIGHT / NO.STORIES ZREA/6COO NO.BEDRC ;MS _ VAL URS- ,900
_ BUILCING DEPARTMENT
— SFT BACKS FROty� REAR 3V LEFT5ICEi RIGHTSlDEh
I'^rmit 00
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIGNS CONTAINEO IN THE EU1LDIN CGDE,�OK'`(G
REGULATIONS AND ALL APPLICABLE CODES AND ORL''NIANCES, AND Ir IS HERESY AGaEE:7 TeAT TXE
3I:mCheck j _,— �� �Tp� WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN C0'q*PL AtIC*x
Q WITH ALL APPLICABLE CODES AND ORDINANCES. THE. ISSUANCE OF THIS PERP:tIT DOES NIOT WAIVi
✓ Sub-total _—_— �v'S�' RESTF CTIV_ COVENANTS. CONTFACTOR AND SUB CONTraA.CTORS TO HAVE CURRENT CIT-f fiL'SINiSS
State Tax
LICEN- -SEPARATE PERMITS REQUIRED FOP SEWER,PLUMBING AND HEATING.
� �r/
."_ ._` —
Total
PDC,y APPUCAN7 OR AGENT
By _
Receipt No.
Approved ADDRESS
0C — 7 -00 °
IrWER CONNECTION S -72b Tru &s DIO&171--05 -
-rWER INSPECTIONi S 'Z5--
---BIER
5 --BIER SURCHARGE S
Q�111
STG+e�1.*VA gL Ajk.is��J 40/A r.3;
4 x 3'- S c G
4 x 3o L ZO
22,rs 32 70,9�
Int' 2x Its 2a
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