7975 SW KROESE LOOP-1 7975 SW KftOESE LOOP
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CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIGASD, OREGON 97223
o'HONE 6394171
CONTRACTOr':
Pursuant to Section(s) of the Uniform Building Code, the
following item(s) require correcting:
de
077
Ile
7—
')ate: Permit No.
lnspectof
CALL tr'OR REINSPECTION
ADDRESS.--,Z -�Z-��-'�'— = P E R fI I I T NO .
PERMIT CHARGE none
OWNER _��� _� � CONINECTION FEE
G PAID BY
TYPE OF BUILDING DATE C0NN'tCTeD
SERVICE RATE _ 1 '' 1.( _ INSPECTION FEE
CON i RACTOR � PAID BY GATE
SIZE OF CG INEC1ION ASSESSMENT _ PAID
i 'l
PLUNIS11`+` PErR."AIT
ho';;a- of a v,'!id p!urr,birig contractors licensa is herauy i
aAlrX71, nJbinl ,`,ark as he.%,In note to h:.' in accordan;-,, witi1 the plumbing coa'_Of
Tig,-,rd. Such inin!lationS by the City ln3pil am '+`,ho Si•lail be notified not lcSi than fu ur
(4) hour; o the tires th<: irlst i •zicns arj raadyr for inspel-t;o Sty of Tig2rd Buiin�,,s License requirl-A
for 1.1 _c , arlri su :or Ac
-r- NU'TV,' OF - r TOTAL - PERhIIT NO.'S
TY P OF P.r;.'.J11 ITE:'S ( FEE r`n EACH ANQUPJT (piF ce Ur+r Only)
Sir,I F,r-1i'v •1 Ina-t...:�a-,,:h ---25.00
D to+•�Wit.;hl1 b.�'ti unii -__._ _ __-_ - yl 25.00 �T
Addi`:n.sl h`•hriumt-3-ch
IV^0IVID!JAL_FIXTURE FEES`
1 toc0�xc��r+� i� 1 h t!tjiy_e�`h 3,00 - -
51 to 10-1 Fi'tt••JeA in 1 b!_il�_ �ayc9 `i _ 2.50 -
1 2.00 - -- - --- t
'? '_ .!O1 pr r^pr; Fix'Fre^: i1 1-��.i''r1i:�)_.:.�h.,�. -_ -• ---�` ___• — i
8vi!t'.ir;$..rear-1. 50 Fr...`_—_...._..�_..—_._�._�-...._—�—
1500
Marv! 5t. rnre to 6tr'I�'iry.�
5.OU
' Private:'t�. �,,,•�,�_.��_h 11;0 Ft. ."—'- .._. — _..____.. _r_ t
---!—q00
P.�y ••1 i_ For r'! — V
��-++ urrt'J ^gin: P,ro��639•i l7/
3?;Srt; `_ _ U� PIumbinu Con, -ctor B/
l _ TQT4L _ U Rr.CcI, r NQ.
BUILDING PERMIT APPLICATION 1oF TIGARD 4TE _ - .-__— --
ca� �.r,7rs
THE UNDERSIGNED HEREBY APPLIES FUR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN IAF ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO,
OWNER JOB ADDRL`;S U ik r" 61lab I,, OUP HOME ADDREESS r_
---- — -- ARCHITECT
ENGINEER
BUILDER o dlik- _rr-11 ADDRESS DESIGNER
0
STRUCTURE ❑NEW R ❑
Fit ADDITION ❑ O
—
REPAIR RENEWA1L ❑FIRE DAMAGE_ ❑DEMOLITION
❑ RESIDENCE (--]COMMOMM CIEDUCATIONAL 0GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT []GARAGE]GARAGE ❑STORAGE t_,JSLA13 ❑FENCE
r—❑BOND IJMOVING ❑CONDITIONAL USE ❑DESIGN REVIEW L_JCOUNCIL APPROVED (:]SIGNS
OCCUPANCY_--_= LAND USE ZONE—fit--_BLDG.TYPE '•�-__FIRE ZONE—,J PLAN CHECK BY ��•ba — HEAT `&t
f srdly dwalli 1W u attactiod gatwdu• 3 iwor'oum - :� i!�►th.
--- :kt.t►:i' I's TRIit 1,{. iai .. �1,ti25.On
O_l:�J.4A�.__ . -----FG44$�.S29P- - a HEIGHI _��_ _NO-SSORIE; '�—_AR-EA_21Z'!' NO•@.�12floomq– .___._.V.AL41V _
BUILDING DEPARTMENT SET BACKS FRONT 16 _ REAR _ %1 LEFT SIDE 40 RIGHT SIDE l[�
Permit ;µ19a.0D ------_..._ -- -
-- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 96* fA REGULATIONS AND ALL APPLICABLE CODES A.oD ORDINANCES, AND IT IS HERESY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPEC$rICATIONS AND IN COMPLIANCE WITH
SUh total ^;(}r,, ij ALL APPLICABLE CCDES AND ORDINANCES. THE ISSUANCr OF THIS PE.RMIT ^OES NOT WAIVE
--- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax LICENSE. SEPARATE PERMITS REOUIRE-D FOR SEWER, PLUMBING AND HEATING.
Total ,
ByO 4 - —
, PPI.�CN1 OR AOFN1
Approved
J
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor_
Permit No.
Rough-in
�� Fixture
i� zP7
Final
� HEATIW6
C Contractor
--�! Permit No.
Gas or Oil------.�.--- .__—
Rough-i-,
— -- —� --�_—_ Final
SEWER
_— --- — Final -
_ DrIVEWAY
Final
Storm Drainage
(Rein Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT.FINAL TIrMPORARY ERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANC YC� ------
Landscaping
20
ring Final
CILy of Tic, -A r d Mechanical Per-,-
Fee..----Afr'A'*
---
Rel:ication Addition ID 41-ke-ration 3%.State
TOTAL-
CTRA CTCR 0 WN E.R
C N'
ADDRF;S_;7��.7.f-
A RE5z- 4e-
D,
-,HONE APPLICANT��.+le6e
'e -*-tC -jj�4rj" 46 -
H,:aL Input Rating (BTU Per Hour) Sire -------
FUEL OIL ED GAS [U-- ELECTED OTh L K
ITEM NU. FEE ITEM NO, FE
For Issuance of Permit 3.00-- Air Condition Compressor 15 to 30 HP 10.(
��`l "� — �Now- Unde. 100,000 BTU 4.00 Air Handling 10,000 CFM 3.(
11 ew- 100,TOO BTU &over 5.00 Air Handling Over 10,000 CFM 5..(
--- 4.00 Evaporative Cooler 3(
Floor Furnace —
Wall - Floor Suspended 4.05 Range Vent Fan 2.(
Install Vents Only 2.00 Ven, System 3 t
Repair - Hem & Cooling 4.00 Hood Commei ciat 3(
Sorrip��or Under 3 HP 4.00 Commercial Duct System 10(
Air Condition
Compressor 3 7.50
.—Air Condition iol"� HP
INSPECTOR'S COMMENTS----—-
r
CITY BUSINESS i OR ICENSE REOUIRED FOR ALL CONTRACTORS JUB-CONTRACTORS
APPROVED DATE ISSUED ByDATE.
RECEIPT NO-