15805 SW OAK MEADOW LANE 15805 SW OAK MEADOW LANE
al
-I
0
_0
ro
Ql
ro
0
:3
Ln
Ln
0
co
to
CITY OF 'rGARD BLDG. DEPT.
1242') S 1h.' MAIN STREET
TIGARD OREGON 97223
PHONE 639.4171
CONTRACTOR:
Pursuant to Sections) of the Uniform Building Code, the
following item(s) require correcting:
'date: Y--•Z- �'� Permit No.
Inspector A��.
CALL FOR REINSPECTION
\.� � L �� L�t Iczl�Q r'ennii Frcnrt___
-1
hPr. Irts'br 8lrOn 7L "e`rlace I Relocation ❑ Hddi'.ion ❑ A!Itralion '_J I 1 /4. .i State
TOTAL_ t IMO
�.�. �
(?�vticl�i _11IA►�-AL!_ �61�_ice.
AD-)RE !� d1 Y �iA"R WORK ADDREr,51 a_.A to jhko �
PHONE �G �i C;'_,t"� �+• _ APPLICAP T:'�. �' -' .-
Heat Input Rating (BTU Per Hour)p _ Vent Size Flue Size
'
FUEL Co-,! ❑ GAS a' ELECT Ll OTHER —____.__ -
ITEM NO. FEE ITEM NO. FE
For Issuance of ?_error', -��- 3.00 Air Condition Compressor 15 to 30 HP 10_.1
}.'. -��— 4.00 Air Handling 10,000 CFM ' 3.1
,;, New -Under 105,.500 BTU _
New- 10rj,000 BT" S over 5.00 '-Air Handling Over 10,000 CFM 5.1
Floor Furnace _ 4.00 Evaporative Cooler- 3(
4.00 Range Vent Fan 2.1
Wall- Floor -Suspended __. -
'�'' Install Vents Only _ - 2.00 Vent System __ 3.1
4.00- flood Commercial 31
Repair- Heat & Cooling �____ ---- -- -----
rt.. Air Condition Compressor Under 3 HP j 4.00 Commercial 7uc; System
,Air Condition Compressor 3 to 1S HP� r� 7.50 --�_ --_�
- '°- INSPECTOR'S COMMENTS ---
: K:
CITY BUSINESS LICEP! .E REOUIRED FOR ALL CONTRACTORS OR SUBCO'VTNACTORS
�r"�iAPPRCIVED BY .�_ ._ - -- '--
__- DATE ISSUED BY__ � • DATE
RECEIPT
-r 7:G Signature of A plica
-_.........-. .... ... �...+rrrn...,w-. ..ewe.+,...-.1...�n....++.+.w+.-R...s+,wr.-c.�•a-.�✓rrrM1'.Cw�MR..wt«N.`:°,:... ..
Patm.itrhargu, 22 7
C, �- Cnnnr '.. i.on F•e—e- hod
Paid b y 22
7; ki.1 I nate r]nnECtod
I n p c,,r':1.i n F n t. J—4—
Pa d b date
Assessment Paid
• — 1
� w
1
�i
i
IONM E. P.EItMI.13P-1 P:,.M81HG
n ,1 IttC BUILDING DEPARTMENT, TIGARD
N. 0. rM IA PLUMBING PERMIT NO.
hIW9`"' („.IMi 97132 , holder of a valid rlumbing contractors license is hereby
at,'�orized to cause plumbing ' k as h -rein noted to be installed in accordance with the plumbing code of
Tigard. Such installations r(y; .re inspection by the City Inspector who shall be notified I. )t less than four
(A) hours prior to the time the installations are ready for inspection. City Q Igard Business License required
for all contractors and sub-contractors, (�S too ;JL ,� IYIe�. 0 97�
Owner "` L_(I _Addresslxtgt�'5 U J 62A L) v 'r/y m.)Date _
NUMBER OF TOTAL P�RMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Uso Only)
RE SIDENT AL
Single Femlly-1 beth-each 25.00
Duplex—Eei.,h 'i bath unit 25.00 _
Additional bp' •ooms—each — 10.00 G
Mobile Home S 16.00 _
INDIVIDUAL FIXTURE FEES_^
1 to 50 Fixtures in 1 building-each 3.00
51 to 100 Fixtures In 1 building—each 2,50-
101 to 200 Fixtures in 1 building—each 2.00_ _
201 or more Fixtures in 1 building—each 1,50 i
MISCELLANEOUS
Building Sewer-1st 50 ft. 10.00
Sower—each additional 100 ft. 10.00
_water_Service to build_.in _, 5,00r. — 11
Private water Systems—each 100 ft. 10N00
Other S ecif :
PERMIT . 00 For Plumbing Inspection Phone 6394191 J
Plumbing Contractor By
TOTAL � �'(� RECEIPT NO. Issued By
Aw 19--tw- W v I
I P (64
BUILDING PERMIT APPLICATION "yT1 CARD DATE—
OF
THE UNDERSIGNED HEREBY APPLIES FOR APE RM IT FOR THE WORi< HEREIN INDICATED BUILnER PHON
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING OPANS fND SPECIFICATIONS OWNER PHONr`
C NO.-r
LO
OWNER JOB ADDRESS
ARCHITECT
ENGINEER
ir
ADDRE5��-- DESIGNER
STRICTURE XONCW 0 R['M(')DEL CIADDITION OREPAIF ORIENEWAL OFIRE DAMAGE DEMOLITION
Cl,�ESIDFNCE CICOMM OEDUCATIONAL (]GOV-T ORFLIGIOUS(]PATIO CICARPoRi OGARAGE CISTORAGE CISLAH [IFEN CE
LIBOND (]MOVING (]CONDITIONAL-USE CIDESIGN PIEIIEW COUNCI L APPRO\,ED OSIGNS
OCCUPANCY___—. LAND USE ZONE 14-7 oLDG.TYPE—�L—FIREZ NE PLAN CHECK BV--�
HEAT.--..,.,-,-.-
1 J111kOA&
family Fuiltlains -616gue U614c, yet 10 SU Grfisan ' uisf Teri ,
i I 11(he dwelLirly u7ittechoo qora,�o 2 bedroom I bath
a4wax pnrmit ;' 11j967
191f) -.Ito
AREA VALUE
BUILDING DFPARTMENT REAR LEFT SIDE RIGHT SIDE
SET BACKS FRONT
Permit .1 k.1 i .?'G
THIS PERMIT 19 ISSUED SUBJECT To THE REGULATIONS CONTAINED IN THE BUILDING CODF, ZONING
Pla,i CheckREGULATIONSAND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BF DONE IN ACCORDANCE WITH 'THE PLANS AND SPECIFICATIONS AND INCOMPLIANCE WITH
Sl b total 2107 0 uta ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR' AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1 State Tax OCENSF SIEPA49AJE PERMITS REOUIRF9 FOR SEWER, PLUMBING AND HEATING.
1� : ,,,0 , !-14,�I ,
Total 21#6 otj oce 1, 2 11000
FB y -----
u 1,ta APPLICANT OR AGi NT -
>pprovrd L Receipt No
t
DATE INSR TYPE INSPECTION REMARKS PWMSING DATB
Co•ttractor
j, Permit No
— ' Rough-in
acs+( 'z• -
Fixture
Final
HEATING
Contractor
,r Permit No.
J ll
Gas or
Oil
Roughen
—— Final
SEWER
Final
DRIVEWAY
Find
StoAn Drainage
—�� (Rain Orain►Find
Sidewalk
Curb&Street Final
�tA DG-DEPT.RIVAL TCMPORARY� CERTIH7CATE OC A�CY Final cl.
Find
CERTIFICATE OCCUPANCY _.g.7� --- ----+
tandscaping
* Loninp Final
qpr
4 J '1 y �pj��li,f t +1 J�;���r. 1� q.:�' .•�$G�4jjQL .V'
r
N