15885 SW OAK MEADOW LANE 1.5885 SW OAK MEADOW LANE
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New Ins;a1:2lion ✓ Re.-,!ace L^'_..' Relocation 0 . dilTion k!tiration LState_—_� 28____
TOTAL •,��___.
r.,—•• r L►>!rz�.t.. '�v\�.. A c. tr. 1��C—. OWNER _amu A.�Nr ti►i _ �� rte_�.�o.� v e_ .
C%ON RA„TOR
��)d WORK ADDRESS I61> �5 Ste-
ADnRc_ ^ --�� -
PHONE —�,
�C, _ p APPLICANT
Heat Input Rating (BT0 Per Hour) jam, Vent Size �� Flue Size --r
;•
FUEL OIL ❑ GAS ELECT ❑ OTHER ---
ITEM NO. FEE ITEM ND. FE
For Issuance of Permit3.00 Air Condition Compressor 15 to 30 HP t0.r
•' ' 4.00
- 105, Air Handling 10,000 CFM
i^ Niw Undsr 100,003 BTU —�
New 000 BTU & over --T 5A0 •'Air Handling Over 10,000 CFM 5.'.. Floor Furnace -- _ 4.00 Evaporative Cooler 3.4
`' — 4.00 Range Vent Fan 2.r
Wall - Floor SuspendEd_ _ _ —
Install Ven!s OnIY ___ 2.00 Vent System �� 3.
Repair • Heat &Cooling ( 4.00 Hood Commercial 3
> Air Condition Compressor Under 3 HP y 4.00 Con•rmercial Duct System
<< ,Air Condition Compressor 3 to 15 HP — 7.50—
x INSPECTOR'S COMMENTS
xx. CITY BUSINESS LICENSE REOUIRED FOR ALL CONTRACTORS OR SUBCONTRACTORS
=. APPROVED BY_ DATE _ ISSUED BY DATE 4
•. RECEIPT NO.---
_e_
}`= Signature of774 A plica ` y
ADORE 55 /EJ-.a$; A* �/� d��a*�} r s��z PERMIT NO. 1711,29
PERMIT CHARGE _ none
01JNER 7._Q ,<- _ — CrNNECTION FEE _ ,HBc) _
PAID BY
TYPE OF BUILDING -A1141 DATE CON'.cCTED
�l
SERVICE RATE �c� L _ INSPECT'.ON FEE
CONTRACTOR PAID 9Y DATE
SIZE Of CONI:ECTION _ ASSESSMENT PAID
9'7 1 fir ISS/���q nJ✓ ,1��
...;�u+..,_..»..,*r'nn�pr""r`" ,. .,nwrYawwrrr; ... . . .,. •^rr"w�,�y ..._...-i.�.._„-,.._. ..__.. ._...._.._...
BUILDING PERMIT APPLICATION "nF TIGARD
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HERFIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE-
LOT NO.. --
OWNER 4 JOB ADDRESS HOME ADDRESS � ___�•_!_
---_� ARCHITECT
ENGINEER
BUILDER ADDRESS DESIGNER
S''_RUCTURE _ ❑NEW ❑Ri'MODEL LJADDITION C3 REPAIR _ ❑RENEWAL [:]FIRE DAMAGE ❑DEMOLITION
❑ ,AF.SIDENCF !J:CMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GAPHGE ❑STORAGE❑SLAB ❑FENCE
QBONC ❑MOVING ❑CONniTIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
"*7 FIRE ZONE PLAN CHECK BY_ I HEAT___
OCCUPANCY—._:_.._LAND USE ZONE _BLDG.TYPE —_. -
- — -- Fi*—issQ6 samg 8d, 1036 Stj NiQh1aria Ur.1 in �—
ZZ 40
HEIGHT
�st C
4 �LQA� FLOOR LOAD ____... .__—_�4.$I2F'�----_�fi�.A_—_ NQ BEDR0011Q;�_�lBLUt —
BUILDING DEPARTMENTSET BACKS FRONT I FEAR LEFT SIDE RIGHT SIDE
�145,.1.1Fi
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan C,ieck i,17,1j(1 REGULATIONS AND ALL APPLICAELE CODES AND ORDINANCES, AND IT IS HEREBY AGRFED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PIANS ANDSPECIFICCT;ONS AN.- -:CO' , LIANCE WITH
Sub-total ALL APPLICABLE CODES, AND ORDINANCES. THE ISSUANCE OF THIS PER101• ''JES NOT WAIVE
RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax„I LICENSE. SEPARATE PERMITS REOUIRED 1,-OR SEWER, PLUMBING AND HEAT;NG.
Total
By
LA_pp _
_ R-T p-' APPLICANT OR AGEN1roved ,�tJ .�.t�w t Recrilit No
DATE INSR TYPIC INSPECTION REMARKS PLUMBING DATE
Contractor -
Permit No.�S �' sv O^�c.//z
/ /'•C -- Rough-in
Fixture -
�- J / Final
HEATING
-- Contractor
Permit No.
Ges,w Oil
— �^- Roughen ---
�- — - -- Final +
SEWER
Final ------
DRIVEWAY
Final
Ston Drainage
(Rain Orrin)Final
SkJamik
Curb&Street Final
Approach
tY.DG,DEPT.FINAL _r TEMPORARY CERTIFICATE OCCUPANtY Final
(CERTIFICATE OCCUPANCY
D Landscaping
C/�+ Zoning Final I
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