15935 SW OAK MEADOW LANE 15935 SW OAK MEADOW LANE
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CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE 639.4171
CQNTRAi.:;TOR:
Pursuant to Section(s) of the Uniform Building rode, the
following item(s) require correcting:
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-)ate: i` J -` __� _ Permit No.--
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. Pe:rlacc h_ r,elxat�on L '.d:� ',on Alterationte
SAL
h3r. Ins:3l;a!�on TOTAL�.�`L6^�:-- -
'9F Q1'�P:ER _15A9►� T��_�a„1�E�1�_2+.� .k•
RACTOR
,Y 1 A��•'� WORK ADDRESS 1%�j3s %S u�_
___1a`-�6 -- —._ APPLICANT
PHONE _ r
_ Vent Size F'it.? Size --+
Heat Input Rating (BTU Per Hour) - — -'�
1
FUEL OIL IGAS �� ELECT
FEE ITEM NO. Fr
• ITEhr NO.
- 3.p0 Air Condition Compressor 15 to 30 HP _� _'_
- For Issuance of" ermit - 3.
4.00 Air Handling 10,000 CFM
New• Una;ar 100,000 BTiJ I5.00! Air Handling Over 10,000 CFM
New• 100.'J0- BTU & over 3
4.00 Eva,orative Cooler
Floor Fu.nace 4.00 Range Vent Fan
Wall . Floor -Suspended
2,00_ Vent System -- 3
Install Vents Only 4.00 Hood Commercial _• ^�w _ 3.
Repair• Heat & Cooling___ _
Air Condition Compr•.ssor Under 3 HP 4.00 Commercial Duct. System �_�
r.� 3 to 15 HP 7.50
ressor
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,Air Condition Co ----� --= ---- "- ��`
INSPECTOR'S
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB CONTRACTORS
GATE -- ISSUED BY , --- DATE - —_�
ac AP?ROVED BY --— r
R IX E I P T N O.-______.__.-- — - _
Sianoure of Mica
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ADORESS� 3:i IQ G L,6L& PERMIT NO. 17 �k
PERMIT CHARGE none
OUNER _ CONNECTION FEE 05")e),
PAID BY Q��►x.l%1
IYPErOF BUILDING Aelc, *� DATE CON^.ECTED _
SERVICE RATE � � _ INSPECTION FEE
CONTRACTOR PAID BY DATE
SIZE OF CONNECTION _ ASSE55MENT PAID
0.
I
BUILDING PERMIT APPLICATION cITY TIGARD BATE
THE UNDERSIGNED HEREBY APPLIES FOR APERMI i FOR THE WORK HEREIN INDICATED BUILDER PHONk
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONIrr�
-OT NO.
UWNFR SL EIGfNE ADDRESS
1,��, I-a L L',. L,i j it « .I.�_,_JOG AD Jr� t-� — � ARCHITECT
ENGINEER
BUILDER_— ADDRESS DESIGNER
FtRUCTURE ❑NEW ❑REMnDEL ❑ADCITION ❑REPAIR ❑RENEWAL QFIRE tt--11 []DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T L RFLIG10USOPATIO ❑CAR PORT ❑GARAGE ❑STORAGE OSLAB I.JFENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COI •SIL APPROVED ❑SIGNS
-'4 _.FIRE ZONE PLAN CHECK BY E HEAT_ y.u__—._,
OCCUPANCY__ ._.:::..LAND USE ZONE��---BLDG.TYPE '—'—"`�
. „ j;jjmise 448 timpt some a* 1036b SLI tl
rams ciwaLliwj Witt' Ottsch" 9*t*qs a liaclroom
-- :i�urt It ='rortt'it 1* 3cs`b _ ,625.00 - -
No.$LQH1fl$_ 1 AREA'x�'2 N_Q:3F-OL4S?.MS
SE'f BACKS FRONT _ REAR J LEFT SIDE `� RIGHT SIDE
BUILDING DEPARTMENT —._—_—_.__.__.�..---_.---- ----------
Permit_
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILOIKG CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax ,OU LICENSE, SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 00 80 1=,;( i100*00
By P1 APPI IC ANT Ori AGENT -- - —
Approved curt Receipt No. rr` ---- ---
r �FT �
I
DATE INSP. TYPE INSPECTION REMARKS PLUMBING — OATE
Contractor rr LL p
/ Permit No. '
'1
Rough-in
Fixture
Final
cp 7 J
HEATING
Contractor
Permit No. 2.14
Gas or Oil
X11 Roughmin
_.–-- Final
SEWER
Final
DRIVEWAY
Final
Stank Drainage
(Rain Drain)Final
Sidewalk
Curb&Street F'nal
--- Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE Ot;CUPANLY �--
LandaMing
Zoning Final
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