15950 SW OAK MEADOW LANE 15950 SW OAK MEADOW LANE
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NORK ADDRESS �gS't�
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rkADnAPPLICANT_ -:a-�►a�Ot.�_
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_ _� : Flue Size
PHONE � Vent Size _- --
Fieat In ut Ctating (BTU Per Hour)
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I--, r,AS ' ELFC7 E) OTHER_ ___ - -- FE
> UEL OIL ITEM NO.
NO. FEE 10.0
;, .. ITEM ., —T Air'Condition Com^ Pressor 15 to 30HP
x_ I __�_�3.0•J t
For Issuance of Permit . 4 pp Air Handling 1Q,000 CFM ---t- 5
100.OD�T BTU �� 5 00 Air Handlin� E ver,10.000 CF�r__ - 3.
-� New•Un3e'
Ne; .;1)0,000 BTU & over -- 4.00 Evaporative Cooler 2.(
Range Vent Fan
_ door Furnace 4.00 _�___ _------ 3A
Floor Stspended _ _.. -- 2.00 Vent System _ ____----•--. i- 3.0
Ins:all Vents Only r --- '-�--- 4.00 Hood Commercial_ �____.^__- ---- - 10.1
Heat& Cooling ---� 4 pp Co to mercial Otic', Syste--m___.__.
Repair ,_ ___--r Under 3 HP I _
Air Condition Compress'
_ 7.50
" itinn Compressor 3 t15 HP
r Condition
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,t INSPECTOR'S COMMENTS -- - -
D 'rE
•-.„- CITY BUSINESS LICENSE REQUIRED FOR All_ CONTRACTOR SOR
Ep 8Y ONTRACTriR
DATE .---
'.... G` BY _
APPROVE
t.� RECEIPT Irl(%• ___------ Signature. of APPI• W,.
r
� `p PER.9 I 1 N O .
PERMIT CHARGE _ none
-
- - _ Corer:ECTIO J FEE
OUNER
PAIL' 8Y
DATE CUNr:ECTED �
TYPE OF 6UILDING _ /bl-A-) -
I N S P E C T I O N FEE ----
SERVICE RATE _ _ /— --
PA ID 6Y --- DATE
-_-
CONTRACTOR -----------
SI 'E OF CON"J'-CTION: _
A S S E S`i rl E N T �_____ _._._ PAID F-_
E
V 2273
BUILDING PERMIT APPLICATION 1oFY TIGARD DATE___/1_1/__,—, 19___
THE UNDERSIGNED HEREBY APPLIES FOR APFRMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE,
LOT NO._..
OWNER,lath W P. . JOP ODRESS 'yJfJ aI.I k $iiiJi#eJ46 MI NE AUDRE5S
ARCHITECT
ENGINEER
_BUILDER ADDRESS _ _ t DESIGNERr—�
STRUCTUR CIN t_�RE'MODEL ❑ADDITION ❑REPAIAY ❑RENEWAL ❑FIRE DAMAGEv CIDEMO _IrION
D RESIDENCE ❑COI.AM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STOPAGE I❑��SLAB _)FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL A-PROVED LJSIGNS
OCCUPANCY— "`2L.ANU USE ZONE BLDG.TY'PE_.Jr_ FIRE ZONE–.2 PLAN CHECK EY_ -.' HEATt
i od@l. fig. MK C C :swisgUe Sums an 1b613 SW 54immarfield Lane. _
9_CC LQAAD _F14QH LQE��2 21DT HEIGHT_ ___AL1__..._.a�L
BUILDING DEPARTMENT SET BACKS FRONT LU y REAR 1-9 LEFT SIDF RIGHT SIDE
Permit 1 L _1•(I1'
— THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 41. REGULATIONS AND At 1 APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGR,'.ED THAT THE
–� WORK WILL BE DONE IN ACCORDANCE WITH THE CLANS AND SPECIFICATIONS AND IN COMPIAANCE WITH
Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS T'O HAVE CUR9ENT CITY BUSINESS
State Fax 7 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total C'P:s. :tf� Pot'. ;#'.C' er �1t3p,Cs�
By __ _
---- APPLICANT Op F AGN1
Approved lOil Recript N(, 70.
i
DATE INF..', TYPE INSPECTION REMARKS PLUMBING DATE
/p-y;�' - �_ - -- — - —. Contraetol�t Qj/y_
���'Tp �3uf. • / ♦M ��• _� — --- — Permit No. /S'� _
7 s r i Rough-in
��._
Fixture
_ Final
/.7��7S' 3�,/�/7 O ►�+ HEATING
Contractor
Permit No.
Gas or Oil
~ Raughdn
Final
SSW
Final
d DRIVEWAY i
Final
Storm Drainage
(Rein Drain)Final
Side Milk
" ,•b E Street Final
Approach
BLDG.DEPT.FINAL TL`MPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
I NARF
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