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KING CITY --
1AY TAY'S PLUMBING INC. SUILDItNG DEPA.l:;1:NIEP-iT' TIGARD
} '!IO()S S.R. 87ib AVE. r
3O T1. J"') r) PLUMISINN3 PE�!01"t
n n� cry",-;N 97269
W_ 1 J
�dml�ln , r+p , ho,mar of a valid p!u�-rbiny contractors licensli is hereby
authorized to buie plumbing work as herein noted to be installer.1 in iac.cordince wir.h the plumbing coda, of
Tigard. Such insta!lations require inspection by the City Inspector who s,h2ll be notified no: less tha; four
(4) hours prior to the tima the installations are roads for inspection. City of Tigard Business License required
for all contractcrs andUb-contractors.
�1�
e;,Ti5RemodeI'lnofir; 183LA69;2d4�14of(Or.9?vaON
OWrEr�jAr?_ r' Ad3re s;yfe!_7 '��0(4
Z u.� _
NUM3r.R OF TOTAL PERMIT NO.'S
TYPE: OF PERMIT
ITEMS FEc' EACH �
_ A!'dGUNT (Office Utr Only)
-�.Sloc;VTI�
Sir+ Is Fami'v-1 bash-a3ch - 25.00 0111
`
ortotea-Latch 1 bat% unit 25.00
AdditionRI ot:nroumi-rich 10.00
Mabile Karn,Spo.a-each_ 15.00
'r INDIVIDUAL FIXTURE FEES — - --
to 50 Fi:42•Jrdt in 1 bui!�lirg-each 3.00
51 to 100_Fi c:u•!s in 1 buil.•ir:-doth _ _ _ 2.50 —
101 to ^.)A Fi�w ea i:t 1 LV:i �'u—i �r. 2.00
201 Or rrorj Fix:,ores in I., i 1.50 }
AI15-Cc ELLANE�0US -� 1
aul!eir-3e.v.r-1:t so
10
_00
501wer-uch additional 100 It. _
10.00_ _
W V Sjrvirr to bv!Id,'r. ' 5.00 — —`
Private V"Itw 3v�eJr^s-•etch 100 ft.
P=;3 it,l'r oa For?rum?ung Inv; A'tor.,639.4/71 -- -�
M
' Plumbing Cont:3ctor By
TOII1L RECEFIT NO. ly;<uec! By � +��
�'JILDING PERMIT APPLICATION rOF I'IC,',RD DATE, _ 19 No
E L-'.1C%FD HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHON ' _-11L7.
A. . 5-+,'WN AND APPROVED IN THE ACCOMPANYING PLANS AND SPEC�CIyrF�IIrcCA7�1ONS. OWNER PHONE a_.—
�L �qiC Oi! ADDRtSS I �S` S� ILV l/11�/ ✓( " J1�0T NO.
2. _ �� ,�� WOME ADDRESS S h►�1 _
Q / ? ARCHITECT
(��DDREss,Vy IC/ ✓` dk51�GNEFt
URE ❑NEW _ CRE MODEL - „ ADDITION ❑REPAIp `-ORENEWAL ❑FIRE DAMAGE- ❑DEMOLITION
' ' ICC-NCF t_JCOMM ❑EDUCATIONAL ❑ISOV'T ORE11G10USC3PATIO ❑CARPORT OGARAGE ❑STORAGE[]SLAB FENCE
,FOND_ 0MOVfNG ❑,ON_DITIO_NAL USE ❑D SIGN REVIEW ❑COUNCIL APPROVED SIGNS
F'-N LAND USE ZONE_^ BL OG TYPE. 1_.___FIRE Z' PLAN CHECK BY. _. HEAT_ -:
._�. .- _ - T _
al-i 41
c !UAD r10.QpJLQA_pHESzIiT � ._ ►!L4 SI4.91E,S _ARS . F!S?.-U,DR t Alsl
AU DING DE I ARTMENT _ SET BACKS I ON /114 _ REAR ' LEf1 510E i RIC>�1T SIDE 3�
-- -
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan ChNCk -of, RFGULATIONS 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
flub iC 181 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
- -'- - RESTRICTIVF COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
Sii,ly Tax JA 7 LICENSE SEPARATE PERMITS REOUIRED FOR SEWER, PLUM NG AND HEATING.
Total Of �j`o
By _- -- --— '�V_
A Pt ICAN1 OR AGENT ^_
API` trved \
1-
t
a
No p24
BUILDING PERMIT APPLICATION KING CITY DATE 1/4f 19 —
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONE 2�,�,..,r�.�i
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PHONE_.
OWNERIyrso ►1aYe1 rL)rkad*JOBADDRESS.I.L1175 IW Rp alt. pkw,'
H
Y � OME ADDRESS I r1T NO.__— _
ARCHITECT
--
BUILDER ' �} �• �����t-T• DDREi836 NE 82nd ENGINEER
A �-S{S LC.I�
SryTRUCTU 1E ❑NEW D R-mnDEL LJ ADDITION C1 REPAIR ❑RENEWAL OFIRE DAMAGE -- ❑DEMOLITION
LJ RESIDENCE ❑COMM ❑EDUCATIONAL 0GOV'T DRELIGIOUSOPATIO ❑CAR PORT ❑GARAGE ❑STORAGE JSLAB ❑FENCE
❑bOND _ OMO'JING — ❑CONDITIONAL USE DDESIGN REVIEW ❑COUNCIL APPROVED dSIGNS
-Q,M±�U NCY ' —')—LAND USE ZONE a—� BLOG.TYPE N FIRE ZONE PLAN CHECK By / Tl.,
HEAT`
addition to oxistiny, sirlyiw fe*,Lly dwelling 12 X 1', _
1 Bedroom and 1 :Jath.
"iumbiny Permit bequirnd, —
�L—_--_-HEIQHT�Pp• 1',iNO.s 1 190 ._1v4-@�1�fl�r4!Y _ VA '[JU.Lit►
BUILDING DEPARTMENT_ SET BACKS FRONT I3 A HEAR '33 1 I r' 3[3
LEFT SIDE RIGHT SIDE
Permit 444.0[)
r� THIS PERMIT IS ISSUED SUBJECT TO THE REGULAT'ONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check +�A.(i- REGULATIONS AND ALL AFPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPSCIFICATIONS AND IN COMPLIANCE WITH
Sub-totai ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVG.
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONtRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax ii 1. TL. LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total G7. 76
By
Approved APPI �r.nNt OR nGF�+t— --
Receipt No
i
DATE INSP. TYPE INSPECTION �r REMARKS PLUMBING DATE
Contractor
Permit No. �
Rough-In
Fixture
Final
--- ------- —- — HEATING -- ------
-- --- � Contractor
Permit No,
No.
Gas or 011
Rough-In
Final
SEWER
Final
- ---- — ------- - DRIVEWAY RIVEWAY - --------
Final
Storm Drainage
(Rain Drain)Flnel
Sldowelk
Curb d Street Final
Approach
BLDG. DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY Final —
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final