9345 9350 SW TANGELA COURT IN
5345 & 9350 SW TANGELA COURT
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BUILDING PEW!f APFLiCIA TION MOF
TIGARD DATE_ t9--
THE UNDERSiGNED HEREBY A"PL&S FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE----
OR 1,-) 'HOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNERPHo�v
LOT NO._��_
OW'IER JOLT ADDRESS .HOME ADDRESS
" ACHITECT
ENGINEER
BL-_LDER _ ADDRESS -_ DESIGNER
STRUCTURE LONEW ❑REMODEL ❑ADDITION ORL•PAIR [-]RENEWAL_ ❑FIRE DAMAGE — ❑DEMOLITION
QRESIDENCE [ COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE. ❑STORAGE Cl
nF'..NCE
❑BOND _ DMOVING ❑CONDITIONAL USE — —❑DESIGN RCVIEW ❑COUNCIL APPROVED_— DSIGNS V _�
QCCU,"ANCY—_._--LAND USE ZONF---BLDG IYPc_----FIRE ZONE _ PLAN CHECK BY
OCc;LQaD iltalk FLooR I�O._A_� — r!{ELCtHT _NO,STOR1 S__--- -
BUILDING DEPARTMENT SCT BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit } ----_—_--- ---------___---
-� --- �' THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check Y REGULATIONS AND ALI APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREE) THAT THE
--"-' --- WORK WILL BE DONE IN ACCORDPACE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total ALL APPLICABLF CODr_S AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINE£S
State Tax LICENSE. SEPARATE PERMITS RFOUIRED FOR SEWER, PLUMBING AND HEATING.
Total I
BY -- --- — ----
_ APPLICANT OR AGENT
Approved Rrceipt No.
DATE INSP. TYPE INSPECTION REMARKS s PLUM13ING DATE
Contractor 7 Q
Permit No. 1�'1 Ll-- L{ �ZZ^/0
i K — �'� a� — Rough-in
Fixture
FJ "'�-7�' Final —
42 /1„ .. C — -- HEATING — -- —
Contractor
No.
Permit /O
// oZ 9
Gas or Oil
R:)ughan --` -
- __--------- Final � ---- —
—�---------- --� SEWER
— -- --- Final
DRIVEWAY —
---------- Final
—_---- ^- —s— --- J---- Storllt Drainage
Hain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT. FINAL TEMPORARY CERTIFICATE OCCV'ANr_Y Final —
CERTIFICATF OCCUPANCY ^�
Landscaping
___�— Zoning Final
lFcl Mct-himic,71 Permit M
of cid S3 00
Relocation 41 S a i e oIld
TOTAL__A
C^ ]�_V/
I I-
NTRAC110; A,�X 0; N E
ADORE
WORK ADDRESS
PHONE �__1p APPLICANT 'r2,06"
Heal, Inpul Raving (BTJ Per Hour) 2f' ^00
Vent Size Flue Size
FUEL OIL ❑ GAS G ELECT 116 CTHEF;
ITEM NO. FEE ITEM NO. FE-
�C_0!_�e-r*m i 3.F0 Air Condition Compressor 15 to 30 HP
For
I_ I0.c
N P vj - U nd v, 100.0'70 E TLI 4.00 Air Handling 10.000 cFt.,,
Ne,,77TET0* 3.6
000 BTU & over 5.00 Air Handling Over 10,000 CFW,
Floor ;"u:nace oc
I F-.ap�,raTive Cooer
7 4. -.-Tier 3.0
WaII - F:,)a, -Sv5;,?nded 4.00 Range-Vent Fan
Install Ve n 01 6 r,I y
-- —_ _+- ++ ��- -
�jqq_' Ven',Sys-mm 30
Repair - Heat 9- Cooling 4.00 ___H0_n'd' Commercial-
30
Air Condit;on Corriptvis-or Unler 3 HP ._ 4-00 Commercia!Duc; Sysiern
-.Air Con:!i;irjn Compressor 3 to IS HP 7.56
INSPECTOR'S
CITY BUSINESS LICENSF REQUIRED FOR ALL CONTRAC-l'ORS OR SUB-CONTRACTORS
APPROVED 13Y DATE ISSUED BY
DATE
ADDRESS3 10 ;A �i,,Q,Jh PERMIT NO.
9'35 0
PERMIT CHARGE none
CONNECTION FEE z6a k
PAID BY 4.44
TYPE OF BUILDING DATE CON".LCTED
SERVICE RATE INSPECTION FEE
CONTRACTOR PAID BY DATE
SIZE OF CONNECTI .4+ A 5_,',E S 51 iE N T PAID
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