13475 SW VILLAGE GLENN DRIVE-1 13475 SW VILLAGE GLENN DRIVE
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BUILDING PERMIT ,'1,PPLwp,TION Ur y TIGARQ DATE 19
OF
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPI1JNFb4f—�419
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNEraFH,a
P ft LOT NO.-..--.
OWNE:W;00-V99 t3urya�� JOB ADDRESS 13475 SW Village GIBAOM�E�ADDRESS
ARCHITECT
BUILDERSr"hfAldt 11 U' tOM UJUld � f SS ENGINEER
ER
STRUCTURE ❑NEW ❑RfMnDEL - �IiLYg1QDItION - QREPAIR ❑RENEWAL- (:]FIRE DAMAGE DAMAGE []DEMOLITION
QRESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BUND ❑MOVING ❑CONDITIONALUSE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY---_LAND USE ZONE BLDG.TYPE _FIRE ZONE— PLAN CHECK BY-___ HEAT
,rte,t. opertpatila clock at, roisir o? house WxW anti 15x1b cant re t f! t,1rr:u
OCC. LOAD LOAD HEIGHT __— N_Q j';J fl.I!'�SNP�L�_.._. N0.BEDRQ0MS_ Y.ALUE_._...'. (�Q�
BUILDING DEPARTMENT — SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 15.00
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODFJ AIVD ORDINANCES, AND IT IS HEREBY AGREED THAT THE
”-- WORK WILL BE DONE IN ACCORDANCE WI'H T'HF PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total ALL APPLICABLE CODES AND ORDINANCES THE ISSUAW F OF THIS PERMIT DOES NOT WAIVE
-- RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 176 LICENSE. SEPARATE PERMITS RFCIl11RED FOn SEWER, PLUMBING AND HEATING.
Total 19 7L
By
-- --- ---- APPI I:ANT OR 4CENT
Approved ULL! Rf,vrijit No
DATE INSP, TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No,
Rough-in
Fixture
Final
HEATING
Contractor
Permit No.
Gas or Oil Rough-in
Final
SEWER
Final
DRIVEWAY
Final--
,nal
torwn Drainage
Main Drain)Final
Sidewalk
Curb&Street I-inal
L P6
Approach
_
BLDG.DEPT. NNATEMPORARY CERTIFICATE OCCUPANCY
CEUPNCy_
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
�IA
PERMIT TO CONNECT q10
Tigard Sanitary District
PERMIT N° 1461 DAT$ '
PFXNIIT IS GIVEN TO
OF
TO CONNECT A __—._--
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT
THIS PERMIT MOST BE POSTED ON THE lfkSCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID a.... ...........................TIGARD SANITARY DISTRICT
CONNECTION INSPECTED AND APPROVED
V
Date ---_ ---- _-. -_---_—_Superintendent
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Address 13475 j.Y4. Village ';lenn Dr. Permit No o 1.461
_ Permit charge.______
Owner Vance Lee Connection fee 375.00
Paid by Vance Lee
Type of building Res. Date connected
Service rate Inspection fee 25.00
Contractor Vance Lee Paid by _Date
Size of connection 4" Assessment _Pai.d
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C II'I'I' OF 'I'IGARi1 l,1LCIIAN I,;AL PERMIT -
Permit a1/
t:iLy of Tigard - ----- --
;y4 1-1125 SW Hall Blvd.
DeeoNpdon - _-- -
P.0. Box 23397 Table JA Mechanical Code QTY PRICE AMT
I'igard OR 97223 619-4175 1) Permit Fee -0- -0- 10,00
2) Supplemental Permit 3.00
1) Furnace to 100,000 BTI.'
incl. ducts_& vents 6-00
2) Furnace 100,000 BTU f - - --- -- ---
�— Name of Development ��-- incl. ducts & vents 7.50
Address -- .3) Floor Furnace -- ---
l. vent
inc
Jab � !- r,5 5(A,) Ui��a L* �e 6.00
Address Tay Lot Map a. 41 Suspended heater, wall heater
Lor ►clock Subdivision or floor mounted heater _ 6.00
5) Vent not incl. i n
Name ,or name of buslneea)
�T Po G t.(r e: appliance permit - - 3.00 -
Melling Address phone ,� 6) Repair of heating, refrig.,
is3�-o
Owner 3�J �Ui 0 (uqrtti L� 90
� - cooling, absorption. unit_ 6_00
ISlale / ZIP 7) Boiler or comp to 3HP — -
<<cl1 absorp. unit to 100,000 BTU _ 6.00_
Zno
8) Boiler or comp to 3HP-15HP '
I-333(v absorp. unit to 500,000 BTU - 11.00
Malllrg Address Phone 91 Boller or comp15-30 HP
1�5 f) � L ,���u�� absorp. unit rh-1 million __ 15.00
Contractor C,ry t.le
ZIP
10} Boiler of comp 30-50 HPQ (�i �_� _`L�LL absorp unit 1---1.75 million 22.50
Slate Heplstrallon Na. City Bus. Tax No. 11) BUIler br Comp 50 HP
NO "7 d"5 _absorp. unit 1,750,000 BTU 31.50
I hereby ecknowledpe that I have rewl this aap'icatlon that the Information 12) Air handling Unit to a — --
given Is correct, that I am the owner or suf o^rized agent of the owner, that 10,060 CFM
plan, submitted we In crrrpliencs with Slate laws, that I am registered with 4.50
the SIste Callders' Board, that the number t Ivan Is cone-t. (If exempt 13) Air handling unit
from S reglatrsllon lease give reason belowi.
R 10,000 CFM +
sYi15T r c �urw0� w I �� ---- - - -- 7.50
'\ ---�-- 14) Non portable
Jv�u�- Le"poK L t--u(,,ygr-z L�' 00 - em aporate cooler _--- -- 4.50 _
_ 15) Vent fan connected
to_a single duct _ 3.00
16) Ventilation system not -
-� gate __included in appliance permit 4.50
Signatt:re (ow-roof or agent) _ _-
17) Hood served by
DiLscribe work n addition❑ alteration[] repair Q mechanical exhaust 4.50
Imp he dont residential non-residential ❑ ----- �_
------ -- 18) Domestic type
Existing u3e of I�3.2incinerator _ _ 7.50
building or properly. 19) Commercial or industrial -~
Proposed use of _ type incinerator _ 30.00
bul lding or prope•ty — -- 20) Other i.e., wat
woodslove, er
Type of fuel -• oil natural gas[] LPG❑ electric(] heater, solar, clothes dryers, etc. 4.50
NOTICE 21) Gas piping one to four outlets 2.00
THIS PERMIT BECOMES NULL AND VOID IF WORK OR 22) More than 4-per outlet
CONSTRUCTION AUTHORIZED IS NO3 COMMENCED WITHIN SUB-TOTAL pU
180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED ____� �% SURGHATAL
OR ABANDONED FOR A PERIOD OF 180 D4YS AT ANY --- ---_. --�
TIME AFTER WORK IS COMMENCED. PLANREVIEW2S%OFSUgTOTAL_
TOTAL 0-t��
Special Condltlons
nAt11 I;SIIRrt �_L11� by
TT��"
NONE
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6!JILDING PLRMIT APPLICATION SOF TIG"Rp DATE____-5L- .I_I-- ._—, 19�� N2
HF UNDE RSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN IN61CATFD BUILDER PHONEfQYLf- �
L?R AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPFCIF ICATIONS. OWNCR PHONEE/t40 r 03
/1///
LOT NO._
-- -.— _ j .108 ADDRESS I3 Y� l/ _ E AUDiaE'SS_
` ARCHITECT
—ENGINEER --.
=•-4 �F7 _ � � �r_51GNER
- . 1 URE Q%E W _T❑REMODEL ADDIT ON ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
--—--
XI' ,ICNCF l_JCnMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUSOPATIO ❑CARPORT ❑GARAGE ❑STORAGE IOSLAB ❑FENCE
�HOND ❑MOVING OCONDITIONAL USE ❑DESIGN REVIEW nCOUNCIL APPROVED ❑SIGNS
AND USE ZONE Ja_`..n____._BLDG._TYPE /._FIRE ZONES PLAN CHECK BY-„ HEAT—.--,-
A.4
EAT__A4,,,,-,
61§
: ',AD F L 9DP.a.S?3Q—-----H—NICHT---_ ►� .S7�RIE5 —A$EH �!2_13�DR99M5 VALQ%K-1 d—
_H011L11NG-DEPARTMENT L�� SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
t-1r r mit i77i' .-
- '! THIS PERMIT IS ISSUED SURACT TO THE REGULATIONS CONTAINED IN THE BUILDIN•3 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
5181 ex 7� LICENSE SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
T
RV
. .. _._..-...._. _ __ .._... APPI iCAN1 OR AGENT
Approved �. Receipt No
- - —- —. _-• _„tee —------------- �._. -----
A7�tttE55 PHONE _.__