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10995 SW 78TH AVENUE 10995 SW 78TH M`"NUE li u co r- 3 ori Ln rn ON 0 CITY OF TIGARD 639.4171 6388 BUILDING PERMIT DATE TAX MAP IS1.36(;A LOTNO�002 SUBDIVISION OWNER jirmd knyrinlgin _ JOBADDRESS A1 Frvmherm Cwwtrtxtion 44176 BUILDER _ STATE REG.NO. _- ---_-_ ___ EXP.DATE BUILDER'S PHONE 87"3380______- ARCHITECT_ PHONE _____— OTHER STRUCTURE NEW ! REMODEL K, ADDI TION REPAIR MOVE OTHER DEMOLITION Ll RESIDENCE COMM 1 1 EDUCATION IND RELIGIOUS ACCESSORY F.I GARAGE OTHER f 1 FENCE OCCUPANCY LAND USE ZONE BLDG.TYPE FIRE ZONE PLAN CHECK SY HEAT ti � COl18trUCt .i?t'CUCtilpe attached to w"' fly C er w&jk per &Vproye'd pla11m. SEWER PERMIT M OCC,LOAD FLOOR LOAD HEIGHT 12 NO.STORIES i AREA 516 NO.BEDROOMS VALUE 5000 i BUILDING DEPARTMENT j SET BACKS FRONT ' HEAR /' LEFT SIDE RIGHT SIDE �' t { Permit_ SA 00 HIS PERM11 IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING �— REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check 3Y.lf3 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE PI.Ck,Fire RESTRICTIVE COVENANTS. CONTRACTOR AND SUB COATRACTORS TO HAVE CURRENT CITY BUSINESS TAX PERMITS_SEPARATE PERMITS REQUIRED FOR SEW[R,PLUMBING AND HEATING. State Tax 2.02 -- -� � PbCIV SDC— Total ti •3S APPLIC:ANTORAGENT — Prepd. - - -- -- / — B85.3" Receipt NoJ , 1.,a y./ ADDRE88 _ -------_----._- _ _ _ --- — PHONE Bal.Due A5.3 -� Issued By----Approved By .._..�_. _.�+w+�«'�+V+�++i'+►"- "h,.«..r._,_. .......u,n....,.,.:.,w.....,",.+,....uY4.r+q:+n.:..:r..,r,W.u..a........+.....ruWw.i..n.awYs:_,........ .._.._ .�......�.,K,r„e......u.,..., .. P I F wwwIMAwwww rw DATE — INSP. TYPE INSPECTION REMARKS s PLUMBING DATE 24110 Contractor Permit No, Rough in —Fixture Final HEATING Contractor Permit No. Gas or011 Rough-in Final SEWER Final DRIVEWAY Final Storm Drainage (Rain Drain)Final Sidewalk Curb&Street Final Approach BLDG.DEPT.FINAL I F-M- PORARY CERTIFICATE OCCUPANCY Final CERTFICATE OCCUPANCY Landscaping Final CITY OF TIGARD 639.4171 DATE BUILDING PERMIT TAxMAP `�OTNO. %e_ ��'� SUBDIVISION OWNER 1`� z - VU-o r _. JOB ADDRESS BUILDER _:�,: /"'s''�.'c7i�t i-//_-�� -- '^''' �-- STATE REG.NO. y/" -- EXf.DATE s- �sZ Y BUILDER'S PHONE �? "' i )-1 J ARCHITECT_ i,HONE ---------OTHER ---- STRUCTURE ❑ NEW O REMODEL ❑ ADDITION U REPAIR U MOVE L) UTHEFt C1 DEMOLITION ❑ RESIDENCE Cl COMM O EDUCATION O IND O RELIGIOUS ❑ACCESSORY U GAVAGE U OTHER�L7 FENCE OCCUPANCY LAND USE LONE BLDG.TYPE FINE(ANF KLAN CHECK BY HEAT SEWER PERMIT OCC.LOAD_ FLOOR LOAD J HEIGHT NO.STORIES ^—AREA NO.BEDROOMS _ VALUE BUILDING DEPARTMENT SET BAP," FRONT REAR LEFT SIDE RIGHT SIDE Permit TH�ISPERMIT I5 ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUIL04NO CODE, ZONING REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES,AND IT IS 14UEOY AGREED THAT THE PtanChock WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SpMFICATION3 AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES- THE tSSUANCE Of THIS PERMT7 DOES NOT WAIVE PI.Ck.Firs RESTRICTIVE COVENANTS.0.ONTRACTOR AND SUS CONTRACTORS TO NAVE CURRENT CITY SUSINESS TA)PERMITS-SEPARATE PERMIT:i REOUIRED FOR SEWER,PLUMBING AND HEATING. Stele Tax___ --_--- SDC Total APPLICANT OR AGENT POC, Prepd. - - ---- ---- —� Receipt No ADDRESS dal.Due - Issued BY------- ------Approved Y._ SUC IOC - � - SEWER CONNECTION 5 SEWER INSPECTION _f — SEWER SURCHARGE 5 Comments: - --- T IT -� INSPECTION NOTICE City of Tigard Building Department Z'Iv-6 LM P.O. Box 23397 Tigard. Oregon 97223 Phone: 639.4175 Type of Inspection -,, e _ Date Requested____ _ Time A.M___P.M. Address J�/�[__ Permit #_ Owner Lot # Builder --- The following Building Code deficiencies are required to be corrected: Presented to A Inspector - - -- Approved --. — � I Disapproved CALL FOR REINSPECTION 0 YES U NO W W s i + air lI a■r CITY OF TIGARD MECHANICAL PERMIT Receipt# d� c, Permit# `l 0 Description City of Tigard Table 3A Mechanical Code CITY PRICE _AMT ----_-- -- 13125 S.W. Ha!I Blvd. 1) Permit Fee -0- -0- 10.00 P.O. Box 2.3397 —� -- — – Tigard, OR 97223 2) Supplemental Permit 3.00 639-4175 Furnace to 100,000 BTU 1) incl.ducts&vents 6.00 Furnace 100,000 BTU + — 2) incl.ducts&vents 7.50 Name or Development Floor Furnace 3) incl.vent 6.OQ Job Address J Suspended heater,wall heater Address 4) or floor mounted heater 6.00 Tax Lot Map No. Vent not incl.in Lot Block Subdivision 5) appliance permit 3.00 — Name(or name of business( 6) Repair f heating, eatin,r unit nig6.00 ool ng Mailing Address phone _ Biller or comp to 3 HP Owner i 7) absorp.unit to 100,000 BTU 6.00 city/state Zip Boiler or comp to 3 HP-15 HP 8) absorp.unit to 500,000 BTU _ _ 11.00 - Name g) Boiler or comp 15-30 HP absorp.unit 112-1 million 15.00 Meiling Address PhoneBoiler or comp to 30-50 HP 10) absorp,unit 1-1.75 million 22.50 Contractor City State ZipBoilerorcompto50HP 11) absorp,unit 1,750,000 BTU 31.50 ate Registration Nr, City Bus.Tax No. 12 Al.,lhandling unit to St ) 10,(100 CFM 4,50 I hereby acknowledge that I have read this application that the information given Is 13) Air handling unit 7.50 correct,that I am the owner or authorized agent of the owner,that olans submitted are In 10,000 CFM i- compliance with State laws,that I am registered with the State Builders'Board,that the Non portable number given is correct.(If exempt from State registration please give reason oelow). 14) evaporate cooler 4.50 Vent far,connected ' 15) to a single duct 3.00 16 Ventilation system not ) 1.50 included in appliance permit 17) Hood served by _ mGG ;tan ical exhaust 4.50 Signature(owner or agent►.,, Date 18) Domestic type 7.50 Describe work ❑ addition L I , alteration F1 repair ❑ incinerator _ to be done residentialiJ non-residential ❑ Commercial or industrial Incinerator 30.00 Existing use of � !3) type building or properly _ 20) Other i.e.,woodstove,Water 4.50 Proposed use of heater,soliltr,-lothes dryers,etc. building or property 21) Gas piping one to four outlets 2.00 Type of fuel- oil C 1 natural gas I 1 LPG f 1 electric ❑ -- 22) More than 4-per outlet NOTICE --._— SUB-TOTAL THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- — - STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE DAYS, OR IF CONSTRUCTION OR WORK I: SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER - WORK IS COMMEr:%.;ED. TOTAL Special Conditions — _—__--- nate issued ` by - 1 INSPEC i ION NOTICE City of 'Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection . GY-- -- -- Date Requested t�� Tiime—i/ A.M.----P.M. Address —�1_J��1—'___c--L) Permit Owner_> ___ Lot #_-- _--- Builder The following Building Corle deficiencies are required to be corrected: Presented to pproved Inspector —_ Disapprovsd Dater /` �— CALL POR REINSPECTION 0 YES ❑ NO