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CITY OF TIGARD 6394171
66- 36
BUILDING PI_RMIT DATE __._.— _—.'Ie
TAX MAP' -1:1hI) LOT NO, 25 SUBDIVISIONair
CXsv�T
OWNER .f- L:LSI:------- JOB ADDRESS 10$73 .�rl'd Ik7VUa Ct.
BUILDER ;;� — STATE REG.NO. _ ¢, EXP.DATE
BUILDER'S PHONE
G20-1`i71.
ARCHITECT _-•_���eF� f:rr3"F`�ri%— .., _- PHOME __—_._...___.______ OTHER
STRUCTURE 5 NEW L; REMODEL I_1 ADDITION I i REPAIR Cl MOVE OTHER C I DEMOLITION
PESIDENCE COMNI fi EDUCATION O IND F1RELIGIOUS ❑ACCESSORY GARAGF LI OTHER ❑ FENCE
OCCUPANCY LAND USE ZONE BLDG.TYPE --FIRE ZONE_ PLAN CHECK BY '?�'` HEAT C
Ir( Yl�f1#:Liar Xxi — - por �`.Yx1 w7t1F<.
'U)j(x-'t to c. rik i ;T^�' -)£ 6430 --- ---
SEWER PERMIT N 3 bath .U; _rMD 440 �-
OCC.LOAD FLOOR LOAD _ HEIGHT 10 NO STORIES AREA ' r} NO.BEDROOMS VALUE '00"
BILI ---- DEPARTMENT 5ET HACKS f RONT REAH LEFT SIDE RIGHT SIDE
Permit_ _ ( THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE., ZONING
REGULATIONS AND ALL APPLICABLE CODES ANG ORDINANCES. AND IT IS HEREBY AGREED THAT THE
Plan Check_ 40.101 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 _ RESfRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATI►VG.
State Tax 1.5.5. {- I
L r, SDC— _ --J_,__-j,,C_•..'_ >�—�_::------
Total � `J•'' A*PLICANTOF(AOENT J
- - - -- --- PDCII r I r,
Prepd. 40.0)
...n.C,rl
Receipt No ADDRESS _ -------------------- PNCC —
Sal.Due 403.52
--- -- Issued By_._ Approved By-__.--__
1
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YyaY�
Y
DATE INSP. TYPE INSPECTION REMARKS PLUMBING VATF
-Z-B Co itractor Z- �2
�.
1l/ ?el, (Gev, K-27WIFermit No. -
3-9117 Rough-in
S a �-11Aa �.�- y Fixture
Final
HEALING
Comp^lor
io ..z�:�•a/a - -- �.. permit No. 7 O q
Gaeor011
17
Rough-In— --
] r Final
- - -- -- ---- � SEWER .._..,_
---- .' Final
DRIVEWAY
Final
_ Storm Drainage
_ (limn Drain)Final
Sidewalk
--- - -
Cur,3 Street Final
--- - ------- ----
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTHCATE OCCUPANCY
l andv;aping
Zoning Final
I
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CITY OF TIGARD MECHANICAL PERMIT
POW110 `a-2 c
Oescrlovon
T@W 3A M echm"Code CITY PRICE AMR
City of Tigard 1) Permit Fee -0- -0- 10.00
13125 S.W. Hall Blvd. —
P.O. Box. 23397 �� 2) Supplemental Permit 3.00
Tigard, OR 97223 —__
639-4175 Furnace to 100,000 BTU 6.00
1) Incl.ducts&vents
2) Furnace 100,000 BTU + 7.50
incl.ducts dt vents
Name of DevMop ,ern 3) Floor Furnace 6.00
�,., �•, �� �? �� incl.vent
Job Addreae 4) Suspended heater,wall heater li 00
Address /Q F"Z — or floor mounted heater _
Tax L.1 Map No, 5) Vent not incl.in 3.00
_ Lot B1,>* Subdivision appliance permit _
Name(a name of bu!anesr) 8) Repair of heating,ref Ig., 6.00
cooling,absorption unit
Marling Address v Phone 7) Boiler or comp to 3 HP 800
Owner a:;sorp.unit to t 00,000 BTU
CRY/state Zip 8 Boiler or comp to 3 HP-15 HP 1100
absorp,unit to 500,_000 B1 U
Nem 9) Boiler or comp 15.30 HP 1500
absorp.unit hh-1 million _—
mwkhg ses Phone 10) Boiler or comp to 30-50 HF 22.56
• _ absorp.unit 1 -1.75 million
Contractor Ctyf8ua Zip 11) Boiler or comp to 50 HP—-- 31.50
_ ab_sorp.unit 1,750,009 BTU _
Shite Registration No City Bus Tax No 12) Air handling unit to 450
10,000 CFM _
Air handling unit 750
I hereby rti:rhowledge ilial I have read this appllCatlOn that the rnlormalon given is 1`3) 14,E CFM +correct.that mowner
,that vni the owrw or sutnzed agent of the own ,that plans submitted are in
cornrilisnoe w%h State laws,thal I am registered with the State BuildersBoard.that the 14) Non portable 4.50
number given is crxrar! (it exempt hewn State registration please give reason below) evaporate cooler15) A _
Vent fan connected , 300
to a single duct Y J /..
Ventilation system not 450
18) included in appliance permit
---- Hood served by 4.50
mechanical exhaust
&(Wrwor _ J Date18) Domestic type 7.50
Describe work ( I addition ❑ alteration [_1 repair O incinerator
to be done residential) non-residential El 19) commercial or industrial 30.00
Existing use of ! type incinerator
Wilding or property �) Other i e.,woodstove,water 450
Proposed use of heater,solar,clothes dryers,etc.--
building
tc—building or property 21) Gas piping one to tour outlets 2.00 2
Type of fuel-- oN O natural gesprl" LPG O electric O —
22) More than 4.iw outlet
NQ11Q9 - SUS-TOTAL _97
MIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- — 4%SURCHARGE /J
STFUCTION AUTHORIZED IS NOT COMMENCED WITHIN ter'
HAYS, OR IF CONSTRUCT ION OR WORK IS SUSPENDED O,I `PLAN REVIEW 25%OF SUS-TOTAL 3�
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER TOTAL
`18 .3
WORK 13 COMMENCED
-- __ Date issued by