14300 SW PACIFIC HIGHWAY 14300 SW PACIFIC HIGHWAY
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CC—NTRACTORZ Let 0AIN E R'A��
ADIF)RESS WORK ADDRESS I'd
PHONE APPLICANT
Neatlnpu* Rating (BTU Per Hour)__.-- Vent Size Flue Size--
FUEL OIL 1 GAS CJ ELECT D OTHER
NO. FEE ITEM No. FE
A i r Ffi
For Iss--amcc oPermr, F 306 ditic�n Compressor 15 to 30 "p
—_ --- - -1 c
Air Handling 10,000 CFIM,
New - UnJe, M.1,003 ETU 4.00 A�,__
New •- IM,000 BTU & over 5.00 'Air Hij,,dlinr,Over 10,000 CFM
5,
Floor Furnact- 4.00 Evepxative Cooler 3.0
Sus
no4.66—--'Range Vent Fan
. ;:-L 7-- 2.c
Install Vents Only 2.00 Ven-, System —3c
Rep ji, - Hcat & Cooling 4.60 Hood Commercial
C
Air Condition Campre-or Under 3 HP
Commercia! Duc: SystemTc
Air Con-fi;ion Compressor 3 to 15 HP _�. _E7.50
I N S P E C r 0.-1 S C 0 M,M E N T S
CITY EUSINESS
LICENSE REOUIRED FOR ALL CONTRACTORS OR S1jr; CO3 r TORS
APPPOVED BY- DATE ISSUED B DATE
J0
BUILDING DEPARTMENT, TIGARD
PLUMBING PERMIT
— ------ -- __, hAder of a valid plumbing contractors license is hereby
authorizPd to cause plumbing work as herein noted to be installed in accordance wish the plumbing code of
Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Busimiss License required
for all contractors and sub-contractors.
Owner – Address-___..__._�_____
NUMBER OF TOTAL PERMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Oniy)
QENTIAL _
Single FBI lly_1 bath—each 26.60 -----
Du lex—Each 1 beth unit 26
.00
_Additional bathrooms—each
Mobile Home Space—each 15.00 —
INOIV.ZIUAL FIXTURE FEES__ '' -- ---
— 1 to 60 Fixtures in 1 bullcilm—each — 300 — —
51 to 100 Fb;tures in 1 bulldinp--each — — A 2.60
101 to 200 Fixtures in 1 bulldin9—each — -- 2 00 — --
201 a more Fixtures In 1 buildlnp—each _ 1.50 — —
MISCELLANEOUS — ---
8uilding
_Sever--each additional 100 ft.
'PC
Water Service to huildinp 5.00'
rivate Water systems—e
i`hh 100 ft. 10.00 —
ther S ec;:yl: ` '— --- --
-PERMIT —� For Phnrrhiny Inspection Phone 6394171
3%State Plumbing Contractor By
TONAL PECEIPT NO. Issued By �-
1 �
I'
i
SUILOING DEr-,4RTMENT, TIGAni)
PLUMBING PEBfr11T 1 V •
holder of a valid plumbing contractors license is hereby
authorized t lse alunlDiny wor as herein noted to be installed in accordance: with the plumbing code of
Tigard. Such installations raduire inspection by the Ciiy Inspector who shall be tlotified not less thin four
(4) hours prior to the time the installations are ready for ins' taction. City of Tigard Business Licenie required l
for all contractors and sub-contractors.
Owner
CA—. 14- _. __ dr ss. ._ l Date___Z_L _
-- _ NUM ER)9F —_N -_- TOTAL -Y PE.3411T NO:S
TYPE OF PERMIT' It hi
S FE N EACAMOUNT (Orlice Uce Only!
aUAPLE n_u.A L _.__
iy• Fsmily-I beth-each
Dvnlex—Each I bath unit -._ _--25 00
Additional bethrroms each - 10.00
15.00
r I N D.1_V-ID U A L
- 1 to 50 Fixtures in 1 building
51 to 100 Fixtures in 1_builc'inq._qch_ 22.550
- 101_to 700 Fixtures in-1 huilrlir,a each---! -- ------- _.- .2.00 __-
2t,1 or morn Fixtv,, s in 1 bui!d r+y__Kach - 1.50
h11SCELLANEOUS __-
8,1 din Stv,fr 1st 50 f; MCI) -"-
Sewer-each jt'rli;ian,1l 100 ft. _ _ _ 10.00
Water SRrvice to building
- -_ -_.._----..-- - -Y_5.Ou _..__. -._.__.. __�� ___ _-- -•
Privata Wetar Svstems•_eech 100 ft._-_-Y - ._ -- __ 10Ati ----.----_-- ----_ _-_ -
PE iM11 Soo - For PlunrhArg lnspecton Phone 639 4171 _....—
Plumbing Contr3ctar Sy t__
To1At. RECEIPT NO. Iflsuetl 6y f
BUILDING PERMIT APPLICATION 11TEY TIGARD DATE_ _____.. , 19
TNF_ UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED 13UILDERPiIONE
OR P,S SHnWN AND APPROVED IN THE ACCOMPANYING; PLANS AND SPECIFICATIONS. OWNERPHON . -----
LOT NO._� —
OWNERLJi JOB ADDRESS HOME ADDRESS
ARCHITECT
ENGINEER
BUILDER ADDRESS DESIGNER
E
STRUCTURE ❑NEW ❑RMODEL LJADDITION ❑REPAIR DRENEWAL ❑FIRE DAMAGE ❑DEMOLITION
[] RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE FI❑- SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED LSIGNS
QPCUPANCY LAND USE ZONE--C--3 BLDG.TYPE--..4—FIRE ZONE PLAN CHECK BY— a ),y{ __ HEAT
Construct addition to oxisting wmxi front structure, all in aoccrcianco
with r,las s asad_ ucwjo rye vii:smanta. NR. occui,)a c t until .la►ndsc&pins &all work,
cosndjuted. Vlumbiny util wachalnica1 jremlt reegvireo.
Q_QC__ QBi[—____FJMH LS?F HEJCiH'f_.___.��S►9�SSQliI �_� ARE,\ 1.?r'U NO.BEQRQQ.TirlSYALUE _
M BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit — ---
THIS PERMIT IS ISSUED SIJR,IFCT TO THE REGULATIOYS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check U1. !10 REGULATIONS AND At I APPI (CABLE CODES AND ORD NANCFS, AND IT IS HEREBY AGREED THAI THE
WORK WILL BE DONE IN ACCORDANCE. WITH THE PLANS ANDSPECIFI:ATIONS AND IN COLJPLIANCF W1114
Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE IS,;UANCE OF THIS PERMIT DOES NOT WAIVE
RESTPICTIVE COVENANTS. CONTRACTOR AND SUB CONTPAC70RS TO HAVE CURRENT CITY BUSINFSS
State fax (5./j2 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLOMBING AND HEATING.
TotalRv
APPLICANT OR AGENt -- ---
Approved {".^ 1"A asst Receipt No.
DATE INSA TYPE INSPECTION REMARKS PLUMBING DATE
Cor,tractor
Permit No. I Q
Rough-in
Fixture
Final
/ HEATING
/t 1
SJContractor
We
Permit No.Ay
r ..�
Gas or Oil
Rough-in
Final
_ SEWER —
Final
DPIVF_WAY
Final
Storni Drainage
(Rein Drain)Final
Sidewalk
Curb&Swat Final
Approach
BLUCs.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY -- -
Lendaceping
Zoning Final ��
- i_lll_DING PERMIT APPLICATION `�Y TIG ARD DATE___ ---. t8- N9
.INDFRSiGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONF______
'v4OWN AND PPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHON �~
1 � LOT NO—_I� JOB ADDRESS O d� LME A RESS
- RCHITECT
6/ tt--�� ENGINEER
AD
URE [:)%EW _OREMODEL DRDESIGNER
_[3REPAIR DRENEWALOFIREDAMAGE ❑DEMOLITION
i ' ,-)fNCEc�MM ❑EDUCATIONAL ❑GOV'T CRELIGIOUSCPATIO ]CARPORT ❑GARAGE ❑STORAGECOSLAB ❑FENCE
lH`>ND OMOVING []CONDITIONAL USE C_OLSIGN REVIEW ,—❑COUNCIL APPROVED ❑SIGNS
IPNNCYR fes' L AND USE ZONE BLDG.TYPE X__4/_..-FIRE ZONE_ PLAN CHECK BY—� HEAT-4'
`BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
THIS PERMIT IS ISSUED SUBJECT TO THE RFGUL,ATIONS CONTAINED IN THE BUILDING 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 lolal S p ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
/ RESTRICTIVF COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CUR ''_NT CITY BUSINESS
`;late T� � L LICENSE SEPARATE PERMITS REnUIRED FOR SEWER, PLUMBING AND HEATING.
TotalEl� -!L
APPLICANT OR AGE N1
Approved - - - eceippi No. ------ -- ----- - ---- -
-.. ADDRESS
OG r
t'�1 r,A!1 Y .l.i
d2
CITY OF I�a .Noatt 0 0995
BUILDING PERMIT ,WPLICATION TIG ARD DATE 19�_
THE UNDERSIGNED HEREBY APPI-IES FOR APERMIT FOR THE WORK HEREIN INDICATED (622*AxS8
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
JeLs Coin .i..,.: . Pacific H14y. 639-4330
QY�.�ER _ � ADDRESS l EH PHONE
NiColi Consto ENGINEER
Bl11LDEH. ARCHITECT DE°iGNER
STRUCTURE ❑0NEW 04EMODEL ❑ADDITION ❑REPAIR ❑RENEWAL — ❑DIRE DAMAGE ❑DEMOLITION
C1 RESIDENCE R�;OMM ❑EDUCATIONAL ❑GOV'T ❑RELIG.OUS❑PATIO ❑CAR POR-i ❑GARAGE ❑STORAGE❑SLAB []FENCE
( N
0 IOND ❑MCVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY LAND USE ZONE BLDG.TYPE DIV FIRE ZONE R PLAN CHECK BY HEAT_
Install. interior partitions for Dontal offices v-- — -- ---
PU.LOAD FLOOR LOA;, HEIGHT NO.STORIES AREA VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 60OUD — — ---_� _ —
-- – 3'0 —i 'Till. PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan heck REGI LATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WOR(WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN CONI'3LIANCE WITH
Record;ng ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES P .'T WAIVE
*
--'--27RES RICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT Cl' 9 BUSINESS
1%State �� LICI NSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 1
ji A r
BY ---- AP01 NT OR AGENT
Approved No
__ _ ADDRESS __PHORI _�
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
r 7 Z _ _ Contractor p
Permit No. c%'�SAOS
r � Rough-in
Fixture
Final
HEATING
Contractor
Permit No.
Gas or Oil
Rou h-in __
Final
--- a SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
Approach _
BLDG.DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
La,dscaping
Z,ining Final
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:,ITY OF TIGARD
Al'.,-.',ICATION FOR SIGN 11ERMIT-
OWNERA Cr 0 C, f0WW2l0-s AC"e-7'y (D PERMIT NO 74 - 1 7.,S" DATE 12 - 7
ADDRESS /Q Soo -VALUE PERMIT FEE
RECEIPT NO-
a
MANUFACTURERQ0'4/ (6-,t( Lv 2P.
ADLRESS-77 ME,
TEL, N6
INSPECTIONS REQUIRED
ERECTOR SME
A DDE L 0 3 'r=Idd
TEL� NO
HEREBY MAKES AIPLICATION TO
><' ERECT SiECIAL INFORMATION
-------- ALTER
REPKI
T11 E OF SIGN 11UT FLAN
T�
TROJECTING '311OW � GN LOCATION
—__'C'MTl.3INATU_li
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SIGN TO BE FA',','T,-"NED AND .3 Z C J IBY
JROVED SUHURTS AND IT_771!�
"KGREED THAT lF THIS AIIILIU7*7. �,' US
W7717hil THL `)IGN Will, CONT7.`, r,lr,,,-114
UVEPY Dl:,TA7 WITH-TEE ..-,'u '7�'RENT j
OF THE C : TY AND
77 r TIT—AND
TEEINH NC 1, T i ia 17, TTGAn.
OF xlL'hM1TT1.
BY
iltt;v.;D CHIEf, BIJ LDaG OFFICIAL
'13
�� PERMIT TO CONNECT ,kti
7/-d 1 -
Tigard Sanitary District
/( - 3 3,t;4
PERMIT N° 1386 DATE J-J_ : A
PERMIT 1S GIVEN TO
OF
TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
THIS PERMIT MUST RE POSTED ON THE DESCIIHFF.D�P�REMISES UNTIL CON-
K --------------
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAT- e,�7•.S G
• .•.•.............TIGARD SANITARY ur„RICT
BY
CONNECTION INSPECTED A*::; APPROVED
Date quperliitendent -
s
w man
y /
Permi Nc�
Permi t cha.rtl,,�?
----- -- r,_ Cc:nnect i on ! �yc,__._2��_r....._�---
kai ci
- ,i din = Date
lm-,,pection fee