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City- ®f Tigard Mechanical Permit NO.
New Installation Repiace [:] Relocation Q (.Jdition Alteration DATE: k I—N
HEATING
CONTRALTO C�L�E1?h�� �Zr.+4,_t -_— OWNER�p?-� _� _r�� �..�1a.►� _
ADDRESS A- JOB DRESS 140
PHONE Cn � — C)3 APPLICANT —
Heat Input Ratio (BTU per Hour) �en Vent Size � _
FUEL OIL❑ GAS [] ELECT [:] 074ER
ITI'M IND I FEE ITEM NO. FEE
For Issuance of Permit SEE BELOW _ Each Air Handlirg U,,:, or Duct §stem 7,50
New-up to & incl. 130,000 BTII 6.00 Commercial Hood System 7.50 _
New 100,000 BUT's & over 7.50 Other E Ui ment - Each 4.50
Woodburning Stove 4.5_0 1 Trip Inspection 4.50
Wall-Floor- Suspended_ _ 5.00 Air Condition Compressor . tip to_& incl. 3 FI_P, 6.00
Vent System w/Fan 4.50 Air Condition Compressor-3.1 to 15. H.P. incl. 11.00
Repair- Heat Cooling 6.00
CITY-BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-OXNTRACTORS ! !
PERMIT IS5UANCE 10.00 Comments: _
FEES
S V B-TOTAL
-A—% STATE — Issued By
4%PLAN CHECK ,
TOTAL. f .�� REC.
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BUILDING PERMIT APPLICATION TIGARD DATE_ is 3435
THE UNDERSIGNED HERECY APPLIES FOR A PERMIT FUR THE WORK HEREIN INDICATED BUILDER PHONE .4869
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
OWNER�. Lor NO.
ARCHITECT t! Gutter Const9QBADDRESS 14065 SW 80th Court
ARCHITECT
ENGINEER
BUILDER skims ADDRESS12635 SW Beier Gund Rd. DESIGNER (jotter _
STRUCTURE 91YNEW L7 REMODEL ❑ ADDITION L7 REPAIR ❑ RENEWAL FJ FIRE_DA_MAGE ❑ DEMOLITION
13)AESIDENCE ❑ COMM ❑ EDUCATIONAL CJ GOVT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE CJ SLAB_❑_FENCE
OCCUPANCY P^-3 -LAND USE ZONE R7p0_BLDG.TYPE FIRE ZONE:_ _PLAN CHECK BY _TdWh HEAT
Construct single Pem,ily dwelling w/attached garage. - 3 Bedrooms 1 bath.
w--- SCE CORRECTION SHCFT ATTACHED.
SEWER PEPMIT# 22063 - 750.00
OCC.LOAD FLOOR LOAD 40 HEIGHT 12 NO.STORIES 1 AREA 979 N- BEDROOMS " VALUES' :3f' Q11'
BUILDING DEPARTMENT SETBACKS FRONT 22 REAR 25 LEFrSIDE 6 RIGHT SIDt:
Permit J154.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, Aix'"' IT IS HERFBY AGREED THAT THE
Plan Check 77+00 WORK WILL BE DONE IN ACCORDANCE WITH 1HE PLANS AND SPECIh�ATIONS AND IN COMPLIANCE
I WITH AL1. APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMI- DOES NOT WAIVE
Sub-total 231.00 _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax h. 15
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING;AND HEATING,
a'�
SDC _ p-4U J.IJG /
Total — J,237.16i
By
PDC# I I 61Qa.OAPPLICANTORAOENT
pl _
Receipt No.
'LApproved I AD�SB PHONE
f
f
_DATE IINSP. TYPE INSPECTION REMARKS �i PLUMBING DATE
/V-.:s-A � �- _ _-__ - ------- Contractor - ----
\__V3 ,xUr'' �� --... -- Permit No.
aq 338z+ -
�°a�xe��l Wd.��At Rough-in
- — i
100_ �' X1L�rAL1es.t� J Fixture- -_��— ---
Final
vwrslrGte HEATING _-
?-4Z Lam'__ AAAA, Contractor-- /
�-49- l J/Al A 4Rppnu+e,� Permit No. /6. �/-,1C -g�r
Y Floughin �1�1
Final
SEWER
Final �_—
DRIVE"AY
-� Final -
Storm Drainage`_
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
` -
OLDG.DEPT.FINAL - TEMP�RARY T -
Final
KCERTIPV_*ATE OCCUPANCY CERTilATE I..nd
sc_a,pin._g
( L- -� Trninq Final
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BUILDING PERIMITJ ,PPLICATION f-(G,AW'.7 01,TE 04. 2_.___ i9 "! �� 3r
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE,91ftn_9_eI(tg_
ORT SHOWN AND APPROVED IN THE ACCON'PANYINGePLANS ANQ SPECIFICATIONS. OWNER PH7tiF
O:VDlER 3Uft4r„IOB ADDRESS 14065 5 `�" LOT PID.
ARCHITECT 15—
eCWBUILDEF �L4q�l Q, ADDRESS !z 5O DENGINEER
ESIGNER
STRUCTURE �K NEVJ a 111 EMOOEI._ ❑ ADDITION _❑ REPAIR Cl RENEWAL 0 FIRE DAMAGE ❑ DE►.;OLI T ION
RESIDENCE C COM>A ❑ EDUCATIONAL 7 GOVT ❑ RELIGIOUS ❑ PATIO G CARPORT 0 GARAGE ❑ STORAGE r, SLAP,(--' FENCE
Cri.GiiIANCV _LAND cISSEZONE MC� OG.TYP[ ` FI FIE ZONA_PLAN CHECK BY HEAT AA
7
SEWER PERMIT M
OCC.LOAC _ FLOOR LOAD //d HE. HT I,Z NO.STORIES AREA NO.B'=OROOMS .3 VALUE pp
_jn__ _._._ _
BUILDII`G DEPARTMENT SET BACKS FRONT 2.Z. REAR 2S' Li FT SICE RIGH r SIDE �p
Parmit r y.tom? THIS PERMIT 15 ISSUED SUBJECT TO T H'" REGULATIONS �— —
CONTAINED IN T14: EUILDING CODE,ZOPCNG
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS ARM AGREED THAT THE
PlanCheck �7aU WORK WILL BE DONE IN ACCORDANCE VIITH THE PLANS AND SPECIFICATIONS AND IN ComPLIANCE
WITH ALL APPLICABLE CODES AND ORDIN,kNCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV'c
Sutotal RESTRICTIVE COVENANTS.CONTRACTOR ANU SUB CONTRACTORS TO HAVE CURRENT CITY BJSINESS
LICENSE.SEPARATE PERMITS RE01ARED FOR SEWER,PLUMBING AND HEATING.
State Tax
------�'. �_—.` SDC—
Total ;Z r], /(p
PDC# APPLICANT OR AGENT
BY _
Apprvved Receipt No. ADDRESS
PrtrNE
"roc - s /oo
-;EWER CONVECTION S 7265
EWER INSPECTION S 2y
"EWER SURCHARGE S
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