14175 SW 80TH COURT 14175 SW 80TH ;;OURT
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Jm&nq gy 193,ukuzz BUILDING; DEPARTMENT, TIGARD O
"QUITE POrSSIBLY THE FINEST" PLUMBING PERP!7: lv
19315 S.E.McLOUGHLIN BLVD.
_- GLADSTONE,OnE00N 97027 - holder of a valid plumbing contractors license is hereby
authorized to cause plumbing work as herein noted to be installed in accordance with thc- plumbing code of
i igard. Such io1;;311ations. 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 Business License required
for all contractors and sub ntractors. h
,.,
Job
U'Nr,ert Sy `,.,,�� L—(� �Ls_—___ --_ Address i t� L� ,�--.4��.---..- flat ;
r NUMBER OF TOTAL
TYPE OF PERMIT ITEMS FEF ON EACH AMOUNT
R'9-1LPE N T I -
Single Family-I bath--each _ _25.00
Ou lax-Each I math unit -' 25.0_0
I.t�r
_Additional bathrooms-each -- 10.0Q 1
_ J
Mobile Home Space-each - 1500 •
INDIVIDUAL FIXTURES QO MEFiCIA - — 1:7
J5
1 to 50 Fixtureg In 1 building--each 3.00 _ _ J
51 to 100 Fixtures In 1 budding_rach 2.50-
101 to 200 Fixtures in 1 buildi29 each___ --_ 2.00
201 or more Fixtures in 1 bui:ding-each_!
MISCELLANEOUS
Sewer—each additional 100 ft. _ _ 10.00 I v
_`Nater Service to building —_5.00
Other (.i p6t ): _—
PE RM ITFor Plumbing If?spec ion Phone 639 4 171
4y.State _ Plumbing Contractor By
rtlT41 Rr-rFIPT W). Issued By
z
J tn9 gy T az BUILDING DEVA.IT.M>_NT, TIGARD
"QUITE POySIBLY THE FINEST" PLUMBING PERMIT N'?
19319 S E McLOUGHLIN BLVD.
--_ OLADS7ONE,UREOON. 97MI -- —� _— holder of a valid plumbing contractors licenst: is hereby
authorized to causa plumbing work as herein noted to be Installed in accordance with the plumbing code of
igard. Such insta.11a!i:lns require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to tl-e time the installat;ons are ready for inspection. City of Tigard Business License required
for all contractors aiid sltb• retractors. j h
Job ��- _.
O,,vner �_�.__,_ __ Address �I_,J''�,��{,1.. '_ ----__ Date__/
�- NUMBER OF TOTAL
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT
ri-ESIpENT)AL ,
_ Sinyle Family-1 bath-each _ 25_00
DU flax-Each 1 bath unit _ �- _ 25.00 11i>
Additional bathrooms-each _Lin.go____LQ
Mobile Home Space-each W 15.00 i
INDIVIDUAL FIXTURETCr-
�M> RCIAI. 1
_ 1- ------ -
1 to 50 Fixtures in 1 building--each _ 3.00
-51 to 101) Fixtures in I building-ea_ch T _- 2.60
101 to 200 Fixtures in 1 buildin -each __--_ _ 2.00
201 or mora. Fixtures in 1 Guilding-each - _— _ 1,50 -
MISCELLANEOUS
Seaver—edch additional 100 ft. -� _ 10.00
_!Nater Service to byildins _-__�-- -_ _. -._ - 7.00
I
_PERMIT Lj For Plumbing Inspection Phone 639.4171
-� I
4%State y ' Du F;umbing Contractor etc
'mTAI PFPFIPT M0. ISSUC'I RV
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BUILDING PERMIT APPLICATION TIGARD DATE., 8I4 _�,�g u0 3�G
THE UNDERSIC NED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED RUILDEA P4A?- 4175 _
OR AS SHOWN AN"APPROVED IN THE ACCOMPANYING PLANS AND SPEr-IFIOATIONS. OWNER ONE
LOT NO.��`��
OWNER —C nt Constr.Co. JOB ADDRESS 14175 5U 80th Court
--- `-` a►1lQfh107�x - - `�
�1�aINktEt*
BUILDER some ADDRESS 5203 SC 28th Ptld DESIGNER R. Jeans .0saians
STRUCTURE — O_N(NEW 11 REMODEL El ADDITION EJ REPAIR _ El RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION v
1
C RESIDENCE ❑ COMM El EDUCATIONAL ❑ GOWT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE [7 STORAGE ❑ SLAB❑ FENCE
OCCUPANCY_ h'n LAND USE ZONE �—fPQLDG.1fPE Sn—FIREZONE- 3 PLAN CHECK BY Ci�lti _HEAT_ 98
Construct aingla family dutallin' w stteched gar_aq_e -(zero lot line)
Re-ISSUE of Pgrtait #3324 1418; SU 80th Court) 3 Bedrooms 2 b+ni.hb.
SEWEa PERMIT# 21996 - 27 G. Q
--
OCC.LOAD FLOOII LOAD Pili HEIGHT 22 NO STORIES 2 AREA 14uu NO.BEDROOMS 3 VAL0 1,5 An.
__BUILDING DEPARTMENT SET P kCKS F TONT 2 REAR 29 LEFT SIDE 0 RICHT SIDE 5
r Permitri
Sl:CC _ THK, 'I I. S ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN TML BUILDING CODE, ZONING
RE( -iS AND ALI. APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
(Plan Check6•UG WOF, NII... SE DONE IN ACCORDANCE WITH T4E PLANS AND SPECIFICATIONS AND IN CODAPLIA,NCE
WITH ALL APPi.ICABLE CODES AND ORDINANCE=S. THE ISSJANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal9.00 _ RESTPIC714U COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
—
State Tax 4` 7. 56 LICENSE.SEF!BATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING.
- SDC— d..4LIi;. 0U f I ---
-Total
-�
ey -- PDC# T $1011.00 AP. LI /.NT ORA
—..P1.
Approved — dWh Recelp�No. ADUR !38 -- ----��-- --
--- ----- PHONE
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UUUU LJUUU UCIJ4�� ,,
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING f DATE
ugx Contractor
Parmiti'lo. :Z� :5 7
---#,�
Roujh-in
Fixture
F inaf
HEATING
Contractor
Permit No.
Gas or Oil
Rough-in
Final
SEWER
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Stdomilk
Curb&Street F:-.a.
Approach
!..`CPT.FINAL TEMPORARY CERTIFICATE OCCUP CY Final
CERTIFICATE OCCUPANCY
Landscaph-1
Zoning Fins,
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I 1i- rdim"I.A.i A0,40d I 'AW66
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BUILDING PCRMITAPPLIGATION TIG^,aD nar
TJ-iE UNDERSIGNED HER:.E3Y:,PPLIcS FCa A PER,NAIT FOR Tf iE WORK HcRElt4 li`J01 ATED BUILDER,PtrONE Z 17
OR AS SHOWN .AND APPROVED IN TN=ACCQ„1PAN''r!NG PL-ANIS AND SPECIFICATIONS, OV,NcR P; .E
�O. JOB ADORES ' ► l5L CJ` �� 1 LOi: O.JL __-
A�f+FF+Er-I' -
A �p ��_ DESIGN A
DDRESS 1�.��'�jrt?
- - - -- E R
STRI Ir'TU=:- NEbV C] REMOOEL :.I AODIT!ON REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DP+lULITIfl
` RESIOENCE r' COMM (? ECI:CATICN;,L GOVT G RELIGIOUS i PATiO a CAR PORT C" GARAGE L--' STC`IAGc SLAa❑ FENC
-CC.i FANCY 7.LAND 11SEZOVc� 2 SLOG TYPE S� �_FIaEZONE-3-PLAN i-,HECK 6'f �1��HEA-�--
014 O -
. ►�'��w ,lea / � _��L.0
SEWER PERMITa
Occ.LOAD FLOOR LOA - HEIGHT Z NO.STORIES .2 AREA�� NO.tJEl7ROOMS VP,!UiSO�40
13UILCING DEPARTIlIENT SET BACKS FRONT o24) REAR LEFT BICE O R1G'.T SIDE 3 n�� THIS PERMIT IS ISSUED SUBJECT'1'0 THE REGULATIONS CONTAINED IN THF BUILDINZ, CODE, ZOPI'N
00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERE3Y A.G%,EEO Tr!AT TY
PIar.Check �� WORK WILL BE DONE IN ACCCP.CANCE WITH THE PLANS AND SPECIFICATIONS ANO IN COIdPLIANC-
�� /� O WITH ALL APPLICABLE CODES AND ORDINANCES. THE. ISSUANCE OF THIS PERMIT DOES NOT WA1Vr.
RESTRICTIVS COVENANTS. coNTSACTOR AND SUS CONT;AC i CR3 TO HAVE CURREN-T Cl-.,f E;JSINc:
of - 5.��L.ICENJc SFFARATE HEA;vil T 3 REOUTA9v FOR SEWER,PLUMBING AND HEATING.
:;taiB Tax
5OC —
Total —_�D�o •�� �,
POLY APPLICANT OR AGENT -"-
Receipt PMA.
Approved ADDRESS - PHONE
Dc - Y o 0
oCc— S — !oD
EWER CONNECTION S 72�
,EWER INSPEC►IRN S
EWER SUFCHARr= S ����
_.
WIN W
City of Tioar"d Mechanical Perwir ern FNF �-
New Installation nepldce (.- fielurat,on ❑ Addition [J Alteration ❑ 4?
r '
_
TOTAL
HEATING �
CONTRACTOR OWNER
F:?UR DSir WORK ADDRESS -' '
PHONE_�� Q C_:3 -a- APPLICANT
Keit Input Rating (BTU Per Hour) �✓�, Vent Size Flu? Size!
I UEL OIL ED GAS ELECT ❑ OTHER
i,.
ITEM NO. FEE ITEM NO. FEE
.-or Issuance of Permit _ BE A]BO _ Air Condition Compressor 15 to 30 HP 10.00
Na.w7p to & inC1.100,000_BTU_
4.00 _Air Handling 10,000 CFM i 3,00
New-100,001 3TU s & over 5.00 Air Handling Over 10,000 CrlI l 5.00
rlcor Furnace 4.00 Evaporative Cooler 3__30
a'iall - Fioor - Suspended 4.00 Range Vent Fan 2.00
Install Vents Only _ _0_ _Vent System �— 3.00
Repair •Heat& Cooling _ 4.00 _Flood Commer:ial_
_ _ 3.00
Air Condition Compressor Under 3 HP _ ��4.00 Commercial Duct System 10.00
Air Condition Compressor 3 to 15 HP 7.50
IN;,PECTOR'S COMMENTS
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB CON RACTORS
rl'PhOVED BY D,,TE _ ISSUE►O BY
� __ _ _ DATE _
flFCEIPT NO �e fit A
Signature o Applicant
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