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CITY OF TIGARD
T
COMMUNITY DEVELOPMENT DEPARTMENT 0A7.
13125 SW Hall Blvd.Tigard,Oregon 9722398199 (603)639.4171
P P R7c"N"'NS. R,
Inf..: 0 r. USE7. 5V LINIT HEATERS. Vi INT F-r)N
Vr-NTS W/O VEJ,7 �-7 ri,-,
POTLEMS 'OMPRESSGP! ': 1,10001. .
IS Hp MOW[— TNCIN !
nTu 17-30 r"1w 11",A'i P, 1!N I T�3
7-1 HP. . . . e WOOMSTOVES1. .
4''p- rSS1JRE,, fp. . . . 4) -p
;111!", HANDLUNIC, Us",1 IT 7, 011"HCP !..NITS,
GAS OUTLE'J'S.
10 0 0 c f m
'NT'',T(' WICIMRt,' t-y'p, t It y
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RE n��LJ I Q77D C:7 10 I�i
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Fj,'31iirs rort.:r.Fd i r the
i:;,! "at'! ^,1-E- 'pci,alty Coles aid All olvfip, Ins["
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
[Footing Rain Drain Cover/Service FINAL:
l
Foundatior. Water Line Ceiling -Plumb.
Post/Beam Mech, Shear,/Sheath Framing ,,-Mech.
Plbg.Und/Flr/Slab Plbg. Top Out Insulation (t.l D-
Post/Beam Struct. Mech. Rough-ol Gyp. Bd. CHIS
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: - —4o
Date.
Date: �' � -- A.M. --P.M --- Entry:
Address:
Tanant:--- ------ -------- Ste:---A� FLc`3l
Con/Own:- - - ---- - ----�_.`
THE FOLLOWING CORRECTICNS ARE REOUIRcD: EL.R!
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LDF-
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Ins actor: _-- - Date:
CF
PPROVED �_DISAPPROVED/CALL FOR REINSP. ICO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: _
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -(;Idg.
Pibg. Underfloor Rain Drain Framing -Plumb,
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall / yp. Bd.' -Elect.
Date Requested: 1 L' �' C °5 Time: AM PM
Address: 5
Builder:_� _Permit #: t 7
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Dave:
ED DiSAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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CITY' OF TIGARD BUiLDING INSPECTION NOTI('E /
Inspection Line (Rec-O-Phone): 639-417.5 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Under^'-ib Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Part/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line ns a ion -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: / LJ [/�% ��l / Time: AM PM
Address: U
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
6L t� e�.�v� /� "7 CLQ sS t�'AS
r.�
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Inspector: Date�S `
APPROVED DISAPPROVED C-APPROVED SUBJECT TO ABOVE
`Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION "JOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business F'ione: 639-4171
Inspection:_ _
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Pltg. Top Out Elec. r;vuUn i'i7 F;NAL:
Post/Beam Mech. San. Sewer Gas Linp -Bldg.
Plbg. Underfloor Frain Drain Fram_�pg�' -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: ��U/3 / ��f Time: AM PM
Address:_ Z/ G �3 8 r .��
Builder: Permit q: I S– C -3
THE FOLLOWING CORRECTIONS ARE REQUIRED:
_.0
Inspector: Date:
APPROVED DISAPPROVED €0VFD SUBJECT TO ABOVE
—Call For Reinsp.
CITY OF TiGARD BUILDING INSPECTION NOTICE
Inspection I.ine (Rec-O-Phone): 639-41-t5 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beare Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Piumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: y Z ( �� Time:--AM,, PM
Address: / �1 _ c} •� S�'`��–
Builder; �: 8 Permit #:'z5'_4_L %S ZC
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Ins
pector: C l C t' U. Gate: =.� `I
—DISAPPROVED ,APPROVED SUBJECT TO ABOVE
Call For Reinsp. r�
�7
CITY OF rIGARD BUILDING INSPECTION NOTICE �l-
Inspection Line (Rec-O-Phone): rl?9-4175 Business Phone: 639-4171
Inspection:_ _
Footing Susp. Ceiling Sprink. Sough-in Appr/Sdwlk
Foundation Plbg. Undersrab Mech. Rough-in Fireplace
Post/Beam Struct. g. Top Outi� Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer eer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb,
Alarm Wager Line Irsulation -Moth.
Underfrr. Insik Shear Wall Gyp. Bd. -Elect.
Date Requested:_ 22 Time: AM PM
Address: .`� Z "2� (�� (1-t &:&(
Builder: (.Q S Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Is'
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ALP
InspeDate:
PROVED `DISAPPROVED _APPROVED SUBJECT TO ABOVE
Call Fcr Reinso.
CITY OF TIcGAF.0 BUILDING INSPECTION NOTICE
Inspection Linc (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: �iuti•.
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Eloc. Rough-in FINAL:
PoS m Mech. Sar. Sewer Gas Line -Bldg.
�P16g`_ Underfloor Rain Drain Framing -Plumb.
Alarm Water Lin , Insulation -Mech.
Underflr. Insul, Shear Wall Gyp. Bd. -Elect.
Date Requested: S Time: AM __PM
Address:
Builder: Permit p:
-G 3/
THE FOLLOWING CORRECTIONS ARE REQUIRED:
v
Inspectpr. _ Date: ! —S`9S-
4 APPROVED DISA"PFOVED APPROVED SUBJECT TO ABOVE
._Cali For Reinsp.
_ OWL-
INSPECTION NOTICE i
city of Tigard BulMing Del Irtziont
13125 SW llnll Blvd. Tigard, Oregon 97223
Inepectfan Line (Roc-O-Phons)t 639-4175 Business Phone: 639-4171
Inslwiction:
Foot: ng Plbg. Underslal+ Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post,Beam Stract. San. Sewer Framing -Bldg.
Post,'Beam Hoch. Rain Crain Insulation -plumb.
Plhg , underfloor Water Lino] Z Gyp. Bd. -Hoch.
Date Requestedt
-Z0 _ l J Timet _2_AE► PH
- ,^
Add ea.:
Permit 0,RJ" q3-6)(-3
Builder:
TWIVOLLONING CORRECTIONS ARE RRQUIREDt
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Datet
Inapec't.�/r:� —
V APPROVED DISAPPROVED APPROVED SUP-TECT TO ABOVE
u/J� call For Rsinsp
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639 4175 Business Phone: 639-4171
Inspection:
noting Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Cundatlbr Plbg. Undersfab Mech. Rough-in Fireplace
o� st/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall / Gyp. Bd. X -Elect.
L,Ae Requested: Sv/3r' 17 Time: ' \AM PM
Address: Sy O �t A—c--r-,-_
Builder:_ Permit #: Cf S O 3
THE FOI LOWING CORRECTIONS ARE REQUIRED:
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F-
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CD
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Inspector.� f� Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
`Call For Reinsp.
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125'sw Haji Blvd. APPLICATION Permit # r41 E s 6) f2
Tigard, OR 97223
(503) 639-4171
I Na—7 ••�°^^' e�cnpuan
Table 3A Mechanical Code QTY PRICE AMT
Job t" 3J, S W 5 �' 1) Permit Fee -0- -0- 10.00
Address
2) Supplemental Permit 3.00 l I ,1,
(Nam.
\1«ki h h•0, Furnace to
100,000 BTU
1'� o( r� 1) incl. ducts &vents 6.00
urnace 100,000 BTU +
Owner )c J�/ v 5�C F SC�,� 2) incl, ducts &vents 7.50
'mFloor Furnance
C�7a 3) incl. vent 6.00
�...Iouwmj Susperdea heater, wall eater I
6\Vlti L)12- C 4) or floor mounted heater 5.00
MaIng Ad&m 7e—ntnot inci. in
Occupant __ 5) aop!iance permit 300
io Repair ulf heating, re rir g 1
f 6) cooling, absorption unit 600
( m• Boiler or comp, eat pump, air con
U� 3�,Y�b3y I ) to 3 HP, absorp unit to 100K Bl'1 6.00
• •Addr Boiler or comp,75at pump, air cc
nt r •� �11f) �� �U�36y (v3�` 8) 3-15 HP; absorp unit to 500K PTU 11.00
of a or comp, leaf pump, air con
_ 9) 15-30 HP: absorp unit 5-1 and BTU 1500
!Rate •a• of er or comp, eat pump, air cond.
�) ) 10) 30-50 HP, absorp unit 1-1 75 and BTU 22 50
hereby acxnowie(ge•t a-t ave read tis application, that the Boiler or comp, heat pump, air con
information given is correct, that I am the owner or authorized 11) > 50 HP, absorp .snit 1 75 mil BTU 37.50
agent of the owner, that plans submitted are in compliance withirhandliing unit to
State laws, that I am registered with the Construction Contractor's 12) 10.000 CFM 4 50
Board, that the number given is correct. (If exempt from State Air an ing urn
registration, please give reason below.) 13) 10.000 CTM + 7 50
on portable
14) evaporate cooler 4 50 I
ent fan connected
15) to a single duct 3 00
Ventilation system not
0— TLOLi 01 tiv i7h I C 16) included in appliance permit 4 50
oo serve y
1 i) mechanical exhaust 4 50
Describe work now addition aeration repair Commercial or industrial
'o be done residential Q non-residential Q 18) type incinerator 3000
r_xBung use o y �� �, ter i e. woo stove, water
buildingor prooert •_ 19) heater, solar, clothes dryers. etc 450
Proposed use of20) Gas piping one to four outlets I 200
c� buildingor proberty ` o
21) More than 4-per outlet each) 2.00
Type )f fuel - oil Q natural g,,.'rA LPG electric Q
L NOTICE
Minin um Fee 525 00 SUBTOTAL Cr'S' oma'
LL PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25716 OF SUBTOTAL
AFTER WORK IS COMMENCED
TOTAL
Special Conditions _
Date issued by -
4'LC31No9TSMECwP411r
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WASHINGTON COUNTY ELECTRICAL PERMIT I
Department of Land Use 8r Transportation
Electrical Inspection Section APPLICATION
155 North First Avenue,#350-12 i .
Hillsboro,Oregon 97124 -
inforrnation: (503)640-3470--------Fex: (503) 693-4412
PLEASE PRINT Permit
�_L S'
•' • • • • . Number ��) Data
1. Location of installation 4. Complete Fee Schedule below
Address-15038 S .W. 8 1 s t Ave • Number of inspections per permit allowed
T i gard Building Service included: Items Cost(ea.) Sum I
City Suite No. l
Tenant Name A. Residential-per unit
(if commercial) 1000 sq.ft.or less a,1 10 00 .1
Map No.- _ Tax Lot Each additional 500 sq.n
or portion thereof 00
Limited Energy c0 1
Thomas Map Book: Page: ______..-._ Section: Each Manuf'd Home or Modular
Directions Dwelling Service or Feeder $66.00
B. Services or Feeders
Commercial Residential Installation,alterations or relocation
200 amps or less $50.00 - _ 2
2a. Contractor installation only: 201 amps to 400 amps $80.00 2
_
Electrical Contractor David Sprecher. E Ir_t r i c 401 amps to 600 amps $120.00 2601 amps to 1000 amps $160.00 _ 2
Addre •0• Box ( - Over 1000 amps or volts $340.00 2
City .N e W--b e r•9 State Qr_ ZIP_97_1 3 Reconnect only $5000 2
Date 9/29/95 Job Number
Property Owner Don Han I on C. Temporary Services or Feeders
Contractor's License No. 34-1 77C Installation,alteration or relocation
Contractor's Board Reg. No, 45638 200 amps or less __._ _ $50.00
-- 201 amps to 400 amps $75.00
Signature of Supr. Elec'n AL1lt".l ,oru.L�V4,L� 401 amps to 600 amps _ __ $100.00
2 0 h - 538-2878
Over 600 amps to 1000 volts see"B"above
License No. Phone No.
D. Branch Circuits
2b. For owner installations: New,alteration or extension per panel
a) The fee for branch circuits with
Print Owner's Name N„ purchase of service or feeder lee.
_ __ Each branch circuit $5.00 _ _
Address _ b) The fee for branch circuits without
_ purchase of service or fegder lee.
First branch circuit f $35.00 35.00
Each add'nl branch circuit $5.00
The installation is being made on property I own F_- Miscellaneous (Service or Feeder not included)
which is not intended for sale, lease or rent. Each pump or irrigation circle $40.00
Owner's Signature Each sign or outline lighting $40.00
- - Signal circuit(s)or a limited
energy panel,alteration
3. Plan Review section (if required) or extension __ $40.00
n. Flease check appropriate Item and enter fee In section 5B. F. Each additional!nspectlon over the allowable
r' _ 4 or more residential units in one structure in any of the above
Service and feeder, 800 amps ur more Per inspection :, Uri
� ---- p Per hour __._... $55.00
-System over 600 volts nominal In Plant $55.00
- Classified area or structure containing special
occupancy as described in N.E.C. Chapter 5 5. Fees
rl' Submit 2 sets of plans with application where any of the A. Enter total of above fees $35 .00
r above apply. Not required for temporary construction 9% Surcharge (.05 X total fees) $ I • ^_---
services. Subtotal $YE.7
This permit becomes null and void If the work authorized by the permit Is B. Enter 25% of line A for
not commenced within 180 days from date of lasuanr�of such permit or Plan Review if required (Section 3) $
If the work authorized Is suspended or abandoned at any time after work Su 'tat $
Is commenced for a period of tee days. Electrical Permits ars non- $
refundable and non-transferable. I rust Account
For Inspections call Balance Due '36.75
--691.3699 or 681-3698 •--�-
24-hour recorder, one working day In advance of deed
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CITYOF
MATTER PERMIT
IGARD PERMIT #, . . . . . . :
11ST95-0,314
COMMUNITY DEVELOPMENT 6 &T' IENT DATE ISSUED: 08/30/95
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)830-4171 PARCEL: ;_zS1J.2CB--1i2'60171
SITE ADDRESS. . . . 1510,313 SW EitST AVE�.
SUBDIVISION. . . . : PAPTITION PLAT 1991- 017 ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOS. . . . . . . . . . . . . : 1
DUIL_nTNG
RC'.I SGUE- DWELLING UNITS:0 BASEMENI.. . . . . . . . :0 5f
CLASS OF- WORK. :ADD PEDRMS:0 BATHS: 1 GARAGE. . . . . . . . . . :0 5f
TYPE OF US 3E. . . :13 F FLOOR REQUIRED
TYPE OF CONST. :`a P.) FIRST. . . . :79 Sf LEFT. . : 13 ft RIGHT. :O ft
OCCUPANC.Y C'7RP. : FR3 SECOND. . . :0 5 f FRONT. :0 ft REAR. . :0 ft
STORIES. . . . . . . : I FINBSMENT:O S f REQUI
Hl:_7 I GHT. . . .. . . . . : 12 ft TOTAL—---:79 S f SM0 KE DETEC I ORS.
FLOOR LOAD. . . . :40 psf VALUE. . . . . 5108 PARKING SPACES. . :0
Remarks : ADDITION TO EXISTING HOME
PLUMPING)
SINKS. . . . . . . . . . :12) FLOOR DRAINS. . . . :0 l-3ArKFL.nw PREVNTFS. . :0
LAVATORIES. . . . . .. I WATER HEATERS— . :0 TRAPS. . . . . . . . . . . . . . :0
TUB/SIAOWERS. . . . : 1 LAUNDRY I-RAYS. . . :0 CATCI-A BASINS. . . . . . . :0
WATER CLOSETS. . : 1 SEWER LINE (ft ) . :O GREASE TRAPS. . . . . . . ..0
DISHWASHERS. . . . ..0 WATER LINE (ft ) . :0 OTHER FIXTURES. . . . . :0
GARBAGE D I SP. . . 0 RAIN DRAIN ( ft ) . :0
WASHING 0 SF fR(-i1N DRAINS3. . :0
MECHANICOL FEES
FUEL TYPE13- UNIT I AT RS. . :0 -type amolmt Icy t e v,ec-pt
/GAS/ VENTS . . . . . : 1 BPRT 56. 50 B 1118/30/95 95--269948
MAX INPUT:0 STU VENT FANS. . : I BPL C 1, 36. 73 JA 1118,1 18/97D 95-269511
FURN ( 100K HOODS. . . . . . :0 B5PC $ 2. 83 B 08/30/95 95---2:,69948
FUHN ) =100K -0 1400DSTOVES. :0 lyl P R T $ 25. 00 11 08/30/95 95--269948
FLOOR FURN. . . . .0 CLO DRYERS. : 0 M 5 V,C $ I. .25 B 08/30/95 95-269948
BOIL/CMP < 311P:0 OTHER UNITTS-.0 PPRT $ `,7. 00 B 08/30/95 95269040
GAS OUTLETS:121 P5PC $ 1. 35 D 08/3121/95 95-269946
Owner-:
DON HANLON
15038 SW 31ST AVE
TIGARD OR 9722'4
Phone #: 629-17.1637
DWD CON-TRACTORS, INC
P 0 BOX 23454
TIGARD OR 97281
Phone #i 639-6881
Reg #. . : 41203 --_.______________________________..__._._-
'� 150. 66 TOTAL
This pervit is issued subJect to the regulations contained in the -------- REQUIRED INSPECTIONS
Tigard Municipal Code, State of Ore. Specialty Codes and all other Footing Insp Framing Insp
applicable laws. All work will be done in accordance with approved Foundation Insp Itisittlation Insp
plans. This permit will expire if work is not started within 180 Post/Seam Stt-.tct Gyp Soav-d Insp
days of issuance, or if work is sus ed for more than 180 days. Post /Ream Mec:han Rain chain Insp
--m i ttee ci )at;Utle Crawl Dt"lln Merhanical Final
PLM/Undet-f I nov- PI,Amb sinal
Mec:hanical Insp BLtilcling Final
By Plumb Top Out Erosion Control
Call foy^ insp@L-tion 639-4175
If
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
ohl�
Jobsite Address: 15038 SW 81st Ave. Tigard, OR
Office Use Only
Subdivision: Lot #
Valuation: $10,000.00 Planck/Rec #
ON Permit #I 56
Corner Lot? Y
Reissue of
Flag Lot? Y
Map & TL #
q
Owner: Don S Liz Hanlon (r?a, F` E{(�'�' I�^ (�/ I "'�_% ,l
Approvals Regulred ,
Address: Same
Planning
Engineering
Phone: 629-0637 Other'
Contractor: DWD Contractors, Inc. _ Items Required
Address: PO Box 23454 Subcontractors
Tigard, OR 97281 Truss Details
Phone: 639-6881 _ Other
Contractor's License # #41203
(attach copy of current Oregon license)
Contact Name & Phone: Hal C. Wiggins - 639-6881
Subcontractors: Arc!iltect/Engineer: DWD Contractors, Inc. _
Plumbing: MP Plumbing Co. Address: 11610 SW Pacific Hwy. _
PO Box 23454
Mechanical: Bell Heating Tigard, OR 97281
(attach copy of current OR Contractor's License)
Phone: 639-6881
JOB DESCRIPTION: Addition to existing Home
't C Gcz�
,President 8/18/95
Applicant Signaturd4 & Phone number
Received by: Date Received:
N'WORDCOMDEV�RESAPP
Permit# Account Description Amount Amt. Pd. Bal. Due '
Bldg. Permit (BUILD)
Plumb. Permit (PLUMB) 7 U�
Mech. Permit (MECH) �2G U v-2 61-U
State Tax (TAX) 5 , S V-3
Bldg: c�- S3
Plumb: {3 S
Mech: / 2 )�
Plan Check (PLANCK)
Bldg:' 7 j
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC) _
Residential TIF (TIF-R) —
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C) _
Industrial TIF (TIF-1) _
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
i
TOTALS:
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City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171 -- -- � -
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
-- New Single Family Residences Only
I t.wscrtpaon
-i able 3A Mechanical Code OTY PRICE AMT
❑ 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00
1) Permit Fee 0• 0 10.00 ❑ 3 BATH HOUSE 5225.00
Fee includes all plumbing fbctures; in the dwelling and the first 100 feet
2) Supplemental Permit I 3.00 I of water service, sanitary sewer and storm sewer. See fees below.
r-umace I FIXTURES QTY PRICE AMT
1) incl. ducts S vents u.00 Sink 9.00
Furnace iOO.UUU 81 U I I Lavatory 9.00 ef
2) incl, ducts b vents I 7.50 I Tub or Tub/Shower Comb. 9.00
ioor r•umanoe I Shower Only 9.00
3) incl. vent 6.00
cpe heater,w eater Water Closet 9.00
4) or floor mounted heater 6.00 I Dishwasher 9.00
Vent not incJ. in Garbage Disposal 9.00
5) appliance permit 3,00 Washing Machine 9.00
epair-of nearing,ruing. Floor Drain 9.00
6) cooling,absorption unit 6.00
Boiler or comp, heat pump,air cond. Water Heater 9.00
to 3 HP;absorp unit to 100K BTU 6.00 I Laundry Room Tray 9.00
i er or comp, at pump, air corgi- Urinal 9.00
8) 3-15 HP;absoip unit to 500K BTU or Fixtures (Specify) 9.00
-` boiler or comp,heat pump, air cone.
9.00
9) 15-30 HP;absorp unit .5-1 mil BTU 15.00
9.00
Boder or comp, heat pump,air cons
i t0) 30.50 HP;absorp unit 1-1.75 mil BTU 22.50 9.00
ler or comp,neat pump,air conn I Sewer 1st 100' 30.00
11) >50 HP,absorp unit 1.75 mil BTU 37 2
Add
Sewer-ea. iL 1LJ' 5.00
r tan i^9 unit to
�i Water Service 1st 100' 30.00
12) 10,000 CFM 4.50
r handling unit Water Service ea. AddiL 200' 25.00
13) 10,000 CTM+ 7.50 Storm b Rain Drain tat 100' 30.00
--
on portable
i M evaporate cooler 4.50 Storm 6 Rain Dram Addtt 100' 25.00
Vent tan connected Mobile Home Space 25.00
15) to a single duct 3.00
Badu Flow Prevention
Ventilation system not
16) included in appliance permit / 4.50 Device or Anti•Ponwon Device 9.00
--Ro.- s - Any Trap or Waste Not
17) mechanical exhaust 4.50 Connected to a Fixture 9.00
mmeraa or in stna Catch Basin 9.00
_ 18) type incinerator 30.00 Insp. of Exist. Plumbing 40.t10/hr
ler wWaterSpecially Requested Inspections 40.O11nr
N 19) heater, solar, clothes dryers,etc 4.50
Rain Drain, single family dwelling 30.00
20) Gas piping one to tour outlets 2.00 Residential backflow prevention
.- - devices 1500
211 More than 4-per outlet
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.(Except raWdentlal beckfiow
i,
prorveiriflon devices)
Minimum Fee$25.00 SUBTOTAL .,.T
'Minimum Fee $25.00 SUBTOTAL �' I Gtr
SX SURC
61A SURCHARGE / 7, 1
PLAN REVIEW 2S%OF SUBTOTAL -
TOTAL PLAN REVIEW 25% OF SUBTOTAL
i
TOTAL
Special Conditions _
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CITY OF T I PARD -- RFCE I PT OF PAYMENT RECEIPT NO. :93-2431C,'
4 '
CHECK AMOUNT t 15. 75
AME t NATURAL TOUCH LANDSCAPING CASH AMOUNT a 0. 00
DDRFgiS a PAYMENT DATE a 08/11 /93
SUBDIVISION
'PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
PLUMPING— PERM 15. 00 ST. BUILD PER 0. '75
1503S 5W 81ST
OTAL. AMOUNT PAID
CITY OF T
.COMFAUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223.8109 (503)838.4171
UPTE I fish:=?) ?T_
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