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` BUILDING PERMIT APPLICATION TIGARD DATE Sept. ' _—,tq '1 3912
fHE UNDERSIGNED HEREBY APPLIES FCR A PERMIT FOR THE WORK HFREIN INDICATED BUILDER PHONE _215�-u321
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPEC'.IFICA I'IONS OWNER PHONE�._.
LOTNO.__1-1,&HArMha I;stat_es
OWNER .x'.'9-v^--7 JOBADDRESS S*W• 83rd Avenue
ARCHITECT —
;i�i .,,� j935 S.W. Willovere 1fr. ENGINEER ?�tltdi0-5
BUILDER — _-_ .__:1ESS DESIGNER
STRUCTURE Ll NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
P"RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV 1 ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY LAND USE ZONE = .BLDG.TYPE -FIRE ZONE "" PLAN CHECK BY d 1 HEAT GAR
Cc-struct Emily Dwell.irm with attached gavege
rorrf!(.tioii sheet attached. 3 bedraouts
2 batof
SEWERPERMITN_ 23`132 -------
00C.LOAD FLOOR LOAD 40 HEIGHT 1.2 NO.STORIES 1 AREA 1055 /i NO.BEDROOMS + VALUE
BUILDING DEPARTMENT SETBACKS FRONT 7.) REAR :14 LEFT SIDE 5 RIGHT SIDE —
Permit 1 .UU THIS PERM,T IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING,
REGULATION: AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
PlaiCheck c'.!.0U WORT WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECI'ACATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OFTHIS F ERMIT DOES NOT WAIVE
But total 267„00 RESTR'CTIVE COVri:ANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CI'r BUSINESS
LICENSE.SEPARATE Pbn,!_''TS REQUIRED FOR SEWER,PLUMBING AND HEATING.
I R-,ate rax �F 7.12
SDC- 4uu*,x1
Total 1G.12 IT 100000
PDCM APPLICANT OR AGENT
By
Receipt No. -
Approved d�,+t1 AO�ME88 PHONE
DATE INSP. TYPE INSPECTV REMARKS PLUMC*.'-G DATE
Contractor
Permit No.
Rough-in
Fixture
Final
HEATING
PermitContractor
No
ff-91
Gas or Oil
Rough in
Filial
SEWER
Final .0
DRIVEWAY
Storm Drainage
(Rain Drain)Fine;
Sidewalk
Curb&Street Final
Approach
FV-DG. DVPT. FIN TEMPORARY FICAf9—OCCUP
cy Final
CERTIFICATE OCCUPANCYFinal
Zoning Final
I
BUILDING PERMIT APPLICATION TIGA;,17 DAT" OW2 1.
THE UNDERSIGNED HEREBY APPLIES FOR A PER-141T FO THE WORK.HEREIN INDICATED BUILDER PHONE ::�Jf
OR AS SHOWN AND APPROVED IN THE ACCONIPANYING PLANS AND SPECIFICATIONS. OWNER PHONE_ _ _
LOT
.� �� s
O NNIER jh,(A55 //1 �1*iILI�,� J013 ADDRESS 31^ -.
- ARCHITECT
fjVEER
BUILDER ?4"el ADDRESS79.1br 5W �1/��1014�� R NER ,?4u�
yy
STRUCTURE -� NEW Cl REMODEL Cl ADDITION ❑ REPAIR CI EZ6�TAL 0 FINE DAMAGE 0 DEMOLI T IOt
)(RESIDENCE C COMA 0 EDUCATIONAL ❑ GOWT ❑ RELIGIOUS Cl PATIO ❑ CAR POR_ O GARAGE C sTORA E r] SU480 FENC;
OCCUPANCY � LAND USE ZONE �-'S� BLDG.TYPE s �� —FIREZC �`_
'NE _PLAN CHECK BY HEAT-�d��-Y-•
G}�xs p I Fay,,, we�" �yt�C� I�P3iG_
SEWER PERMIT 4 � a e ff
OCC.LOAD FLOOR LOAD HEIGHT 40 NO.STORIES AREA /O�O NO.BEDPOOMS 3 VALUE
BUILDING DEPARTMENT SET BACKS FRONT ,?O REAR 3�. LEI--T SICE_ RICHT SIDE
Pnrmlt ff'60 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN !lE BUILDING CODE,ZON:N'
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IlERE3V AGREED Tr`AT TH1
Irl�nCheck �9,00 WURK WILL LIE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN CO.!rWANC:
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE.. OF THIS P Cp".1- DOES SOFT WA.IV:
IS�ubtctal 2&P7.b0 ' RCSTRICTIVS COVENANTS.CGNTSACTOR AND SU3 CONTRACIMiS TO HAVE CURP,ENT CITY E.L iNES.'
LICENSE SEPARATE PERMIT'S REC)UMED FOR SEWER,PLUMBING AND HEATING.
:it3te Tax • 7.a
Total _ _ Z SDC-- QUC-A
�ARIA
QPDC# APPNT ENT
BY .
Approved Receipt No. ADDRESS_
PHONE
0
DC - S �_ /00
-EWER
-EWER h/ 73—EWEF INSPc CTION S 3J'
EWER SURCHARGE 5
130
r�nrncr�4. : Rech. 9-�I-81 °ora' Lo-M, ('/Y I ZZ$-
�� e
F(oor�a� . 3s'x 3� las1.� � 3�'•s° '�3a, 06�
���2 20 x 2Z �¢o �, l9. �� �g 7� 2.,_
ys, � 7 '7
,i_�3
'��� 3 0 0
�.®
`.a.. In 'allay^nReplace ❑ Relocation❑ Addition ❑ Alteration J DATE: _
HEATING
CONrRACTOR Imperial —Mech.- OWNER James 2 MCC has
FSO Box 06327/]PLld. 57206 JOB ADDRESS---
SW 83rd AVe.
ADDHESS.� —_ - - --
PHONE 777-3801 APPLICANT _ Imperial Nl
I
Feat Irlpct Rating(BTU per Hour; __. 40, 000 gent Size.___I__—_-_ . F:us 5ize�_—�!'
f rJEL OIL U GAS [3x ELECT ❑ OTHER
--ITEM j NO.I FEE ITEM NO. FEF ~
For 1;;_uance_of Permit SEE BELOW Each Air Handling Unit or Cucl—system 7,50
New-up to & incl. 100,000 BTU ,T 6.00 Commercial Hood System _ —7.50 _
New 100, 00 BUT's & over 7.50 Other Equipment Each 450
WoedburninScJ 'tcve 4.50 1 Trip Inspection 4.50_
Wall-Floor. Suspended 6.00 Air Condition Cem_presso_r • up to& incl. 3 N.P. 6.00_
Vent System w/Fan 4.50 Air Condition Corr-Lessor• 3.1 to 15. H.P. incl. 1100
^tro.r Hen Cc.r.�ir _ — 600
_ CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS! !
PERMIT ISSUANCE �10 rcimenents:
FEES ___ ___—�---- — — ---- ----- -— ---—
SUB-TOTAL .UU
STATE qIssued By —